chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Culture positive, Dehiscence, Endotracheal intubation, Enterococcus test positive
Clinical narrative: 3rd COVID Vaccine: Pfizer Monovalent-10/26/2021- C-FH8020- Dose 3. Patient is a 57 y.o. female who was admitted to the hospital with foot pain after recent TMA procedure. She was seen by vascular surgery and subsequently underwent left below knee amputation for gangrene. Patient was unable to wean off the ventilator. We were consulted for ventilator management and weaning. The patient was hospitalized on 09/18/2022 for LLE infection post great toe amputation. The patient had a trans-metatarsal amputation that was then infected and dehisced. She went for L BKA on 10/19/2022.  She was extubated, and eventually transferred out of ICU but was later transferred back to ICU after she became hypotensive (septic). ID broadened Abx. She subsequently required reintubation on 11/4/22. She was managed aggressively with vasopressor, ventilator and CRRT support, but continued to decline and developed multiorgan failure with shock liver, coagulopathy secondary to this. She grew VRE and Stenotrophomonas on various cultures and was treated appropriately with antibiotics by ID. Despite all this she continued to require multiple vasopressors and developed GI bleed from coagulopathy which was corrected aggressively. Goals of care discussions were initiated as outlook was very poor and on 11/10, family decided to pursue palliative extubation and hospice. She was discharged to hospice for comfort care after palliative extubation on 11/10/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Foot amputation, Gangrene, Gastrointestinal haemorrhage, General physical health deterioration, Haemofiltration
Clinical narrative: 3rd COVID Vaccine: Pfizer Monovalent-10/26/2021- C-FH8020- Dose 3. Patient is a 57 y.o. female who was admitted to the hospital with foot pain after recent TMA procedure. She was seen by vascular surgery and subsequently underwent left below knee amputation for gangrene. Patient was unable to wean off the ventilator. We were consulted for ventilator management and weaning. The patient was hospitalized on 09/18/2022 for LLE infection post great toe amputation. The patient had a trans-metatarsal amputation that was then infected and dehisced. She went for L BKA on 10/19/2022.  She was extubated, and eventually transferred out of ICU but was later transferred back to ICU after she became hypotensive (septic). ID broadened Abx. She subsequently required reintubation on 11/4/22. She was managed aggressively with vasopressor, ventilator and CRRT support, but continued to decline and developed multiorgan failure with shock liver, coagulopathy secondary to this. She grew VRE and Stenotrophomonas on various cultures and was treated appropriately with antibiotics by ID. Despite all this she continued to require multiple vasopressors and developed GI bleed from coagulopathy which was corrected aggressively. Goals of care discussions were initiated as outlook was very poor and on 11/10, family decided to pursue palliative extubation and hospice. She was discharged to hospice for comfort care after palliative extubation on 11/10/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Ischaemic hepatitis, Leg amputation, Mechanical ventilation
Clinical narrative: 3rd COVID Vaccine: Pfizer Monovalent-10/26/2021- C-FH8020- Dose 3. Patient is a 57 y.o. female who was admitted to the hospital with foot pain after recent TMA procedure. She was seen by vascular surgery and subsequently underwent left below knee amputation for gangrene. Patient was unable to wean off the ventilator. We were consulted for ventilator management and weaning. The patient was hospitalized on 09/18/2022 for LLE infection post great toe amputation. The patient had a trans-metatarsal amputation that was then infected and dehisced. She went for L BKA on 10/19/2022.  She was extubated, and eventually transferred out of ICU but was later transferred back to ICU after she became hypotensive (septic). ID broadened Abx. She subsequently required reintubation on 11/4/22. She was managed aggressively with vasopressor, ventilator and CRRT support, but continued to decline and developed multiorgan failure with shock liver, coagulopathy secondary to this. She grew VRE and Stenotrophomonas on various cultures and was treated appropriately with antibiotics by ID. Despite all this she continued to require multiple vasopressors and developed GI bleed from coagulopathy which was corrected aggressively. Goals of care discussions were initiated as outlook was very poor and on 11/10, family decided to pursue palliative extubation and hospice. She was discharged to hospice for comfort care after palliative extubation on 11/10/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Multiple organ dysfunction syndrome, Pain in extremity, Post procedural infection, Sepsis, Stenotrophomonas test positive
