chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Dry skin, Injection site reaction, Rash, Rash pruritic
Clinical narrative: Patient reports on 12/12/23 that she developed a rash that was very dry and itchy at injection site as well as on arms and legs
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin, Hepatic failure
Clinical narrative: 2 weeks after 2nd dose of Spikevax (11/3/2023) failing liver symptoms started to appear and greatly worsened after 3rd dose on 12/1/2023 (following CDC guidelines for unvaccinated and immunocompromised). Now on tapering doses of prednisone with significant improvement.
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Joint effusion
Clinical narrative: Received injection in upper right arm. I normally get them in the left arm.  24 hours later I made a comment to my wife that it did not hurt and no adverse affects.  48 hours post injection noticed a significant build up of fluid in my right elbow.  There was no physical impact to the elbow that could have caused the condition
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic, Rash vesicular
Clinical narrative: Left wrist started itching November 2nd around 7 pm. By next morning, I had a rash on both wrists. This rash quickly spread but only on my legs beginning at thighs and down to ankles. A few in the top of my feet. The rash was extremely itchy. At first the rash was just small red dot like things, but by November 4, they were larger, and raised.  I continued to get new lesions  until November the 12th. However they remained until November the 20th (and continued to be itchy the whole time). The itchiest ones, and the ones to last the longest, were around my ankles. To me these were like chicken pox. Nothing on my face, neck or torso. Just the wrists (they faded fast) and the worst ones were around my ankles
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: Left wrist started itching November 2nd around 7 pm. By next morning, I had a rash on both wrists. This rash quickly spread but only on my legs beginning at thighs and down to ankles. A few in the top of my feet. The rash was extremely itchy. At first the rash was just small red dot like things, but by November 4, they were larger, and raised.  I continued to get new lesions  until November the 12th. However they remained until November the 20th (and continued to be itchy the whole time). The itchiest ones, and the ones to last the longest, were around my ankles. To me these were like chicken pox. Nothing on my face, neck or torso. Just the wrists (they faded fast) and the worst ones were around my ankles
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Fatigue, Pyrexia, SARS-CoV-2 test
Clinical narrative: Cough, fevers, fatigue
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Gait disturbance, Joint stiffness, Joint swelling, Mobility decreased
Clinical narrative: In the beginning it just started with my knee. Like a pain in the knee (the left) but the right one, it effected the worst. The right knee, I could not bend it. Like a slab of concrete. It went from that, with me just limping, and dragging, to the right foot. I went to the doctor and she gave me prednisone, that's when I went to clinic. Saw the doctor there and that doctor gave me prednisone again. Then they gave me a referral to go to a specialist. The specialist I went to was at Orthopedic clinic, they put me on steroids again,  and they did multiple xrays. She said I dont have arthritis, I just had a severe reaction to the 2nd shingles shot. She wanted me to go to physical therapy for4-6 weeks. After that, I still end up having issues. I ended up doing a telahealth visit where I spoke to doctors, they then put me on steroids for the 4th time. Now I reached out to my pcp office to see if I can speak to a rheumatologist. My knuckle on each hand still looks puffy. Both of my wrists and then my ankle. It's getting better, but it's just taking a minute.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: X-ray
Clinical narrative: In the beginning it just started with my knee. Like a pain in the knee (the left) but the right one, it effected the worst. The right knee, I could not bend it. Like a slab of concrete. It went from that, with me just limping, and dragging, to the right foot. I went to the doctor and she gave me prednisone, that's when I went to clinic. Saw the doctor there and that doctor gave me prednisone again. Then they gave me a referral to go to a specialist. The specialist I went to was at Orthopedic clinic, they put me on steroids again,  and they did multiple xrays. She said I dont have arthritis, I just had a severe reaction to the 2nd shingles shot. She wanted me to go to physical therapy for4-6 weeks. After that, I still end up having issues. I ended up doing a telahealth visit where I spoke to doctors, they then put me on steroids for the 4th time. Now I reached out to my pcp office to see if I can speak to a rheumatologist. My knuckle on each hand still looks puffy. Both of my wrists and then my ankle. It's getting better, but it's just taking a minute.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received Moderna Lot#3032679 , IM to left deltoid on 12/08/23, no s/s of adverse reactions noted at that time.  Patient received dose of Moderna also on 11/09/2023. Patient notified on 12/12/2023 to inform her she has had two COVID vaccines close together, patient stated that she did not remember receiving vaccine on 11/09/23, then she said she did receive it on 11/9/23, and 12/08/23.  Asked if is she having any side effects, her response was no. She also said she is doing fine.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Mom called 1 day after vaccine administration, reported extreme redness, hardness, and swelling at the injection site.  Asked mom if he had fever or other adverse reactions - she denied any other symptoms. Advised using cold compresses to help alleviate pain and tenderness, mom to monitor symptoms. Spoke to dad, he said it was normal reaction and swelling and redness resolved.
