chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #1 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 65.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I was on a cruise ship when I started to experience symptoms of congestion in my head and aches throughout my body. I went to the doctor's office, located on the ship, and was tested for COVID-19. The test came back positive. I was not prescribed PAXLOVID on the ship. I was given FLONASE and SUDAFED D. I tested negative on 01/24/2023.
Age: 52.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 55.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, COVID-19, Chest X-ray abnormal, Chills
Clinical narrative: 12-12-2022:  presented with SOB   Hazard ARH  + for covid.  also   cough, headache, chills,   oxygen sat of 88-89 % on Room air.  remdesivir and covid protocol started.  cefepime also given.  increased hypoxia  12/15 requiring vapotherm. transferred to ICU  , cxr now showing bilateral infiltrates.  BARICI started.  12/16 cxr : ground glass opacity c/w ARDS due to covid.  Hypoxia worsened started on AVAPS.    12/18/22 started improving and was discharged home 12/24/22  with oxygen.   To local hospital 12-29-22 with shortness of breath.  CXR showed bilateral pneumonia, given vancomycin and zosyn and decadron and covid 19 supplements and albuterol.   Patient requested to be DNR status.  on 12-31-22 he passed away with diagnosis of  Acute Respiratory Distress Syndrome due to covid and acute hypoxic resp failure and bacterial pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Headache, Hypoxia
Clinical narrative: 12-12-2022:  presented with SOB   Hazard ARH  + for covid.  also   cough, headache, chills,   oxygen sat of 88-89 % on Room air.  remdesivir and covid protocol started.  cefepime also given.  increased hypoxia  12/15 requiring vapotherm. transferred to ICU  , cxr now showing bilateral infiltrates.  BARICI started.  12/16 cxr : ground glass opacity c/w ARDS due to covid.  Hypoxia worsened started on AVAPS.    12/18/22 started improving and was discharged home 12/24/22  with oxygen.   To local hospital 12-29-22 with shortness of breath.  CXR showed bilateral pneumonia, given vancomycin and zosyn and decadron and covid 19 supplements and albuterol.   Patient requested to be DNR status.  on 12-31-22 he passed away with diagnosis of  Acute Respiratory Distress Syndrome due to covid and acute hypoxic resp failure and bacterial pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Lung infiltration, Lung opacity, Pneumonia, Pneumonia bacterial
Clinical narrative: 12-12-2022:  presented with SOB   Hazard ARH  + for covid.  also   cough, headache, chills,   oxygen sat of 88-89 % on Room air.  remdesivir and covid protocol started.  cefepime also given.  increased hypoxia  12/15 requiring vapotherm. transferred to ICU  , cxr now showing bilateral infiltrates.  BARICI started.  12/16 cxr : ground glass opacity c/w ARDS due to covid.  Hypoxia worsened started on AVAPS.    12/18/22 started improving and was discharged home 12/24/22  with oxygen.   To local hospital 12-29-22 with shortness of breath.  CXR showed bilateral pneumonia, given vancomycin and zosyn and decadron and covid 19 supplements and albuterol.   Patient requested to be DNR status.  on 12-31-22 he passed away with diagnosis of  Acute Respiratory Distress Syndrome due to covid and acute hypoxic resp failure and bacterial pneumonia
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12-12-2022:  presented with SOB   Hazard ARH  + for covid.  also   cough, headache, chills,   oxygen sat of 88-89 % on Room air.  remdesivir and covid protocol started.  cefepime also given.  increased hypoxia  12/15 requiring vapotherm. transferred to ICU  , cxr now showing bilateral infiltrates.  BARICI started.  12/16 cxr : ground glass opacity c/w ARDS due to covid.  Hypoxia worsened started on AVAPS.    12/18/22 started improving and was discharged home 12/24/22  with oxygen.   To local hospital 12-29-22 with shortness of breath.  CXR showed bilateral pneumonia, given vancomycin and zosyn and decadron and covid 19 supplements and albuterol.   Patient requested to be DNR status.  on 12-31-22 he passed away with diagnosis of  Acute Respiratory Distress Syndrome due to covid and acute hypoxic resp failure and bacterial pneumonia
Age: 58.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #2 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 51.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 56.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Death, General physical health deterioration, Hypophagia
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVE 11/19/21, LOT #066F21A pt had a positive COVID test 7/23/22; admitted on 7/28/22 to hospital for PT (swing bed services); remains weak with AMS; despite attempts at rehabilitation with PT, pt's status worsened; no oral intake x 3 days; less responsive; admitted into hospice care 8/7/22 with comfort care; pt passed away in the hospital
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVE 11/19/21, LOT #066F21A pt had a positive COVID test 7/23/22; admitted on 7/28/22 to hospital for PT (swing bed services); remains weak with AMS; despite attempts at rehabilitation with PT, pt's status worsened; no oral intake x 3 days; less responsive; admitted into hospice care 8/7/22 with comfort care; pt passed away in the hospital
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19
Clinical narrative: This is a 75-year-old male presents here today wanting discharged from his recent admission.  Has a recent history of #1 acute respiratory failure requiring 2 L oxygen per NC #2 COVID-19 treated with IV Remdesivir and po decadron, 3 questionable bacterial pneumonia #4 generalized weakness.   Patient is now on room oxygen.  Is requesting to go home.  He was just seen by physical therapy and states that he walked over 25 feet.  Social services also involved in case as there was discussion of potential ECF.  Patient is not interested in this and is wanting to go home.   Patient is currently alert and oriented.  Lungs are clear to auscultation cardio regular rate and rhythm.  Abdomen soft nontender.  Musculoskeletal legs with no edema no appreciated calf pain or
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Head discomfort, Magnetic resonance imaging normal, Tinnitus
Clinical narrative: So the symptoms were the feelings of dizziness when bending over or exercising and when moving from side to side in addition a feeling of fullness in the head, then I started with ringing in my right ear.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Pt received 2 doses of the Pfizer 5-11 Covid Bivalent. One dose was given on 11/11/22 at a Pharmacy location and because of incorrect information  sent over from the monitoring system a second Pfizer5-11 Covid Bivalent dose was given here in the office on 1/30/23.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #2 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 17.0
Sex: M
Vaccine: COVID19-2, FLU4, HPV9
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: RN administered Moderna Bivalent Booster to patient who has not had a primary series mRNA vaccine. The patient did not have any adverse reactions
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Pain, Paranasal sinus discomfort, SARS-CoV-2 test
Clinical narrative: I received my Covid-19 10/29/2022. I started feeling sinus pressure on 01/16/2023. I also experienced body ache. Symptoms were severe for a few days. I contacted my doctor on 01/19/2023. I was diagnosed with Covid-19. I was prescribed PAXLOVID however I did not take it. Symptoms lasted about 4 days. Tested negative for Covid-19 on 01/28/2023.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #2 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory distress syndrome, Acute respiratory failure, COVID-19, COVID-19 pneumonia
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 9/10/21, LOT #939902; 4TH DOSE MODERNA COVID VACCINE GIVEN 4/4/22, LOT #042J21A; pt had a positive COVID test on 8/2/22 at Healthcare and Rehab Center 8/4 - 8/6/22 pt had acute hospital stay at Medical Center; transferred from 8/6 - 8/19/22 with secondary to COVID pneumonia, COPD exacerbation with progression to acute respiratory distress syndrome and NSTEMI; pt's condition worsened and he was transferred to Medical Center for comfort measures where he passed away
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Death, General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 9/10/21, LOT #939902; 4TH DOSE MODERNA COVID VACCINE GIVEN 4/4/22, LOT #042J21A; pt had a positive COVID test on 8/2/22 at Healthcare and Rehab Center 8/4 - 8/6/22 pt had acute hospital stay at Medical Center; transferred from 8/6 - 8/19/22 with secondary to COVID pneumonia, COPD exacerbation with progression to acute respiratory distress syndrome and NSTEMI; pt's condition worsened and he was transferred to Medical Center for comfort measures where he passed away
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Immunology test normal, Impaired work ability, Malaise, Mobility decreased
Clinical narrative: The week that I received my booster shot, I started feeling ill. My body was hurting and I was so tired that I could not get out of bed. I have since been going to several different doctors and have been tested for several auto immune disorders. Every test comes back negative, but the pain and fatigue are still persistent. I have been unable to work because of this.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain
Clinical narrative: The week that I received my booster shot, I started feeling ill. My body was hurting and I was so tired that I could not get out of bed. I have since been going to several different doctors and have been tested for several auto immune disorders. Every test comes back negative, but the pain and fatigue are still persistent. I have been unable to work because of this.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: BIVALENT BOOSTER WAS ADMINITERED PRIOR TO 8 WEEKS OF THE DUE DATE
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Chest pain
Clinical narrative: Chest pain day after vaccination...had to take nitroglycerin to relieve symptoms..no adverse effects according to patient
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test negative, Antibody test negative, Granuloma annulare
Clinical narrative: Granuloma Annulare (benign skin condition) Initial RX from March to May 2022, topical steroids  Second RX from May to December 2022, tacrolimus ointment Third RX from December 2022 to current, topical pimecrolimus
Age: 47.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine Expired 1/30/23 - vaccine given 1/31/23 No harm to patient - no reaction
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Mobility decreased, Neurological symptom, Sensory disturbance
Clinical narrative: Transcribing for patient "Both times it was 24 hrs after vaccine. Totally sudden, I thought I was having a stroke. All of sudden top of head felt like it was going to blow off. Thought I had busted a blood vessel. I got dizzy; vision was affected. Both times while driving. Managed not to lose consciousness. Came close. Symptoms lasted for a few hours after the first dose. After the second dose it lasted for 3-4 days and thought about going to the hospital. I took aspirin for the headache, and it helped. I also took niacin to increase blood flow to try and help. I had to lay in bed for a couple of days. I was really scared.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Visual impairment
Clinical narrative: Transcribing for patient "Both times it was 24 hrs after vaccine. Totally sudden, I thought I was having a stroke. All of sudden top of head felt like it was going to blow off. Thought I had busted a blood vessel. I got dizzy; vision was affected. Both times while driving. Managed not to lose consciousness. Came close. Symptoms lasted for a few hours after the first dose. After the second dose it lasted for 3-4 days and thought about going to the hospital. I took aspirin for the headache, and it helped. I also took niacin to increase blood flow to try and help. I had to lay in bed for a couple of days. I was really scared.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient had the 2-dose Moderna for 6mo-5yr and should have received the Pfizer bivalent 5-11yr and received the Pfizer bivalent 6mo-4yr dose. Parent was notified, provider elected not to revaccinate.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Nausea, X-ray normal
Clinical narrative: Hacking, painful cough. Took Delsym DM and Robitusin DM; they did not help Sent for x-ray; negative result Given prescripton for Codeine-Guaifen 10-100MG/5ML SOL
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE MODERN COVID VACCINE GIVEN 10/28/21, LOT #071F21A pt resides in Hospice; pt had a positive COVID test on 8/16/22; admitted for respite care; pt went into respiratory distress; DNR; pt given O2 supplementation without improvement; pt passed away in the hospice facility
Age: 69.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received Fluad vaccine 1 week prior to this administration.  Patient made aware.  No adverse effects.
Age: 0.58
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Vaccine was given to the patient without being diluted. No known adverse symptoms reported from this at this time.
Age: 33.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 52.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, HEALTH DEPARTMENT ADVISED TO REPEAT.
Age: 1.17
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Erythema, Inflammation, Pruritus
Clinical narrative: Patient with red raised , dry area measuring  3cm long and 2.5cm in width. Mom reports area itchy as child has been itching area.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Pt already recievd a Moderna Bivalent vaccine 10/2023. Today she was given a second.
Age: 53.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, DOH ADVISED TO REPEAT.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: Covid : Deep racking cough - hard to get air, congestion, runny nose, clicking in ears & sound got louder and fainter (1 day), loss of taste and smell (3 days), chills. Telemed call and prescription for Paxlovid. Got sick 12/15 but tested negative for two days. Tested positive on 12/17 and had telemed call. Started Paxlovid. Finished Paxlovid on 12/21.  Sick through 12/29.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: Covid : Deep racking cough - hard to get air, congestion, runny nose, clicking in ears & sound got louder and fainter (1 day), loss of taste and smell (3 days), chills. Telemed call and prescription for Paxlovid. Got sick 12/15 but tested negative for two days. Tested positive on 12/17 and had telemed call. Started Paxlovid. Finished Paxlovid on 12/21.  Sick through 12/29.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Child was given and adult dose instead of a pediatric dose of Pfizer
Age: 61.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 58.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, COVID-19, Cardiogenic shock, Death
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 10/22/21, LOT #012F21A 4TH DOSE MODERNA COVID VACCINE GIVEN 4/4/22, LOT #002M21A pt had a positive COVID test 8/14/22 after c/o headache, sore throat; was prescribed Paxlovid; 8/15/22 pt admitted to local Medical Center with blurry vision, generalized weakness, lightheadedness; became bradycardia and hypotension; concern for CCB/BB toxicity; given medications; ICD/pacer rate increased to 70 bpm; soon became hypotensive again with hypoxia; required intubation; 8/16/22 transferred to alternate Medical Center in cardiogenic shock; pt's condition worsened and she was transferred to comfort care; she passed away in the hospital
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Endotracheal intubation, General physical health deterioration, Headache, Hypotension
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 10/22/21, LOT #012F21A 4TH DOSE MODERNA COVID VACCINE GIVEN 4/4/22, LOT #002M21A pt had a positive COVID test 8/14/22 after c/o headache, sore throat; was prescribed Paxlovid; 8/15/22 pt admitted to local Medical Center with blurry vision, generalized weakness, lightheadedness; became bradycardia and hypotension; concern for CCB/BB toxicity; given medications; ICD/pacer rate increased to 70 bpm; soon became hypotensive again with hypoxia; required intubation; 8/16/22 transferred to alternate Medical Center in cardiogenic shock; pt's condition worsened and she was transferred to comfort care; she passed away in the hospital
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Oropharyngeal pain, SARS-CoV-2 test positive, Vision blurred
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 10/22/21, LOT #012F21A 4TH DOSE MODERNA COVID VACCINE GIVEN 4/4/22, LOT #002M21A pt had a positive COVID test 8/14/22 after c/o headache, sore throat; was prescribed Paxlovid; 8/15/22 pt admitted to local Medical Center with blurry vision, generalized weakness, lightheadedness; became bradycardia and hypotension; concern for CCB/BB toxicity; given medications; ICD/pacer rate increased to 70 bpm; soon became hypotensive again with hypoxia; required intubation; 8/16/22 transferred to alternate Medical Center in cardiogenic shock; pt's condition worsened and she was transferred to comfort care; she passed away in the hospital
Age: 60.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, HEALTH DEPARTMENT ADVISED TO REPEAT.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Echocardiogram, Electrocardiogram, Palpitations, Ventricular extrasystoles
Clinical narrative: I had my vaccination on 10/29/2022. In 10/2022 I started to have heart palpitations. My spouse had just passed away in 09/2022. These increased over time and got very severe. I went to my doctor and I was administered an EKG and Echocardiogram. I was diagnosed with having Premature ventricular contractions and prescribed a low dose medication.
Age: 30.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient did not have an adverse reaction, The vaccine dose was expired. It expired 01/17/2023 and was given 01/28/2023.
Age: 80.0
Sex: M
Vaccine: FLU4, PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: Pt came to clinic at 9:20am for T-dap vaccine he mentioned that on the left deltoid he has a red wheal and said it feels warm with touch and itchiness. No fever or shortness of breath or any other symptoms. Patient is alert and stable. He was given Prevnar20 on 1/26/2023. He believes is a reaction from the vaccine. I visualized the wheal, it feels warm and is red, but is under the injection site. I  sent him to see the RN  for further evaluation. RN said is tender and warm with touch, she mentioned  visualizes  a red wheal  4 inches under the vaccine site. No visual redness on the part where the vaccine was given.  Dr prescribed antibiotic and told the patient to put cold compresses.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: Patient given Primary Orange COVID vaccine 5 years to 11 yr old. Patient was schedule to be given BOOSTER Bivalent vaccine. patient waited 15 mins with mother and sister, who received the same vaccine. Patient left within normal limits. Mother was notified of wrong vaccine given. Advise mother patient(s) cane return in 2 month for BOOSTER. Provider MD notified and was okay with vaccine.
Age: 64.0
Sex: M
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 47.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Arthralgia, Blood test, Cardiac monitoring, Chest pain
Clinical narrative: Chest pain (achy, sometimes sharp, all-over chest but mostly middle and left; radiates into left arm (numbness), ribs, back, neck).  Chest palpitations, anxiety attacks, pins and needles down back. Insomnia. Head zaps Pain in neck (left side) felt like straining Difficulty driving Extreme muscle tension in back, neck, chest and legs Knots in neck on left side  Leg pain (achy, hurts where leg meets torso) Dizzy feeling Headaches Muscle twitching TMJ/tinnitus  After Booster: Rapid heartbeat Feel heartbeat in left arm Pain/achy left arm Prickly feeling in head Headaches Sharp pain in chest with rapid heart beat Sharp pain in fingers and achy wrists
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Electrocardiogram, Headache, Heart rate increased, Hypoaesthesia
Clinical narrative: Chest pain (achy, sometimes sharp, all-over chest but mostly middle and left; radiates into left arm (numbness), ribs, back, neck).  Chest palpitations, anxiety attacks, pins and needles down back. Insomnia. Head zaps Pain in neck (left side) felt like straining Difficulty driving Extreme muscle tension in back, neck, chest and legs Knots in neck on left side  Leg pain (achy, hurts where leg meets torso) Dizzy feeling Headaches Muscle twitching TMJ/tinnitus  After Booster: Rapid heartbeat Feel heartbeat in left arm Pain/achy left arm Prickly feeling in head Headaches Sharp pain in chest with rapid heart beat Sharp pain in fingers and achy wrists
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Impaired driving ability, Insomnia, Magnetic resonance imaging, Mammogram, Muscle tightness
Clinical narrative: Chest pain (achy, sometimes sharp, all-over chest but mostly middle and left; radiates into left arm (numbness), ribs, back, neck).  Chest palpitations, anxiety attacks, pins and needles down back. Insomnia. Head zaps Pain in neck (left side) felt like straining Difficulty driving Extreme muscle tension in back, neck, chest and legs Knots in neck on left side  Leg pain (achy, hurts where leg meets torso) Dizzy feeling Headaches Muscle twitching TMJ/tinnitus  After Booster: Rapid heartbeat Feel heartbeat in left arm Pain/achy left arm Prickly feeling in head Headaches Sharp pain in chest with rapid heart beat Sharp pain in fingers and achy wrists
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscle twitching, Neck pain, Pain, Pain in extremity, Palpitations
Clinical narrative: Chest pain (achy, sometimes sharp, all-over chest but mostly middle and left; radiates into left arm (numbness), ribs, back, neck).  Chest palpitations, anxiety attacks, pins and needles down back. Insomnia. Head zaps Pain in neck (left side) felt like straining Difficulty driving Extreme muscle tension in back, neck, chest and legs Knots in neck on left side  Leg pain (achy, hurts where leg meets torso) Dizzy feeling Headaches Muscle twitching TMJ/tinnitus  After Booster: Rapid heartbeat Feel heartbeat in left arm Pain/achy left arm Prickly feeling in head Headaches Sharp pain in chest with rapid heart beat Sharp pain in fingers and achy wrists
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Paraesthesia, Temporomandibular joint syndrome, Ultrasound breast, X-ray
Clinical narrative: Chest pain (achy, sometimes sharp, all-over chest but mostly middle and left; radiates into left arm (numbness), ribs, back, neck).  Chest palpitations, anxiety attacks, pins and needles down back. Insomnia. Head zaps Pain in neck (left side) felt like straining Difficulty driving Extreme muscle tension in back, neck, chest and legs Knots in neck on left side  Leg pain (achy, hurts where leg meets torso) Dizzy feeling Headaches Muscle twitching TMJ/tinnitus  After Booster: Rapid heartbeat Feel heartbeat in left arm Pain/achy left arm Prickly feeling in head Headaches Sharp pain in chest with rapid heart beat Sharp pain in fingers and achy wrists
Age: 0.42
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix being administered to patients under 4 years old.
Age: 59.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, HEALTH DEPARTMENT ADVISED TO REPEAT.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: Patient given Primary Orange COVID vaccine 5 years to 11 yr old. Patient was schedule to be given BOOSTER Bivalent vaccine. patient waited 15 mins with mother and sister, who received the same vaccine. Patient left within normal limits. Mother was notified of wrong vaccine given. Provider medical doctor notified and was okay with vaccine.
Age: 8.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Product preparation issue
Clinical narrative: It was discovered after the vaccine was administered that it was not properly diluted. Parents were notified. They stated their child was in school and did not have any symptoms of a reaction. Requested they monitor their child and report any issues to us.
Age: 53.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Back pain, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: pain started in shoulder, didnt go away and started radiating to back and fingers. hands get numb even when holding the phone. steroids did not help
Age: 0.33
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix being administered to patients under 4 years old.
Age: 60.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, HEALTH DEPARTMENT ADVISED TO REPEAT.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Bell's palsy, Eyelid disorder, Facial discomfort, Facial paralysis, Paraesthesia
Clinical narrative: Patient states she felt tingling on the side of her face 15 minutes after receiving the vaccine.  Right side of face started drooping and right eye does not close and also feels as if there is a difference in the "thickness" between the  sides  of her face. She was diagnosed with  Bells' Palsy 2 months after vaccination.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Bell's palsy, Facial pain
Clinical narrative: Patient states she felt tingling on the side of her face 15 minutes after receiving the vaccine.  Right side of face started drooping and right eye does not close and also feels as if there is a difference in the "thickness" between the  sides  of her face. She was diagnosed with  Bells' Palsy 2 months after vaccination.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
Clinical narrative: Patient states she felt tingling on the side of her face 15 minutes after receiving the vaccine.  Right side of face started drooping and right eye does not close and also feels as if there is a difference in the "thickness" between the  sides  of her face. She was diagnosed with  Bells' Palsy 2 months after vaccination.
Age: 41.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 8.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMRV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given DTaP instead of Tdap. No adverse effects noted.
Age: 1.08
Sex: F
Vaccine: MMRV
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: MMRV and Varicella were given on the same day 1/26/23. No adverse reactions have been reported by parent.
Age: 37.0
Sex: M
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 38.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Eyelid skin dryness, Eyelids pruritus
Clinical narrative: States the next day late afternoon she noticed itching to both eyelids.  The right eyelid was worse than the left.  The itch feeling continued into the weekend.  Today (01/31/2023 Tuesday) is she is better and denies any itchy feeling but does state eyelids feel dry.
Age: 60.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 35.0
Sex: M
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 0.5
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix given to children under 4 years old
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Atrial tachycardia, Blood thyroid stimulating hormone normal, Electrocardiogram abnormal, Full blood count normal, Metabolic function test normal
Clinical narrative: Patient had vasovagal syncope.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Syncope
Clinical narrative: Patient had vasovagal syncope.
Age: 36.0
Sex: M
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, HEALTH DEPARTMENT ADVISED TO REPEAT.
Age: 0.92
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix given to patient under 4
Age: 6.0
Sex: F
Vaccine: COVID19-2, VARCEL
Symptoms: Expired product administered
Clinical narrative: Pfizer 5-11 bivalent booster administered was past the BUD. BUD was 01/25/2023 and vaccine was administered on 01/26/2023. Contact Pfizer to determine next steps and vaccine eligibility. Stated that the vaccine has an additional two-day stability period and although it should not be used past the ten weeks in the fridge, this vaccine administration is considered viable and does not need to be repeated as it was within two days past the BUD.
Age: 61.0
Sex: F
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 41.0
Sex: U
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: VACCINE STORAGE TEMP ISSUE, ADVISED TO REPEAT.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bacterial test positive, COVID-19, Cachexia, Chest X-ray abnormal
Clinical narrative: Patient is a 95 y.o. female patient of MD with history of HTN, HLD, Afib, UTI who presented to Hospital with lethargy, poor intake in the setting of recent COVID diagnosis. Family ultimately decided to change to DNRCC on 1/3 and pursue Hospice.    Goals of care Comfort care Discussion at bedside with 2 children on 1/3 They have noticed a severe decline in function, nutrition and quality of life since her hip fracture in 11/2022 Had been getting oxycodone at ECF prior to admission -- currently complaining of "pain all over" Family desired change to DNR-CC  Hospice has accepted and will provide services at LTC once able to return out of COVID isolation Discontinued most medications including remdesivir as pt wants to limit pills Added oxycodone and anxiolytics PRN (OK for no IV) Palliative care consulted for assistance with hospice diagnosis  Discharge to ECF with hospice    Covid-19 Virus Infection Date of onset of symptoms: circa 12/31 Symptoms present on admission: poor appetite, decreased LOC Date of covid positive test: 1/1 at SNF (unable to obtain test result electronically to scan into chart) -- > repeat COVID test positive (1/3)  Vaccination status: vaccinated Imaging: CXR "vascular congestion" Oxygen requirements on admission: RA Current oxygen requirements: 94% RA Medical therapy: Remdesevir started per ID -- > stopped 1/3 End isolation on 1/11   Fall, initial encounter Inpatient fall on 1/6 from bed with +head trauma Complaining of R shoulder pain and with small forehead hematoma Shoulder XR -- non-acute Will hold on CT head given DNRCC and not going to change management Fall precautions, pain control as above   Acute UTI Candiduria Significant pyuria noted with many bacteria and rare yeast Pt denies urinary sx but is confused and unreliable Ucx with >100 candida albicans Stopped ceftriaxone Discussed with pharmacy -- start fluconazole for now given this may be contributing to her discomfort   Dysphagia Severe protein calorie malnutrition with cachexia Appears cachectic with muscle wasting, underweight on admission Did not tolerate recent mirtazapine per son Noted dysphagia for last month or so per family and currently tolerating little to no PO intake Should qualify for Hospice on this alone Will give gentle D5 gtt for now Family opting for DNRCC so hold on SLP consult and provide MDD diet   Acute metabolic encephalopathy Decreased responsiveness, arouses but oriented x 0 Normally conversant per son but has been steadily declining since hip fracture with poor nutrition Due to COVID, UTI, dehydration Family states she was doing well after recent sx for hip fracture, but got worse after Remeron was started for appetite, which has happened to her before Remeron added to allergy list due to worsening confusion with medication
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Communication disorder, Confusional state, Culture urine positive, Decreased appetite, Dehydration
Clinical narrative: Patient is a 95 y.o. female patient of MD with history of HTN, HLD, Afib, UTI who presented to Hospital with lethargy, poor intake in the setting of recent COVID diagnosis. Family ultimately decided to change to DNRCC on 1/3 and pursue Hospice.    Goals of care Comfort care Discussion at bedside with 2 children on 1/3 They have noticed a severe decline in function, nutrition and quality of life since her hip fracture in 11/2022 Had been getting oxycodone at ECF prior to admission -- currently complaining of "pain all over" Family desired change to DNR-CC  Hospice has accepted and will provide services at LTC once able to return out of COVID isolation Discontinued most medications including remdesivir as pt wants to limit pills Added oxycodone and anxiolytics PRN (OK for no IV) Palliative care consulted for assistance with hospice diagnosis  Discharge to ECF with hospice    Covid-19 Virus Infection Date of onset of symptoms: circa 12/31 Symptoms present on admission: poor appetite, decreased LOC Date of covid positive test: 1/1 at SNF (unable to obtain test result electronically to scan into chart) -- > repeat COVID test positive (1/3)  Vaccination status: vaccinated Imaging: CXR "vascular congestion" Oxygen requirements on admission: RA Current oxygen requirements: 94% RA Medical therapy: Remdesevir started per ID -- > stopped 1/3 End isolation on 1/11   Fall, initial encounter Inpatient fall on 1/6 from bed with +head trauma Complaining of R shoulder pain and with small forehead hematoma Shoulder XR -- non-acute Will hold on CT head given DNRCC and not going to change management Fall precautions, pain control as above   Acute UTI Candiduria Significant pyuria noted with many bacteria and rare yeast Pt denies urinary sx but is confused and unreliable Ucx with >100 candida albicans Stopped ceftriaxone Discussed with pharmacy -- start fluconazole for now given this may be contributing to her discomfort   Dysphagia Severe protein calorie malnutrition with cachexia Appears cachectic with muscle wasting, underweight on admission Did not tolerate recent mirtazapine per son Noted dysphagia for last month or so per family and currently tolerating little to no PO intake Should qualify for Hospice on this alone Will give gentle D5 gtt for now Family opting for DNRCC so hold on SLP consult and provide MDD diet   Acute metabolic encephalopathy Decreased responsiveness, arouses but oriented x 0 Normally conversant per son but has been steadily declining since hip fracture with poor nutrition Due to COVID, UTI, dehydration Family states she was doing well after recent sx for hip fracture, but got worse after Remeron was started for appetite, which has happened to her before Remeron added to allergy list due to worsening confusion with medication
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Discomfort, Disorientation, Drug hypersensitivity, Dysphagia
Clinical narrative: Patient is a 95 y.o. female patient of MD with history of HTN, HLD, Afib, UTI who presented to Hospital with lethargy, poor intake in the setting of recent COVID diagnosis. Family ultimately decided to change to DNRCC on 1/3 and pursue Hospice.    Goals of care Comfort care Discussion at bedside with 2 children on 1/3 They have noticed a severe decline in function, nutrition and quality of life since her hip fracture in 11/2022 Had been getting oxycodone at ECF prior to admission -- currently complaining of "pain all over" Family desired change to DNR-CC  Hospice has accepted and will provide services at LTC once able to return out of COVID isolation Discontinued most medications including remdesivir as pt wants to limit pills Added oxycodone and anxiolytics PRN (OK for no IV) Palliative care consulted for assistance with hospice diagnosis  Discharge to ECF with hospice    Covid-19 Virus Infection Date of onset of symptoms: circa 12/31 Symptoms present on admission: poor appetite, decreased LOC Date of covid positive test: 1/1 at SNF (unable to obtain test result electronically to scan into chart) -- > repeat COVID test positive (1/3)  Vaccination status: vaccinated Imaging: CXR "vascular congestion" Oxygen requirements on admission: RA Current oxygen requirements: 94% RA Medical therapy: Remdesevir started per ID -- > stopped 1/3 End isolation on 1/11   Fall, initial encounter Inpatient fall on 1/6 from bed with +head trauma Complaining of R shoulder pain and with small forehead hematoma Shoulder XR -- non-acute Will hold on CT head given DNRCC and not going to change management Fall precautions, pain control as above   Acute UTI Candiduria Significant pyuria noted with many bacteria and rare yeast Pt denies urinary sx but is confused and unreliable Ucx with >100 candida albicans Stopped ceftriaxone Discussed with pharmacy -- start fluconazole for now given this may be contributing to her discomfort   Dysphagia Severe protein calorie malnutrition with cachexia Appears cachectic with muscle wasting, underweight on admission Did not tolerate recent mirtazapine per son Noted dysphagia for last month or so per family and currently tolerating little to no PO intake Should qualify for Hospice on this alone Will give gentle D5 gtt for now Family opting for DNRCC so hold on SLP consult and provide MDD diet   Acute metabolic encephalopathy Decreased responsiveness, arouses but oriented x 0 Normally conversant per son but has been steadily declining since hip fracture with poor nutrition Due to COVID, UTI, dehydration Family states she was doing well after recent sx for hip fracture, but got worse after Remeron was started for appetite, which has happened to her before Remeron added to allergy list due to worsening confusion with medication
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fungal test positive, General physical health deterioration, Haematoma, Head injury
Clinical narrative: Patient is a 95 y.o. female patient of MD with history of HTN, HLD, Afib, UTI who presented to Hospital with lethargy, poor intake in the setting of recent COVID diagnosis. Family ultimately decided to change to DNRCC on 1/3 and pursue Hospice.    Goals of care Comfort care Discussion at bedside with 2 children on 1/3 They have noticed a severe decline in function, nutrition and quality of life since her hip fracture in 11/2022 Had been getting oxycodone at ECF prior to admission -- currently complaining of "pain all over" Family desired change to DNR-CC  Hospice has accepted and will provide services at LTC once able to return out of COVID isolation Discontinued most medications including remdesivir as pt wants to limit pills Added oxycodone and anxiolytics PRN (OK for no IV) Palliative care consulted for assistance with hospice diagnosis  Discharge to ECF with hospice    Covid-19 Virus Infection Date of onset of symptoms: circa 12/31 Symptoms present on admission: poor appetite, decreased LOC Date of covid positive test: 1/1 at SNF (unable to obtain test result electronically to scan into chart) -- > repeat COVID test positive (1/3)  Vaccination status: vaccinated Imaging: CXR "vascular congestion" Oxygen requirements on admission: RA Current oxygen requirements: 94% RA Medical therapy: Remdesevir started per ID -- > stopped 1/3 End isolation on 1/11   Fall, initial encounter Inpatient fall on 1/6 from bed with +head trauma Complaining of R shoulder pain and with small forehead hematoma Shoulder XR -- non-acute Will hold on CT head given DNRCC and not going to change management Fall precautions, pain control as above   Acute UTI Candiduria Significant pyuria noted with many bacteria and rare yeast Pt denies urinary sx but is confused and unreliable Ucx with >100 candida albicans Stopped ceftriaxone Discussed with pharmacy -- start fluconazole for now given this may be contributing to her discomfort   Dysphagia Severe protein calorie malnutrition with cachexia Appears cachectic with muscle wasting, underweight on admission Did not tolerate recent mirtazapine per son Noted dysphagia for last month or so per family and currently tolerating little to no PO intake Should qualify for Hospice on this alone Will give gentle D5 gtt for now Family opting for DNRCC so hold on SLP consult and provide MDD diet   Acute metabolic encephalopathy Decreased responsiveness, arouses but oriented x 0 Normally conversant per son but has been steadily declining since hip fracture with poor nutrition Due to COVID, UTI, dehydration Family states she was doing well after recent sx for hip fracture, but got worse after Remeron was started for appetite, which has happened to her before Remeron added to allergy list due to worsening confusion with medication