Clinical narrative: 3rd COVID Vaccine: Pfizer Monovalent-10/26/2021- C-FH8020- Dose 3. Patient is a 57 y.o. female who was admitted to the hospital with foot pain after recent TMA procedure. She was seen by vascular surgery and subsequently underwent left below knee amputation for gangrene. Patient was unable to wean off the ventilator. We were consulted for ventilator management and weaning. The patient was hospitalized on 09/18/2022 for LLE infection post great toe amputation. The patient had a trans-metatarsal amputation that was then infected and dehisced. She went for L BKA on 10/19/2022.  She was extubated, and eventually transferred out of ICU but was later transferred back to ICU after she became hypotensive (septic). ID broadened Abx. She subsequently required reintubation on 11/4/22. She was managed aggressively with vasopressor, ventilator and CRRT support, but continued to decline and developed multiorgan failure with shock liver, coagulopathy secondary to this. She grew VRE and Stenotrophomonas on various cultures and was treated appropriately with antibiotics by ID. Despite all this she continued to require multiple vasopressors and developed GI bleed from coagulopathy which was corrected aggressively. Goals of care discussions were initiated as outlook was very poor and on 11/10, family decided to pursue palliative extubation and hospice. She was discharged to hospice for comfort care after palliative extubation on 11/10/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Toe amputation, Weaning failure
Clinical narrative: 3rd COVID Vaccine: Pfizer Monovalent-10/26/2021- C-FH8020- Dose 3. Patient is a 57 y.o. female who was admitted to the hospital with foot pain after recent TMA procedure. She was seen by vascular surgery and subsequently underwent left below knee amputation for gangrene. Patient was unable to wean off the ventilator. We were consulted for ventilator management and weaning. The patient was hospitalized on 09/18/2022 for LLE infection post great toe amputation. The patient had a trans-metatarsal amputation that was then infected and dehisced. She went for L BKA on 10/19/2022.  She was extubated, and eventually transferred out of ICU but was later transferred back to ICU after she became hypotensive (septic). ID broadened Abx. She subsequently required reintubation on 11/4/22. She was managed aggressively with vasopressor, ventilator and CRRT support, but continued to decline and developed multiorgan failure with shock liver, coagulopathy secondary to this. She grew VRE and Stenotrophomonas on various cultures and was treated appropriately with antibiotics by ID. Despite all this she continued to require multiple vasopressors and developed GI bleed from coagulopathy which was corrected aggressively. Goals of care discussions were initiated as outlook was very poor and on 11/10, family decided to pursue palliative extubation and hospice. She was discharged to hospice for comfort care after palliative extubation on 11/10/22.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Headache, Influenza like illness, Oropharyngeal pain
Clinical narrative: FLU LIKE SYMPTOMS(CHILLS,HEADACHE,JOINT PAIN,RUNNY NOSE,SORE THROAT) FOR APROXIMATELY THREE DAYS.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea
Clinical narrative: FLU LIKE SYMPTOMS(CHILLS,HEADACHE,JOINT PAIN,RUNNY NOSE,SORE THROAT) FOR APROXIMATELY THREE DAYS.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arterial catheterisation, Blood bicarbonate decreased, Blood lactic acid, Blood pH decreased, Cardiac arrest
Clinical narrative: Dose 3: Pfizer Monovalent 12+: 01/15/2022- lot # not provided. Patient is a 52 year old female with history of CKD IV on IHD, Wounds secondary to calciphylaxis, DM 11, GERD, HTN who presents from rehab facility due to hypotension and AMS onset earlier this day. Patient has had long course since last July resulting ultimately resulting in CKD HD due to obstructive uropathy requiring chronic foley changed every month by nursing staff, multiple wounds due to calciphylaxis which became acutely infected previously who presented today again for AMS. Patient found to have lactic acidosis in addition to profound hypotension requiring vasopressor support. Currently undergoing fluid resuscitation and septic work up. She will be started on broad spectrum antibiotics and admitted to the MICU.  Patient became unresponsive and hypotensive maxed on levo and vaso overnight. Patient was intubated for hypoxia and an arterial line was placed. Patient on levo 0.05, vaso 0.08, and epi gtt started. Patient found to have HCO3 of 7 and pH 6.9, given 2 amps of bicarb and started on bicarb gtt. Lactic acid 13.1 this AM. Leukocytosis worse this AM. H/H down to 6.7, one unit of PRBC ordered. Mild transaminitis this AM. Pupils now fixed and dilated. While assessing the patient, she lost a pulse and was PEA, given two amps of bicarb, 2 of epi, and 1 of calcium given and ROSC achieved. Patient was made a DNR and went asystole.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Haematocrit decreased, Haemoglobin decreased, Hypertransaminasaemia, Hypotension
Clinical narrative: Dose 3: Pfizer Monovalent 12+: 01/15/2022- lot # not provided. Patient is a 52 year old female with history of CKD IV on IHD, Wounds secondary to calciphylaxis, DM 11, GERD, HTN who presents from rehab facility due to hypotension and AMS onset earlier this day. Patient has had long course since last July resulting ultimately resulting in CKD HD due to obstructive uropathy requiring chronic foley changed every month by nursing staff, multiple wounds due to calciphylaxis which became acutely infected previously who presented today again for AMS. Patient found to have lactic acidosis in addition to profound hypotension requiring vasopressor support. Currently undergoing fluid resuscitation and septic work up. She will be started on broad spectrum antibiotics and admitted to the MICU.  Patient became unresponsive and hypotensive maxed on levo and vaso overnight. Patient was intubated for hypoxia and an arterial line was placed. Patient on levo 0.05, vaso 0.08, and epi gtt started. Patient found to have HCO3 of 7 and pH 6.9, given 2 amps of bicarb and started on bicarb gtt. Lactic acid 13.1 this AM. Leukocytosis worse this AM. H/H down to 6.7, one unit of PRBC ordered. Mild transaminitis this AM. Pupils now fixed and dilated. While assessing the patient, she lost a pulse and was PEA, given two amps of bicarb, 2 of epi, and 1 of calcium given and ROSC achieved. Patient was made a DNR and went asystole.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Lactic acidosis, Leukocytosis, Mental status changes