Age: 48.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccines frozen instead of refrigerated
Age: 48.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, Pyrexia
Clinical narrative: Cough, sinus and nasal congestion, fevers, fatigue
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sinus congestion
Clinical narrative: Cough, sinus and nasal congestion, fevers, fatigue
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Respiratory tract congestion
Clinical narrative: Mild cough, congestion, chills. "acute symptomatic Covid infection".
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Chills, Cough
Clinical narrative: Started having chest congestion, cough, chills, fever, and weakness. CXR was negative, but covid test was positive. Received antibiotics.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Started having chest congestion, cough, chills, fever, and weakness. CXR was negative, but covid test was positive. Received antibiotics.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Dyspnoea, Haematoma, Intensive care, Pneumonia
Clinical narrative: Presented with increasing SOB. The patient was placed on IV steroids, IV remdesivir.  She also received Actemra.  Infectious Disease also covered her with empiric IV antibiotics for bilateral pneumonia.  Patient was also supported with BiPAP and high-flow oxygen.  With these measures her respiratory status slowly improved.  She was moved out of ICU. The patient also developed occlusive thrombus within the right peroneal and right soleus vein and left peroneal vein.  She was started on full-dose Lovenox.  With blood thinner she developed upper extremity hematomas.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy
Clinical narrative: Presented with increasing SOB. The patient was placed on IV steroids, IV remdesivir.  She also received Actemra.  Infectious Disease also covered her with empiric IV antibiotics for bilateral pneumonia.  Patient was also supported with BiPAP and high-flow oxygen.  With these measures her respiratory status slowly improved.  She was moved out of ICU. The patient also developed occlusive thrombus within the right peroneal and right soleus vein and left peroneal vein.  She was started on full-dose Lovenox.  With blood thinner she developed upper extremity hematomas.
Age: 18.0
Sex: U
Vaccine: MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received a Meningococcal vaccine that was not actually needed at this time. Review of chart indicates patient has been off schedule with meningococcal vaccines for the past several years.  8/22/2017 received Meningococcal MCV4 per health department.  7/22/2021 received Menactra  7/25/2022 received Bexsero 8/9/2023 received this vaccine reported- Menquadfi.   Noted that patient is of age to start collage and may have been told they required some form of the vaccine to start school. No adverse effects.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Fifty-eight (58) year old Pt. given 6 mo - 11 yr dose of 0.25 ml instead of 12 year and older dose of 0.5 ml.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Provider ordered MMR for 1 yr old, I inadvertently gave MMRV on RT @4:40pm  along with Hep A.  No side effects seen in clinic and pt was acting fine. Mother was contacted by provider. No known symptoms at this time.
Age: 15.0
Sex: U
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt was given meningococcal vaccine that did not need the vaccine at this time.  Noted that sibling was at same appointment and both received the vaccine. This patient had received Menactra at age 11 (11/20/19) and would not have been due for booster for another year - vaccine administered 8/9/23 was given a year too early.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue
Clinical narrative: Cough, chills, fatigue
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Pneumonia
Clinical narrative: Admitted through the ER with cough, SOB, noted to have pneumonia secondary to Covid 19. Patient responded well to treatment with supportive care although continued to remain hypoxic and required supplemental oxygen which was arranged with the help of Case Manager.  He was otherwise able to breathe comfortably and did not have any respiratory distress.
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Herpes zoster, Rash erythematous, Rash pruritic
Clinical narrative: Reactivation of shingles virus, given valacyclovir , rash improving after 7 days but not gone.  Still redness and some itching
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED.
