chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19 pneumonia, Cardiac arrest, Death
Clinical narrative: Presented to the ED with complaints of weakness and productive cough with yellow/green sputum. He was found to be in afib RVR with HR in the 140s and hypoxic requiring supplemental O2. Admitted for hypoxemic respiratory failure, COVID PNA, afib with RVR. Tx w/abx, steroids, zinc, O2; Developed septic shock requiring emergent intubation; went into PEA arrest and expired 1/19.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Hypoxia, Productive cough, Pulseless electrical activity, Respiratory failure
Clinical narrative: Presented to the ED with complaints of weakness and productive cough with yellow/green sputum. He was found to be in afib RVR with HR in the 140s and hypoxic requiring supplemental O2. Admitted for hypoxemic respiratory failure, COVID PNA, afib with RVR. Tx w/abx, steroids, zinc, O2; Developed septic shock requiring emergent intubation; went into PEA arrest and expired 1/19.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Septic shock, Sputum discoloured
Clinical narrative: Presented to the ED with complaints of weakness and productive cough with yellow/green sputum. He was found to be in afib RVR with HR in the 140s and hypoxic requiring supplemental O2. Admitted for hypoxemic respiratory failure, COVID PNA, afib with RVR. Tx w/abx, steroids, zinc, O2; Developed septic shock requiring emergent intubation; went into PEA arrest and expired 1/19.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Diarrhoea, Dyspnoea, Nausea, Vomiting
Clinical narrative: Presented to hospital with complaint of diarrhea, nausea, vomiting, shortness of breath.  Admitted for COVID19 19 infection related pneumonia.  Treated with the steroids, O2, abx, VitC, zinc; dc'd home w/O2
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 2/21/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis, Hypotension, Hypoxia
Clinical narrative: ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN ACUTE DVT OF BILAT LEGS, UNSPECIFIED VEINS ACUTE DVT OF RIGHT CALF, UNSPECIFIED VEIN HYPOTENSION HYPOXEMIA
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardio-respiratory arrest, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Admitted for COVID-19 infection, COPD exacerbation; tx w/O2, abx, steroids; pt had epsidoe of code blue 1/16. d/t multiple readmissions and extensive medical problems, family expressed goals to keep pt comfortable and pt dc'd to IP hospice.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 2/28/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Diarrhoea, Dyspnoea
Clinical narrative: Presents w/SOB & diarrhea x 1 wk also w/progressive weakness and congestion.  Upon arrival to the emergency department patient was found to be COVID positive. Admitted for COVID-19 pna, tx w/abx, steroids, remdesivir, zinc; dc'd home
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Presents w/SOB & diarrhea x 1 wk also w/progressive weakness and congestion.  Upon arrival to the emergency department patient was found to be COVID positive. Admitted for COVID-19 pna, tx w/abx, steroids, remdesivir, zinc; dc'd home
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Exposure to SARS-CoV-2, Myalgia
Clinical narrative: Presented with myalgia/cough/generalized weakness.  Patient has been exposed 4 days ago with COVID. Found to be COVID-19+, admitted and tx w/O2, VitC, Zinc, steroids; family refused remdesivir; dc'd home w/O2.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented with myalgia/cough/generalized weakness.  Patient has been exposed 4 days ago with COVID. Found to be COVID-19+, admitted and tx w/O2, VitC, Zinc, steroids; family refused remdesivir; dc'd home w/O2.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fall, Pneumothorax
Clinical narrative: Presented to ED s/p ground level fall sustaining large left pneumothorax; incidental finding of COVID-19; asymptomatic
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented w c/o fever & SOB; COVID-19+; tx w/steroids, Vit C, zinc
Age: 21.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: On 7/20/23 at 4:15pm a Pediatric Hepatitis B vaccine was given to client instead of adult series Hepatitis B. Client tolerated injection, No signs or symptoms of distress were noted. CDC contacted and recommendations received.
Age: 1.0
Sex: F
Vaccine: DTAPIPV, HEP, HIBV, MMRV
Symptoms: Wrong product administered
Clinical narrative: The provider ordered Dtap, IPV, Hib, Hep B and MMRV but did not specify what brand (combination) to give. The medical assistant confirmed the order and asked if Kinirix (Dtap-IPV) could be used. The provider confirmed the use of Kinirix. The MA gave the vaccine. The MA reported the error on 7/14/23 and the case was reviewed by the lead physician with the provider and MA. Corrective action was taken to ensure the provider writes/documents the specific brand of vaccine or combination of vaccine to be given when writing vaccine orders. The MA was re-educated on the requirement not proceed with any order that is not written with the brand or combination identified, to follow the manufacturer instruction and limitations on age printed on the vaccine box and to contact the lead doctor if she has any question about a vaccine.  The patient's mother was notified of the error on 7/17/23. The mother has not reported the patient having any symptoms or signs of any consequence from the vaccine.