Clinical narrative: Dose 3: Pfizer Monovalent 12+: 01/15/2022- lot # not provided. Patient is a 52 year old female with history of CKD IV on IHD, Wounds secondary to calciphylaxis, DM 11, GERD, HTN who presents from rehab facility due to hypotension and AMS onset earlier this day. Patient has had long course since last July resulting ultimately resulting in CKD HD due to obstructive uropathy requiring chronic foley changed every month by nursing staff, multiple wounds due to calciphylaxis which became acutely infected previously who presented today again for AMS. Patient found to have lactic acidosis in addition to profound hypotension requiring vasopressor support. Currently undergoing fluid resuscitation and septic work up. She will be started on broad spectrum antibiotics and admitted to the MICU.  Patient became unresponsive and hypotensive maxed on levo and vaso overnight. Patient was intubated for hypoxia and an arterial line was placed. Patient on levo 0.05, vaso 0.08, and epi gtt started. Patient found to have HCO3 of 7 and pH 6.9, given 2 amps of bicarb and started on bicarb gtt. Lactic acid 13.1 this AM. Leukocytosis worse this AM. H/H down to 6.7, one unit of PRBC ordered. Mild transaminitis this AM. Pupils now fixed and dilated. While assessing the patient, she lost a pulse and was PEA, given two amps of bicarb, 2 of epi, and 1 of calcium given and ROSC achieved. Patient was made a DNR and went asystole.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse absent, Pulseless electrical activity, Pupil fixed, Unresponsive to stimuli
Clinical narrative: Dose 3: Pfizer Monovalent 12+: 01/15/2022- lot # not provided. Patient is a 52 year old female with history of CKD IV on IHD, Wounds secondary to calciphylaxis, DM 11, GERD, HTN who presents from rehab facility due to hypotension and AMS onset earlier this day. Patient has had long course since last July resulting ultimately resulting in CKD HD due to obstructive uropathy requiring chronic foley changed every month by nursing staff, multiple wounds due to calciphylaxis which became acutely infected previously who presented today again for AMS. Patient found to have lactic acidosis in addition to profound hypotension requiring vasopressor support. Currently undergoing fluid resuscitation and septic work up. She will be started on broad spectrum antibiotics and admitted to the MICU.  Patient became unresponsive and hypotensive maxed on levo and vaso overnight. Patient was intubated for hypoxia and an arterial line was placed. Patient on levo 0.05, vaso 0.08, and epi gtt started. Patient found to have HCO3 of 7 and pH 6.9, given 2 amps of bicarb and started on bicarb gtt. Lactic acid 13.1 this AM. Leukocytosis worse this AM. H/H down to 6.7, one unit of PRBC ordered. Mild transaminitis this AM. Pupils now fixed and dilated. While assessing the patient, she lost a pulse and was PEA, given two amps of bicarb, 2 of epi, and 1 of calcium given and ROSC achieved. Patient was made a DNR and went asystole.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Conversion disorder, Transient ischaemic attack
Clinical narrative: G45.9 TRANSIENT CEREBRAL ISCHEMIA 3/24/2023 FUNCTIONAL NEUROLOGICAL SYMPTOM DISORDER W MIXED SYMPTOMS
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Asthma-chronic obstructive pulmonary disease overlap syndrome, Cardiac failure congestive, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 ACUTE EXACERBATION OF COPD I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 DO NOT RESUSCITATE STATUS I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) SYSTOLIC HEART FAILURE, ACUTE I95.9 HYPOTENSION 3/20/2023 ACUTE EXACERBATION OF ASTHMA COPD OVERLAP SYNDROME (ASTHMA W COPD) I95.9 HYPOTENSION 3/20/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: End stage renal disease, Hypotension
Clinical narrative: I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 ACUTE EXACERBATION OF COPD I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 DO NOT RESUSCITATE STATUS I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) SYSTOLIC HEART FAILURE, ACUTE I95.9 HYPOTENSION 3/20/2023 ACUTE EXACERBATION OF ASTHMA COPD OVERLAP SYNDROME (ASTHMA W COPD) I95.9 HYPOTENSION 3/20/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Confusional state
Clinical narrative: I63.9 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 4/19/2023 CONFUSION
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection Site Redness, swelling, pain, and itchiness. Fatigue.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Lacunar stroke
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic arteriosclerosis, Bradycardia, Hypotension
Clinical narrative: I95.9 HYPOTENSION 4/12/2023 ATHEROSCLEROSIS OF AORTA I95.9 HYPOTENSION 4/12/2023 BRADYCARDIA
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: ACUTE RESPIRATORY FAILURE HYPOXIA
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Asthenia, COVID-19 pneumonia, Dyspnoea, Fall
Clinical narrative: This is 91-year-old male who was admitted due to COVID-19 pneumonia on 9/6 and progressively worsening.  was admitted after he had noticed weakness and fall as well as shortness of breath. Initially required 3 to 4 L oxygen by nasal cannula. He was given steroids oxygen and breathing treatment. He progressively worsened and required up to 15 L oxygen by nasal cannula. He also had agitation and soft restraints were placed. He was placed on high flow oxygen with 100% FiO2, 55 L/min as his hypoxia worsened. Family eventually decided to switch him to comfort care only. Patient was seen by palliative care. He met inpatient GIP criteria. He does not have good oral intake. He is somnolent.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Fraction of inspired oxygen, General physical health deterioration, Hypophagia, Hypoxia, Patient restraint