Age: 73.0
Sex: M
Vaccine: TYP
Symptoms: Computerised tomogram, Depressed level of consciousness, Laboratory test, Loss of consciousness
Clinical narrative: Client started Vivotif on 12/10/23.  He started EOD on 12/12/23.  He then woke up on 12/13/23 and took another dose of the Vivotif today. He later passed out completely and was transported to the ER when his wife states "it was to difficult to arouse him, so she called EMS.  He remains in the emergency room current awaiting results of lab work, CT scan
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV, PNC20
Symptoms: Rash, Skin warm
Clinical narrative: patient came in on 12/13/2023 with a rash on right arm, per the patient parents she described patient having rash on the right arm and also felt hot when mother was touching  the patient arm.  No medication was given to the patient.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Burning sensation, Discomfort, Mononucleosis heterophile test negative, Morbillivirus test positive, Ocular hyperaemia
Clinical narrative: - 10/26/23 had MMR booster (14 days before visit) - 2 days after vaccine started having sore throat and fevers - has been having fevers for 10 days on and off - 11/7/2023 noticed rash on face and chest, red, size of tip of pen - rash is itchy - has been taking dayquil and Nyquil - body feels like it's on fire, very uncomfortable - she has not taken benadryl - eyes are ok, somewhat reddened on exam
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Oropharyngeal pain, Pyrexia, Rash, Rash erythematous, Rash pruritic
Clinical narrative: - 10/26/23 had MMR booster (14 days before visit) - 2 days after vaccine started having sore throat and fevers - has been having fevers for 10 days on and off - 11/7/2023 noticed rash on face and chest, red, size of tip of pen - rash is itchy - has been taking dayquil and Nyquil - body feels like it's on fire, very uncomfortable - she has not taken benadryl - eyes are ok, somewhat reddened on exam
Age: 36.0
Sex: F
Vaccine: RSV
Symptoms: Caesarean section, Exposure during pregnancy, Gestational hypertension, Headache, Pre-eclampsia
Clinical narrative: Due date for delivery was January 9, 2024. Baby was delivered at 35 weeks, 3 days due to mother?s severe preeclampsia. Mother developed gestational hypertension on December 1, 2023, which turned into severe preeclampsia on December 7, 2023 (high blood pressure, protein in urine, severe headache, vomiting), resulting in immediate preterm delivery of baby by c-section. Baby?s birth weight was 5lb, 13oz. Mother?s pregnancy was AMA and by IVF, but no prior pregnancy complications  and no prior hypertension or preeclampsia issues in previous two pregnancies.
Age: 36.0
Sex: F
Vaccine: RSV
Symptoms: Premature delivery, Protein urine present, Vomiting
Clinical narrative: Due date for delivery was January 9, 2024. Baby was delivered at 35 weeks, 3 days due to mother?s severe preeclampsia. Mother developed gestational hypertension on December 1, 2023, which turned into severe preeclampsia on December 7, 2023 (high blood pressure, protein in urine, severe headache, vomiting), resulting in immediate preterm delivery of baby by c-section. Baby?s birth weight was 5lb, 13oz. Mother?s pregnancy was AMA and by IVF, but no prior pregnancy complications  and no prior hypertension or preeclampsia issues in previous two pregnancies.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Calculus urinary, Pancreatitis acute, SARS-CoV-2 test positive
Clinical narrative: Presented to the emergency department on 1/10/2022 due to a chief complaint of abdominal pain.  Patient was found to have acute on chronic pancreatitis as well as the right ureteral stone measuring 3 mm in size. Patient was found to be positive for COVID-19 and placed on supplemental oxygen and steroids.  Remdesivir was given by Dr. due to COVID-19 diagnosis.  Patient was weaned from oxygen without difficulty.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Positive airway pressure therapy, Productive cough
Clinical narrative: Test positive for Covid on 2/3 and treated w/ antibiotics and steroids at different facility and was discharged to Rehab. The patient apparently was doing well there and then developed sudden respiratory failure requiring BiPAP initially and currently high-flow 6 L of oxygen.  Patient states she felt suddenly short of breath with increased coughing and some phlegm production.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Test positive for Covid on 2/3 and treated w/ antibiotics and steroids at different facility and was discharged to Rehab. The patient apparently was doing well there and then developed sudden respiratory failure requiring BiPAP initially and currently high-flow 6 L of oxygen.  Patient states she felt suddenly short of breath with increased coughing and some phlegm production.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Hypoxia, Respiratory tract congestion
Clinical narrative: Admitted with cough, congestion, fatigue. Hypoxic w/ ambulation. Patient was slightly hypoxic on admission.  Started on remdesivir therapy.  Patient's hypoxia has improved during the hospital course.  Hence patient was not started on steroid therapy.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chills, Dyspnoea, Fatigue, Hyperkalaemia
Clinical narrative: Presented to the ED via EMS with c/o worsening SOB for the past 6 days. Sates that his oxygen level was low at home and he decided to call EMS. Reports associated fever, chills, fatigue, productive cough with grey sputum. Pt started on supplemental O2, and crit care team as well as Infectious disease consulted and pt treated with IV Dexamethasone, Remdesivir, and x1 dose of Tocilizumab. Pt was placed in ICU status briefly for afib with rvr, placed on cardizem drip but after this pt became rate controlled with transition over to PO Cardizem. During stay, pt did develop hyperkalemia as well as hyponatremia, and nephrology was consulted for management of this. Pt improved, and pt ultimately discharged to LTACH.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hyponatraemia, Intensive care, Oxygen saturation decreased, Productive cough, Pyrexia
Clinical narrative: Presented to the ED via EMS with c/o worsening SOB for the past 6 days. Sates that his oxygen level was low at home and he decided to call EMS. Reports associated fever, chills, fatigue, productive cough with grey sputum. Pt started on supplemental O2, and crit care team as well as Infectious disease consulted and pt treated with IV Dexamethasone, Remdesivir, and x1 dose of Tocilizumab. Pt was placed in ICU status briefly for afib with rvr, placed on cardizem drip but after this pt became rate controlled with transition over to PO Cardizem. During stay, pt did develop hyperkalemia as well as hyponatremia, and nephrology was consulted for management of this. Pt improved, and pt ultimately discharged to LTACH.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: Presented to the ED via EMS with c/o worsening SOB for the past 6 days. Sates that his oxygen level was low at home and he decided to call EMS. Reports associated fever, chills, fatigue, productive cough with grey sputum. Pt started on supplemental O2, and crit care team as well as Infectious disease consulted and pt treated with IV Dexamethasone, Remdesivir, and x1 dose of Tocilizumab. Pt was placed in ICU status briefly for afib with rvr, placed on cardizem drip but after this pt became rate controlled with transition over to PO Cardizem. During stay, pt did develop hyperkalemia as well as hyponatremia, and nephrology was consulted for management of this. Pt improved, and pt ultimately discharged to LTACH.