Age: 4.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient given a Hepatitis A  and Hepatitis B vaccine that was not needed. No signs or symptoms of an adverse reaction.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Abdominal pain, Crying, Decreased appetite, Irritability, Pyrexia
Clinical narrative: Fever x 4 days, crying, irritability, and complained of abdominal pain with decreased appetite.
Age: 51.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Expired product administered, Localised oedema, Nausea, Pain
Clinical narrative: contacted by APRN that administered vaccine was 18 days expired.  localized erythema and edema, painful.  Nausea x 3 days
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: left upper arm large area of erythema and warmth. no fluctuance. measures about 7cm x 4 cm
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angina pectoris, Symptom recurrence
Clinical narrative: ANGINA, UNSPECIFIED 11/18/2022  &   1/18/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 6.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Petechiae, Rash
Clinical narrative: Pt reported back to clinic with parent at 4:15pm  with complaint of rash for front office staff.  APN  called to clinic room to assess patient. Pt  having petechiae rash on face, shoulders, and back of neck. Denied difficulty breathing or feelings of malaise.  APN referred pt to PM Urgent Care  for further evaluation. Parent educated by APN to seek care at ER  if  any swelling , difficulty breathing , or abnormal behavior by child occur.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Generalized Hives
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Urticaria pressure
Clinical narrative: Daily headaches since January 2021 Pressure Urticaria since January 2022
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT WAS 18 YEARS OLD AT THE TIME OF VACCINATION AND RECEIVED THE HEPATITIS B OR ENERGIX B VACCINE THAT IS RECOMMENDED FOR AGES 20 AND OLDER. THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENT FROM THE VACCINE
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Automatism, Febrile neutropenia, Focal dyscognitive seizures, Metastases to central nervous system, Neoplasm malignant
Clinical narrative: COMPLEX PARTIAL EPILEPSY W AUTOMATISMS 4/18/2023 NEUTROPENIC FEVER, UNSPECIFIED COMPLEX PARTIAL EPILEPSY W AUTOMATISMS 4/18/2023 CANCER METASTATIC TO BRAIN
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Partial seizures
Clinical narrative: COMPLEX PARTIAL EPILEPSY W AUTOMATISMS 4/18/2023 NEUTROPENIC FEVER, UNSPECIFIED COMPLEX PARTIAL EPILEPSY W AUTOMATISMS 4/18/2023 CANCER METASTATIC TO BRAIN
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiogenic shock
Clinical narrative: CARDIOGENIC SHOCK
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: Vaccine dose given past expire date of 3/1/2023
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Axillary pain, Back pain, Pyrexia
Clinical narrative: Pain in right armpit moving into her back, High fevers of  102 F , treated her with fever reducers.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Hyperkalaemia
Clinical narrative: ACUTE CORONARY SYNDROME, UNSPECIFIED 3/10/2023 HYPERKALEMIA
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypotension, Pneumonia, Type 2 diabetes mellitus
Clinical narrative: HYPOTENSION 5/3/2023 DM 2 W HYPERGLYCEMIA HYPOTENSION 5/3/2023 COMMUNITY ACQUIRED PNEUMONIA HYPOTENSION 5/3/2023 DM 2 W HYPERGLYCEMIA
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site warmth, Joint swelling, Lip swelling, Pruritus
Clinical narrative: 7/11/23: Left Knee Swelling, Redness, warm to touch underneath injection site. Tylenol/Ice given, Zyrtec. told to monitor by on call physician 7/12/23: Left Knee swelling slightly improved, redness remained, tylenol/ice/zyrtec given.  7/13/23: Left knee swelling worsened, redness/warmth remains, tylenol given in AM. 713/23: later in evening hives developed all over body, itchiness, benadryl given and oatmeal bath. Within 30 min lip swelling occurred. Took him to hospital, where within an hour full blown bottom/top lip swelling. Benadryl, Decadron and Pepcid given orally. Took 10 hours for hives/swelling to resolve.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Urticaria
Clinical narrative: 7/11/23: Left Knee Swelling, Redness, warm to touch underneath injection site. Tylenol/Ice given, Zyrtec. told to monitor by on call physician 7/12/23: Left Knee swelling slightly improved, redness remained, tylenol/ice/zyrtec given.  7/13/23: Left knee swelling worsened, redness/warmth remains, tylenol given in AM. 713/23: later in evening hives developed all over body, itchiness, benadryl given and oatmeal bath. Within 30 min lip swelling occurred. Took him to hospital, where within an hour full blown bottom/top lip swelling. Benadryl, Decadron and Pepcid given orally. Took 10 hours for hives/swelling to resolve.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Coronary artery disease
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 4/13/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 OBSTRUCTIVE SLEEP APNEA 1/10/2023 ATRIAL FLUTTER, PAROXYSMAL
