chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: HEPAB
Symptoms: Expired product administered
Clinical narrative: Administration of an expired dose of Twinrix; This non-serious case was reported by a other health professional via call center representative and described the occurrence of expired vaccine used in a 74-year-old female patient who received HAB (Twinrix) (batch number X239D, expiry date 07-AUG-2022) for prophylaxis.   On 06-JUL-2023, the patient received Twinrix. On 06-JUL-2023, an unknown time after receiving Twinrix, the patient experienced expired vaccine used (Verbatim: Administration of an expired dose of Twinrix). The outcome of the expired vaccine used was unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 06-JUL-2023 The reporter was a medical assistant. The reporter asked for information regarding the administration of an expired Twinrix dose to a patient. The healthcare professional asked how to proceed with this patient. The reporter consented to follow up. The patient received expired dose of Twinrix, which led to expired vaccine used.
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Thrombosis
Clinical narrative: PULMONARY EMBOLISM; BLOOD CLOTS; This spontaneous report received from a consumer via a company representative concerned a 34 year old female of an unspecified ethnicity. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, batch number and expiry date were not reported) dose, start therapy date were not reported, 1 total administered for covid-19 prophylaxis. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported.  On an unspecified date in 2021, (2 years ago), the patient developed blood clots. On an unspecified date, the patient experienced pulmonary embolism. On 28-JUN-2023, the patient died from pulmonary embolism. An autopsy was performed on an unspecified date. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the blood clots was not reported. This report was serious (Death, and Other Medically Important Condition).; Sender's Comments: V0: 20230712979- pulmonary embolism, blood clots. The event has an unknown/unclear temporal relationship, is unlabeled, and is scientifically plausible. There is no information on any other factors potentially associated with the event. Therefore, the Causality is considered indeterminate. The company causality is considered unassessable.; Reported Cause(s) of Death: PULMONARY EMBOLISM
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler
Clinical narrative: 2 DVT's in right calf
Age: 70.0
Sex: F
Vaccine: FLU4, FLUX
Symptoms: Joint range of motion decreased, Muscular weakness, Pain in extremity
Clinical narrative: (I don't know what type of Influenza vaccine I was given. Form doesn't say. Manufacturer GSK) My arm continued to hurt, and felt weak. After several weeks, I attended exercise class, which works every muscle in the body, includes Zumba, Bands, Balls and weights, hoping this would serve as rehab for my arm. It didn't work. My arm was still weak, I had very little range of motions and severe pain. So, six months after the injection, I went to my doctor, who referred me to Physical Therapy. The pain is a bit less, but not gone. My range of motion has improved 6 to 7% after six sessions of PT. I still have four more sessions, but I am very concerned that my arm is not even close to back to normal.
Age: 70.0
Sex: F
Vaccine: FLU4, FLUX
Symptoms: Mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: (I don't know what type of Influenza vaccine I was given. Form doesn't say. Manufacturer GSK) My arm continued to hurt, and felt weak. After several weeks, I attended exercise class, which works every muscle in the body, includes Zumba, Bands, Balls and weights, hoping this would serve as rehab for my arm. It didn't work. My arm was still weak, I had very little range of motions and severe pain. So, six months after the injection, I went to my doctor, who referred me to Physical Therapy. The pain is a bit less, but not gone. My range of motion has improved 6 to 7% after six sessions of PT. I still have four more sessions, but I am very concerned that my arm is not even close to back to normal.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, DTAPIPVHIB
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented with 9cm x 4cm of warmth, swelling, erythema at site of Pentacel injection about 48 hours prior
Age: 13.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Menquadfi timing - given to soon - menactra was given on 6/15/21-(should've been 4 years between doses.} Bexsero - given to soon - age 13 yrs 8 months - and first dose due at age 16.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypersensitivity, Symptom recurrence
Clinical narrative: ALLERGIC REACTION, INIT ALLERGIC REACTION, SUBSEQ 1/19/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 3/19/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Decreased appetite, Feeling cold, Headache, Hyperhidrosis
Clinical narrative: freezing, sweating, headach and very weak. I ddin't want to eat and had 3 hives on my body. Had to lay down all day.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: freezing, sweating, headach and very weak. I ddin't want to eat and had 3 hives on my body. Had to lay down all day.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic aneurysm, Atrial fibrillation, Cardiac failure, Dizziness, Dyspnoea
Clinical narrative: Arm soreness, Sleepy, lethargic, memory impairment, dizziness and light-headiness.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Heart valve incompetence, Laboratory test, Lethargy
Clinical narrative: Arm soreness, Sleepy, lethargic, memory impairment, dizziness and light-headiness.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Pain in extremity, Somnolence