Age: 59.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site warmth, Limb discomfort
Clinical narrative: Patient reported several days after receiving the vaccine that she had an extensive rash covering her upper arm and shoulder. the rash began around the injection site and steadily spread on to her shoulder and down towards the elbow. Patient stated that there was some swelling, the entire area covered by the rash was tender and warm to the touch. Patient also stated that she was experiencing significant discomfort when moving her arm. Patient also endorsed fever during the first 24 hours after receiving the vaccine.
Age: 59.0
Sex: F
Vaccine: PNC20
Symptoms: Pyrexia
Clinical narrative: Patient reported several days after receiving the vaccine that she had an extensive rash covering her upper arm and shoulder. the rash began around the injection site and steadily spread on to her shoulder and down towards the elbow. Patient stated that there was some swelling, the entire area covered by the rash was tender and warm to the touch. Patient also stated that she was experiencing significant discomfort when moving her arm. Patient also endorsed fever during the first 24 hours after receiving the vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Asthenia, COVID-19, Dysarthria
Clinical narrative: presents with new onset slurred speech, associated with weakness and lethargy. Slurred speech self-resolved in 1-2 hours after resolution of hypoglycemia. Stroke workup with CTA Head/Neck and CT Perfusion w/ contrast was negative. Found to be COVID (+) and requiring supplemental oxygen to maintain adequate O2 saturation. Completed 5 days of treatment with Remdesivir + Dexamethasone
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoglycaemia, Lethargy, Perfusion brain scan normal, SARS-CoV-2 test positive, Scan with contrast normal
Clinical narrative: presents with new onset slurred speech, associated with weakness and lethargy. Slurred speech self-resolved in 1-2 hours after resolution of hypoglycemia. Stroke workup with CTA Head/Neck and CT Perfusion w/ contrast was negative. Found to be COVID (+) and requiring supplemental oxygen to maintain adequate O2 saturation. Completed 5 days of treatment with Remdesivir + Dexamethasone
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Hypotension, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Positive for Covid on 1/23/22. Presented with abdominal pain, hypotension, and tachycardia. Started on antibiotics
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pneumonia viral, Pyrexia
Clinical narrative: He himself began having respiratory symptoms with cough and chest congestion on December 13.  The following day, he had a COVID-19 test done, it was positive. Two days later, he began having a dyspnea which had progressively worsened.  He went to a clinic and was prescribed Levaquin 750 mg daily for 7 days on December 17.  He already has an albuterol at home, which he began using, but there is no improvement in his symptoms.  He had a fever up to 104 degrees Fahrenheit.  On the admission day today, his symptoms had become persistent and he became concerned, especially with increasing dyspnea.The patient was given a limited fluid bolus of 500 mL of Ringer lactate since he has a viral pneumonia, and also administered
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: He himself began having respiratory symptoms with cough and chest congestion on December 13.  The following day, he had a COVID-19 test done, it was positive. Two days later, he began having a dyspnea which had progressively worsened.  He went to a clinic and was prescribed Levaquin 750 mg daily for 7 days on December 17.  He already has an albuterol at home, which he began using, but there is no improvement in his symptoms.  He had a fever up to 104 degrees Fahrenheit.  On the admission day today, his symptoms had become persistent and he became concerned, especially with increasing dyspnea.The patient was given a limited fluid bolus of 500 mL of Ringer lactate since he has a viral pneumonia, and also administered
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: DONOR EXPERIENCED NAUSEA , WARMTH , AND DIZZINESS STARTED  ABOUT 12:00 NOON  AFTER RECIEVING THE VACCINE AT 10:45  OFFICE CONTACTED   VITAL SIGNS  BP- 125/83 AND PULSE-69  TEMPERATURE-98.2  DONOR REFUSED EMERGENCY SERVICES   DONOR WANTS TO SEEK OUTSIDE MEDICAL CARE ON HER OWN  DONOR ADVISED IF SYMPTOMS CONTINUE TO GO TO THE EMERGENCY ROOM