Age: 1.5
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Wrong vial of covid bivalent was administered (blue cap) vs correct vial (pink cap)
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Immediate post-injection reaction, Impaired work ability, Injection site bruising, Injection site pain
Clinical narrative: Immediate pain at injection that went down arm. RPH dismissed as burning from shingrix. Patient came back to pharmacy on 7/21 after seeing PCP about the pain in arm. Right arm is visibly bruised at injection site which seems to be given in acromium process. Patient's arm was swollen with neuropathy going to arm. Patient is a massage therapist and this affected her line of work
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Neuropathy peripheral, Pain in extremity, Peripheral swelling
Clinical narrative: Immediate pain at injection that went down arm. RPH dismissed as burning from shingrix. Patient came back to pharmacy on 7/21 after seeing PCP about the pain in arm. Right arm is visibly bruised at injection site which seems to be given in acromium process. Patient's arm was swollen with neuropathy going to arm. Patient is a massage therapist and this affected her line of work
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Respiratory failure, Symptom recurrence
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE ON CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 1/20/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Aortic arteriosclerosis, Colitis
Clinical narrative: ACUTE NON ST ELEVATION MI 4/24/2023 COLITIS ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/24/2023 COLITIS ACUTE NON ST ELEVATION MI 4/24/2023 ATHEROSCLEROSIS OF AORTA ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/24/2023 ATHEROSCLEROSIS OF AORTA
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN
Age: 13.0
Sex: M
Vaccine: TDAP
Symptoms: Expired product administered
Clinical narrative: Expired vaccine was given.  The lot expired on 7/15/2023.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Needle issue, Wrong technique in product usage process
Clinical narrative: Pfizer Bivalent vaccine was administered by Medical Assistant per Dr. orders. Vaccine was administered using a TB syringe 27Gauge by 1/2 inch in left deltoid instead of using a 25G by 1 inch.  The clinic lead noticed this happening and reported it to the nursing team.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 3/11/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Facial paresis, Hemiparesis, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI LEFT FACIAL MUSCLE WEAKNESS 1/24/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: When he was receiving his second dose of  Shingrix, patient claimed that his entire left arm has been sore since the day he received his first dose, which was March 1, 2023. He said that he has not been able to sleep on that side since March 1.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bell's palsy
Clinical narrative: LEFT BELLS PALSY
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Condition aggravated, Dizziness, Headache, Hypoaesthesia
Clinical narrative: Patient's grandmother called office at 1110 and spoke with RN.  Patient was complaining of a severe headache, dizziness, and numbness to bilateral hands. Grandmother reported that she will be taking patient to Emergency Department.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA
Age: 14.0
Sex: F
Vaccine: MMRV
Symptoms: Product use issue
Clinical narrative: There are no symptoms. Vaccines MMR and Varicella should have been administered seperately.
Age: 1.5
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 42.0
Sex: F
Vaccine: PPV, RAB
Symptoms: Bone pain, Bone swelling, Immediate post-injection reaction, Injection site pain, Injection site swelling
Clinical narrative: Immediately while getting the vaccines, the patient felt sick and started having swelling and applied ice. She has pain and swelling in the left deltoid and it radiates to the collarbone and left side of the neck. The area is hot to the touch.
Age: 42.0
Sex: F
Vaccine: PPV, RAB
Symptoms: Malaise, Neck pain, Pain, Skin warm, Swelling
Clinical narrative: Immediately while getting the vaccines, the patient felt sick and started having swelling and applied ice. She has pain and swelling in the left deltoid and it radiates to the collarbone and left side of the neck. The area is hot to the touch.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE RESPIRATORY FAILURE ACUTE HYPERCAPNIC RESPIRATORY FAILURE CHRONIC RESPIRATORY FAILURE CHRONIC HYPERCAPNIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPERCAPNIC RESPIRATORY FAILURE HYPOXEMIA 11/22/2022,  2/9/2023,  3/12/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Blood test, Fall, Movement disorder, Oral contusion, Syncope
Clinical narrative: HAD APPARENT VASOVAGAL EVENT AFTER IMM/ BLOOD DRAWING - CONTORTING MOVEMENTS AND EVENTUALLY FELL FORWARD FROM CHAIR-WAS LAID DOWN ON EXAM TABLE AND LEGS RAISED- EPISODE RESOLVED WITHING 5-10 MIN- SUSTAINED CONTUSSION TO RIGHT LOWER LIP TEETH INTACT- BLOOD PRESSURE WAS NORMAL.
