chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE RESPIRATORY FAILURE 3/22/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia of chronic disease, Hypotension, Urinary tract infection
Clinical narrative: I95.9 HYPOTENSION 4/13/2023 UTI (URINARY TRACT INFECTION) I95.9 HYPOTENSION 4/13/2023 ANEMIA OF CHRONIC DISEASE
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anal incontinence, Blood pressure fluctuation, Colonoscopy abnormal, Fall
Clinical narrative: She lost control of her legs and fell also losing control of bowel and bladder function 3 days after the vaccine.  After this, she constantly felt there was something in her intestines she couldn?t get out.  Finally got her a colonoscopy within the same medical group.  He found and removed 9 polyps - she had never had any before when colonoscopies had been done in the past,  she had blood pressure spikes frequently and never had them before the vaccine - even at 9 months pregnant twice.  Ultimately her hiatal hernia became symptomatic, strangled by the wrappings and had her stomach removed.  Died 6 weeks later 3/12/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrectomy, Hiatus hernia, Musculoskeletal disorder, Polyp, Urinary incontinence
Clinical narrative: She lost control of her legs and fell also losing control of bowel and bladder function 3 days after the vaccine.  After this, she constantly felt there was something in her intestines she couldn?t get out.  Finally got her a colonoscopy within the same medical group.  He found and removed 9 polyps - she had never had any before when colonoscopies had been done in the past,  she had blood pressure spikes frequently and never had them before the vaccine - even at 9 months pregnant twice.  Ultimately her hiatal hernia became symptomatic, strangled by the wrappings and had her stomach removed.  Died 6 weeks later 3/12/2022.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac failure acute, Chest X-ray abnormal, Dyspnoea
Clinical narrative: The patient has a history of DVT, type II diabetes, dementia and CHF. She was seen in the ED and brought in by EMS on 8/8/23. At the patient's TCU facility, she was experiencing shortness of breath and a chest x-ray raised concern for pneumonia. Of note, en route to the ED, the patient's SPO2 dropped to 89% so she was placed on 2L O2 via NC. In the ED, a COVID PCR test resulted positive. Ultimately, the patient was admitted 8/8/23 - 8/21/23. Discharged diagnoses include acute decompensated heart failure and acute hypoxic respiratory failure in the setting of COVID-19 leading to likely stress-induced cardiomyopathy. During admission, she was on supplemental O2 however was able to be weaned off prior to discharge. Of note, she has received the primary COVID vaccine series and one booster.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive, Stress cardiomyopathy
Clinical narrative: The patient has a history of DVT, type II diabetes, dementia and CHF. She was seen in the ED and brought in by EMS on 8/8/23. At the patient's TCU facility, she was experiencing shortness of breath and a chest x-ray raised concern for pneumonia. Of note, en route to the ED, the patient's SPO2 dropped to 89% so she was placed on 2L O2 via NC. In the ED, a COVID PCR test resulted positive. Ultimately, the patient was admitted 8/8/23 - 8/21/23. Discharged diagnoses include acute decompensated heart failure and acute hypoxic respiratory failure in the setting of COVID-19 leading to likely stress-induced cardiomyopathy. During admission, she was on supplemental O2 however was able to be weaned off prior to discharge. Of note, she has received the primary COVID vaccine series and one booster.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic gastritis, Colorectal adenoma, Sleep apnoea syndrome
Clinical narrative: G47.39 MIXED SLEEP APNEA 4/24/2023 GASTRIC INTESTINAL METAPLASIA, UNSPECIFIED G47.39 MIXED SLEEP APNEA 4/24/2023 HX OF ADENOMATOUS COLONIC POLYPS
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Diarrhoea
Clinical narrative: Presented  to the ED  complaining of worsening O2 sats following positive COVID test on 12/22. Diarrhea,Cough, chest congestion, hypoxia. On admission, was found to have pneumonia due to COVID-19 and was treated with IV steroids-Decadron and Actemra and oxygen. Disposition: He will be discharged today to home.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Lung opacity, Oxygen saturation abnormal, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Presented  to the ED  complaining of worsening O2 sats following positive COVID test on 12/22. Diarrhea,Cough, chest congestion, hypoxia. On admission, was found to have pneumonia due to COVID-19 and was treated with IV steroids-Decadron and Actemra and oxygen. Disposition: He will be discharged today to home.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY STABLE ANGINA ANGINA, UNSPECIFIED
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Injection site hypoaesthesia
Clinical narrative: left arm felt numb all the way down to the fingers.  Next day, thumb, forefinger and middle finger still numb from the knuckle to finger tip.  Today, on day 8, still numb on foreginger and middle finger from the knuckle (middle of finger) to the fingertip. At night it darts up to the elbow.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: urticaria 5 hours after vaccine administered.  responded to benadryl
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebral haemorrhage, Cerebral mass effect, Computerised tomogram head abnormal, Cough
Clinical narrative: compalints of AMS, frontal headache. daughter states she has been sleeping more and less active. INR >13.89 on admit. DX Itracerebral hemorrhage. COVID + - other than cough, no other symptoms. incidental finding per physician.  pt placed on decadron. no remdisivir given. HTN - nicardipine gtt based in ICH/subdural hematoma. downward mass effect from hematoma  in repeat CT.  Coumadin toxicity/INR reversed. ICH stabilized in size (likely secondary to coumadin toxicity).
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased activity, Haematoma, Headache, Hypersomnia, Hypertension
Clinical narrative: compalints of AMS, frontal headache. daughter states she has been sleeping more and less active. INR >13.89 on admit. DX Itracerebral hemorrhage. COVID + - other than cough, no other symptoms. incidental finding per physician.  pt placed on decadron. no remdisivir given. HTN - nicardipine gtt based in ICH/subdural hematoma. downward mass effect from hematoma  in repeat CT.  Coumadin toxicity/INR reversed. ICH stabilized in size (likely secondary to coumadin toxicity).
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio increased, Mental status changes, SARS-CoV-2 test positive, Toxicity to various agents
Clinical narrative: compalints of AMS, frontal headache. daughter states she has been sleeping more and less active. INR >13.89 on admit. DX Itracerebral hemorrhage. COVID + - other than cough, no other symptoms. incidental finding per physician.  pt placed on decadron. no remdisivir given. HTN - nicardipine gtt based in ICH/subdural hematoma. downward mass effect from hematoma  in repeat CT.  Coumadin toxicity/INR reversed. ICH stabilized in size (likely secondary to coumadin toxicity).
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram normal, COVID-19 pneumonia, Computerised tomogram thorax, Endotracheal intubation
Clinical narrative: Patient was admitted for Acute hypoxemic respiratory failure due to COVID 19 pneumonia. He required max dose high flow oxygen from the time of admission. He was placed on IV steroids, singular, vitamin-C, zinc, mucolytic and antitussives.  He was placed on Remdesivir. His CT angiogram was negative for PE. Overnight his condition worsened, and he went into sever respiratory distress that required intubation and mechanical ventilation. He was moved to another facility for higher level of care in unimproved condition.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Respiratory distress
Clinical narrative: Patient was admitted for Acute hypoxemic respiratory failure due to COVID 19 pneumonia. He required max dose high flow oxygen from the time of admission. He was placed on IV steroids, singular, vitamin-C, zinc, mucolytic and antitussives.  He was placed on Remdesivir. His CT angiogram was negative for PE. Overnight his condition worsened, and he went into sever respiratory distress that required intubation and mechanical ventilation. He was moved to another facility for higher level of care in unimproved condition.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chills, Chronic obstructive pulmonary disease
Clinical narrative: The patient was brought to the ED by EMS and evaluated in the ED on 8/9/23 for shortness of breath. Earlier that evening prior to the ED, the patient went for a walk and became short of breath. EMS was called and he was given a nebulizer and started on supplemental O2. Per EMS, the patient appeared confused. Additionally, the patient reports he did take a home COVID test a few days prior  (8/4/23) which returned positive. He additionally reports chills and fevers. In the ED, he was hypoxic with an SpO2 in the upper 80's on room air. He was placed on 2L O2 via NC with improvement. Ultimately, the patient was admitted 8/9/23 - 8/11/23, with discharge diagnoses including acute respiratory failure with hypoxemia due to COVID pneumonia and COPD with acute exacerbation, among other diagnoses. The patient was treated with dexamethasone, DuoNebs, and inhalers. He was able to wean off supplemental O2. Of note, the patient has received the primary COVID vaccine series and one booster.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Condition aggravated, Confusional state, Dyspnoea, Dyspnoea exertional, Hypoxia
Clinical narrative: The patient was brought to the ED by EMS and evaluated in the ED on 8/9/23 for shortness of breath. Earlier that evening prior to the ED, the patient went for a walk and became short of breath. EMS was called and he was given a nebulizer and started on supplemental O2. Per EMS, the patient appeared confused. Additionally, the patient reports he did take a home COVID test a few days prior  (8/4/23) which returned positive. He additionally reports chills and fevers. In the ED, he was hypoxic with an SpO2 in the upper 80's on room air. He was placed on 2L O2 via NC with improvement. Ultimately, the patient was admitted 8/9/23 - 8/11/23, with discharge diagnoses including acute respiratory failure with hypoxemia due to COVID pneumonia and COPD with acute exacerbation, among other diagnoses. The patient was treated with dexamethasone, DuoNebs, and inhalers. He was able to wean off supplemental O2. Of note, the patient has received the primary COVID vaccine series and one booster.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The patient was brought to the ED by EMS and evaluated in the ED on 8/9/23 for shortness of breath. Earlier that evening prior to the ED, the patient went for a walk and became short of breath. EMS was called and he was given a nebulizer and started on supplemental O2. Per EMS, the patient appeared confused. Additionally, the patient reports he did take a home COVID test a few days prior  (8/4/23) which returned positive. He additionally reports chills and fevers. In the ED, he was hypoxic with an SpO2 in the upper 80's on room air. He was placed on 2L O2 via NC with improvement. Ultimately, the patient was admitted 8/9/23 - 8/11/23, with discharge diagnoses including acute respiratory failure with hypoxemia due to COVID pneumonia and COPD with acute exacerbation, among other diagnoses. The patient was treated with dexamethasone, DuoNebs, and inhalers. He was able to wean off supplemental O2. Of note, the patient has received the primary COVID vaccine series and one booster.