Clinical narrative: This is 91-year-old male who was admitted due to COVID-19 pneumonia on 9/6 and progressively worsening.  was admitted after he had noticed weakness and fall as well as shortness of breath. Initially required 3 to 4 L oxygen by nasal cannula. He was given steroids oxygen and breathing treatment. He progressively worsened and required up to 15 L oxygen by nasal cannula. He also had agitation and soft restraints were placed. He was placed on high flow oxygen with 100% FiO2, 55 L/min as his hypoxia worsened. Family eventually decided to switch him to comfort care only. Patient was seen by palliative care. He met inpatient GIP criteria. He does not have good oral intake. He is somnolent.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: This is 91-year-old male who was admitted due to COVID-19 pneumonia on 9/6 and progressively worsening.  was admitted after he had noticed weakness and fall as well as shortness of breath. Initially required 3 to 4 L oxygen by nasal cannula. He was given steroids oxygen and breathing treatment. He progressively worsened and required up to 15 L oxygen by nasal cannula. He also had agitation and soft restraints were placed. He was placed on high flow oxygen with 100% FiO2, 55 L/min as his hypoxia worsened. Family eventually decided to switch him to comfort care only. Patient was seen by palliative care. He met inpatient GIP criteria. He does not have good oral intake. He is somnolent.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Abscess drainage, Injection site abscess, Injection site bruising, Injection site induration, Injection site mass
Clinical narrative: In the left thigh baby got a hard lump and bruising that was still noticeable two months later at next well baby appointment. Mom eventually took baby to the ER where the doctor drained an abscess at the injection site.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hypothyroidism, Hypoxia
Clinical narrative: R09.02 HYPOXIA 3/27/2023 HYPOTHYROIDISM R09.02 HYPOXIA 3/27/2023 WEAKNESS
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Acute respiratory failure, Hypotension, Hypoxia
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI HYPOTENSION ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, End stage renal disease, Glomerular filtration rate, Hypersensitivity
Clinical narrative: T78.3XXA ANGIOEDEMA, INIT 1/21/2022 CKD STAGE 5 (GFR <15) T78.40XA ALLERGIC REACTION, INIT 1/21/2022 CKD STAGE 5 (GFR <15)
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Gastritis, Laboratory test normal, No adverse event
Clinical narrative: After receiving the vaccine, I did not have an adverse reaction. The early morning of 06/18/2023, I had pain in my upper right quadrant. I went to emergency room. I had several tests, and all was within normal range. It was determined to be gastritis. I am taking medication to help with my symptoms. As of today, I have minor symptoms, but I do feel better than before.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Obstructive sleep apnoea syndrome, Pregnancy, Third trimester pregnancy
Clinical narrative: G47.33 OBSTRUCTIVE SLEEP APNEA 4/7/2023 HTN (HYPERTENSION) G47.33 OBSTRUCTIVE SLEEP APNEA 4/7/2023 SUPERVISION NORMAL FIRST PREGNANCY, THIRD TRIMESTER
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaphylactic reaction
Clinical narrative: ANAPHYLAXIS, INIT
Age: 85.0
Sex: M
Vaccine: TD
Symptoms: Expired product administered
Clinical narrative: Vaccine administered was expired by 3 days.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Injection received on a Saturday morning.  By evening, upper arm using for injection was reddish, swollen, tender, and warm to touch.  Patient took 1 Tylenol capsule before bedtime.  Patient awoke around 10pm and was nauseous and dizzy.    Today is Tuesday.  Arm has improved somewhat but is still obviously pink and is still tender and warm.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Nausea
Clinical narrative: Injection received on a Saturday morning.  By evening, upper arm using for injection was reddish, swollen, tender, and warm to touch.  Patient took 1 Tylenol capsule before bedtime.  Patient awoke around 10pm and was nauseous and dizzy.    Today is Tuesday.  Arm has improved somewhat but is still obviously pink and is still tender and warm.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Activated partial thromboplastin time normal, Blood glucose normal, Blood lactic acid normal, Blood magnesium, Chest pain
Clinical narrative: Patient returned about 2 hours after vaccine complaining of chills, chest pain, dizziness and light headedness.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Chills, Dizziness, Full blood count abnormal, Lipase normal, Metabolic function test
Clinical narrative: Patient returned about 2 hours after vaccine complaining of chills, chest pain, dizziness and light headedness.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Mononucleosis heterophile test negative, Neutrophil percentage increased, Pregnancy test negative, Prothrombin time normal, Respiratory viral panel
Clinical narrative: Patient returned about 2 hours after vaccine complaining of chills, chest pain, dizziness and light headedness.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Troponin normal, White blood cell count increased