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Exposure to SARS-CoV-2, Lung infiltration
Clinical narrative: Here with cough, SOB. Recent covid exposure with family over Christmas. Workup in the ED showed clear right lung with diffuse infiltrates throughout the left lung, concerning for CAP vs aspiration pneumonia. He was covered with Unasyn with improvement in his oxygenation.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Death, Endotracheal intubation, Mechanical ventilation
Clinical narrative: admitted for acute hypoxic respiratory failure secondary to COVID19 pneumonia. She was started on therapies for COVID-19 pneumonia as under.  She was intubated and placed on ventilator on November 20 secondary to worsening respiratory failure.   Her condition continued to worsen.  After discussions with palliative care team and care members family decided to transition to limited code status.  She had no improvement in her clinical condition and patient passed away on 12/04/21  4.46 pm. Acute hypoxic respiratory failure secondary to COVID19  pneumonia; patient was admitted on 11/16 in due to worsening respiratory failure intubated on 11/20.   patient did not tolerate prone positioning.   she received epoprostenol nebulizations .  Patient was also started on Bumex drip for some concern for pulmonary edema.Severe COVID19 peumonia; received remdesivir for 10 days and tocilizumab x1.  Remained on steroids , empiric antibiotics and DVT prophylaxis.  Received supportive therapies with zinc, statin and Singulair.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Cough, Dyspnoea, Fibrin D dimer, Impaired work ability
Clinical narrative: Pt presented with dyspnea, cough, myalgias. o. On admission, D-dimer was mildly elevated and CT angiogram with no PE but multifocal infiltrates compatible with COVID-19 pneumonia.During this admission, oxygen desat and patient was required to be placed on Airvo, and BiPAP.  Pt required ICU stay due to bipap/airvo.  Patient received steroids, vitamin-C, thiamine, zinc, vitamin-D, Pepcid, melatonin, full-dose anticoagulation, remdesivir, persisted in id, multiple antibiotics.  Id and pulmonology follow along.At the time of discharge patient was anxious to go home.  He was feeling much better.  He did desat on ambulation but was able to recover with oxygen Prolonged discussion was held regarding taking is slowly at home and not going back to construction work.  Patient agreeable with plan.  Patient was discharged with oxygen.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Lung infiltration, Myalgia, Oxygen saturation decreased, Positive airway pressure therapy
Clinical narrative: Pt presented with dyspnea, cough, myalgias. o. On admission, D-dimer was mildly elevated and CT angiogram with no PE but multifocal infiltrates compatible with COVID-19 pneumonia.During this admission, oxygen desat and patient was required to be placed on Airvo, and BiPAP.  Pt required ICU stay due to bipap/airvo.  Patient received steroids, vitamin-C, thiamine, zinc, vitamin-D, Pepcid, melatonin, full-dose anticoagulation, remdesivir, persisted in id, multiple antibiotics.  Id and pulmonology follow along.At the time of discharge patient was anxious to go home.  He was feeling much better.  He did desat on ambulation but was able to recover with oxygen Prolonged discussion was held regarding taking is slowly at home and not going back to construction work.  Patient agreeable with plan.  Patient was discharged with oxygen.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure acute, Cardiac failure congestive, Chest X-ray abnormal, Confusional state
Clinical narrative: Patient was found somnolent and confused. Found to have acute metabolic encephalopathy due to Covid 19, respiratory failure with hypoxia. Received steroids, zinc, refused remdesivir. Also had acute on chronic CHF with CXR showing edema, given IV lasix with improvement.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Metabolic encephalopathy, Oedema, Respiratory failure, Somnolence
Clinical narrative: Patient was found somnolent and confused. Found to have acute metabolic encephalopathy due to Covid 19, respiratory failure with hypoxia. Received steroids, zinc, refused remdesivir. Also had acute on chronic CHF with CXR showing edema, given IV lasix with improvement.