Age: 1.33
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 1.42
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Angioedema, Antinuclear antibody, Blood immunoglobulin E, C-reactive protein
Clinical narrative: acute onset of hives on arms only on 7/6/22; gradual daily worsening leading to widespread hives that did not respond to oral antihistamines throughout July & August 2022; worsened to include orbital edema and angioedema of lips and face in September 2022; continued widespread, unresponsive hives through the fall months; December 2022, legs nearly entirely covered with hives, swollen, and very painful. The only times hives were alleviated were when I was on prescribed oral steroid therapy. I recieved Solu-Medrol and oral prednisone monthly from July 2022 through January 2023. I was seen by an allergist who tried a myriad of medications, none of which worked to eliminate the hives. Diagnosed with chronic dermatographic urticaria by the allergist & was told I could not receive any further steroids. This allergist suspected the hives were the result of the Covid booster I received in March 2022. Trial of Xolair in January and March 2023 without success, however, it can take months to be effective. No further doses of Xolair until 7/31/2023. Seen by a 2nd allergist June 2023 for 2nd opinion. Diagnosed with chronic spontaneous urticaria & 2nd allergist agreed likely due to reaction from Covid booster. I am at max dose of Zyrtec (4 tablets daily) & famotidine (2 tablets daily), as well as hydroxyzine at bed time, diphenhydramine as needed, all just to control the hives. I continue to have hives daily & I am waiting for my insurance to approve monthly Xolair. If, after a 6 month trial of Xolair, I fail to improve then I will begin cyclosporine which has a much higher side effect profile and requires routine lab monitoring.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammatory marker test, Laboratory test, Orbital oedema, Pain, Red blood cell sedimentation rate
Clinical narrative: acute onset of hives on arms only on 7/6/22; gradual daily worsening leading to widespread hives that did not respond to oral antihistamines throughout July & August 2022; worsened to include orbital edema and angioedema of lips and face in September 2022; continued widespread, unresponsive hives through the fall months; December 2022, legs nearly entirely covered with hives, swollen, and very painful. The only times hives were alleviated were when I was on prescribed oral steroid therapy. I recieved Solu-Medrol and oral prednisone monthly from July 2022 through January 2023. I was seen by an allergist who tried a myriad of medications, none of which worked to eliminate the hives. Diagnosed with chronic dermatographic urticaria by the allergist & was told I could not receive any further steroids. This allergist suspected the hives were the result of the Covid booster I received in March 2022. Trial of Xolair in January and March 2023 without success, however, it can take months to be effective. No further doses of Xolair until 7/31/2023. Seen by a 2nd allergist June 2023 for 2nd opinion. Diagnosed with chronic spontaneous urticaria & 2nd allergist agreed likely due to reaction from Covid booster. I am at max dose of Zyrtec (4 tablets daily) & famotidine (2 tablets daily), as well as hydroxyzine at bed time, diphenhydramine as needed, all just to control the hives. I continue to have hives daily & I am waiting for my insurance to approve monthly Xolair. If, after a 6 month trial of Xolair, I fail to improve then I will begin cyclosporine which has a much higher side effect profile and requires routine lab monitoring.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: acute onset of hives on arms only on 7/6/22; gradual daily worsening leading to widespread hives that did not respond to oral antihistamines throughout July & August 2022; worsened to include orbital edema and angioedema of lips and face in September 2022; continued widespread, unresponsive hives through the fall months; December 2022, legs nearly entirely covered with hives, swollen, and very painful. The only times hives were alleviated were when I was on prescribed oral steroid therapy. I recieved Solu-Medrol and oral prednisone monthly from July 2022 through January 2023. I was seen by an allergist who tried a myriad of medications, none of which worked to eliminate the hives. Diagnosed with chronic dermatographic urticaria by the allergist & was told I could not receive any further steroids. This allergist suspected the hives were the result of the Covid booster I received in March 2022. Trial of Xolair in January and March 2023 without success, however, it can take months to be effective. No further doses of Xolair until 7/31/2023. Seen by a 2nd allergist June 2023 for 2nd opinion. Diagnosed with chronic spontaneous urticaria & 2nd allergist agreed likely due to reaction from Covid booster. I am at max dose of Zyrtec (4 tablets daily) & famotidine (2 tablets daily), as well as hydroxyzine at bed time, diphenhydramine as needed, all just to control the hives. I continue to have hives daily & I am waiting for my insurance to approve monthly Xolair. If, after a 6 month trial of Xolair, I fail to improve then I will begin cyclosporine which has a much higher side effect profile and requires routine lab monitoring.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Positive airway pressure therapy
Clinical narrative: patient from home with past medical history of hypertension, hepatitis C, recently diagnosed stage IV adenocarcinoma of the lung with metastasis to bones and recently received 1 cycle of chemotherapy at the hospital, COPD, on 2-3 L of oxygen at baseline, chronic nicotine abuse presented to the ER on 01/29 complaining of shortness of breath, cough. Hypoxic in the ER, placed on BiPAP, tested positive for COVID-19-high oxygen requirement and multiple medical issues. Patient is being discharged to skilled nursing facility today-2/7. Patient is on 5 L of oxygen. If patient declines going forwards, will consider hospice.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: patient from home with past medical history of hypertension, hepatitis C, recently diagnosed stage IV adenocarcinoma of the lung with metastasis to bones and recently received 1 cycle of chemotherapy at the hospital, COPD, on 2-3 L of oxygen at baseline, chronic nicotine abuse presented to the ER on 01/29 complaining of shortness of breath, cough. Hypoxic in the ER, placed on BiPAP, tested positive for COVID-19-high oxygen requirement and multiple medical issues. Patient is being discharged to skilled nursing facility today-2/7. Patient is on 5 L of oxygen. If patient declines going forwards, will consider hospice.
Age: 0.67
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Immunization injection, 3 days later pt had swelling and redness at the site, went to the ER, diagnosed with cellulitis, given oral antibiotic treatment and sent home
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: ALLERGIC REACTION, INIT
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: She presented to the emergency department, by ambulance, from the a Care Center, for shortness of breath and hypoxia.   According to the nursing staff she os positive for Covid-19 (unsure of when she tested positive).   When the paramedics arrived, she was hypoxic and tachypneic, she was placed on supplemental oxygen at six liters per minute by nasal cannula, her oxygen saturation was then in the "80's" and she then was placed on twenty-five liters per minute by a non-rebreather and her oxygen saturation improved to 90%.  Disposition: She will be transferred today to nursing home on Hospice.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paresis
Clinical narrative: RIGHT BELLS PALSY RIGHT FACIAL MUSCLE WEAKNESS
Age: 0.58
Sex: F
Vaccine: PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events. Patient had no symptoms. PCV 13 was given early, Invalid dose.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Hypoaesthesia, Nausea, Paraesthesia, Syncope
Clinical narrative: Dizziness Syncopy Numbness Tingly Nausea Possible seizure
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep apnoea syndrome, Symptom recurrence
Clinical narrative: SLEEP APNEA 11/20/2021  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Neuropathy peripheral, Symptom recurrence
Clinical narrative: PERIPHERAL NEUROPATHY ACUTE NON ST ELEVATION MI 2/3/2023 &  2/7/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 1.42
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 0.83
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 31.0
Sex: M
Vaccine: COVID19-2, HEP, HEPA, HPV9, MMR, PNC15, TDAP, VARCEL
Symptoms: Dyskinesia, Eye movement disorder, Hyperhidrosis, Loss of consciousness, Muscle rigidity
Clinical narrative: At time of administration 4 vaccines given in left arm first, after administration of PCv15 in right arm client said, "oww" This nurse continued with administration and finished 3 IM shots. At this time the clients head drooped. This nurse reached out and supported the client and he lost consciousness, first his head fell forward and then he went rigid and jerked backed. His eyes rolled back. Within 5-10 seconds the client regained consciousness and responded to questions. He was diaphoretic and pale. He laid down on a mat and took the final SQ shot. A cool washcloth, juice and crackers were given. After a period of observation the client left with his friend who had provided transportation.
Age: 31.0
Sex: M
Vaccine: COVID19-2, HEP, HEPA, HPV9, MMR, PNC15, TDAP, VARCEL
Symptoms: Pallor
Clinical narrative: At time of administration 4 vaccines given in left arm first, after administration of PCv15 in right arm client said, "oww" This nurse continued with administration and finished 3 IM shots. At this time the clients head drooped. This nurse reached out and supported the client and he lost consciousness, first his head fell forward and then he went rigid and jerked backed. His eyes rolled back. Within 5-10 seconds the client regained consciousness and responded to questions. He was diaphoretic and pale. He laid down on a mat and took the final SQ shot. A cool washcloth, juice and crackers were given. After a period of observation the client left with his friend who had provided transportation.
Age: 9.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event
Clinical narrative: Patient Has Not Had Any Reactions
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Facial pain, Hypoxia, Intensive care, Swelling face
Clinical narrative: 77 y.o. female with anxiety, diabetes mellitus type 2, hyperlipidemia hypertension, bipolar disorder, parkinsonism recently diagnosed brain mass was brought to ER from a facility for facial swelling and pain. Patient also noted to have developed hypoxia and multifocal pneumonia with COVID19 with possible aspiration pneumonia. She was initially on high flow but then improved and was able to transfer out of the ICU. has now been accepted to a skilled nursing facility as her main issue now is getting stronger with physical therapy.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: On 08/09/23 Pt. was seen in our office for her routine four year old well exam and received Dtap-IPV IM on her right thigh, and MMRV SC on her left thigh. Per mother of patient, patient had reported that her right thigh felt very itchy after the immunization. On 08/10/23, mother of patient reported that patient woke up with a circular rash approximately the size of a quarter on her right thigh; location where the Dtap-IPV had been administered. Later that afternoon, the rash had increased in size and patient was brought to Urgent Care where the attending provider documented an erythematous rash on right upper thigh, warm to the touch and indurated measuring approximately 14 cm x 10 cm. Patient was prescribed Cephalexin oral antibiotics for 7 days and instructed to take Benadryl every 8hrs. Rash circumference was marked by attending and mother of patient was instructed to administer Cephalexin if rash increased the following day. On 08/11/23 pt was brought in by mother to be assessed by walk-in provider as rash had continued to spread on right thigh, covering right thing in it?s majority. Pt.'s mother reports to have administered the cephalexin antibiotic on 08/12/2023 and that the  rash began to improve at that time. As of 08/14/2023, I spoke with pt.'s mother who stated that the rash had now resolved after completion of the seven day course of antibiotics.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Rash erythematous
Clinical narrative: On 08/09/23 Pt. was seen in our office for her routine four year old well exam and received Dtap-IPV IM on her right thigh, and MMRV SC on her left thigh. Per mother of patient, patient had reported that her right thigh felt very itchy after the immunization. On 08/10/23, mother of patient reported that patient woke up with a circular rash approximately the size of a quarter on her right thigh; location where the Dtap-IPV had been administered. Later that afternoon, the rash had increased in size and patient was brought to Urgent Care where the attending provider documented an erythematous rash on right upper thigh, warm to the touch and indurated measuring approximately 14 cm x 10 cm. Patient was prescribed Cephalexin oral antibiotics for 7 days and instructed to take Benadryl every 8hrs. Rash circumference was marked by attending and mother of patient was instructed to administer Cephalexin if rash increased the following day. On 08/11/23 pt was brought in by mother to be assessed by walk-in provider as rash had continued to spread on right thigh, covering right thing in it?s majority. Pt.'s mother reports to have administered the cephalexin antibiotic on 08/12/2023 and that the  rash began to improve at that time. As of 08/14/2023, I spoke with pt.'s mother who stated that the rash had now resolved after completion of the seven day course of antibiotics.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site rash, Rash macular
Clinical narrative: Patient received 4 year old vaccines on 8/15/2023. On 8/16/23 mother reported red swollen arm on left side where dtap/ipv was given. Also patches of rash on left arm, one by shoulder, one by elbow, and two on forearm. I recommended mom to apply cool compresses to the red swollen area on the upper arm. I also recommended her to report to the primary dr. I would follow-up with mother in a few days. As of today mother reported patient still has some patches that look like a scar, red and patchy, but looks better then first day. Mother followed-up with doctor and he recommeneded keeping an eye on areas of rash and it was caused by the vaccines.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Paraesthesia
Clinical narrative: Continuous tingling in both legs.  Occasional tingling in the rest of my body.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abnormal behaviour, Asthenia, COVID-19, Confusional state, Cough
Clinical narrative: The patient has a history of Alzheimer's disease. She was brought to the ED by EMS on 8/10/23 for confusion and weakness. Her husband thought the patient was acting different from her baseline, more confused and weak. Her husband additionally reports that the patient has had a cold with cough, runny nose, sore throat, and congestion for the past few days. In the ED, a COVID PCR test resulted positive. Ultimately, she was admitted on 8/10/23 for acute COVID-19 infection. She was discharged 8/16/23. Of note, the patient has received the primary COVID vaccine series and three boosters.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: The patient has a history of Alzheimer's disease. She was brought to the ED by EMS on 8/10/23 for confusion and weakness. Her husband thought the patient was acting different from her baseline, more confused and weak. Her husband additionally reports that the patient has had a cold with cough, runny nose, sore throat, and congestion for the past few days. In the ED, a COVID PCR test resulted positive. Ultimately, she was admitted on 8/10/23 for acute COVID-19 infection. She was discharged 8/16/23. Of note, the patient has received the primary COVID vaccine series and three boosters.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Embolic stroke, Status epilepticus
Clinical narrative: STATUS EPILEPTICUS 3/20/2023 APHASIA, LATE EFFECT OF EMBOLIC STROKE
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Blindness, Pain in extremity
Clinical narrative: my leg pain ,and am losing my eye sight
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: LEFT BELLS PALSY
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: The patient was seen in the ED on 8/16/23 for increasing weakness over the past 2 days. She took an at-home COVID-19 test prior to coming into the ED which resulted positive. The patient additionally had a fall at home - this is what prompted her to come to the ED.  She additionally reports symptoms of sore throat, malaise/fatigue, generalized weakness, and congested cough. A COVID-19 PCR test also resulted positive in the ED. While in the ED, she was found to have atrial fibrillation with RvR - this resolved during her admission.  Ultimately, she was admitted on 8/16/23 - 8/19/23. Discharge diagnoses include COVID pneumonia, among other diagnoses.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fall, Fatigue, Malaise, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: The patient was seen in the ED on 8/16/23 for increasing weakness over the past 2 days. She took an at-home COVID-19 test prior to coming into the ED which resulted positive. The patient additionally had a fall at home - this is what prompted her to come to the ED.  She additionally reports symptoms of sore throat, malaise/fatigue, generalized weakness, and congested cough. A COVID-19 PCR test also resulted positive in the ED. While in the ED, she was found to have atrial fibrillation with RvR - this resolved during her admission.  Ultimately, she was admitted on 8/16/23 - 8/19/23. Discharge diagnoses include COVID pneumonia, among other diagnoses.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The patient was seen in the ED on 8/16/23 for increasing weakness over the past 2 days. She took an at-home COVID-19 test prior to coming into the ED which resulted positive. The patient additionally had a fall at home - this is what prompted her to come to the ED.  She additionally reports symptoms of sore throat, malaise/fatigue, generalized weakness, and congested cough. A COVID-19 PCR test also resulted positive in the ED. While in the ED, she was found to have atrial fibrillation with RvR - this resolved during her admission.  Ultimately, she was admitted on 8/16/23 - 8/19/23. Discharge diagnoses include COVID pneumonia, among other diagnoses.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Dysphonia
Clinical narrative: Unusual hoarseness
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 33.0
Sex: M
Vaccine: COVID19-2, TDAP
Symptoms: Glossodynia, Hypoaesthesia oral
Clinical narrative: Extreme sensitivity of tongue. Mildly acidic foods cause pain. Spicy foods cause pain. Carbonated beverages cause pain. Mild numbness in lips. Has persisted for 5 days since symptoms started.  Started two days after immunization. No history of mouth sensitivity.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 0.33
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 0.42
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Confusional state, Dizziness, Parkinson's disease, Pyrexia
Clinical narrative: The patient has a history of Parkinson's which was diagnosed in April 2023; currently he is not on medication for this. He was seen in the ED on 8/17/23 for dizziness which he describes as feeling woozy and lightheaded. Additionally, the patient had a worsening tremor and mild confusion. He was admitted on 8/17/23 for this. On admission, he was found to be febrile with a temperature of 101-102F. A COVID PCR test was done which resulted positive. He was discharged on 8/20/23. During admission, he was started on Paxlovid. Of note, the patient has received the primary COVID vaccine series and three boosters.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Tremor
Clinical narrative: The patient has a history of Parkinson's which was diagnosed in April 2023; currently he is not on medication for this. He was seen in the ED on 8/17/23 for dizziness which he describes as feeling woozy and lightheaded. Additionally, the patient had a worsening tremor and mild confusion. He was admitted on 8/17/23 for this. On admission, he was found to be febrile with a temperature of 101-102F. A COVID PCR test was done which resulted positive. He was discharged on 8/20/23. During admission, he was started on Paxlovid. Of note, the patient has received the primary COVID vaccine series and three boosters.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: PATIENT RECEIVEA A BIVALENT VACCINE BUT ALREADY HAD ONE ON 12/3/2022. NO ADVERSE EFFECT.
Age: 65.0
Sex: F
Vaccine: RSV
Symptoms: Immunisation reaction, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: The patient came to the pharmacy 8/17/23 for 2 vaccines -the Influenza (Fluzone HD), and the RSV vaccine ( Arexvy). The pharmacist administered the two vaccines in the right arm of patient. After the injections the patient reported that there was no adverse effects right away ( the day of 8/17) or the day after . However on 8/19 ( saturday)-the patient started to get - soreness, swelling, redness, bruising at injection site. As the day went on and into Sunday ( 8/20)- she started to see the " redness" move down her arm toward her elbow, and then the " itching" on the arm area started. I advised the patient to ice the area ( which she was doing), and could try some Benadryl for the itching and possible allergic reaction. I then advised her to seek medical attention right away for this adverse event. The patient acknowledged and would go see her doctor right away. ( consulted with patient 8/21/22)  Per the patient consult today. Seen her md 0n 8/21 and the MD advised she had a " local reaction to the RSV vaccine". MD advised to start benadryl (OTC)- her condition has much improved - the swelling/ redness are better- itching is better but not gone yet. No other follow up with MD needed.
Age: 65.0
Sex: F
Vaccine: RSV
Symptoms: Injection site swelling, Local reaction
Clinical narrative: The patient came to the pharmacy 8/17/23 for 2 vaccines -the Influenza (Fluzone HD), and the RSV vaccine ( Arexvy). The pharmacist administered the two vaccines in the right arm of patient. After the injections the patient reported that there was no adverse effects right away ( the day of 8/17) or the day after . However on 8/19 ( saturday)-the patient started to get - soreness, swelling, redness, bruising at injection site. As the day went on and into Sunday ( 8/20)- she started to see the " redness" move down her arm toward her elbow, and then the " itching" on the arm area started. I advised the patient to ice the area ( which she was doing), and could try some Benadryl for the itching and possible allergic reaction. I then advised her to seek medical attention right away for this adverse event. The patient acknowledged and would go see her doctor right away. ( consulted with patient 8/21/22)  Per the patient consult today. Seen her md 0n 8/21 and the MD advised she had a " local reaction to the RSV vaccine". MD advised to start benadryl (OTC)- her condition has much improved - the swelling/ redness are better- itching is better but not gone yet. No other follow up with MD needed.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 0.92
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 1/10/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 1.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered Covid vaccine on 02/15/2023 with vaccine that expired on 02/10/2023 by former employee.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: NONE
Age: 15.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: pt receive Prevnar 23 on 8/16/23 on 8/17/23 pt had redness, warmth, tenderness, swelling and pain to the injection site, at which time she was instructed to take OTC Benadryl and apply ice to affected area. On 8/18/23 pt was noted to now have redness and swelling under both eyes, pt was prescribed Medrol dose pack and Doxycycline.
Age: 15.0
Sex: F
Vaccine: PPV
Symptoms: Periorbital swelling
Clinical narrative: pt receive Prevnar 23 on 8/16/23 on 8/17/23 pt had redness, warmth, tenderness, swelling and pain to the injection site, at which time she was instructed to take OTC Benadryl and apply ice to affected area. On 8/18/23 pt was noted to now have redness and swelling under both eyes, pt was prescribed Medrol dose pack and Doxycycline.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19: Patient is not short of breath and asymptomatic.  He is afebrile this morning. .He is hemodynamically stable.s.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Nasopharyngitis, Pruritus, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Cold  stretchy throat congestion  itchy bones  runny nose  cough
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Throat irritation
Clinical narrative: Cold  stretchy throat congestion  itchy bones  runny nose  cough
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered Covid vaccine on 02/15/2023 with vaccine that expired on 02/10/2023 by former employee.
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: NONE
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered Covid vaccine on 02/15/2023 with vaccine that expired on 02/10/2023 by former employee.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Pulmonary embolism
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD PULMONARY EMBOLISM, UNSPECIFIED.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC13, RV5
Symptoms: Blood immunoglobulin M, Full blood count, Urticaria
Clinical narrative: Approximately 5 hours after receiving 6 month vaccines, he developed hives to arms and legs.  No respiratory symptoms.
Age: 4.0
Sex: M
Vaccine: HIBV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: On August 10, 2023 Medical Assistant administered Pedvax Hib to a 4 year old patient instead of administering Proquad.  No signs or symptoms were reported.  The parents were contacted and advised to bring patient in for the correct vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered Covid vaccine on 02/15/2023 with vaccine that expired on 02/10/2023 by former employee.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: OBSTRUCTIVE SLEEP APNEA 6/9/2022 &  8/5/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Balance disorder, CSF oligoclonal band present, Central nervous system lesion, Coordination abnormal
Clinical narrative: Menstrual period, which had been regular at 29-30 days for 4.5 years, arrived 17 days early following this 3rd (booster) dose of Covid-19 Vaccine.   A second event occurred 6 weeks later, on 1/14/22.    I began having mild balance and coordination deficits, along with severe vision dysfunction.    My vision became blurry and diplopic or double vision, as I was seeing 2 images when looking with both eyes.    After assessment by optometrist, who diagnosed CN4 Palsy, a brain MRI presented with multiple active lesions in multiple areas of the brain, ultimately leading to Diagnosis of Multiple Sclerosis.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cranial nerve paralysis, Diplopia, IVth nerve disorder, Lumbar puncture abnormal, Magnetic resonance imaging head abnormal
Clinical narrative: Menstrual period, which had been regular at 29-30 days for 4.5 years, arrived 17 days early following this 3rd (booster) dose of Covid-19 Vaccine.   A second event occurred 6 weeks later, on 1/14/22.    I began having mild balance and coordination deficits, along with severe vision dysfunction.    My vision became blurry and diplopic or double vision, as I was seeing 2 images when looking with both eyes.    After assessment by optometrist, who diagnosed CN4 Palsy, a brain MRI presented with multiple active lesions in multiple areas of the brain, ultimately leading to Diagnosis of Multiple Sclerosis.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Menstruation irregular, Multiple sclerosis, Mydriasis, Vision blurred
Clinical narrative: Menstrual period, which had been regular at 29-30 days for 4.5 years, arrived 17 days early following this 3rd (booster) dose of Covid-19 Vaccine.   A second event occurred 6 weeks later, on 1/14/22.    I began having mild balance and coordination deficits, along with severe vision dysfunction.    My vision became blurry and diplopic or double vision, as I was seeing 2 images when looking with both eyes.    After assessment by optometrist, who diagnosed CN4 Palsy, a brain MRI presented with multiple active lesions in multiple areas of the brain, ultimately leading to Diagnosis of Multiple Sclerosis.