Clinical narrative: Patient returned about 2 hours after vaccine complaining of chills, chest pain, dizziness and light headedness.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 2.0
Sex: F
Vaccine: DTPPVHBHPB, DTPPVHBHPB
Symptoms: Wrong product administered
Clinical narrative: Patient was to rece VAQTA (hep A) but instead grabbed the Vaxelis and gave in error. CDC Immunization hotline contacted and states no harm to patient- need to administer Hep A
Age: 2.0
Sex: F
Vaccine: DTPPVHBHPB, DTPPVHBHPB
Symptoms: Product administration error, Wrong product administered
Clinical narrative: Patient was to rece VAQTA (hep A) but instead grabbed the Vaxelis and gave in error. CDC Immunization hotline contacted and states no harm to patient- need to administer Hep A
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Coagulopathy, Symptom recurrence
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE 12/25/2022  &  1/5/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Uterine leiomyoma
Clinical narrative: G47.33 OBSTRUCTIVE SLEEP APNEA 3/2/2023 UTERINE FIBROIDS
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Fall, Feeling hot, Hyperhidrosis, Hypotonia
Clinical narrative: Patient was given her TDaP and Menveo vaccine in the left arm and then received her HPV in her right arm. Vaccine was given and patient proceeded to slump to the left and go limp. Patient then proceeded to shake her arm and hands. Mother started talking to patient and we laid her back on the exam table. Patient became alert and responded to mother. Patient knew where she was and stated that she was dizzy and warm. Patient was also sweating. Mother continued to speak to patient. Provider called into the room to help access patient a well. Ice pack was applied to forehead. Patient was allowed to lay flat for a number of minutes and when she felt ready was allowed to sit up. Patient was given apple juice and some graham cracker due to not eating much prior to appointment. Patient stated that she was feeling much better. Patient was allowed to stand and was stable.  She then transferred to bench in room so vitals could be obtained. Vitals were done and charted in chart. Patient was allowed to then leave the office alert and oriented. Mother was advised to monitor patient and to call the office with any further questions or concerns. Mother verbalized understanding.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Tremor
Clinical narrative: Patient was given her TDaP and Menveo vaccine in the left arm and then received her HPV in her right arm. Vaccine was given and patient proceeded to slump to the left and go limp. Patient then proceeded to shake her arm and hands. Mother started talking to patient and we laid her back on the exam table. Patient became alert and responded to mother. Patient knew where she was and stated that she was dizzy and warm. Patient was also sweating. Mother continued to speak to patient. Provider called into the room to help access patient a well. Ice pack was applied to forehead. Patient was allowed to lay flat for a number of minutes and when she felt ready was allowed to sit up. Patient was given apple juice and some graham cracker due to not eating much prior to appointment. Patient stated that she was feeling much better. Patient was allowed to stand and was stable.  She then transferred to bench in room so vitals could be obtained. Vitals were done and charted in chart. Patient was allowed to then leave the office alert and oriented. Mother was advised to monitor patient and to call the office with any further questions or concerns. Mother verbalized understanding.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Symptom recurrence
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 11/21/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Gangrene, Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY 2/28/2023 GANGRENE OF LEFT TOE PERIPHERAL NEUROPATHY 2/28/2023 GANGRENE OF LEFT FOOT
Age: 0.17
Sex: F
Vaccine: RV5
Symptoms: Haematochezia, Pyrexia, Rotavirus infection, Rotavirus test positive, Stool analysis abnormal
Clinical narrative: Vaccine given on 6/19/23. Patient started running 100.2F temp on 6/20. Abebrile for two days. On 6/23/23 patient ran a 100.4F fever and had bloody stools. Bloody stools continued until 6/25/23. Patient had ER visit where a stool panel was run and came back positive for rotavirus.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Basal ganglia stroke
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE STROKE OF BASAL GANGLIA, UNSPECIFIED TYPE AND ARTERY
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery disease, Hypoxia, Peripheral artery occlusion
Clinical narrative: R09.02 HYPOXIA 3/23/2023 RIGHT FEMORAL ARTERY OCCLUSION R09.02 HYPOXIA 3/23/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOXIA 1/11/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral arteriosclerosis, Hypotension
Clinical narrative: I95.9 HYPOTENSION 4/20/2023 CEREBRAL ATHEROSCLEROSIS
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Breast swelling, Discomfort, Oedema peripheral
Clinical narrative: Pain, swelling under left arm progressing into left breast for about 2 weeks.  Intermittent, but increasing frequency ringing in both ears for over 1 year.   Strange extremely strong pressure sensation and unusual feeling of "hearing" heartbeat  up both sides of neck and head while exercising.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pain, swelling under left arm progressing into left breast for about 2 weeks.  Intermittent, but increasing frequency ringing in both ears for over 1 year.   Strange extremely strong pressure sensation and unusual feeling of "hearing" heartbeat  up both sides of neck and head while exercising.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE ST ELEVATION MI, INFERIOR WALL