Clinical narrative: Arm soreness, Sleepy, lethargic, memory impairment, dizziness and light-headiness.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY
Age: 31.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Product administration error, Wrong product administered
Clinical narrative: Client had appointment for 2nd Adult Hep B dose. Also due for MMR. Vaccination admin error and Hep A admin'd in error. Client waited  15 minutes in lobby after administration and then left. Nurse contacted client to have them return for proper, 2nd Hep B dose
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia, Respiratory failure
Clinical narrative: RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXIA
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Condition aggravated, Confusional state
Clinical narrative: The patient is a 77 years old male patient of MD, with history of chronic pancreatitis, diabetes insipidus, type 2 diabetes mellitus, squamous cell carcinoma of the tongue, atrial fibrillation, benign prostatic hyperplasia, diabetic neuropathy presented to the hospital with with confusion concern for overdose, complicated by COVID-19 infection ,atrial fibrillation with rapid ventricular rate, initially managed with Cardizem drip now on Eliquis and aspirin. Was consulted tonight for profuse bleeding from the oral cavity while on Eliquis and aspirin.  Patient was subsequently intubated for airway protection. Case was discussed given the patient was scheduled to have surgery on his squamous cell carcinoma of the tongue on 4/11/2023, and no available ENT on call this weekend Accepted to be transferred over   Discharge Diagnoses: Profuse bleeding from the oral cavity with clots squamous cell carcinoma of the tongue. Atrial fibrillation with rapid ventricular rate Type 2 diabetes mellitus. Hyperglycemia. Hyponatremia. COVID-19 infection.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Hyperglycaemia, Hyponatraemia, Mouth haemorrhage, Squamous cell carcinoma of the tongue
Clinical narrative: The patient is a 77 years old male patient of MD, with history of chronic pancreatitis, diabetes insipidus, type 2 diabetes mellitus, squamous cell carcinoma of the tongue, atrial fibrillation, benign prostatic hyperplasia, diabetic neuropathy presented to the hospital with with confusion concern for overdose, complicated by COVID-19 infection ,atrial fibrillation with rapid ventricular rate, initially managed with Cardizem drip now on Eliquis and aspirin. Was consulted tonight for profuse bleeding from the oral cavity while on Eliquis and aspirin.  Patient was subsequently intubated for airway protection. Case was discussed given the patient was scheduled to have surgery on his squamous cell carcinoma of the tongue on 4/11/2023, and no available ENT on call this weekend Accepted to be transferred over   Discharge Diagnoses: Profuse bleeding from the oral cavity with clots squamous cell carcinoma of the tongue. Atrial fibrillation with rapid ventricular rate Type 2 diabetes mellitus. Hyperglycemia. Hyponatremia. COVID-19 infection.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Type 2 diabetes mellitus
Clinical narrative: The patient is a 77 years old male patient of MD, with history of chronic pancreatitis, diabetes insipidus, type 2 diabetes mellitus, squamous cell carcinoma of the tongue, atrial fibrillation, benign prostatic hyperplasia, diabetic neuropathy presented to the hospital with with confusion concern for overdose, complicated by COVID-19 infection ,atrial fibrillation with rapid ventricular rate, initially managed with Cardizem drip now on Eliquis and aspirin. Was consulted tonight for profuse bleeding from the oral cavity while on Eliquis and aspirin.  Patient was subsequently intubated for airway protection. Case was discussed given the patient was scheduled to have surgery on his squamous cell carcinoma of the tongue on 4/11/2023, and no available ENT on call this weekend Accepted to be transferred over   Discharge Diagnoses: Profuse bleeding from the oral cavity with clots squamous cell carcinoma of the tongue. Atrial fibrillation with rapid ventricular rate Type 2 diabetes mellitus. Hyperglycemia. Hyponatremia. COVID-19 infection.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION.
Age: 78.0
Sex: U
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Blood culture, Blood magnesium, C-reactive protein, COVID-19
Clinical narrative: Patient is a 79 y.o. female patient of, MD with history of coronary artery disease, s/p stent placement 2011, atrial fibrillation, rheumatic fever, COPD, arthritis, hypertension, who presented to hospital last night for left-sided chest pain and vomiting.      Chest pain-resolved Coronary artery disease  Elevated D-dimer Heart score=5 s/p stent placement Troponin's-11>16>20Covid-19 Virus Infection Pneumonia Date of onset of Echocardiogram limited-EF 66% Cardiology signed off- can follow outpatient with Cardiology- keep May scheduled appointment Continue ASA, Plavix, Imdur CT/PE- no pulmonary thromboembolic disease Pain management prn Care management for discharge needs Covid-19 Virus Infection Pneumonia Date of onset of symptoms: 3/31/23 Symptoms present on admission: yes Date of covid positive test: 4/1/23 Vaccination status: vaccinated Imaging: Chest x-ray-mild bilateral infrahilar lower lung linear opacities reflecting interstitial lung scar or interstitial edema/infiltrates Oxygen requirements on admission: yes Current oxygen requirements: 3 liters Medical therapy: continue  Rocephin, Azithromycin, Decadron, Remdesivir - discharge home with taper dose decadron  Consultants following: ID Anticipated special isolation end date: 4/11/23   Incentive spirometry Encourage prone position Wean oxygen as tolerated Inhalers prn Zinc oral daily Oral Vitamin D daily Sedrate, CRP, Vitamin D Sputum Cx-pending Needs repeat blood Cultures  - ordered    Chronic Paroxysmal atrial fibrillation - stable  No current anticoagulation Rate controlled Continue Atenolol Cardiology signed off Keep K+>4.0 Magnesium>2.0   Gastroenteritis - resolved Nausea and Vomiting - resolved  Continue Pepcid, Zofran Gentle IV hydration
Age: 78.0
Sex: U
Vaccine: COVID19-2
Symptoms: Chest X-ray abnormal, Chest pain, Computerised tomogram thorax normal, Echocardiogram, Ejection fraction
Clinical narrative: Patient is a 79 y.o. female patient of, MD with history of coronary artery disease, s/p stent placement 2011, atrial fibrillation, rheumatic fever, COPD, arthritis, hypertension, who presented to hospital last night for left-sided chest pain and vomiting.      Chest pain-resolved Coronary artery disease  Elevated D-dimer Heart score=5 s/p stent placement Troponin's-11>16>20Covid-19 Virus Infection Pneumonia Date of onset of Echocardiogram limited-EF 66% Cardiology signed off- can follow outpatient with Cardiology- keep May scheduled appointment Continue ASA, Plavix, Imdur CT/PE- no pulmonary thromboembolic disease Pain management prn Care management for discharge needs Covid-19 Virus Infection Pneumonia Date of onset of symptoms: 3/31/23 Symptoms present on admission: yes Date of covid positive test: 4/1/23 Vaccination status: vaccinated Imaging: Chest x-ray-mild bilateral infrahilar lower lung linear opacities reflecting interstitial lung scar or interstitial edema/infiltrates Oxygen requirements on admission: yes Current oxygen requirements: 3 liters Medical therapy: continue  Rocephin, Azithromycin, Decadron, Remdesivir - discharge home with taper dose decadron  Consultants following: ID Anticipated special isolation end date: 4/11/23   Incentive spirometry Encourage prone position Wean oxygen as tolerated Inhalers prn Zinc oral daily Oral Vitamin D daily Sedrate, CRP, Vitamin D Sputum Cx-pending Needs repeat blood Cultures  - ordered    Chronic Paroxysmal atrial fibrillation - stable  No current anticoagulation Rate controlled Continue Atenolol Cardiology signed off Keep K+>4.0 Magnesium>2.0   Gastroenteritis - resolved Nausea and Vomiting - resolved  Continue Pepcid, Zofran Gentle IV hydration
Age: 78.0
Sex: U
Vaccine: COVID19-2
Symptoms: Fibrin D dimer increased, Gastroenteritis, Lung opacity, Nausea, Pneumonia
Clinical narrative: Patient is a 79 y.o. female patient of, MD with history of coronary artery disease, s/p stent placement 2011, atrial fibrillation, rheumatic fever, COPD, arthritis, hypertension, who presented to hospital last night for left-sided chest pain and vomiting.      Chest pain-resolved Coronary artery disease  Elevated D-dimer Heart score=5 s/p stent placement Troponin's-11>16>20Covid-19 Virus Infection Pneumonia Date of onset of Echocardiogram limited-EF 66% Cardiology signed off- can follow outpatient with Cardiology- keep May scheduled appointment Continue ASA, Plavix, Imdur CT/PE- no pulmonary thromboembolic disease Pain management prn Care management for discharge needs Covid-19 Virus Infection Pneumonia Date of onset of symptoms: 3/31/23 Symptoms present on admission: yes Date of covid positive test: 4/1/23 Vaccination status: vaccinated Imaging: Chest x-ray-mild bilateral infrahilar lower lung linear opacities reflecting interstitial lung scar or interstitial edema/infiltrates Oxygen requirements on admission: yes Current oxygen requirements: 3 liters Medical therapy: continue  Rocephin, Azithromycin, Decadron, Remdesivir - discharge home with taper dose decadron  Consultants following: ID Anticipated special isolation end date: 4/11/23   Incentive spirometry Encourage prone position Wean oxygen as tolerated Inhalers prn Zinc oral daily Oral Vitamin D daily Sedrate, CRP, Vitamin D Sputum Cx-pending Needs repeat blood Cultures  - ordered    Chronic Paroxysmal atrial fibrillation - stable  No current anticoagulation Rate controlled Continue Atenolol Cardiology signed off Keep K+>4.0 Magnesium>2.0   Gastroenteritis - resolved Nausea and Vomiting - resolved  Continue Pepcid, Zofran Gentle IV hydration
Age: 78.0
Sex: U
Vaccine: COVID19-2
Symptoms: Red blood cell sedimentation rate, SARS-CoV-2 test positive, Sputum culture, Troponin increased, Vitamin D
Clinical narrative: Patient is a 79 y.o. female patient of, MD with history of coronary artery disease, s/p stent placement 2011, atrial fibrillation, rheumatic fever, COPD, arthritis, hypertension, who presented to hospital last night for left-sided chest pain and vomiting.      Chest pain-resolved Coronary artery disease  Elevated D-dimer Heart score=5 s/p stent placement Troponin's-11>16>20Covid-19 Virus Infection Pneumonia Date of onset of Echocardiogram limited-EF 66% Cardiology signed off- can follow outpatient with Cardiology- keep May scheduled appointment Continue ASA, Plavix, Imdur CT/PE- no pulmonary thromboembolic disease Pain management prn Care management for discharge needs Covid-19 Virus Infection Pneumonia Date of onset of symptoms: 3/31/23 Symptoms present on admission: yes Date of covid positive test: 4/1/23 Vaccination status: vaccinated Imaging: Chest x-ray-mild bilateral infrahilar lower lung linear opacities reflecting interstitial lung scar or interstitial edema/infiltrates Oxygen requirements on admission: yes Current oxygen requirements: 3 liters Medical therapy: continue  Rocephin, Azithromycin, Decadron, Remdesivir - discharge home with taper dose decadron  Consultants following: ID Anticipated special isolation end date: 4/11/23   Incentive spirometry Encourage prone position Wean oxygen as tolerated Inhalers prn Zinc oral daily Oral Vitamin D daily Sedrate, CRP, Vitamin D Sputum Cx-pending Needs repeat blood Cultures  - ordered    Chronic Paroxysmal atrial fibrillation - stable  No current anticoagulation Rate controlled Continue Atenolol Cardiology signed off Keep K+>4.0 Magnesium>2.0   Gastroenteritis - resolved Nausea and Vomiting - resolved  Continue Pepcid, Zofran Gentle IV hydration
Age: 78.0
Sex: U
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: Patient is a 79 y.o. female patient of, MD with history of coronary artery disease, s/p stent placement 2011, atrial fibrillation, rheumatic fever, COPD, arthritis, hypertension, who presented to hospital last night for left-sided chest pain and vomiting.      Chest pain-resolved Coronary artery disease  Elevated D-dimer Heart score=5 s/p stent placement Troponin's-11>16>20Covid-19 Virus Infection Pneumonia Date of onset of Echocardiogram limited-EF 66% Cardiology signed off- can follow outpatient with Cardiology- keep May scheduled appointment Continue ASA, Plavix, Imdur CT/PE- no pulmonary thromboembolic disease Pain management prn Care management for discharge needs Covid-19 Virus Infection Pneumonia Date of onset of symptoms: 3/31/23 Symptoms present on admission: yes Date of covid positive test: 4/1/23 Vaccination status: vaccinated Imaging: Chest x-ray-mild bilateral infrahilar lower lung linear opacities reflecting interstitial lung scar or interstitial edema/infiltrates Oxygen requirements on admission: yes Current oxygen requirements: 3 liters Medical therapy: continue  Rocephin, Azithromycin, Decadron, Remdesivir - discharge home with taper dose decadron  Consultants following: ID Anticipated special isolation end date: 4/11/23   Incentive spirometry Encourage prone position Wean oxygen as tolerated Inhalers prn Zinc oral daily Oral Vitamin D daily Sedrate, CRP, Vitamin D Sputum Cx-pending Needs repeat blood Cultures  - ordered    Chronic Paroxysmal atrial fibrillation - stable  No current anticoagulation Rate controlled Continue Atenolol Cardiology signed off Keep K+>4.0 Magnesium>2.0   Gastroenteritis - resolved Nausea and Vomiting - resolved  Continue Pepcid, Zofran Gentle IV hydration
Age: 11.0
Sex: M
Vaccine: DTAP, HPV9, MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Dtap was given instead of Tdap. Provider was notified. Mother was notified. No reactions reported by mother.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Acute respiratory failure
Clinical narrative: ACUTE NON ST ELEVATION MI ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Biopsy skin abnormal, Dermatitis, Erythema, Immunodeficiency
Clinical narrative: She got her vaccine, she started getting little pimples and swelling between her fingers.  It went from her fingers to almost the palm of her hands, dots and red pimples.  She said she did not know what this way and by the time January came it was on the bakc of her hand and it was swelling and puffy and kept scratching it.  She used some over the counter stuff like Eucerin creams, etc.  Then it started traveling up her arm.  Once it got to her arm she decided to go to the doctor and once she called she could not get into February.  She went to her as she is her PCP and she gave her a salve called Triamcinolone.  Was using that in February to no avail. She went back to her in March, and she was given some more. Then in April she returned again and was told she would have to send her to a dermatologist.  It is all mover her body except on her face.  She called around for a dermatologist, and went to Dermatology.  He worke don her and said that he needed a biopsy, which he took.  He prescribed the same medication but as an ointment.  She applied it as prescribed and went back to see him 6 months later.  The biopsy showed some things.  By 2023 he said that he needed another biopsy as it was not healing.  He took another biopsy and gave her the same ointment to put on, which did not do any good.  She toldhim by the spring or summer came around she was going to another Dermatologist.  She now is under the care of Dr.  Her first apointment was 7/5/23 and put her on Otezla and told her to take it slowly and don't go over the 30 mg dosage.  Right now she is on the 10 mg of it, and then she will gradually got to the 20 mg, but only 1 pill a day.  Then after 18 days she will start on the 30 mg.  On 7/5/23 he looked at her arm and he looked at her back, and told her that she had psoriasis.  She was told that she was told she had that, as well as dermatitis and that when she was younger she had eczema every now and then as a child.  He said that she had full blown plaque psoriasis.  The first biopsy with the first dermatologist never told her that she had that.  He said that it was a possibility and that the biopsies were inconclusive and he treated her for dermatitis.  This is compromising her immune system, she has read up on it, and is under the care of Dr. and waiting to see if the medicine works and what the next steps may be.  She has return appointment on 8/9/23 to Dr.    Dr. asked her what she felt triggered it and the only thing she could think of was the new booster of Pfizer.  She itches all over, it's hard to sleep and she continues with this problem for the last 2 years.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired healing, Insomnia, Peripheral swelling, Pruritus, Psoriasis
Clinical narrative: She got her vaccine, she started getting little pimples and swelling between her fingers.  It went from her fingers to almost the palm of her hands, dots and red pimples.  She said she did not know what this way and by the time January came it was on the bakc of her hand and it was swelling and puffy and kept scratching it.  She used some over the counter stuff like Eucerin creams, etc.  Then it started traveling up her arm.  Once it got to her arm she decided to go to the doctor and once she called she could not get into February.  She went to her as she is her PCP and she gave her a salve called Triamcinolone.  Was using that in February to no avail. She went back to her in March, and she was given some more. Then in April she returned again and was told she would have to send her to a dermatologist.  It is all mover her body except on her face.  She called around for a dermatologist, and went to Dermatology.  He worke don her and said that he needed a biopsy, which he took.  He prescribed the same medication but as an ointment.  She applied it as prescribed and went back to see him 6 months later.  The biopsy showed some things.  By 2023 he said that he needed another biopsy as it was not healing.  He took another biopsy and gave her the same ointment to put on, which did not do any good.  She toldhim by the spring or summer came around she was going to another Dermatologist.  She now is under the care of Dr.  Her first apointment was 7/5/23 and put her on Otezla and told her to take it slowly and don't go over the 30 mg dosage.  Right now she is on the 10 mg of it, and then she will gradually got to the 20 mg, but only 1 pill a day.  Then after 18 days she will start on the 30 mg.  On 7/5/23 he looked at her arm and he looked at her back, and told her that she had psoriasis.  She was told that she was told she had that, as well as dermatitis and that when she was younger she had eczema every now and then as a child.  He said that she had full blown plaque psoriasis.  The first biopsy with the first dermatologist never told her that she had that.  He said that it was a possibility and that the biopsies were inconclusive and he treated her for dermatitis.  This is compromising her immune system, she has read up on it, and is under the care of Dr. and waiting to see if the medicine works and what the next steps may be.  She has return appointment on 8/9/23 to Dr.    Dr. asked her what she felt triggered it and the only thing she could think of was the new booster of Pfizer.  She itches all over, it's hard to sleep and she continues with this problem for the last 2 years.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Scratch, Vascular cauterisation
Clinical narrative: She got her vaccine, she started getting little pimples and swelling between her fingers.  It went from her fingers to almost the palm of her hands, dots and red pimples.  She said she did not know what this way and by the time January came it was on the bakc of her hand and it was swelling and puffy and kept scratching it.  She used some over the counter stuff like Eucerin creams, etc.  Then it started traveling up her arm.  Once it got to her arm she decided to go to the doctor and once she called she could not get into February.  She went to her as she is her PCP and she gave her a salve called Triamcinolone.  Was using that in February to no avail. She went back to her in March, and she was given some more. Then in April she returned again and was told she would have to send her to a dermatologist.  It is all mover her body except on her face.  She called around for a dermatologist, and went to Dermatology.  He worke don her and said that he needed a biopsy, which he took.  He prescribed the same medication but as an ointment.  She applied it as prescribed and went back to see him 6 months later.  The biopsy showed some things.  By 2023 he said that he needed another biopsy as it was not healing.  He took another biopsy and gave her the same ointment to put on, which did not do any good.  She toldhim by the spring or summer came around she was going to another Dermatologist.  She now is under the care of Dr.  Her first apointment was 7/5/23 and put her on Otezla and told her to take it slowly and don't go over the 30 mg dosage.  Right now she is on the 10 mg of it, and then she will gradually got to the 20 mg, but only 1 pill a day.  Then after 18 days she will start on the 30 mg.  On 7/5/23 he looked at her arm and he looked at her back, and told her that she had psoriasis.  She was told that she was told she had that, as well as dermatitis and that when she was younger she had eczema every now and then as a child.  He said that she had full blown plaque psoriasis.  The first biopsy with the first dermatologist never told her that she had that.  He said that it was a possibility and that the biopsies were inconclusive and he treated her for dermatitis.  This is compromising her immune system, she has read up on it, and is under the care of Dr. and waiting to see if the medicine works and what the next steps may be.  She has return appointment on 8/9/23 to Dr.    Dr. asked her what she felt triggered it and the only thing she could think of was the new booster of Pfizer.  She itches all over, it's hard to sleep and she continues with this problem for the last 2 years.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 2/17/2023 &  2/16/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis
Clinical narrative: ACUTE DVT, UNSPECIFIED VEIN ACUTE DVT OF BILAT FEMORAL VEINS
Age: 0.5
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, PNC15, RV5
Symptoms: Underdose
Clinical narrative: Given 10 mcg dose of Moderna Bivalent vaccine instead of recommended 25 mcg.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: No adverse event, Product preparation error
Clinical narrative: When preparing the MMR vaccine, instead of using the sterile water that is supplied with the vaccine, it was accidentally mixed with the Hib diluent, then administered. The nurses did not realize her mistake until after she gave the vaccines. Charge nurse, provider and family made aware shortly after realization from he nurse. Contacted pharmacy and various resources online. As of today. 7/11/2023, family has not reported any adverse reaction to this vaccine record.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Hypoxia
Clinical narrative: HYPOTENSION HYPOXIA
Age: 7.0
Sex: F
Vaccine: MMRV, MNQ, TDAP
Symptoms: Circumstance or information capable of leading to medication error, No adverse event
Clinical narrative: The Medical Assistant thought she saw an order for MenQuadfi for the patient. She pulled the vaccine and administered the vaccine to the patient. The patient has not experienced any adverse reaction.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain lower, Abdominal wall haematoma, Acute kidney injury, Acute respiratory failure, Blood magnesium normal
Clinical narrative: Patient is a 78 y.o. male patient of, MD with a history of SOB   Discharge Diagnoses:   1. Covid 19  2. AKI on CKD stage 3a 3. Acute on chronic respiratory failure with hypoxia              -On 4 L nasal cannula, baseline is 3 4.  Acute CHFpEF 5. COPD, not acutely exacerbated         6. HLD //  HTN // CAD         7.  Acute right lower quadrant abdominal pain-- > right lower quadrant intramuscular hematoma         8.  Right pulmonary nodule             -CT chest will be obtained outpatient to further evaluate this.   Patient presented to Facility for shortness of breath.  Chronically requires 3 L of oxygen but had an increased oxygen requirement and was found to be COVID-19 positive.  Vaccinated. Was initiated on Resdismivir x5 days along with Decadron.  Patient chest x-ray showed some small effusions and small pulmonary nodule that needs further outpatient follow-up.  His course of stay was complicated by development of acute abdominal pain.  A CT scan was performed and found an acute large right anterior abdominal wall intramuscular hematoma measuring up to 15 cm.  This is thought to be secondary from his coughing.  Anticoagulation was stopped.  Patient was seen and evaluated by general surgery Dr.  Managed nonoperatively.  Hemoglobin has remained stable.  No new pain.  Actually feels improved today.  Will write for pain medication for patient.  Just prior to discharge she did have a few PVCs.  Patient was not having any chest pains or new shortness of breath.  EKG was reviewed and similar to previous.  Magnesium was normal.  Patient will follow-up with primary care regarding this.   Patient's labs reviewed today and does have elevated CRP and white blood cell count that are likely reactive to his hematoma development as well as recent Decadron.  Did discuss will need close outpatient follow-up for recheck of labs within the next 2 to 3 days.  Outpatient CBC has been ordered.  Discussed any evidence of active bleeding or sudden onset of shortness of breath to return to the hospital
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: C-reactive protein increased, COVID-19, Cardiac failure, Cardiac failure acute, Cardiac failure congestive
Clinical narrative: Patient is a 78 y.o. male patient of, MD with a history of SOB   Discharge Diagnoses:   1. Covid 19  2. AKI on CKD stage 3a 3. Acute on chronic respiratory failure with hypoxia              -On 4 L nasal cannula, baseline is 3 4.  Acute CHFpEF 5. COPD, not acutely exacerbated         6. HLD //  HTN // CAD         7.  Acute right lower quadrant abdominal pain-- > right lower quadrant intramuscular hematoma         8.  Right pulmonary nodule             -CT chest will be obtained outpatient to further evaluate this.   Patient presented to Facility for shortness of breath.  Chronically requires 3 L of oxygen but had an increased oxygen requirement and was found to be COVID-19 positive.  Vaccinated. Was initiated on Resdismivir x5 days along with Decadron.  Patient chest x-ray showed some small effusions and small pulmonary nodule that needs further outpatient follow-up.  His course of stay was complicated by development of acute abdominal pain.  A CT scan was performed and found an acute large right anterior abdominal wall intramuscular hematoma measuring up to 15 cm.  This is thought to be secondary from his coughing.  Anticoagulation was stopped.  Patient was seen and evaluated by general surgery Dr.  Managed nonoperatively.  Hemoglobin has remained stable.  No new pain.  Actually feels improved today.  Will write for pain medication for patient.  Just prior to discharge she did have a few PVCs.  Patient was not having any chest pains or new shortness of breath.  EKG was reviewed and similar to previous.  Magnesium was normal.  Patient will follow-up with primary care regarding this.   Patient's labs reviewed today and does have elevated CRP and white blood cell count that are likely reactive to his hematoma development as well as recent Decadron.  Did discuss will need close outpatient follow-up for recheck of labs within the next 2 to 3 days.  Outpatient CBC has been ordered.  Discussed any evidence of active bleeding or sudden onset of shortness of breath to return to the hospital
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest X-ray abnormal, Chronic kidney disease, Chronic obstructive pulmonary disease, Computerised tomogram abdomen abnormal, Condition aggravated
Clinical narrative: Patient is a 78 y.o. male patient of, MD with a history of SOB   Discharge Diagnoses:   1. Covid 19  2. AKI on CKD stage 3a 3. Acute on chronic respiratory failure with hypoxia              -On 4 L nasal cannula, baseline is 3 4.  Acute CHFpEF 5. COPD, not acutely exacerbated         6. HLD //  HTN // CAD         7.  Acute right lower quadrant abdominal pain-- > right lower quadrant intramuscular hematoma         8.  Right pulmonary nodule             -CT chest will be obtained outpatient to further evaluate this.   Patient presented to Facility for shortness of breath.  Chronically requires 3 L of oxygen but had an increased oxygen requirement and was found to be COVID-19 positive.  Vaccinated. Was initiated on Resdismivir x5 days along with Decadron.  Patient chest x-ray showed some small effusions and small pulmonary nodule that needs further outpatient follow-up.  His course of stay was complicated by development of acute abdominal pain.  A CT scan was performed and found an acute large right anterior abdominal wall intramuscular hematoma measuring up to 15 cm.  This is thought to be secondary from his coughing.  Anticoagulation was stopped.  Patient was seen and evaluated by general surgery Dr.  Managed nonoperatively.  Hemoglobin has remained stable.  No new pain.  Actually feels improved today.  Will write for pain medication for patient.  Just prior to discharge she did have a few PVCs.  Patient was not having any chest pains or new shortness of breath.  EKG was reviewed and similar to previous.  Magnesium was normal.  Patient will follow-up with primary care regarding this.   Patient's labs reviewed today and does have elevated CRP and white blood cell count that are likely reactive to his hematoma development as well as recent Decadron.  Did discuss will need close outpatient follow-up for recheck of labs within the next 2 to 3 days.  Outpatient CBC has been ordered.  Discussed any evidence of active bleeding or sudden onset of shortness of breath to return to the hospital
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Coronary artery disease, Cough, Dyspnoea, Electrocardiogram, Haematoma muscle
Clinical narrative: Patient is a 78 y.o. male patient of, MD with a history of SOB   Discharge Diagnoses:   1. Covid 19  2. AKI on CKD stage 3a 3. Acute on chronic respiratory failure with hypoxia              -On 4 L nasal cannula, baseline is 3 4.  Acute CHFpEF 5. COPD, not acutely exacerbated         6. HLD //  HTN // CAD         7.  Acute right lower quadrant abdominal pain-- > right lower quadrant intramuscular hematoma         8.  Right pulmonary nodule             -CT chest will be obtained outpatient to further evaluate this.   Patient presented to Facility for shortness of breath.  Chronically requires 3 L of oxygen but had an increased oxygen requirement and was found to be COVID-19 positive.  Vaccinated. Was initiated on Resdismivir x5 days along with Decadron.  Patient chest x-ray showed some small effusions and small pulmonary nodule that needs further outpatient follow-up.  His course of stay was complicated by development of acute abdominal pain.  A CT scan was performed and found an acute large right anterior abdominal wall intramuscular hematoma measuring up to 15 cm.  This is thought to be secondary from his coughing.  Anticoagulation was stopped.  Patient was seen and evaluated by general surgery Dr.  Managed nonoperatively.  Hemoglobin has remained stable.  No new pain.  Actually feels improved today.  Will write for pain medication for patient.  Just prior to discharge she did have a few PVCs.  Patient was not having any chest pains or new shortness of breath.  EKG was reviewed and similar to previous.  Magnesium was normal.  Patient will follow-up with primary care regarding this.   Patient's labs reviewed today and does have elevated CRP and white blood cell count that are likely reactive to his hematoma development as well as recent Decadron.  Did discuss will need close outpatient follow-up for recheck of labs within the next 2 to 3 days.  Outpatient CBC has been ordered.  Discussed any evidence of active bleeding or sudden onset of shortness of breath to return to the hospital
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Haemoglobin, Hyperlipidaemia, Hypertension, Pleural effusion, Pulmonary mass
Clinical narrative: Patient is a 78 y.o. male patient of, MD with a history of SOB   Discharge Diagnoses:   1. Covid 19  2. AKI on CKD stage 3a 3. Acute on chronic respiratory failure with hypoxia              -On 4 L nasal cannula, baseline is 3 4.  Acute CHFpEF 5. COPD, not acutely exacerbated         6. HLD //  HTN // CAD         7.  Acute right lower quadrant abdominal pain-- > right lower quadrant intramuscular hematoma         8.  Right pulmonary nodule             -CT chest will be obtained outpatient to further evaluate this.   Patient presented to Facility for shortness of breath.  Chronically requires 3 L of oxygen but had an increased oxygen requirement and was found to be COVID-19 positive.  Vaccinated. Was initiated on Resdismivir x5 days along with Decadron.  Patient chest x-ray showed some small effusions and small pulmonary nodule that needs further outpatient follow-up.  His course of stay was complicated by development of acute abdominal pain.  A CT scan was performed and found an acute large right anterior abdominal wall intramuscular hematoma measuring up to 15 cm.  This is thought to be secondary from his coughing.  Anticoagulation was stopped.  Patient was seen and evaluated by general surgery Dr.  Managed nonoperatively.  Hemoglobin has remained stable.  No new pain.  Actually feels improved today.  Will write for pain medication for patient.  Just prior to discharge she did have a few PVCs.  Patient was not having any chest pains or new shortness of breath.  EKG was reviewed and similar to previous.  Magnesium was normal.  Patient will follow-up with primary care regarding this.   Patient's labs reviewed today and does have elevated CRP and white blood cell count that are likely reactive to his hematoma development as well as recent Decadron.  Did discuss will need close outpatient follow-up for recheck of labs within the next 2 to 3 days.  Outpatient CBC has been ordered.  Discussed any evidence of active bleeding or sudden onset of shortness of breath to return to the hospital
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Ventricular extrasystoles, White blood cell count increased
Clinical narrative: Patient is a 78 y.o. male patient of, MD with a history of SOB   Discharge Diagnoses:   1. Covid 19  2. AKI on CKD stage 3a 3. Acute on chronic respiratory failure with hypoxia              -On 4 L nasal cannula, baseline is 3 4.  Acute CHFpEF 5. COPD, not acutely exacerbated         6. HLD //  HTN // CAD         7.  Acute right lower quadrant abdominal pain-- > right lower quadrant intramuscular hematoma         8.  Right pulmonary nodule             -CT chest will be obtained outpatient to further evaluate this.   Patient presented to Facility for shortness of breath.  Chronically requires 3 L of oxygen but had an increased oxygen requirement and was found to be COVID-19 positive.  Vaccinated. Was initiated on Resdismivir x5 days along with Decadron.  Patient chest x-ray showed some small effusions and small pulmonary nodule that needs further outpatient follow-up.  His course of stay was complicated by development of acute abdominal pain.  A CT scan was performed and found an acute large right anterior abdominal wall intramuscular hematoma measuring up to 15 cm.  This is thought to be secondary from his coughing.  Anticoagulation was stopped.  Patient was seen and evaluated by general surgery Dr.  Managed nonoperatively.  Hemoglobin has remained stable.  No new pain.  Actually feels improved today.  Will write for pain medication for patient.  Just prior to discharge she did have a few PVCs.  Patient was not having any chest pains or new shortness of breath.  EKG was reviewed and similar to previous.  Magnesium was normal.  Patient will follow-up with primary care regarding this.   Patient's labs reviewed today and does have elevated CRP and white blood cell count that are likely reactive to his hematoma development as well as recent Decadron.  Did discuss will need close outpatient follow-up for recheck of labs within the next 2 to 3 days.  Outpatient CBC has been ordered.  Discussed any evidence of active bleeding or sudden onset of shortness of breath to return to the hospital
Age: 0.58
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10 mcg dose of Moderna Bivalent instead of recommended 25 mcg dose
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 10.0
Sex: M
Vaccine: HEP
Symptoms: Presyncope, Seizure
Clinical narrative: Brief seizure episode vs vasovagal episode lasting at most 10 seconds
Age: 11.0
Sex: M
Vaccine: TDAP, UNK
Symptoms: Cognitive disorder, Concussion, Fall, Head discomfort, Head injury
Clinical narrative: Shortly after getting vaccines he was walking out and talking without any complaints except for soreness in thigh.  Fell straight back in mid sentence, eyes open and unresponsive for about 30 seconds.  Was unable to say where he was for about 3 minutes after becoming responsive.  Fell straight back onto floor, hitting head.  Complained of pain and pressure at back of head and nausea.  Shaking.  Stayed at pediatrician's office for about 45 minutes, ice applied to back of head.  He was still complaining of nausea and falling asleep, so took to Hospital Emergency Room.  He was given anti-nausea medication.  Diagnosed with a concussion.
Age: 11.0
Sex: M
Vaccine: TDAP, UNK
Symptoms: Headache, Nausea, Pain in extremity, Sudden onset of sleep, Tremor
Clinical narrative: Shortly after getting vaccines he was walking out and talking without any complaints except for soreness in thigh.  Fell straight back in mid sentence, eyes open and unresponsive for about 30 seconds.  Was unable to say where he was for about 3 minutes after becoming responsive.  Fell straight back onto floor, hitting head.  Complained of pain and pressure at back of head and nausea.  Shaking.  Stayed at pediatrician's office for about 45 minutes, ice applied to back of head.  He was still complaining of nausea and falling asleep, so took to Hospital Emergency Room.  He was given anti-nausea medication.  Diagnosed with a concussion.
Age: 11.0
Sex: M
Vaccine: TDAP, UNK
Symptoms: Unresponsive to stimuli
Clinical narrative: Shortly after getting vaccines he was walking out and talking without any complaints except for soreness in thigh.  Fell straight back in mid sentence, eyes open and unresponsive for about 30 seconds.  Was unable to say where he was for about 3 minutes after becoming responsive.  Fell straight back onto floor, hitting head.  Complained of pain and pressure at back of head and nausea.  Shaking.  Stayed at pediatrician's office for about 45 minutes, ice applied to back of head.  He was still complaining of nausea and falling asleep, so took to Hospital Emergency Room.  He was given anti-nausea medication.  Diagnosed with a concussion.
Sex: U
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Admin error. Vials that were left out too long, were administered to two patients. No patient have contacted us about an adverse event at this time.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 0.5
Sex: M
Vaccine: COVID19-2, DTAPIPVHIB, PNC15, RV5
Symptoms: Underdose
Clinical narrative: Given 10mcg dose of Moderna Bivalent instead of recommended 25 mcg dose
Age: 91.0
Sex: U
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 0.58
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10 mcg dose of Moderna Bivalent instead of recommended 25 mcg.
Age: 0.75
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: No adverse reaction. Moderna Monovalent vaccine as administered after 4/18/2023.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Received 3 shingles vaccines