chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Lip swelling
Clinical narrative: The top right side of my lip is extremely swollen like I got a lip implant or something - its extremely swollen. I never had a side effect from the other three Moderna shots so it may be the flu shot (that I didn't want but was convinced to get).
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Pt noticed rash/itching to deltoid area, site of vaccination starting 2 hours ago, day 5 after receiving the booster. This is her Pfizer Covid 19 booster dose 6 months after her regular series. No signs of anaphylaxis. No difficulty breathing. No hives. Rash is localized to the deltoid region. She applied hydrocortisone cream and took a benadryl. Minimal relief. She has epipen on hand as she is allergic to wasps and aspartame.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Contusion, Eczema, Skin discolouration
Clinical narrative: Approx 2" x 1" eczema patch on my calf turned from a whitish dry patch to a purple spot that looked like a very bad bruise. The purple area has slowly resided until 1 month later the area looks similar to before the injection with only a small bruised area.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of consciousness, Syncope
Clinical narrative: Experienced a syncopal episode with brief LOC while standing in the bathroom at home. She also had an associated headache.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, C-reactive protein increased, Full blood count, Gait inability
Clinical narrative: WITHIN 5 DAYS OF VACCINE PT STARTED HAVING LOW BACK PAIN AND NUMBNESS TO EXTREMITIES,  CAUSING WEAKNESS,  BY DAY 7,  SEVERE PAIN COULD NOT WALK,  WAS BROUGHT IN VIA WHEELCHAIR FOR FIRST VISIT.    SUSPECTED TRANVERSE MYELITIS GIVEN THE ABRUPT SYMPTOMS
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging neck, Magnetic resonance imaging normal, Metabolic function test, Myelitis transverse
Clinical narrative: WITHIN 5 DAYS OF VACCINE PT STARTED HAVING LOW BACK PAIN AND NUMBNESS TO EXTREMITIES,  CAUSING WEAKNESS,  BY DAY 7,  SEVERE PAIN COULD NOT WALK,  WAS BROUGHT IN VIA WHEELCHAIR FOR FIRST VISIT.    SUSPECTED TRANVERSE MYELITIS GIVEN THE ABRUPT SYMPTOMS
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Neuritis, Pain, Red blood cell sedimentation rate, Wheelchair user
Clinical narrative: WITHIN 5 DAYS OF VACCINE PT STARTED HAVING LOW BACK PAIN AND NUMBNESS TO EXTREMITIES,  CAUSING WEAKNESS,  BY DAY 7,  SEVERE PAIN COULD NOT WALK,  WAS BROUGHT IN VIA WHEELCHAIR FOR FIRST VISIT.    SUSPECTED TRANVERSE MYELITIS GIVEN THE ABRUPT SYMPTOMS
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is under the age of 18 but they requested to get Moderna booster and that is what was administered to them. At this time they have not had any reactions to the dose.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Chest pain, Computerised tomogram
Clinical narrative: I am a healthy female who would work out 2-3 days a week.  I developed redness and swelling at injection site both times that lasted 3-4 days.  Then on October 3rd, I developed chest pain.  Went to ER and was diagnosed with pericarditis and pericardial effusion.  Moderate to large amount of fluid around heart.  At present time, I still have pericarditis and pericardial effusion.  I have been taking medication since Oct. 2021 with no changes in the amount of fluid.  I then was ill with COVID on 12/31 21.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Injection site erythema, Injection site swelling, Malaise
Clinical narrative: I am a healthy female who would work out 2-3 days a week.  I developed redness and swelling at injection site both times that lasted 3-4 days.  Then on October 3rd, I developed chest pain.  Went to ER and was diagnosed with pericarditis and pericardial effusion.  Moderate to large amount of fluid around heart.  At present time, I still have pericarditis and pericardial effusion.  I have been taking medication since Oct. 2021 with no changes in the amount of fluid.  I then was ill with COVID on 12/31 21.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Pericarditis, SARS-CoV-2 test positive
Clinical narrative: I am a healthy female who would work out 2-3 days a week.  I developed redness and swelling at injection site both times that lasted 3-4 days.  Then on October 3rd, I developed chest pain.  Went to ER and was diagnosed with pericarditis and pericardial effusion.  Moderate to large amount of fluid around heart.  At present time, I still have pericarditis and pericardial effusion.  I have been taking medication since Oct. 2021 with no changes in the amount of fluid.  I then was ill with COVID on 12/31 21.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Joint swelling, Polyarthritis
Clinical narrative: I had inflammatory arthritis 50 years ago involving large joints when I had sarcoidosis. That resolved and I have had no arthritis symptoms for 49 years. After my COVID booster I developed MP joint arthritis in my R and L hands with swollen and red joints. It lasted about 10 days after beginning some anti-inflammatory medications. I continue to have soreness in those joints a month later with use and stress but it is much better.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: substernal chest pain
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, Malaise, Pain, Rib fracture
Clinical narrative: 01/28/2022 - Most likely hypoxia in setting of rib fractures and  possible obstructive process. Pt had minimal sx of COVID, and is fully  vaccinated. However, given his new oxygen requirement, history of heavy drinking,  and unclear support at home, will plan to admit for the hospital for multimodal  pain contol and obs.   01/28/2022 - Report called to RN,. All questions answered and care transferred.  Patient going to room.  01/31/2022 - Patient discharged following pain control, Covid+
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 01/28/2022 - Most likely hypoxia in setting of rib fractures and  possible obstructive process. Pt had minimal sx of COVID, and is fully  vaccinated. However, given his new oxygen requirement, history of heavy drinking,  and unclear support at home, will plan to admit for the hospital for multimodal  pain contol and obs.   01/28/2022 - Report called to RN,. All questions answered and care transferred.  Patient going to room.  01/31/2022 - Patient discharged following pain control, Covid+
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring normal, Chest X-ray normal, Chest discomfort, Chest pain, Chills
Clinical narrative: I got my vaccine on Thursday. Around 8pm I had the fever, chills, body aches. Higher heart rate ? typical vaccine response. Friday the next day, my heart rate had gone higher than it did in the past. Running at 150-160. Then around that evening, I started to have some chest pain and pressure, but it was pretty mild and not too bad. Drank some water and took some aspirin. Overnight it got worse and water and pain meds did not help. I started to having some squeezing in addition to the chest pain and pressure. Heart rate remained high at 150-160s and it woke me up in the morning at 4am. So I went to the ER at 8am and they ran tests, did an EKG, did some labs. And they monitored me until about 10:30AM. They did a heart monitor as well. They told me to go home and monitor it. It has pretty much gone back to normal and my heart rate is normal. Vaccine is just weird with that heart rate thing.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram normal, Heart rate increased, Laboratory test, Pain
Clinical narrative: I got my vaccine on Thursday. Around 8pm I had the fever, chills, body aches. Higher heart rate ? typical vaccine response. Friday the next day, my heart rate had gone higher than it did in the past. Running at 150-160. Then around that evening, I started to have some chest pain and pressure, but it was pretty mild and not too bad. Drank some water and took some aspirin. Overnight it got worse and water and pain meds did not help. I started to having some squeezing in addition to the chest pain and pressure. Heart rate remained high at 150-160s and it woke me up in the morning at 4am. So I went to the ER at 8am and they ran tests, did an EKG, did some labs. And they monitored me until about 10:30AM. They did a heart monitor as well. They told me to go home and monitor it. It has pretty much gone back to normal and my heart rate is normal. Vaccine is just weird with that heart rate thing.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: I got my vaccine on Thursday. Around 8pm I had the fever, chills, body aches. Higher heart rate ? typical vaccine response. Friday the next day, my heart rate had gone higher than it did in the past. Running at 150-160. Then around that evening, I started to have some chest pain and pressure, but it was pretty mild and not too bad. Drank some water and took some aspirin. Overnight it got worse and water and pain meds did not help. I started to having some squeezing in addition to the chest pain and pressure. Heart rate remained high at 150-160s and it woke me up in the morning at 4am. So I went to the ER at 8am and they ran tests, did an EKG, did some labs. And they monitored me until about 10:30AM. They did a heart monitor as well. They told me to go home and monitor it. It has pretty much gone back to normal and my heart rate is normal. Vaccine is just weird with that heart rate thing.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Chills, Headache, Magnetic resonance imaging normal, Pyrexia
Clinical narrative: 1st Shot was J&J 3/29/2021 -No side effects.  BOOSTER on 10.25.2021. On 10/26/2021 I started experiencing severe headaches, and Pulsative Tinnitus (as well as fever & chills).  Fever and chills subsided after 24 hours, Pulsative Tinnitus and sever headaches have not gotten better in terms of frequency and severity.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Venogram
Clinical narrative: 1st Shot was J&J 3/29/2021 -No side effects.  BOOSTER on 10.25.2021. On 10/26/2021 I started experiencing severe headaches, and Pulsative Tinnitus (as well as fever & chills).  Fever and chills subsided after 24 hours, Pulsative Tinnitus and sever headaches have not gotten better in terms of frequency and severity.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given a expired dose of the Pfizer Covid-19 vaccine for ages 5-11.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Inflammation, Mobility decreased, Rash, Rash erythematous
Clinical narrative: I got a big red hot rash on the left side of my arm, a week later I had a couldn't move or fold my leg /hip on my left side. I made an appointment two weeks later and Dr. asked me if I had started a new exercise which I haven't, so I was Prescribed Steroids and it took me about a week to get 100 % better.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was administered first dose of a Moderna vaccine at another location on 12/21/2021. The patient was administered a second dose Pfizer vaccine on 1/13/2022 before the patient was eligible to receive a second dose. The patient was mistakenly administered another (third) vaccine (Pfizer) on 1/20/2022. The patient experienced no adverse effects.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Heart rate increased, Heart rate irregular, Myocarditis, Pyrexia
Clinical narrative: hives, racing pulse, chest tightness, low grade fever  irregular pulse persistent for 2 weeks now
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives, racing pulse, chest tightness, low grade fever  irregular pulse persistent for 2 weeks now
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: 5 mins after receiving dose pt fainted. 911 was called.  slowly brought pt to the floor. attempted to arouse pt, was unresponsive for 10-15 seconds. pt was feeling much better by the time ems arrived in approximately 15 mins. vitals were stable. pt agreed with ems personnel he needed no additional treatment.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Menstruation irregular, Palpitations
Clinical narrative: I had menstruation twice in a month. Heart palpitations and breathing problems.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bone pain, Chills, Dizziness, Dry mouth
Clinical narrative: Chills, body ache, bones ache, soreness in hand, low blood pressure, weakness, dry mouth, dizziness, sweating, fatigue, sleepiness, drowsiness.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Hypotension, Pain, Pain in extremity
Clinical narrative: Chills, body ache, bones ache, soreness in hand, low blood pressure, weakness, dry mouth, dizziness, sweating, fatigue, sleepiness, drowsiness.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Chills, body ache, bones ache, soreness in hand, low blood pressure, weakness, dry mouth, dizziness, sweating, fatigue, sleepiness, drowsiness.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram liver, Nonalcoholic fatty liver disease, Transient elastography
Clinical narrative: non-alchoholic fatty liver disease
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, COVID-19, Ear discomfort, Eye swelling, Eyelid pain
Clinical narrative: I was expected to have an allergic reaction to the vaccine from my prior VAERS report on my 1st and 2nd doses. I was told by my PCP to take Prednisone to help with symptoms. Within an hour I got a itching and burning sensation. I looked at my face. It was covered in hives. My left eye was swollen, and the right eye was blood red. My eyelids were swollen and in pain and inflamed. My throat was itching and seemed to be swelling. I called my doctor and the recommended I see a eye doctor. I waited two weeks and saw on in November 2021. Every week after the third dose, I have been experiencing issues that are worsening and new, migraines, red itchy eyes, swelling in my ears and throat. I see an allergy specialist- because I get all the symptoms from the throat up. My ear has even swollen. Recently, I had another flare up on 1-24-2022. My nose ears and eyes were swelling. My nose was draining. My doctor saw a patch of swelling in my throat. I am now seeing three specialist for my allergies and these reoccurring symptoms. I am being told I can not be allergy tested for the vaccine to receive a allergy blocker for the allergy in the vaccine, due to the fact the vaccine is a trial. I had got tested for COVID at my job, and I had COVID.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Migraine, Ocular hyperaemia, Pharyngeal swelling, Pruritus
Clinical narrative: I was expected to have an allergic reaction to the vaccine from my prior VAERS report on my 1st and 2nd doses. I was told by my PCP to take Prednisone to help with symptoms. Within an hour I got a itching and burning sensation. I looked at my face. It was covered in hives. My left eye was swollen, and the right eye was blood red. My eyelids were swollen and in pain and inflamed. My throat was itching and seemed to be swelling. I called my doctor and the recommended I see a eye doctor. I waited two weeks and saw on in November 2021. Every week after the third dose, I have been experiencing issues that are worsening and new, migraines, red itchy eyes, swelling in my ears and throat. I see an allergy specialist- because I get all the symptoms from the throat up. My ear has even swollen. Recently, I had another flare up on 1-24-2022. My nose ears and eyes were swelling. My nose was draining. My doctor saw a patch of swelling in my throat. I am now seeing three specialist for my allergies and these reoccurring symptoms. I am being told I can not be allergy tested for the vaccine to receive a allergy blocker for the allergy in the vaccine, due to the fact the vaccine is a trial. I had got tested for COVID at my job, and I had COVID.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Swelling face, Swelling of eyelid, Throat irritation, Urticaria
Clinical narrative: I was expected to have an allergic reaction to the vaccine from my prior VAERS report on my 1st and 2nd doses. I was told by my PCP to take Prednisone to help with symptoms. Within an hour I got a itching and burning sensation. I looked at my face. It was covered in hives. My left eye was swollen, and the right eye was blood red. My eyelids were swollen and in pain and inflamed. My throat was itching and seemed to be swelling. I called my doctor and the recommended I see a eye doctor. I waited two weeks and saw on in November 2021. Every week after the third dose, I have been experiencing issues that are worsening and new, migraines, red itchy eyes, swelling in my ears and throat. I see an allergy specialist- because I get all the symptoms from the throat up. My ear has even swollen. Recently, I had another flare up on 1-24-2022. My nose ears and eyes were swelling. My nose was draining. My doctor saw a patch of swelling in my throat. I am now seeing three specialist for my allergies and these reoccurring symptoms. I am being told I can not be allergy tested for the vaccine to receive a allergy blocker for the allergy in the vaccine, due to the fact the vaccine is a trial. I had got tested for COVID at my job, and I had COVID.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Haemorrhage, Immediate post-injection reaction, Limb mass
Clinical narrative: Immediate red lump on left arm with bleeding
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymph node pain, Lymphadenopathy, Pain in extremity
Clinical narrative: The next day 12/14/2021 I had a lymph nodes under my left side of my arm pit, It was was huge and painful. I also had pain in my joint on my left side of my hip/leg going down to my knee.  I went to see the doctor a week later, this time I wasn't given any medication. Everything got better about after 2 weeks.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute myocardial infarction, Arterial disorder, Arteriogram coronary abnormal, Atrioventricular block complete
Clinical narrative: 15 days after shot developed substernal chest pain and was seen emergently in the ED and was found to have acute st elevation myocardial infarction (STEMI) requiring emergency cardiac catheterization and had RCA stent placed due to 95% thrombotic lesion and was also found to have 50% LAD lesion.   He also had 3rd degree heart block as well as 2nd degree heart block. We was found to have acute systolic congestive heart failure with left ventricular ejection fraction of 32% and mildly reduced right ventricular ejection fraction and moderate pulmonary hypertension was noted.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block second degree, Cardiac failure congestive, Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion
Clinical narrative: 15 days after shot developed substernal chest pain and was seen emergently in the ED and was found to have acute st elevation myocardial infarction (STEMI) requiring emergency cardiac catheterization and had RCA stent placed due to 95% thrombotic lesion and was also found to have 50% LAD lesion.   He also had 3rd degree heart block as well as 2nd degree heart block. We was found to have acute systolic congestive heart failure with left ventricular ejection fraction of 32% and mildly reduced right ventricular ejection fraction and moderate pulmonary hypertension was noted.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery thrombosis, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Pulmonary hypertension
Clinical narrative: 15 days after shot developed substernal chest pain and was seen emergently in the ED and was found to have acute st elevation myocardial infarction (STEMI) requiring emergency cardiac catheterization and had RCA stent placed due to 95% thrombotic lesion and was also found to have 50% LAD lesion.   He also had 3rd degree heart block as well as 2nd degree heart block. We was found to have acute systolic congestive heart failure with left ventricular ejection fraction of 32% and mildly reduced right ventricular ejection fraction and moderate pulmonary hypertension was noted.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Right ventricular ejection fraction decreased, Troponin increased
Clinical narrative: 15 days after shot developed substernal chest pain and was seen emergently in the ED and was found to have acute st elevation myocardial infarction (STEMI) requiring emergency cardiac catheterization and had RCA stent placed due to 95% thrombotic lesion and was also found to have 50% LAD lesion.   He also had 3rd degree heart block as well as 2nd degree heart block. We was found to have acute systolic congestive heart failure with left ventricular ejection fraction of 32% and mildly reduced right ventricular ejection fraction and moderate pulmonary hypertension was noted.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood lactic acid normal, COVID-19, Chest X-ray normal, Chest pain
Clinical narrative: 02/01/2022 - 55-year-old woman with history of schizophrenia, chronic urinary retention  requiring Foley catheter, seizure disorder presents with headache and chest pain.  Initial vital signs significant for oxygen saturation 89% and tachycardia to 125.  Oxygenation improved to mid 90s with 2 L by nasal cannula. EKG shows sinus  tachycardia with rate 105, normal axis, normal intervals, no ST elevations or  depressions, initial troponin negative. Chest x-ray without evidence of  pneumonia. Labs show no leukocytosis, hemoglobin normal not suggestive of acute  blood loss, slight LFT elevation but at baseline, normal bilirubin and lipase,  normal lactate not suggestive of sepsis, urinalysis not strongly suggestive of  infection and low suspicion in absence of symptoms. D-dimer is elevated to 1.96.  Covid swab is positive.  Patient's tachycardia did improve with fluids, making  suspicion for pulmonary embolism and lower so CT was deferred.  Patient requires  admission given her hypoxia and will be started on remdesivir and dexamethasone.  02/01/2022 - Patient arrived to floor from ED at 1605. Transferred self to bed from w/c. O2  saturation 92%RA. Patient placed on oxygen 1L/NC. Admission assessment completed.  Patient received Remdesivir, and evening dose of Phenobarbital, Keppra, and  Potassium 40 mEq now dose at 1730.  02/06/2022 - Patient discharged from facility following covid-19/hypoxia
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer increased, Haemoglobin normal, Headache, Hypoxia
Clinical narrative: 02/01/2022 - 55-year-old woman with history of schizophrenia, chronic urinary retention  requiring Foley catheter, seizure disorder presents with headache and chest pain.  Initial vital signs significant for oxygen saturation 89% and tachycardia to 125.  Oxygenation improved to mid 90s with 2 L by nasal cannula. EKG shows sinus  tachycardia with rate 105, normal axis, normal intervals, no ST elevations or  depressions, initial troponin negative. Chest x-ray without evidence of  pneumonia. Labs show no leukocytosis, hemoglobin normal not suggestive of acute  blood loss, slight LFT elevation but at baseline, normal bilirubin and lipase,  normal lactate not suggestive of sepsis, urinalysis not strongly suggestive of  infection and low suspicion in absence of symptoms. D-dimer is elevated to 1.96.  Covid swab is positive.  Patient's tachycardia did improve with fluids, making  suspicion for pulmonary embolism and lower so CT was deferred.  Patient requires  admission given her hypoxia and will be started on remdesivir and dexamethasone.  02/01/2022 - Patient arrived to floor from ED at 1605. Transferred self to bed from w/c. O2  saturation 92%RA. Patient placed on oxygen 1L/NC. Admission assessment completed.  Patient received Remdesivir, and evening dose of Phenobarbital, Keppra, and  Potassium 40 mEq now dose at 1730.  02/06/2022 - Patient discharged from facility following covid-19/hypoxia
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lipase normal, Liver function test increased, SARS-CoV-2 test positive, Sinus tachycardia
Clinical narrative: 02/01/2022 - 55-year-old woman with history of schizophrenia, chronic urinary retention  requiring Foley catheter, seizure disorder presents with headache and chest pain.  Initial vital signs significant for oxygen saturation 89% and tachycardia to 125.  Oxygenation improved to mid 90s with 2 L by nasal cannula. EKG shows sinus  tachycardia with rate 105, normal axis, normal intervals, no ST elevations or  depressions, initial troponin negative. Chest x-ray without evidence of  pneumonia. Labs show no leukocytosis, hemoglobin normal not suggestive of acute  blood loss, slight LFT elevation but at baseline, normal bilirubin and lipase,  normal lactate not suggestive of sepsis, urinalysis not strongly suggestive of  infection and low suspicion in absence of symptoms. D-dimer is elevated to 1.96.  Covid swab is positive.  Patient's tachycardia did improve with fluids, making  suspicion for pulmonary embolism and lower so CT was deferred.  Patient requires  admission given her hypoxia and will be started on remdesivir and dexamethasone.  02/01/2022 - Patient arrived to floor from ED at 1605. Transferred self to bed from w/c. O2  saturation 92%RA. Patient placed on oxygen 1L/NC. Admission assessment completed.  Patient received Remdesivir, and evening dose of Phenobarbital, Keppra, and  Potassium 40 mEq now dose at 1730.  02/06/2022 - Patient discharged from facility following covid-19/hypoxia
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin normal, Urine analysis normal
Clinical narrative: 02/01/2022 - 55-year-old woman with history of schizophrenia, chronic urinary retention  requiring Foley catheter, seizure disorder presents with headache and chest pain.  Initial vital signs significant for oxygen saturation 89% and tachycardia to 125.  Oxygenation improved to mid 90s with 2 L by nasal cannula. EKG shows sinus  tachycardia with rate 105, normal axis, normal intervals, no ST elevations or  depressions, initial troponin negative. Chest x-ray without evidence of  pneumonia. Labs show no leukocytosis, hemoglobin normal not suggestive of acute  blood loss, slight LFT elevation but at baseline, normal bilirubin and lipase,  normal lactate not suggestive of sepsis, urinalysis not strongly suggestive of  infection and low suspicion in absence of symptoms. D-dimer is elevated to 1.96.  Covid swab is positive.  Patient's tachycardia did improve with fluids, making  suspicion for pulmonary embolism and lower so CT was deferred.  Patient requires  admission given her hypoxia and will be started on remdesivir and dexamethasone.  02/01/2022 - Patient arrived to floor from ED at 1605. Transferred self to bed from w/c. O2  saturation 92%RA. Patient placed on oxygen 1L/NC. Admission assessment completed.  Patient received Remdesivir, and evening dose of Phenobarbital, Keppra, and  Potassium 40 mEq now dose at 1730.  02/06/2022 - Patient discharged from facility following covid-19/hypoxia
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Headache, Nausea
Clinical narrative: headache, nauseous, severe abdominal cramping
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt was given expired Pfizer covid 19 vaccine for ages 5-11.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Congestive cardiomyopathy, Death
Clinical narrative: My son died the morning of 5/25/21. He was 22 year old. Autopsy cites cause of death to by unknown.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Sensitive skin, Urticaria
Clinical narrative: Very itchy skin, extremely large and prominent hives, skin reacts to heat, touch, and hot water.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Fatigue
Clinical narrative: She had not had menarche prior to first dose of COVID vaccine.  Had menarche following first dose and has not menstruated since.  Had extreme fatigue following second dose of vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Biopsy skin normal, Blister, Haemorrhage, Paraesthesia
Clinical narrative: Symptoms: Blisters on head and neck that bleed, sores in mouth; constant itch everywhere, pins and needles. Signs: same as symptoms Time course: started approx 4/1/2021 Treatment: biopsy, which didn't return a result, so it was excised.  For the mouth sores a mouth wash was provided, but did not work. Secondary biopsy revealed mucous membrane pemphigoid.  Given Dampsone and no immediate reaction, then increased and added doxcycline and niacinamide.  Currently removed from both doxycycline and niacinamide due to kidney damage from the medications.   Has started LP mouthwash compound. For the eyes is restasis.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pemphigoid, Pruritus, Stomatitis
Clinical narrative: Symptoms: Blisters on head and neck that bleed, sores in mouth; constant itch everywhere, pins and needles. Signs: same as symptoms Time course: started approx 4/1/2021 Treatment: biopsy, which didn't return a result, so it was excised.  For the mouth sores a mouth wash was provided, but did not work. Secondary biopsy revealed mucous membrane pemphigoid.  Given Dampsone and no immediate reaction, then increased and added doxcycline and niacinamide.  Currently removed from both doxycycline and niacinamide due to kidney damage from the medications.   Has started LP mouthwash compound. For the eyes is restasis.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: VACCINE ADMINISTERED (02/07/2022) AFTER BEYOND USE DATE(02/06/2022).CUSTOMER IS FINE AND NO ADVERSE EFFECTS
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Pain
Clinical narrative: I started having a sharp, shooting pain in my left armpit about 3 hours after receiving the vaccination. The pain would happen every few minutes, then increased to constant pain by about 9:30pm. I took tylenol and started using an icepack at about midnight to be able to sleep. The pain decreased enough to sleep from about 3am to 10am. The pain has continued to be constant since Friday evening with tylenol and ice helping enough to let me sleep.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, Cough, Nausea, Oropharyngeal pain
Clinical narrative: Admit to hospital w/stroke on 2/1/2022. Positive COVID-19 test on 1/27/2022; s/p 3 doses of Pfizer (1/19/2021, 2/9/2021, 9/11/2021). Not currently being treated for COVID-19, but had sx (sore throat, cough, congestion, and nausea) prior to getting tested for COVID-19.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Admit to hospital w/stroke on 2/1/2022. Positive COVID-19 test on 1/27/2022; s/p 3 doses of Pfizer (1/19/2021, 2/9/2021, 9/11/2021). Not currently being treated for COVID-19, but had sx (sore throat, cough, congestion, and nausea) prior to getting tested for COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchial wall thickening, COVID-19, Chest X-ray abnormal, Dyspnoea, Dyspnoea exertional
Clinical narrative: 02/01/2022 - 57-year-old woman with history of diabetes, hypertension, hyperlipidemia, stage  III CKD presents with shortness of breath.  Initial vital signs significant for  exertional oxygen saturation 88%, improved to mid 90s at rest.  High suspicion  for Covid infection given multiple close positive contacts.  Covid swab today is  positive. Chest x-ray with bronchial thickening consistent with viral syndrome.  D-dimer elevated to 0.98.  Decision made to defer CT angiography at this time  given higher suspicion that this is due to Covid, and when weighing the risk  given patient's chronic kidney disease.  Admitted with plan for remdesivir and  respiratory monitoring.  02/01/2022 - This patient meets inpatient level of care because Covid-19 with exertional hypoxia   02/03/2022 - Patient discharged following COVID 19  hypoxia
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fibrin D dimer, Hypoxia, SARS-CoV-2 test positive, Viral infection
Clinical narrative: 02/01/2022 - 57-year-old woman with history of diabetes, hypertension, hyperlipidemia, stage  III CKD presents with shortness of breath.  Initial vital signs significant for  exertional oxygen saturation 88%, improved to mid 90s at rest.  High suspicion  for Covid infection given multiple close positive contacts.  Covid swab today is  positive. Chest x-ray with bronchial thickening consistent with viral syndrome.  D-dimer elevated to 0.98.  Decision made to defer CT angiography at this time  given higher suspicion that this is due to Covid, and when weighing the risk  given patient's chronic kidney disease.  Admitted with plan for remdesivir and  respiratory monitoring.  02/01/2022 - This patient meets inpatient level of care because Covid-19 with exertional hypoxia   02/03/2022 - Patient discharged following COVID 19  hypoxia
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 02/04/2022, expired on 02/03/2022.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperpyrexia, Seizure
Clinical narrative: PATIENT EXPERIENCED A HIGH FEVER(.105F) AND EXPERIENCED A SEIZURE. HE WAS TRANSPORTED TO THE ER FOR OBSERVATION. UPON DISCHARGE PATIENT WAS INTRUCTED TO FOLLOW UP WITH NEUROLOGY
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered on 02/04/2022 was expired on 02/03/2022.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient received an undiluted dose (0.2ml) of the Pfizer children's 5-11.  Patient stayed with guardian in the pharmacy for 15-20 minutes with parent and no reactions were noted; patient left.  Manager stated she will follow up with parent.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered on 02/04/2022 was expired on 02/03/2022.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Ascites, Asthma, COVID-19, Chronic obstructive pulmonary disease
Clinical narrative: Patient received Pfizer COVID vaccine on 3/16/21 and 4/6/21. On 2/4/22, patient admitted to our inpatient facility (med/surg unit) with acute asthma/COPD exacerbation, acute hypoxic respiratory failure due COVID19 infection, and decompensated alcoholic cirrhosis with ascites. Patient was discharged home in stable condition on 2/7/21.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Cirrhosis alcoholic, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 3/16/21 and 4/6/21. On 2/4/22, patient admitted to our inpatient facility (med/surg unit) with acute asthma/COPD exacerbation, acute hypoxic respiratory failure due COVID19 infection, and decompensated alcoholic cirrhosis with ascites. Patient was discharged home in stable condition on 2/7/21.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Skin swelling, Urticaria
Clinical narrative: Hives - large raised rings of circles. Itchy rash
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse effects were reported.  I am reporting a dosing error.  I gave pt. 20mcg Engerix dose instead of 10mcg Engerix dose for his age of 19.  I spoke to manufacturer, manufacturer said to continue dosing schedule according to age.
Age: 20.0
Sex: F
Vaccine: UNK
Symptoms: Blood test, Magnetic resonance imaging, Rheumatoid arthritis, X-ray
Clinical narrative: Diagnosed with rheumatoid arthritis 10/21, symptoms began in 07/22.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Changes to menstrual cycles.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient signed up for booster of vaccine.  His last Janssen COVID vaccine was on 11/5/21 (the only one listed in our system).  After completing the vaccine, I went to fill in his COVID vaccine record card and saw he received a dose on 5/3/21 at the local health district, which was his first dose.  This means the 11/5/21 dose was the booster, and this dose was not needed or recommended.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Cholecystectomy, Cholecystitis, Computerised tomogram abdomen, Nephrolithiasis
Clinical narrative: Abdominal pain; Vomiting bile; I went to the ER and was seen by Dr. (Privacy). I passed a kidney stone; raptured cyst in my kidney; Gall bladder inflammation; Gall bladder removal.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Renal cyst ruptured, Ultrasound abdomen, Urine analysis, Vomiting
Clinical narrative: Abdominal pain; Vomiting bile; I went to the ER and was seen by Dr. (Privacy). I passed a kidney stone; raptured cyst in my kidney; Gall bladder inflammation; Gall bladder removal.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Syncope, Urinary tract infection
Clinical narrative: Patient received Pfizer COVID vaccine on 3/12/21 and 4/2/21. On 2/5/22, patient admitted to our inpatient facility with recurrent syncope, UTI, and COVID infection. As of today (2/7/22), patient is still admitted in the med/surg unit.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Chest pain, Fatigue, Headache, Heart rate increased
Clinical narrative: Day of first vaccine: Body aches, high fever, numbness, headaches, sleepiness, body pain, and sweating. Day of second vaccine: Body aches, high fever (from normal 95F to 104F), migraine headache, fatigue, sweating, body aches, and unable to move injected arm. Weeks after second vaccine: Daily headaches, fatigue, elevated heart rate, and irregular heart rate. Months after second vaccine: Weekly headaches, fatigue, elevated heart rate, chest pains, and fatigue. I am an athlete who can run for more than 12 hours straight. After this vaccine, it has taken months to feel even close to what I was before the vaccine. And, my headaches have not gone away. I was FORCED to take this vaccine, or I'd lose my employment.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Hyperhidrosis, Hyperpyrexia, Hypoaesthesia, Migraine
Clinical narrative: Day of first vaccine: Body aches, high fever, numbness, headaches, sleepiness, body pain, and sweating. Day of second vaccine: Body aches, high fever (from normal 95F to 104F), migraine headache, fatigue, sweating, body aches, and unable to move injected arm. Weeks after second vaccine: Daily headaches, fatigue, elevated heart rate, and irregular heart rate. Months after second vaccine: Weekly headaches, fatigue, elevated heart rate, chest pains, and fatigue. I am an athlete who can run for more than 12 hours straight. After this vaccine, it has taken months to feel even close to what I was before the vaccine. And, my headaches have not gone away. I was FORCED to take this vaccine, or I'd lose my employment.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Somnolence
Clinical narrative: Day of first vaccine: Body aches, high fever, numbness, headaches, sleepiness, body pain, and sweating. Day of second vaccine: Body aches, high fever (from normal 95F to 104F), migraine headache, fatigue, sweating, body aches, and unable to move injected arm. Weeks after second vaccine: Daily headaches, fatigue, elevated heart rate, and irregular heart rate. Months after second vaccine: Weekly headaches, fatigue, elevated heart rate, chest pains, and fatigue. I am an athlete who can run for more than 12 hours straight. After this vaccine, it has taken months to feel even close to what I was before the vaccine. And, my headaches have not gone away. I was FORCED to take this vaccine, or I'd lose my employment.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Patient received an undiluted dose (0.2ml) of the Pfizer children's 5-11.  Patient stayed with guardian in the pharmacy for 15-20 minutes with parent and no reactions were noted; patient left.  Manager stated she will follow up with parent.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: urticaria with dermatographism
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Heart rate increased, Influenza A virus test positive
Clinical narrative: 02/04/2022 - test result +. Patient was already aware.  30 yo no pmhx presents from quarantine site for cough, chest pain, body aches. Pt  symptoms started 4 days ago, worsening. Tested positive for flu and coronavirus  yesterday, started on tamiflu. HOwever overnight symptoms worsened and pt now  with chest pain, 7/10, center of chest, non radiating, worsened by coughing. Seen  by PHN who noted that her heart rate was grossly elevated. Took tylenol 30 min  PTA, allergic to ibuprofen.  02/04/2022 - This patient meets inpatient  level of care because of: Covid, Flu A  02/05/2022 - 30 year old FEMALE currently on (Privacy) was admitted on FEB 4,2022 17:24.The patient is being discharged 05-Feb-202
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: 02/04/2022 - test result +. Patient was already aware.  30 yo no pmhx presents from quarantine site for cough, chest pain, body aches. Pt  symptoms started 4 days ago, worsening. Tested positive for flu and coronavirus  yesterday, started on tamiflu. HOwever overnight symptoms worsened and pt now  with chest pain, 7/10, center of chest, non radiating, worsened by coughing. Seen  by PHN who noted that her heart rate was grossly elevated. Took tylenol 30 min  PTA, allergic to ibuprofen.  02/04/2022 - This patient meets inpatient  level of care because of: Covid, Flu A  02/05/2022 - 30 year old FEMALE currently on (Privacy) was admitted on FEB 4,2022 17:24.The patient is being discharged 05-Feb-202
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Patient received an undiluted dose (0.2ml) of the Pfizer children's 5-11.  Patient stayed with guardian in the pharmacy for 15-20 minutes with parent and no reactions were noted; patient left.  Market manager stated she will follow up with parent.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Heart rate increased
Clinical narrative: patient experiencing  increased heart rate and complained that their chest hurt
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 1/18/21 and 2/8/21. On 1/30/22, patient was diagnosed with COVID19 (external result). On 2/5/22, patient admitted to our inpatient facility with acute hypoxic respiratory failure due to COVID-19 pneumonia and acute kidney injury. As of today (2/7/22), patient is still admitted in the med/surg unit.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 01/16/22 Patient presents with shortness of breath.  Patient stated over the past four days he has been having subjective fevers, chills, headaches, nasal congestion, sore throat, cough.  Addition patient has generalized weakness with decreased appetite.  On presentation patient was satting 80% on room air requiring 2 L by nasal cannula.  Patient was diagnosed with acute hypoxic respiratory failure secondary to COVID-19 pneumonia causing COPD exacerbation. He was prescribed dexamethasone, and received IV Remdesvir.   He was readmitted on 1/28/22 he received 2 L IV fluids IV Rocephin Zithromax 2 g calcium gluconate, Chest x-ray showed bilateral interstitial infiltrates likely residual from covid infection. Pt stayed an additional 10 days in the hospital upon his second admission.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Decreased appetite
Clinical narrative: 01/16/22 Patient presents with shortness of breath.  Patient stated over the past four days he has been having subjective fevers, chills, headaches, nasal congestion, sore throat, cough.  Addition patient has generalized weakness with decreased appetite.  On presentation patient was satting 80% on room air requiring 2 L by nasal cannula.  Patient was diagnosed with acute hypoxic respiratory failure secondary to COVID-19 pneumonia causing COPD exacerbation. He was prescribed dexamethasone, and received IV Remdesvir.   He was readmitted on 1/28/22 he received 2 L IV fluids IV Rocephin Zithromax 2 g calcium gluconate, Chest x-ray showed bilateral interstitial infiltrates likely residual from covid infection. Pt stayed an additional 10 days in the hospital upon his second admission.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Lung infiltration, Nasal congestion, Oropharyngeal pain
Clinical narrative: 01/16/22 Patient presents with shortness of breath.  Patient stated over the past four days he has been having subjective fevers, chills, headaches, nasal congestion, sore throat, cough.  Addition patient has generalized weakness with decreased appetite.  On presentation patient was satting 80% on room air requiring 2 L by nasal cannula.  Patient was diagnosed with acute hypoxic respiratory failure secondary to COVID-19 pneumonia causing COPD exacerbation. He was prescribed dexamethasone, and received IV Remdesvir.   He was readmitted on 1/28/22 he received 2 L IV fluids IV Rocephin Zithromax 2 g calcium gluconate, Chest x-ray showed bilateral interstitial infiltrates likely residual from covid infection. Pt stayed an additional 10 days in the hospital upon his second admission.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 01/16/22 Patient presents with shortness of breath.  Patient stated over the past four days he has been having subjective fevers, chills, headaches, nasal congestion, sore throat, cough.  Addition patient has generalized weakness with decreased appetite.  On presentation patient was satting 80% on room air requiring 2 L by nasal cannula.  Patient was diagnosed with acute hypoxic respiratory failure secondary to COVID-19 pneumonia causing COPD exacerbation. He was prescribed dexamethasone, and received IV Remdesvir.   He was readmitted on 1/28/22 he received 2 L IV fluids IV Rocephin Zithromax 2 g calcium gluconate, Chest x-ray showed bilateral interstitial infiltrates likely residual from covid infection. Pt stayed an additional 10 days in the hospital upon his second admission.
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Death
Clinical narrative: PATIENT WAS WELL ON 01/30/22, WENT TO BED AND DIED IN HER SLEEP
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient received an undiluted dose (0.2ml) of the Pfizer children's 5-11.  Patient stayed with guardian in the pharmacy for 15-20 minutes with parent and no reactions were noted; patient left. manager stated she will follow up with parent.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Our Pfizer Covid-19 vaccine was placed in the fridge in a bag with the date 2/5/22 for dilution and beyond use. We did not use the vaccine for several days. On 2/6/22 the vaccine was not pulled from the fridge and an intern utilized the vial for two vaccines, one being this one. We contacted Pfizer and they said that off label the vaccines have appropriate integrity for 45 days after placing in the fridge. They did not recommend revaccination. We contacted the patient and let them know. They were ok with this information and appreciated us letting them know. The patient has not experienced any other issues