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cholecystitis, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 2/9/2023 CHOLECYSTITIS
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Adult failure to thrive, Hypotension
Clinical narrative: I95.9 HYPOTENSION 3/23/2023 FAILURE TO THRIVE SYNDROME, ADULT
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: This patient received the Bexsero State vaccine instead of the Private vaccine. A private  Bexsero vaccine was transferred to the state stock to replace the dose. Bexsero state vaccine given: Lot # EN939 Expiration date: 10/31/2024 NDC:58160-976-02 Manufacturer: GlaxoSmithKline  Bexsero Private vaccine transferred to state stock: Lot # J52PN Expiration date: 03/31/2024 NDC: 58160-976-02 Manufacturer: GlaxoSmithKline
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 1/7/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Hypoxia
Clinical narrative: R09.02 HYPOXIA 4/26/2023 COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE)
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiogenic shock, Deep vein thrombosis, Pulmonary embolism, Shock
Clinical narrative: ACUTE DVT OF RIGHT CALF, UNSPECIFIED VEIN ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE PULMONARY EMBOLISM CARDIOGENIC SHOCK SHOCK, UNSPECIFIED
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Hypothyroidism
Clinical narrative: I95.9 HYPOTENSION 4/28/2023 HYPOTHYROIDISM
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Pulmonary embolism
Clinical narrative: I26.99 ACUTE PULMONARY EMBOLISM 3/19/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED I26.99 ACUTE PULMONARY EMBOLISM 3/19/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA HYPOXIA
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blindness unilateral, Cardiac monitoring, Central nervous system lesion, Laboratory test abnormal
Clinical narrative: She was losing her balance and some of her speech was not coming out right. She woke up and her right eye vision was completely black and is blind in the right eye. Went to the doctor for her eye, they did a run tests and the tests showed that the frontal lobe of her brain showed lesions. They saw it by using contrast. They said it could be early dementia or Alzheimer's or MS.  They gave her a heart monitor. She also can put a large magnet on her arm and chest and it stays.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Speech disorder, Unevaluable event
Clinical narrative: She was losing her balance and some of her speech was not coming out right. She woke up and her right eye vision was completely black and is blind in the right eye. Went to the doctor for her eye, they did a run tests and the tests showed that the frontal lobe of her brain showed lesions. They saw it by using contrast. They said it could be early dementia or Alzheimer's or MS.  They gave her a heart monitor. She also can put a large magnet on her arm and chest and it stays.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 OBSTRUCTIVE SLEEP APNEA 4/3/2023 HX OF SLEEVE GASTRECTOMY
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Angiogram, Computerised tomogram, Computerised tomogram abdomen, Dysphemia
Clinical narrative: SEVERE ABD. PAIN  NAUSEA SINCE 3-30-2021 WITH 50 POUND WEIGHT LOSS, FATIGUE.   NOW SINCE FIRST PART OF JUNE 2023 HAVING VOCAL TICS, WORD STUTTERING AND DYSTONIA STILL WITH ALLPREVIIOUS SYMPTOMS.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dystonia, Fatigue, Gastric emptying study, Hepatobiliary scan, Laboratory test
Clinical narrative: SEVERE ABD. PAIN  NAUSEA SINCE 3-30-2021 WITH 50 POUND WEIGHT LOSS, FATIGUE.   NOW SINCE FIRST PART OF JUNE 2023 HAVING VOCAL TICS, WORD STUTTERING AND DYSTONIA STILL WITH ALLPREVIIOUS SYMPTOMS.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging abdominal, Nausea, Oesophagogastroduodenoscopy, Ultrasound abdomen, Vocal cord disorder
Clinical narrative: SEVERE ABD. PAIN  NAUSEA SINCE 3-30-2021 WITH 50 POUND WEIGHT LOSS, FATIGUE.   NOW SINCE FIRST PART OF JUNE 2023 HAVING VOCAL TICS, WORD STUTTERING AND DYSTONIA STILL WITH ALLPREVIIOUS SYMPTOMS.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: SEVERE ABD. PAIN  NAUSEA SINCE 3-30-2021 WITH 50 POUND WEIGHT LOSS, FATIGUE.   NOW SINCE FIRST PART OF JUNE 2023 HAVING VOCAL TICS, WORD STUTTERING AND DYSTONIA STILL WITH ALLPREVIIOUS SYMPTOMS.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram neck, Jugular vein thrombosis
Clinical narrative: patient has developed L internal jugular vein thrombosis
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Neuropathy peripheral
Clinical narrative: G62.9 NEUROPATHY 4/11/2023 RIGHT HIP JOINT PAIN G62.9 NEUROPATHY 4/11/2023 RIGHT HIP JOINT PAIN G62.9 NEUROPATHY 4/11/2023 RIGHT HIP JOINT PAIN
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension, Hypoxia
Clinical narrative: HYPOTENSION HYPOXIA
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Bodyaches and fatigue, one bump under the skin at site of injection, warmth and redness 1-2 inches around site of injection.  Advised patient to take an antihistamine and to monitor if it gets worst and to let us know if it does get worst. We have not heard from patient since first day of informing us. Tried to call patient back to follow up today (6/27/23) but no answer.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris
Clinical narrative: STABLE ANGINA ANGINA, UNSPECIFIED
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness for 2 days in left arm, then it went away after that. She rested and it went away.