Age: 10.0
Sex: M
Vaccine: MENB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Decreased appetite, Headache, Lethargy, Musculoskeletal stiffness
Clinical narrative: Pt developed jaw pain 3 days post vaccine. 5 days post vaccine pt became lethargic, photophobic, developed a headache with position changes, had a low grade fever with chills followed by night sweats. Appetite was diminished.  Pt still suffering stiff neck 11 days post vaccine.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Night sweats, Pain in jaw, Photophobia, Pyrexia
Clinical narrative: Pt developed jaw pain 3 days post vaccine. 5 days post vaccine pt became lethargic, photophobic, developed a headache with position changes, had a low grade fever with chills followed by night sweats. Appetite was diminished.  Pt still suffering stiff neck 11 days post vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Myocardial ischaemia, Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE ACUTE NON ST ELEVATION MI DEMAND ISCHEMIA
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Deep vein thrombosis
Clinical narrative: Diagnosed with DVT and PE on March 29, 2023.  Subsequence blood test revealed no genetic inclination for blood clotting.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Headache, Inappropriate schedule of product administration, Pain
Clinical narrative: patient received their second prevnar 20 in two months. received their pcv 20  on 5/1 and received second pcv 20 on 5/20. patient called and was complaining of headache and body aches.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient deceased
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Headache, Nausea
Clinical narrative: Head ache, nausea, dizziness, weakness.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: CHRONIC HYPOTENSION HYPOTENSION
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypersensitivity
Clinical narrative: ALLERGIC REACTION, INIT
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cough, Full blood count normal, Haemoglobin normal, Petechiae, Platelet count normal
Clinical narrative: 1hour after event petechiae around neck 07/20/2023, then had a fever 100.6 more petechiae around face. Also had cough overnight
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pyrexia, White blood cell count normal
Clinical narrative: 1hour after event petechiae around neck 07/20/2023, then had a fever 100.6 more petechiae around face. Also had cough overnight
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient Deceased
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Confusional state, Dizziness, Feeling abnormal, Hyperhidrosis, Hypotension
Clinical narrative: During conversation after the vaccine, patient stated he felt weird and dizzy.  He was instructed by MA to lay down, as he was moving from sitting position to laying  on the exam table, he experienced syncope.  Syncope lasted  about a  minute, he woke on his own  confused and sweating.  The physician was alerted to assess, juice and pretzels given, patient was able to sit up and applied ice pack to back of neck.  Patient wanted to get up and walk to bathroom to urinate.  He began to walk to bathroom and told MA he was feeling weird again and she observed his lips turning white.  He was escorted to exam room to lay down on back with knees bent. BP 100/66 after syncope.  Physician attended patient, he was awake, talking , pale and sweating.  BP low but mom stated to physician his BP is always low or in that range. Remaining exam was normal.  Had patient rest until felt able to stand and walk out of office without help and advised to rest and not do strenuous activity at home after visit.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Lip discolouration, Pallor, Syncope
Clinical narrative: During conversation after the vaccine, patient stated he felt weird and dizzy.  He was instructed by MA to lay down, as he was moving from sitting position to laying  on the exam table, he experienced syncope.  Syncope lasted  about a  minute, he woke on his own  confused and sweating.  The physician was alerted to assess, juice and pretzels given, patient was able to sit up and applied ice pack to back of neck.  Patient wanted to get up and walk to bathroom to urinate.  He began to walk to bathroom and told MA he was feeling weird again and she observed his lips turning white.  He was escorted to exam room to lay down on back with knees bent. BP 100/66 after syncope.  Physician attended patient, he was awake, talking , pale and sweating.  BP low but mom stated to physician his BP is always low or in that range. Remaining exam was normal.  Had patient rest until felt able to stand and walk out of office without help and advised to rest and not do strenuous activity at home after visit.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis postoperative, Embolism venous, Pelvic venous thrombosis
Clinical narrative: I82.401 ACUTE POSTPROCEDURAL DVT OF RIGHT LEG, UNSPECIFIED VEIN 3/15/2023 ACUTE EMBOLISM & THROMBOSIS OF RIGHT ILIAC VEIN
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Anaemia, Angiogram cerebral abnormal, Arteriogram carotid, Central nervous system lesion, Computerised tomogram head abnormal