Age: 0.17
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Infant was receiving 2 month scheduled vaccines, and received a Kinrix instead of a Pediarix.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Aortic aneurysm, Asthenia, COVID-19 pneumonia
Clinical narrative: Admitted with weakness, nausea and vomiting, AAA w/o rupture, AKI. "Covid pneumonia, acute hypoxic respiratory failure". Received Decadron and Remdesivir.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Admitted with weakness, nausea and vomiting, AAA w/o rupture, AKI. "Covid pneumonia, acute hypoxic respiratory failure". Received Decadron and Remdesivir.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, SARS-CoV-2 test positive, Syncope
Clinical narrative: Presented with weakness and chills, syncopal episode. Received zinc. Positive for Covid on admission.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, Encephalopathy
Clinical narrative: Reason for admission -progressive weakness secondary to COVID-19". Had acute encephalopathy, Afib w/ RVR. Received antibiotics.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Angiogram abnormal, Angiogram pulmonary normal, COVID-19, Chest X-ray normal
Clinical narrative: admitted with epigastric abdominal pain.In the ER patient noted to have positive COVID test.  Elevated D-dimer of 2.58.  CT angio chest done showed acute pancreatitis with reactive duodenitis.  Lipase was elevated at 152. Chest x-ray negative.  CT angio chest showed no infiltrate.  Patient was treated for acute pancreatitis with conservative measures nothing by mouth and IV fluids.  Now improved and tolerating diet.  Resume home doses of insulin.  Slightly her acute pancreatitis is secondary to COVID-19.As Dimer is elevated patient discharged on Eliquis for 3 weeks low dose along with GI prophylaxis per ID recommendations.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Duodenitis, Fibrin D dimer increased, Lipase increased, Pancreatitis acute, SARS-CoV-2 test positive
Clinical narrative: admitted with epigastric abdominal pain.In the ER patient noted to have positive COVID test.  Elevated D-dimer of 2.58.  CT angio chest done showed acute pancreatitis with reactive duodenitis.  Lipase was elevated at 152. Chest x-ray negative.  CT angio chest showed no infiltrate.  Patient was treated for acute pancreatitis with conservative measures nothing by mouth and IV fluids.  Now improved and tolerating diet.  Resume home doses of insulin.  Slightly her acute pancreatitis is secondary to COVID-19.As Dimer is elevated patient discharged on Eliquis for 3 weeks low dose along with GI prophylaxis per ID recommendations.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bursitis
Clinical narrative: Self diagnosed- Achilles bursitis
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Incorrect route of product administration
Clinical narrative: Patient was inadvertently administered Boostrix by RN via intravenous route instead of intramuscular route. There was actually no symptoms or signs of adverse event other than accidental administration via IV instead of IM.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Severe limited range of motion of right arm, starting approximately 4 hours after administration of Pneumovax 23 to right arm 12/11. Pain and soreness, with no signs of systemic reaction at injection site. Unable to lift her right arm.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Patient developed rash at the injection side that spread around the arm horizontally.  No pain, itching, and at day 2 was not getting worse.  I instructed spouse that if the rash/redness worsened they needed to seek medical attention.  Spouse was understanding of the situation as I explained she may just be having a mild reaction to the vaccine but if got any worse to make sure to get to a medical facility.
Age: 72.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Decreased appetite, Diarrhoea, Nausea, Retching, Vomiting
Clinical narrative: She got her vaccine, that evening she was putting on her PJ's and it was so sudden and violent, started throwing up for 1/2 hour to 40 minutes throwing up.  She had dry heaves and bile coming up and thought it was food poisoning but her partner and her ate the same thing that day and nothing happened to him.  She tried to eat at around 1:30 AM when she could not stop vomiting and took Odansetron which did not work.  She then started throwing up again after that.  She could not even swallow a tablespoon of water before vomiting again.  She has not hardly eaten anything since then.  The vomiting stopped by noon the next day.  She still does not have much of an appetite, it is so sensitive and had not had anything other than some watered down, chicken broth, and a piece of toast yesterday.  She woke up feeling great, but the nausea comes in waves, and still has no appetite.  She did notify her doctor by texting, and responded and she told him what was going on and he said he felt like it was the vaccine.  He did not prescribe anything for her and to eat potatoes, bananas and gatorade.   She also has diarrhea with the vomiting.    She has had all of her COVID vaccines and other vaccines and has never had a reaction to any of them.
Age: 72.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Headache, Nausea, Pain in extremity, Vertigo, Vomiting
Clinical narrative: She got her vaccine, that evening she was putting on her PJ's and it was so sudden and violent, started throwing up for 1/2 hour to 40 minutes throwing up.  She had dry heaves and bile coming up and thought it was food poisoning but her partner and her ate the same thing that day and nothing happened to him.  She tried to eat at around 1:30 AM when she could not stop vomiting and took Odansetron which did not work.  She then started throwing up again after that.  She could not even swallow a tablespoon of water before vomiting again.  She has not hardly eaten anything since then.  The vomiting stopped by noon the next day.  She still does not have much of an appetite, it is so sensitive and had not had anything other than some watered down, chicken broth, and a piece of toast yesterday.  She woke up feeling great, but the nausea comes in waves, and still has no appetite.  She did notify her doctor by texting, and responded and she told him what was going on and he said he felt like it was the vaccine.  He did not prescribe anything for her and to eat potatoes, bananas and gatorade.   She also has diarrhea with the vomiting.    She has had all of her COVID vaccines and other vaccines and has never had a reaction to any of them.
Age: 0.67
Sex: M
Vaccine: PNC15, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Varicella was administered to the patient vs the true vaccine, Vaxelis.
Age: 0.17
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV5
Symptoms: Retching, Vomiting
Clinical narrative: GAGGING, VOMITED IMMEDIATELY AFTER GIVEN 1/4 DOSE. REATTEMPTED WITH SAME RESULTS BY MOUTH.     17. VACCINES GIVEN ON SAME DATE (VAXELIS AND PCV20) WERE ADMINISTERED 15 MINUTES AFTER THE ROTAVIRUS WAS GIVEN AND VOMITING OCCURED
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Diarrhoea, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient received vaccine on Wednesday 12/06 and stated on Friday 12/08 below the administration of vaccine site on her left arm  became itchy, red, hot to touch, swollen sore. She had body aches and diarrhea.  Patient called her Doctor and was seen in office - she was then treated with topical  hydrocortisone 1% cream and prednisone oral tablet if situation got worse.
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Injection site warmth, Pain
Clinical narrative: Patient received vaccine on Wednesday 12/06 and stated on Friday 12/08 below the administration of vaccine site on her left arm  became itchy, red, hot to touch, swollen sore. She had body aches and diarrhea.  Patient called her Doctor and was seen in office - she was then treated with topical  hydrocortisone 1% cream and prednisone oral tablet if situation got worse.
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Chills, Dysgeusia, Eye pain, Oropharyngeal pain, Pain in extremity
Clinical narrative: Almost seven days after injection I began to experience swelling and pain in my right hand that continued for two hours which then  began to abate followed by 24 hours of chills and fever which included both an extremely painful throat that  subsided after about two hours.  Throughout all of this was a  headache  behind my eye socket and tastebuds that had things tasting metallic.  Today I have no symptoms'.
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Almost seven days after injection I began to experience swelling and pain in my right hand that continued for two hours which then  began to abate followed by 24 hours of chills and fever which included both an extremely painful throat that  subsided after about two hours.  Throughout all of this was a  headache  behind my eye socket and tastebuds that had things tasting metallic.  Today I have no symptoms'.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Immediate post-injection reaction, Mobility decreased, X-ray limb
Clinical narrative: She noticed discomfort and decreased ROM almost immediately after vaccine administration.  After a couple of days with no improvement, her Dr. advised her to take extra strength Tylenol and Benadryl.  She did not show improvement after several days, so she called her Dr. again.  She was given a prescription of prednisone, was advised to keep her arm active, and she was given an order for an x-ray of the shoulder.  The x-ray showed mild degenerative changes.  When asked if she tried to apply cold compresses to the injection site, she stated she did not and she applied heat to the site thinking it would help soothe the pain.
Age: 6.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Wrong product administered
Clinical narrative: Hep A was inadvertently given too early while Hep B was due.
Age: 7.0
Sex: M
Vaccine: TD
Symptoms: Wrong product administered
Clinical narrative: Patient should have recieved a Tdap vaccine instead of a Td vaccine (Tenivac).
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: patient is having arm soreness and difficulty lifting arm
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer 2023-2024 COVID vaccine administered 15 days after beyond-use date for refrigeration. Manufacturer was called and could provide no recommendation on revaccination but instructed to contact the CDC for further information. The CDC recommended immediate revaccination without any minimum interval between doses. Patient agreed to revaccination prior to discharge.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 39.0
Sex: M
Vaccine: COVID19, HEP, UNK
Symptoms: No adverse event, Off label use
Clinical narrative: Patient received vaccination outside of indications.  Patient reported no systemic or local reactogenicity.  Patient reported no ill effects from vaccination.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Arthralgia, Back pain, Burning sensation, Chest discomfort
Clinical narrative: Immediate side effects were in line with expectations (back soreness, upset stomach, tingly/stabbing pains, etc.), but these effects continued over time, only fading very slowly in intensity.  On two occasions severe (8/10) knee pain occurred, once in the right knee for approximately 15 minutes, and once in the left knee, which took 3 days to fully fade away.  On one occasion severe pain in the lowest section of the spine occurred, with pain radiating to the hip joints.  Chest tightness, heartburn-like sensations that could occur anywhere in the torso, and bands of tingling/stabbing pains around the torso came and went regularly.  The spinal area in the middle of the back experienced burning pain, tight pressure with throbbing pain, or tingling/stabbing pains that would sometimes shoot out to the right shoulder.  Back discomfort would typically increase over the course of the day and would sometimes be bad enough to interfere with or prevent sleep.  Overall intensity of the side effects has generally been declining over time, but effects are still present over 3 months after the administration of the second dose, and there is occasionally a bad flare-up of back pain (up to 6/10 pain recently, when normal range is 1-3/10).  The extreme knee pain symptoms no longer occurred after the first month post-administration.  Ibuprofen does not appear to help.  On the most recent flare-up of back pain, I tried applying a SalonPas 4% Lidocaine patch to the affected area and this reduced the pain from 6/10 to 2/10.  Antacid sometimes helps with the heartburn or stomach upset symptoms, but not always.  Exercise seems to temporarily reduce the sensations in the back and torso.  Intense back massage sometimes helps with back pain symptoms, but not always.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Discomfort, Immediate post-injection reaction, Pain, Paraesthesia, Sleep disorder
Clinical narrative: Immediate side effects were in line with expectations (back soreness, upset stomach, tingly/stabbing pains, etc.), but these effects continued over time, only fading very slowly in intensity.  On two occasions severe (8/10) knee pain occurred, once in the right knee for approximately 15 minutes, and once in the left knee, which took 3 days to fully fade away.  On one occasion severe pain in the lowest section of the spine occurred, with pain radiating to the hip joints.  Chest tightness, heartburn-like sensations that could occur anywhere in the torso, and bands of tingling/stabbing pains around the torso came and went regularly.  The spinal area in the middle of the back experienced burning pain, tight pressure with throbbing pain, or tingling/stabbing pains that would sometimes shoot out to the right shoulder.  Back discomfort would typically increase over the course of the day and would sometimes be bad enough to interfere with or prevent sleep.  Overall intensity of the side effects has generally been declining over time, but effects are still present over 3 months after the administration of the second dose, and there is occasionally a bad flare-up of back pain (up to 6/10 pain recently, when normal range is 1-3/10).  The extreme knee pain symptoms no longer occurred after the first month post-administration.  Ibuprofen does not appear to help.  On the most recent flare-up of back pain, I tried applying a SalonPas 4% Lidocaine patch to the affected area and this reduced the pain from 6/10 to 2/10.  Antacid sometimes helps with the heartburn or stomach upset symptoms, but not always.  Exercise seems to temporarily reduce the sensations in the back and torso.  Intense back massage sometimes helps with back pain symptoms, but not always.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Spinal pain
Clinical narrative: Immediate side effects were in line with expectations (back soreness, upset stomach, tingly/stabbing pains, etc.), but these effects continued over time, only fading very slowly in intensity.  On two occasions severe (8/10) knee pain occurred, once in the right knee for approximately 15 minutes, and once in the left knee, which took 3 days to fully fade away.  On one occasion severe pain in the lowest section of the spine occurred, with pain radiating to the hip joints.  Chest tightness, heartburn-like sensations that could occur anywhere in the torso, and bands of tingling/stabbing pains around the torso came and went regularly.  The spinal area in the middle of the back experienced burning pain, tight pressure with throbbing pain, or tingling/stabbing pains that would sometimes shoot out to the right shoulder.  Back discomfort would typically increase over the course of the day and would sometimes be bad enough to interfere with or prevent sleep.  Overall intensity of the side effects has generally been declining over time, but effects are still present over 3 months after the administration of the second dose, and there is occasionally a bad flare-up of back pain (up to 6/10 pain recently, when normal range is 1-3/10).  The extreme knee pain symptoms no longer occurred after the first month post-administration.  Ibuprofen does not appear to help.  On the most recent flare-up of back pain, I tried applying a SalonPas 4% Lidocaine patch to the affected area and this reduced the pain from 6/10 to 2/10.  Antacid sometimes helps with the heartburn or stomach upset symptoms, but not always.  Exercise seems to temporarily reduce the sensations in the back and torso.  Intense back massage sometimes helps with back pain symptoms, but not always.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Adult patient received 0.5 ml dose out of vial intended for pediatric patients between 6 months and 11 years old.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Product preparation error
Clinical narrative: Shingrix was mixed with normal saline solution instead of diluent that was provided in box.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 5.0
Sex: M
Vaccine: HEP
Symptoms: Wrong product administered
Clinical narrative: Hep B vaccine given instead of Hep A,
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Confusional state, Headache, Mental status changes
Clinical narrative: Patient had altered mental status the evening after receiving the vaccine.  The patient presented to the hospital with confusion, aphasia and is now experiencing headaches.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient accompanied. her husband to his appointment. She had no appointment scheduled. She asked if she could get her flu shot. She was asked by the MD and nurse if she hasn't had the flu shot this year.  Difficulty encountered with the computer, "co-owning the visit. trouble with the " RN protocol" Consulted with another nursing staff, who ran the protocol. The med came up as delete and not administer. Deleted other nurse protocol. As I started to give the flu injection. patient's husband was distracting and joking and constant talking. Husband has dementia. I did consult health maintenance after injection given. System showed last injection given in October of this year. Reported to MD.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: Diaphoretic; BP 118/60; Pale
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Swelling
Clinical narrative: REDNESS AND SWOLLEN, BUT RESOLVING 6 DAYS AFTER THE VACCINE. RECOMMENED ICEING AND BENADRYL CREAM
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, MMRV, PNC13
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: The Pentacel vaccine was not reconstituted. The patient only received the DTaP/IPV vial.