Age: 60.0
Sex: F
Vaccine: MMR
Symptoms: Joint swelling, Pain
Clinical narrative: Swelling of knees which started about 2 weeks after MMR. Patient has been using OTC Diclofenac Gel on and off to control pain.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Symptom recurrence, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA 11/27/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Pneumonia
Clinical narrative: Presented to ED w/cough x 1 month; recently dc'd x 1 wk from hospitalization for pna; admitted w/COVID pna; tx w/abx, remdesivir, steroids, zinc; pt did not require O2 therapy; DC to home in stable condition.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Death, General physical health deterioration, Myalgia
Clinical narrative: Presented to ED w/myalgia x 2 days; admitted for COVID pna, acute resp failure w/hypoxia; tx w/abx, remdesivir, steroids, zinc, magnesium, pepcid, O2. Pt deteroriated & expired.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea
Clinical narrative: Presented to ED w/SOB; admitted for COVID-19 pna; tx w/abx, steroids, zinc, Singular; DC to SNF on baseline O2 @ 1L O2/NC
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: covid 19 booster given pink cap 0.2 ml ( 10mcg) and the recommendation is blue cap 0.25 ml (25mcg)
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE
Age: 69.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Injected limb mobility decreased, Mobility decreased, Pain, Tenderness
Clinical narrative: Patient woke up day after receiving Tdap boostrix with sore L shoulder pain 6/7. Unable to lift arm, throbbing, denies numbness or tingling. Tried hot packs and acetaminophen without effect.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: HYPOXIA 11/18/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 0.58
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Moderna Pink cap when they should have recieved the Moderna blue cap.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Gastric ulcer haemorrhage
Clinical narrative: LEFT BELLS PALSY 2/5/2023 CHRONIC OR UNS GASTRIC ULCER W/HEMORRHAGE
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Hypotension, Respiratory failure, Symptom recurrence
Clinical narrative: HX OF OLD MI W STABLE ANGINA HYPOTENSION CHRONIC HYPOXEMIC RESPIRATORY FAILURE 10/20/2022,  12/21/2022,  2/2/2023 --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Moderna Pink cap when they should have received the Moderna blue cap.
Age: 0.58
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Moderna Pink cap when they should have received the Moderna blue cap.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Chills, Headache, Insomnia
Clinical narrative: Whole body Joint pain, muscle pain, nerve pain, Ongoing headache, nausea and gagging  Chills,  inability to sleep , thirst, weakness
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Neuralgia, Retching, Thirst
Clinical narrative: Whole body Joint pain, muscle pain, nerve pain, Ongoing headache, nausea and gagging  Chills,  inability to sleep , thirst, weakness
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Hypoaesthesia, Injection site hypoaesthesia
Clinical narrative: Numbness of left arm from injection sight down to hand. No feeling still. Left side chest pain
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Dyspnoea, Pharyngeal swelling, Vaccination site mass, Vaccination site swelling
Clinical narrative: MOC called RN secondary to patient having a local reaction after receiving TDap and Meningitis vaccines. MOC reports approximately 24 hours after vaccination (vaccination on 6/20/23, reaction on 6/21/23) the child had a "golf ball size lump and lots of swelling" at the vaccination site (left deltoid). MOC denied face/throat swelling or difficulty breathing. MOC reports the child said the arm was not painful. MOC reports pt has a hx of a similar reactions when he received DTaP vaccine in a combination formulation as a child.  Per MOC, pt then received Dtap by itself (not combo) and had no reaction or problems after that administration.  Due to his previous reactions being localized to the injection site (previous reaction included swelling and a painful lump), PCP advised MOC to have pt go ahead and receive TDaP vaccine, expecting that he may potentially have a similar reaction as when he was younger. MOC verbalized she understands if pts throat or face started swelling or if pt had difficulty breathing she would call EMS.  Pt was advised at time of vaccination to wait in lobby for 30 minutes post vaccination for observation purposes.  MOC had alerted RN that administered vaccine of pts hx. See note from 6/20/23.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Colitis, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Hospitalization for Sepsis due to colitis (tested COVID positive) on dates 6/18/2023-6/21/2023. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 0.5