Clinical narrative: Patient received MMR, DTaP, HIB on Friday, 7/14 at PMD. Saturday had fevers and some malaise but not too bad and treated with OTC  Tylenol and Motrin. Sunday, 7/15 was having worsening fever, lethargy and vomiting and at that point noted to have anemia (H/H - 7.6/25), platelets of 33 at the outside facility however repeat labs here were reassuring H/H 9.5/28 and platelets 197. Patient was monitored for several hours and reassesed in ED and ultimately improved and was discharged to home on 7/16. Returned on 7/17 with ongoing fevers and then wtih altered mental status. Patient had broad work up including CBC, CMP and head CT. CT found - Multiple areas of low attenuation noted in the bilateral frontal lobes, temporal occipital region, bilateral cerebellar hemispheres, right greater than left. These lesions are multiple on both sides of the brain and somewhat symmetric. No abnormal enhancement is seen. No shift of the midline. Ventricles and basal cisterns are patent. Possible tiny areas of intraparenchymal specks of blood in the left periventricular region. I am uncertain if they correspond to artifact. This can be best evaluated with MRI. These areas of stroke- like appearing can be seen in multiple conditions including, but not limited to, encephalitis, ADEM, metabolic disorders (MELAS), vasculitis, etc.   Patient admitted to ICU for work up of stroke. Ultimatley obtained MRI and thought not to be stroke but likely inflammatory in nature. Infectious work up negative. Developed true thrombocytopenia and anemia. Rheumatology, ID, Neuro, Heme all consulted and following patient. Ultimately received IVIG and now clinically improving over the past 48 hours with another night of observation. Labs also improving with ongoing consideration of bone marrow biopsy.   Fevers over the weekend on Saturday. High fevers to 103 on Sunday for which they went to a local ED and were sent to Hospital.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Drug screen, Full blood count, Haematocrit decreased, Haemoglobin decreased, Immunoglobulin therapy
Clinical narrative: Patient received MMR, DTaP, HIB on Friday, 7/14 at PMD. Saturday had fevers and some malaise but not too bad and treated with OTC  Tylenol and Motrin. Sunday, 7/15 was having worsening fever, lethargy and vomiting and at that point noted to have anemia (H/H - 7.6/25), platelets of 33 at the outside facility however repeat labs here were reassuring H/H 9.5/28 and platelets 197. Patient was monitored for several hours and reassesed in ED and ultimately improved and was discharged to home on 7/16. Returned on 7/17 with ongoing fevers and then wtih altered mental status. Patient had broad work up including CBC, CMP and head CT. CT found - Multiple areas of low attenuation noted in the bilateral frontal lobes, temporal occipital region, bilateral cerebellar hemispheres, right greater than left. These lesions are multiple on both sides of the brain and somewhat symmetric. No abnormal enhancement is seen. No shift of the midline. Ventricles and basal cisterns are patent. Possible tiny areas of intraparenchymal specks of blood in the left periventricular region. I am uncertain if they correspond to artifact. This can be best evaluated with MRI. These areas of stroke- like appearing can be seen in multiple conditions including, but not limited to, encephalitis, ADEM, metabolic disorders (MELAS), vasculitis, etc.   Patient admitted to ICU for work up of stroke. Ultimatley obtained MRI and thought not to be stroke but likely inflammatory in nature. Infectious work up negative. Developed true thrombocytopenia and anemia. Rheumatology, ID, Neuro, Heme all consulted and following patient. Ultimately received IVIG and now clinically improving over the past 48 hours with another night of observation. Labs also improving with ongoing consideration of bone marrow biopsy.   Fevers over the weekend on Saturday. High fevers to 103 on Sunday for which they went to a local ED and were sent to Hospital.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Intensive care, Laboratory test normal, Lethargy, Lumbar puncture, Magnetic resonance imaging head abnormal
Clinical narrative: Patient received MMR, DTaP, HIB on Friday, 7/14 at PMD. Saturday had fevers and some malaise but not too bad and treated with OTC  Tylenol and Motrin. Sunday, 7/15 was having worsening fever, lethargy and vomiting and at that point noted to have anemia (H/H - 7.6/25), platelets of 33 at the outside facility however repeat labs here were reassuring H/H 9.5/28 and platelets 197. Patient was monitored for several hours and reassesed in ED and ultimately improved and was discharged to home on 7/16. Returned on 7/17 with ongoing fevers and then wtih altered mental status. Patient had broad work up including CBC, CMP and head CT. CT found - Multiple areas of low attenuation noted in the bilateral frontal lobes, temporal occipital region, bilateral cerebellar hemispheres, right greater than left. These lesions are multiple on both sides of the brain and somewhat symmetric. No abnormal enhancement is seen. No shift of the midline. Ventricles and basal cisterns are patent. Possible tiny areas of intraparenchymal specks of blood in the left periventricular region. I am uncertain if they correspond to artifact. This can be best evaluated with MRI. These areas of stroke- like appearing can be seen in multiple conditions including, but not limited to, encephalitis, ADEM, metabolic disorders (MELAS), vasculitis, etc.   Patient admitted to ICU for work up of stroke. Ultimatley obtained MRI and thought not to be stroke but likely inflammatory in nature. Infectious work up negative. Developed true thrombocytopenia and anemia. Rheumatology, ID, Neuro, Heme all consulted and following patient. Ultimately received IVIG and now clinically improving over the past 48 hours with another night of observation. Labs also improving with ongoing consideration of bone marrow biopsy.   Fevers over the weekend on Saturday. High fevers to 103 on Sunday for which they went to a local ED and were sent to Hospital.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Magnetic resonance imaging neck, Malaise, Mental status changes, Metabolic function test, Platelet count decreased
Clinical narrative: Patient received MMR, DTaP, HIB on Friday, 7/14 at PMD. Saturday had fevers and some malaise but not too bad and treated with OTC  Tylenol and Motrin. Sunday, 7/15 was having worsening fever, lethargy and vomiting and at that point noted to have anemia (H/H - 7.6/25), platelets of 33 at the outside facility however repeat labs here were reassuring H/H 9.5/28 and platelets 197. Patient was monitored for several hours and reassesed in ED and ultimately improved and was discharged to home on 7/16. Returned on 7/17 with ongoing fevers and then wtih altered mental status. Patient had broad work up including CBC, CMP and head CT. CT found - Multiple areas of low attenuation noted in the bilateral frontal lobes, temporal occipital region, bilateral cerebellar hemispheres, right greater than left. These lesions are multiple on both sides of the brain and somewhat symmetric. No abnormal enhancement is seen. No shift of the midline. Ventricles and basal cisterns are patent. Possible tiny areas of intraparenchymal specks of blood in the left periventricular region. I am uncertain if they correspond to artifact. This can be best evaluated with MRI. These areas of stroke- like appearing can be seen in multiple conditions including, but not limited to, encephalitis, ADEM, metabolic disorders (MELAS), vasculitis, etc.   Patient admitted to ICU for work up of stroke. Ultimatley obtained MRI and thought not to be stroke but likely inflammatory in nature. Infectious work up negative. Developed true thrombocytopenia and anemia. Rheumatology, ID, Neuro, Heme all consulted and following patient. Ultimately received IVIG and now clinically improving over the past 48 hours with another night of observation. Labs also improving with ongoing consideration of bone marrow biopsy.   Fevers over the weekend on Saturday. High fevers to 103 on Sunday for which they went to a local ED and were sent to Hospital.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, MMR
Symptoms: Pyrexia, Thrombocytopenia, Vomiting
Clinical narrative: Patient received MMR, DTaP, HIB on Friday, 7/14 at PMD. Saturday had fevers and some malaise but not too bad and treated with OTC  Tylenol and Motrin. Sunday, 7/15 was having worsening fever, lethargy and vomiting and at that point noted to have anemia (H/H - 7.6/25), platelets of 33 at the outside facility however repeat labs here were reassuring H/H 9.5/28 and platelets 197. Patient was monitored for several hours and reassesed in ED and ultimately improved and was discharged to home on 7/16. Returned on 7/17 with ongoing fevers and then wtih altered mental status. Patient had broad work up including CBC, CMP and head CT. CT found - Multiple areas of low attenuation noted in the bilateral frontal lobes, temporal occipital region, bilateral cerebellar hemispheres, right greater than left. These lesions are multiple on both sides of the brain and somewhat symmetric. No abnormal enhancement is seen. No shift of the midline. Ventricles and basal cisterns are patent. Possible tiny areas of intraparenchymal specks of blood in the left periventricular region. I am uncertain if they correspond to artifact. This can be best evaluated with MRI. These areas of stroke- like appearing can be seen in multiple conditions including, but not limited to, encephalitis, ADEM, metabolic disorders (MELAS), vasculitis, etc.   Patient admitted to ICU for work up of stroke. Ultimatley obtained MRI and thought not to be stroke but likely inflammatory in nature. Infectious work up negative. Developed true thrombocytopenia and anemia. Rheumatology, ID, Neuro, Heme all consulted and following patient. Ultimately received IVIG and now clinically improving over the past 48 hours with another night of observation. Labs also improving with ongoing consideration of bone marrow biopsy.   Fevers over the weekend on Saturday. High fevers to 103 on Sunday for which they went to a local ED and were sent to Hospital.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 2/24/2023  &  2/28/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Loss of consciousness, Malaise
Clinical narrative: Patient went to the ER after a syncopal episode. In the evening on 7/17/2023 (day of the vaccine) he started to feel achy with body aches and just general malaise and nausea. He went to the bathroom after going to bed and had to urinate and then got lightheaded. He felt very hot and passed out without injury. His father found him- he was pale and diaphoretic and did not feel well. He had 1 episode of vomiting. No diarrhea, no abdominal pain, no headache. Temperature was 100.2 at home. Went to the ER at 4:30am on 7/18/2023.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Nausea, Pain, Pallor, Syncope, Vomiting
Clinical narrative: Patient went to the ER after a syncopal episode. In the evening on 7/17/2023 (day of the vaccine) he started to feel achy with body aches and just general malaise and nausea. He went to the bathroom after going to bed and had to urinate and then got lightheaded. He felt very hot and passed out without injury. His father found him- he was pale and diaphoretic and did not feel well. He had 1 episode of vomiting. No diarrhea, no abdominal pain, no headache. Temperature was 100.2 at home. Went to the ER at 4:30am on 7/18/2023.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE RESPIRATORY FAILURE 2/28/2023  &  1/19/2023  -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angina unstable
Clinical narrative: UNSTABLE ANGINA
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Contusion, Erythema, Pain in extremity, Pyrexia
Clinical narrative: Manufacturer: Glaxosmithkline Adverse events: fever, sharp pain and redness in the arm, shaking chills to date I have bruises on my arm
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Manufacturer: Glaxosmithkline Adverse events: fever, sharp pain and redness in the arm, shaking chills to date I have bruises on my arm
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Abdominal pain, Agitation, Anxiety, Chills, Decreased appetite
Clinical narrative: She got her vaccine, she didn't have symptoms right away.  On 3/25/23 she started having chills at home, she just felt extremely nauseated, shaky and aching legs, going from warm to cold.  She did not have any vomiting or fever.  She did not know what was going on.  Mother was wondering if she was going to have a seizure or something, but that did not occur.  Pretty much from that point on she has lost 20#, her diet changed completely for a couple of months, she was not eating much.  Just started with a liquid diet to get her back to eating, then to a bland diet.  She has been to the ER twice with abdominal pain and nausea.  Also there is an acid feeling in her mouth as she describes it.In the ER she was tested with different things, had COVID and flu tests that were negative.  She had x-rays and US, and was started on Omeprazole in the morning, Pepcid, and then intermittently she takes zofran for nausea.  These medications have been helping her as mother says she has been making some slow progress.  She looks back to where she is now to the last 2 months as she is eating more.  She was taking Benadryl to help her sleep, which her doctor said was OK, but is no longer taking it now.  Her PCP is keeping her on the same medicines.  It took a long time for them to get into a GI, but had that about a month ago and she wanted her daughter to start periactin.  A week before that she had seen a psychiatrist as she was experiencing some anxiety and she started Lexapro before she saw the GI doctor.  She was started on Periactin and the next day she was extreme fatigued, extremely agitated and stopped that and the GI doctor is aware of that.  She is continug to take the Lexapro at this time.   Mom did not remember that she had the first vaccine, but they had the dates, but she did not have any issues with that.  She had some GI issues when she was much younger in elementary school, she would have complaints of stomach problems, but changed her to almond milk and chocolate milk at lunch and those symptoms went away.  GI doctor diagnosed her with function gastrointestinal disorder, and she continues to see him as well.  She has scheduled an upper endoscopy in September.   This has significantly changed the daughter and the mom's life that it used to be.  She went to an OMT,  and asked if the vaccine could have anything to do with that and he said that yes it could be.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Fatigue, Feeling of body temperature change, Influenza virus test negative, Nausea, Oral discomfort
Clinical narrative: She got her vaccine, she didn't have symptoms right away.  On 3/25/23 she started having chills at home, she just felt extremely nauseated, shaky and aching legs, going from warm to cold.  She did not have any vomiting or fever.  She did not know what was going on.  Mother was wondering if she was going to have a seizure or something, but that did not occur.  Pretty much from that point on she has lost 20#, her diet changed completely for a couple of months, she was not eating much.  Just started with a liquid diet to get her back to eating, then to a bland diet.  She has been to the ER twice with abdominal pain and nausea.  Also there is an acid feeling in her mouth as she describes it.In the ER she was tested with different things, had COVID and flu tests that were negative.  She had x-rays and US, and was started on Omeprazole in the morning, Pepcid, and then intermittently she takes zofran for nausea.  These medications have been helping her as mother says she has been making some slow progress.  She looks back to where she is now to the last 2 months as she is eating more.  She was taking Benadryl to help her sleep, which her doctor said was OK, but is no longer taking it now.  Her PCP is keeping her on the same medicines.  It took a long time for them to get into a GI, but had that about a month ago and she wanted her daughter to start periactin.  A week before that she had seen a psychiatrist as she was experiencing some anxiety and she started Lexapro before she saw the GI doctor.  She was started on Periactin and the next day she was extreme fatigued, extremely agitated and stopped that and the GI doctor is aware of that.  She is continug to take the Lexapro at this time.   Mom did not remember that she had the first vaccine, but they had the dates, but she did not have any issues with that.  She had some GI issues when she was much younger in elementary school, she would have complaints of stomach problems, but changed her to almond milk and chocolate milk at lunch and those symptoms went away.  GI doctor diagnosed her with function gastrointestinal disorder, and she continues to see him as well.  She has scheduled an upper endoscopy in September.   This has significantly changed the daughter and the mom's life that it used to be.  She went to an OMT,  and asked if the vaccine could have anything to do with that and he said that yes it could be.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Pain in extremity, SARS-CoV-2 test negative, Tremor, Ultrasound scan, Weight decreased
Clinical narrative: She got her vaccine, she didn't have symptoms right away.  On 3/25/23 she started having chills at home, she just felt extremely nauseated, shaky and aching legs, going from warm to cold.  She did not have any vomiting or fever.  She did not know what was going on.  Mother was wondering if she was going to have a seizure or something, but that did not occur.  Pretty much from that point on she has lost 20#, her diet changed completely for a couple of months, she was not eating much.  Just started with a liquid diet to get her back to eating, then to a bland diet.  She has been to the ER twice with abdominal pain and nausea.  Also there is an acid feeling in her mouth as she describes it.In the ER she was tested with different things, had COVID and flu tests that were negative.  She had x-rays and US, and was started on Omeprazole in the morning, Pepcid, and then intermittently she takes zofran for nausea.  These medications have been helping her as mother says she has been making some slow progress.  She looks back to where she is now to the last 2 months as she is eating more.  She was taking Benadryl to help her sleep, which her doctor said was OK, but is no longer taking it now.  Her PCP is keeping her on the same medicines.  It took a long time for them to get into a GI, but had that about a month ago and she wanted her daughter to start periactin.  A week before that she had seen a psychiatrist as she was experiencing some anxiety and she started Lexapro before she saw the GI doctor.  She was started on Periactin and the next day she was extreme fatigued, extremely agitated and stopped that and the GI doctor is aware of that.  She is continug to take the Lexapro at this time.   Mom did not remember that she had the first vaccine, but they had the dates, but she did not have any issues with that.  She had some GI issues when she was much younger in elementary school, she would have complaints of stomach problems, but changed her to almond milk and chocolate milk at lunch and those symptoms went away.  GI doctor diagnosed her with function gastrointestinal disorder, and she continues to see him as well.  She has scheduled an upper endoscopy in September.   This has significantly changed the daughter and the mom's life that it used to be.  She went to an OMT,  and asked if the vaccine could have anything to do with that and he said that yes it could be.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: X-ray
Clinical narrative: She got her vaccine, she didn't have symptoms right away.  On 3/25/23 she started having chills at home, she just felt extremely nauseated, shaky and aching legs, going from warm to cold.  She did not have any vomiting or fever.  She did not know what was going on.  Mother was wondering if she was going to have a seizure or something, but that did not occur.  Pretty much from that point on she has lost 20#, her diet changed completely for a couple of months, she was not eating much.  Just started with a liquid diet to get her back to eating, then to a bland diet.  She has been to the ER twice with abdominal pain and nausea.  Also there is an acid feeling in her mouth as she describes it.In the ER she was tested with different things, had COVID and flu tests that were negative.  She had x-rays and US, and was started on Omeprazole in the morning, Pepcid, and then intermittently she takes zofran for nausea.  These medications have been helping her as mother says she has been making some slow progress.  She looks back to where she is now to the last 2 months as she is eating more.  She was taking Benadryl to help her sleep, which her doctor said was OK, but is no longer taking it now.  Her PCP is keeping her on the same medicines.  It took a long time for them to get into a GI, but had that about a month ago and she wanted her daughter to start periactin.  A week before that she had seen a psychiatrist as she was experiencing some anxiety and she started Lexapro before she saw the GI doctor.  She was started on Periactin and the next day she was extreme fatigued, extremely agitated and stopped that and the GI doctor is aware of that.  She is continug to take the Lexapro at this time.   Mom did not remember that she had the first vaccine, but they had the dates, but she did not have any issues with that.  She had some GI issues when she was much younger in elementary school, she would have complaints of stomach problems, but changed her to almond milk and chocolate milk at lunch and those symptoms went away.  GI doctor diagnosed her with function gastrointestinal disorder, and she continues to see him as well.  She has scheduled an upper endoscopy in September.   This has significantly changed the daughter and the mom's life that it used to be.  She went to an OMT,  and asked if the vaccine could have anything to do with that and he said that yes it could be.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site induration, Injection site pruritus, Injection site warmth, Pain in extremity, Vaccine positive rechallenge
Clinical narrative: A large patch (4 inches x 2 inches) of hot, hard tissue at the sight of the injection. The sight itches and the arm is sore. Today is day three of this symptom. This is not a life-threatening reaction but more severe than most other people I know. This is also the same reaction I have had to previous boosters of this same vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction reported- expired vaccine was reportedly given to patient.
Age: 1.58
Sex: F
Vaccine: MNQ
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient received incorrect vaccine. Patient was supposed to receive Hepatitis A, not Menquadfi. Patient is under the recommended age for Menquadfi.