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient was accidentally, applied 10 doses of Pfizer COV Bivalent Vaccine. Patient is asymptomatic. Physical exdlorition is unremarkable. Mother and father were informed.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Hypoxia, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 12/22/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Ear pain, Oropharyngeal discomfort, Ultrasound scan
Clinical narrative: not certain think it was mnra pharmacy has records--sorry  began having trouble swallowing for sometime w a grating feel in l throat plus a growing ear canal pain developed w time, may have began ly but thought it was a cold
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia, Respiratory failure
Clinical narrative: Hospitalization for bilateral pneumonia/ hypoxemic respiratory failure, COVID  on dates 6/19/2023- 6/25/2023. Treated with dexamethasone (1 dose), baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID-19 on dates 6/20/2023- 6/24/2023. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral artery occlusion, Cerebrovascular accident
Clinical narrative: ACUTE STROKE DUE TO OCCLUSION OF LEFT MIDDLE CEREBRAL ARTERY CRYPTOGENIC STROKE
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Decreased appetite, Headache, Heart rate increased, Lethargy
Clinical narrative: Headache, Nausea, lethargy, increased heart rate, muscle pain, chills, loss of appetite,  and sleepiness
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myalgia, Nausea, Somnolence
Clinical narrative: Headache, Nausea, lethargy, increased heart rate, muscle pain, chills, loss of appetite,  and sleepiness
Age: 68.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient broke out in Shingles rash 3 days after vaccinations given on the left shoulder/back area.  Patient requested to have both vaccines on the right arm due to previous history of left breast mastectomy.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOXIA
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was inadvertently administered the Pfizier COVID19 Bivalent vaccine that was past the beyond use date. The dose was originally drawn up into the syringe from the multidose vial on June 24, 2023 and this dose was administered about 48 hours later on June 26, 2023 to the patient. Pfizer was contacted and per Pfizer, off label stability data show vaccine is stable up to 24 hours after drawn up into syringe. was contacted for guidance on how to proceed. Per  recommendations, patient needs to be revaccinated either right away or in 8 weeks to reduce risk of myocarditis/pericarditis. Patient was informed and will return to pharmacy in 8 weeks to be revaccinated. patient did not report any adverse reactions after receiving this vaccine.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Ataxia, Cerebrovascular accident, Hypotension, Small intestinal obstruction
Clinical narrative: I95.9 HYPOTENSION 3/21/2023 PARTIAL SMALL BOWEL OBSTRUCTION I95.9 HYPOTENSION 3/21/2023 ATAXIA, LATE EFFECT OF STROKE
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient had not symptoms or adverse reaction to the vaccine, he got an expired Moderna Bivalent Vaccine. The expiration date was of 6/18/2023 and date given was 6/19/2023
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Osteoarthritis
Clinical narrative: Moderna vaccine was administered outside of Facility- reported by patient ? NO LOT NUMBER WERE SUPPLIED --------------------------------------------------------------------------------------------------------------------------------------- T78.3XXD ANGIOEDEMA, SUBSEQ 5/2/2023 OSTEOARTHRITIS OF LEFT KNEE T78.3XXD ANGIOEDEMA, SUBSEQ 5/2/2023 OSTEOARTHRITIS OF LEFT KNEE
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Diabetic neuropathy, Dyspnoea, Hypoxia, Type 2 diabetes mellitus
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/2/2023 SHORTNESS OF BREATH R09.02 HYPOXIA 3/26/2023 SHORTNESS OF BREATH J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/2/2023 DM 2 W PERIPHERAL NEUROPATHY R09.02 HYPOXIA 3/26/2023 DM 2 W PERIPHERAL NEUROPATHY
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI  ACUTE NON ST ELEVATION MI (NSTEMI), TYPE 2 MI (SUPPLY/DEMAND)
Age: 73.0
Sex: F
Vaccine: HEPAB
Symptoms: Cold sweat, Diarrhoea, Gait inability, Posture abnormal
Clinical narrative: After thirty minutes of walking around the store, the patient's husband came to the pharmacy to report his wife was soaked in cold sweat and had diarrhea on herself. Patient was found slumped over a table in the food court with diarrhea on the floor, she was unable to walk and she was soaked in cold sweat. Paramedics were called and she went to the hospital for care.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Angina pectoris
Clinical narrative: STABLE ANGINA ANGINA, UNSPECIFIED ACUTE CORONARY SYNDROME, UNSPECIFIED
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI ACUTE MI
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: COVID-19 mRNA LNP-S, bivalent PF 6mos-5yrs (Moderna), 10 mcg/0.2 mL - Wrong dose received. (underdosed)
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE