chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Expired product administered, Medication error, No adverse event
Clinical narrative: expired dose of pentacel administered to a patient with no reported adverse event; Initial information received on 15-Aug-2022 regarding an unsolicited valid  non-serious case received from a physician.  This case involves a 3 years old male patient who was administered expired dose of diphtheria/tetanus/5 hybrid AC pertussis/IPV(MRC5)/HIB(PRP/T) vaccine [Pentacel] with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included VARICELLA ZOSTER VACCINE (VARICELLA VACCINE) for Prophylactic vaccination; MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE (MMR) for Prophylactic vaccination; PNEUMOCOCCAL VACCINE CONJ (PNEUMOCOCCAL CONJUGATE VACCINE) for Prophylactic vaccination; and HEPATITIS A VACCINE (HEPATITIS A) for Prophylactic vaccination.  On 12-Aug-2022, the patient received 0.5 mL dose of suspect diphtheria/tetanus/5 hybrid AC pertussis/IPV(MRC5)/HIB(PRP/T) vaccine (formulation and strength not reported; lot UJ474AAA, expiry date: 09-Jul-2022) via intramuscular route in the thigh nos for immunization.  On 12-Aug-2022, the patient was administered expired dose of diphtheria/tetanus/5 hybrid AC pertussis/IPV(MRC5)/HIB(PRP/T) vaccine with no reported adverse event (expired product administered).  It was reported, "an expired dose of PENTACEL administered to a patient. Requesting validity information. This situation is reported as a medication error due to expired dose of PENTACEL being administered".  Action taken was not applicable.  At time of reporting, the outcome was Unknown for the event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Sex: M
Vaccine: FLU4
Symptoms: Accidental exposure to product, Medication error, No adverse event
Clinical narrative: rest of the vaccine dripped down his arm with no reported adverse event; dose was supposed to 0.50 ml , however only about half was injected with no reported adverse event; Initial information received on 16-Aug-2022 regarding an unsolicited valid  non-serious case received from a pharmacist.  This case involves a 25 years old male patient and it was reported that dose was supposed to 0.50 ml , however only about half was injected with no reported adverse event and rest of the vaccine dripped down his arm with no reported adverse event , while receiving vaccine INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On 16-Aug-2022, the patient was supposed to receive a  dose of 0.5 ml of suspect  , however only half was injected (incorrect dose administered) (latency: same day) and it involved vaccine INFLUENZA QUADRIVAL A-B VACCINE , prefilled syringe, (frequency: once) (lot : UT7682LA ; expiry date: 30-Jun-2023) via intramuscular route in the left upper arm  for immunization.  The reporter stated that  she attempted to inject FLUZONE QUADRIVALENT PFS 0.5mL into a patient's left upper arm. She inspected the needle 3 times. During injection, approximately half of the FLUZONE QUADRIVALENT leaked out where the needle is attached. The patient stated that he could feel some of the vaccine going in. The rest of the vaccine dripped down his arm (accidental exposure to product) (latency: same day). She asks if the vaccine was valid or if she should reinject   Action taken : not applicable.  Outcome: unknown  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Dyspnoea, Hypersensitivity, Injection site swelling, Lymphadenopathy
Clinical narrative: Site: Swelling at Injection Site-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: swollen right breast-Medium, Systemic: Lymph Node Swelling-Medium
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Nausea, Pallor
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Mild, Additional Details: She said she gets nervous about vaccines. she started getting dizzy and pale and not feeling well a few minutes after the vaccine. she was sitting in chair. Gave her some water and she took some bites of granola bar. she felt better after about 15-20minutes and left.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Lethargy, Pain
Clinical narrative: Systemic: Body Aches Generalized-Severe, Systemic: Exhaustion / Lethargy-Severe
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong dose of vaccine - Too high.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness/Lightheadedness-Severe, Systemic: Exhaustion/Lethargy-Severe, Systemic: Fainting/Unresponsive-Medium, Systemic: Fever-Medium, Systemic: Headache-Severe, Systemic: Weakness-Severe.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness/Lightheadedness-Severe, Systemic: Exhaustion/Lethargy-Severe, Systemic: Fainting/Unresponsive-Medium, Systemic: Fever-Medium, Systemic: Headache-Severe, Systemic: Weakness-Severe.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Loss of consciousness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness/Lightheadedness-Medium, Systemic: Exhaustion/Lethargy-Medium, Systemic: Fainting/Unresponsive-Medium, Additional details: Patient received vaccine, several minutes later she passed out. Her mom caught her and brought her to the floor. She lied on the floor for several minutes then walked to a chair, sipped some water, ate some chips and sat in chair for approximately 5 minutes. She then felt well enough to leave store.
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Lethargy
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Exhaustion/Lethargy-Medium, Systemic: Fever-Medium, Additional Details: Patient stated daughter got an infection from an air bubble she saw in the syringe upon injection. Security cameras in pharmacy reviewed. Technician followed protocol of removing bubble. Patient given antibiotics by daughter and going to follow-up with primary. Patient and daughter told that an air bubble would not cause an infection.
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Pyrexia, Syringe issue
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Exhaustion/Lethargy-Medium, Systemic: Fever-Medium, Additional Details: Patient stated daughter got an infection from an air bubble she saw in the syringe upon injection. Security cameras in pharmacy reviewed. Technician followed protocol of removing bubble. Patient given antibiotics by daughter and going to follow-up with primary. Patient and daughter told that an air bubble would not cause an infection.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angina pectoris, Blood test, Cardiac imaging procedure abnormal, Computerised tomogram abnormal, Deep vein thrombosis
Clinical narrative: Boood clot in heart and deep-vein thrombosis in right leg  Diagnosed during Emergency room admission for heart pain
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Echocardiogram abnormal, Fibrin D dimer, Intracardiac thrombus, Magnetic resonance imaging
Clinical narrative: Boood clot in heart and deep-vein thrombosis in right leg  Diagnosed during Emergency room admission for heart pain
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Joint injury, Limb injury, Pain, Paraesthesia
Clinical narrative: Error: Shoulder joint injury (prolonged pain, tingling, etc.).
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness/Lightheadedness-Medium, Additional details: Patient felt dizziness after vaccine. She was monitored. Blood pressure checked (normal). Waited for 15-20 minutes before leaving and felt better.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: stated arm started to become red swollen and tender to tough on saturday. no urgent care, doctor's visit, or follow up. Also no breathing issues are serious events. To the eye looks like it could have been a bite of some sort because redness is lower part of upper arm where as you can see where shot was administed in deltoid muscle. Pt. believes its due to vaccine
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Joint range of motion decreased, Musculoskeletal stiffness, Pain
Clinical narrative: stiff neck, localized occipital pain on the right side, pulsing at occipital sight, range of movement limited, been told it feels like shingles without the rash symptoms ongoing
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough event  dose 1 Moderna 2/13/21 015M20A dose 2 Moderna 3/13/21 002B21A
Age: 37.0
Sex: M
Vaccine: TD
Symptoms: Chills, Injection site pain, Muscle spasms, Myalgia, Pyrexia
Clinical narrative: muscle pain and spasms throughout body about 14 hrs after injection, fever and chills x 1 day, injection site soreness
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Pain, Peripheral swelling, Pruritus, Skin reaction, Skin warm
Clinical narrative: Started with itching, pain. arm is now red, swollen, warm to touch. Dexamethasone 10mg/ml given in office. Script for methylprednisolone 4mg pack sent to pharmacy.
Age: 75.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Redness, swelling, warmth, pain - started on 8/9 - was seen at walk in clinic & prescribed Cephalexin 500mg q8hours x 7 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine was given. Patient will be contacted to repeat dose per CDC guideline/recommendation. This was patient's first dose.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL
Symptoms: Product administered to patient of inappropriate age, Vaccination error
Clinical narrative: Pt.'s mom brought pt. to clinic room when another child's name was called.  I (RN) was not aware that I had the wrong child. I did ask mom if her child's name was pronounced and she was here for one year immunization and mom said yes. Mom answered screening questions appropriately, immunizations were discussed, and VIS was presented for wach Imm. Imms were given as noted above and mom was given immunization record. Mom was them escorted to lobby where she signed in for appt and staff noticed she had immunization record in another child's name. Mom was notified that the MMR, Varivax, and Hep A vaccines that pt. received were not age appropriate and that they need to be repeated after 1st birthday. Pt.'s pediatrician was notified and our health department medical director was notified. Mom was advised to contact pt.'s doctor and out health department if she was concerned that pt. was experiencing any side effects.
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired vaccine- He was notified 8/18/22 and will return for repeat dose to be given per CDC recommendations- This was his 4th dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was give an expired dose - she was notified on 8/18/22 and will return for repeat dose, per CDC recommendation - This was her 4th dose -
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Expired vaccine was given. Patient will be contacted to repeat dose, per CDC recommendations. Patient's 4th dose. No problems noted.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered
Clinical narrative: Expired vaccine was administered. Patient was notified 8/18/22 and offered repeat dose per CDC recommendations. This was his 4th dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: The patient came to our offsite COVID-19 vaccination clinic. She denied previous vaccination and requested Novavax. Initial Impact search by receptionist showed no previous history of vaccination for COVID-19.  Patient was screened by three individuals who asked if she previously received a COVID-19 vaccination; she denied each time. After the clinic, when her vaccination was being entered into Impactsiis,, it was discovered that the patient had previously received a primary series of Moderna (3/23/21 and 4/20/2021) and a booster of Pfizer (11/30/2021). Patient did not report any side effects post vaccination during the observation period. Several attempts were made to contact the patient (phone call, text, email) in order to clarify her record; unable to reach patient.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram head normal, Confusional state, Electrocardiogram normal, Mental status changes
Clinical narrative: 61-year-old female with no significant past medical history presenting for evaluation of altered mental status.  Patient arrives via EMS.  Brought from urgent care due to increased confusion.  Patient's son took her to Urgent Care per EMS.  Urgent Care was concerned as patient had repetitive questioning in the increased.  No known past medical history.  No psychiatric history.  Denies SI/HI.  Denies any hallucinations at this time.  Denies any recent illness. Review of Systems Review of Systems Constitutional: Negative for chills and fever. Respiratory: Negative for shortness of breath.   Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for abdominal pain, nausea and vomiting. Psychiatric/Behavioral: Positive for confusion.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Transient global amnesia
Clinical narrative: 61-year-old female with no significant past medical history presenting for evaluation of altered mental status.  Patient arrives via EMS.  Brought from urgent care due to increased confusion.  Patient's son took her to Urgent Care per EMS.  Urgent Care was concerned as patient had repetitive questioning in the increased.  No known past medical history.  No psychiatric history.  Denies SI/HI.  Denies any hallucinations at this time.  Denies any recent illness. Review of Systems Review of Systems Constitutional: Negative for chills and fever. Respiratory: Negative for shortness of breath.   Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for abdominal pain, nausea and vomiting. Psychiatric/Behavioral: Positive for confusion.  All other systems reviewed and are negative.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Started immediately the next day with high pitch buzzing  in my ears which I have never suffered from before it has happened every day since receiving my second vaccination. I reported it to the doctor and hoped it would resolved on its own and it has not.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen 3/6/21, Moderna 5/10/22. Positive on 8/18/22.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 8/2/21, 8/30/21, 3/4/22. Positive on 8/18/22
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia
Clinical narrative: Mom was holding child?s head off to the side. Employee came on opposite side to administer vaccine, child jerked. All of vaccine wasn?t administered. Mom was upset and asked for child to have an additional vaccine given ASAP. Staff called mobile manager who told them our policy and said we can?t give an additional dose because child received half of the dose. Mom got upset and grabbed consent form and ripped it up. Team was done so they packed up and left. Mom was upset saying she?s a nurse and she felt as if he didn?t get the full dose so she wanted an additional dose administered. She didn?t believe the team and that if a person receives half the dose, it?s considered a full dose. She contacted someone, who contacted us. We explained the current CDC guidelines. Person was updated and told the team lead thgt she was going to call the mom of the patient.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Renal impairment
Clinical narrative: Patient came to the ED for complaints of exhaustion and was admitted to the hospital with Covid and impaired kidney function.  Patient was treated with remdesivir.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Walking aid user
Clinical narrative: On 08/10/2022, that morning as soon as I stood up I had a sharp pain from the knee all the way up.  I have not been to the doctor, but I have been walking with a cane. The next day the sharp pain happened again and stayed.  It felt as though someone had smashed my knee with a sledge hammer.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria chronic
Clinical narrative: I have chronic urticaria. Started in 10/2021. They stopped for a while, then got booster in 11/2021. Hives started again in 5/2022. I still have them everyday.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received more than the recommended vaccination schedule for COVID-19 vaccines. Total of 7 vaccines reported, from Pfizer and Moderna.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Spoke to Staff on 8/8 to discuss error. Per Staff member, the child and mother arrived to her work station and she struck up a conversation with the parent. Staff member stated she remembered thinking the child was tall for his age when she confirmed name and birthdate. Staff member stated all the vaccines were labeled appropriately and in their appropriate basket. She administered the vaccine and when she was filling out the vaccine card, that is when she realized she made the administration error. She stated she remembered grabbing a vaccine from the basket and going through the notions of administering the vaccine but it did not fully process that she gave the wrong dose until afterwards. She stated as soon as she realized what she did, she got up and notified the site lead. She notified another clinician and they pulled the parent into a private room and informed her of the mistake. Staff member stated the parent was understanding and appreciative. I let Staff member know of the process on the back end- We contacted parent after error via phone and will follow up for five days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd dose of Pfizer 14 days after first dose (too soon).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Condition aggravated, Gait disturbance, Inflammation
Clinical narrative: joint pain in entire body, fingers, wrists, shoulders, knees, hips, feet, toes. Would limp from pain while walking. Existing neck pain was a lot worse than normal. Pain would shift from joint to joint. Continued like this for 2 weeks and then made an appt with pcp and was referred to a Rheumatologist. Was put on prednisone for imflammation.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain
Clinical narrative: joint pain in entire body, fingers, wrists, shoulders, knees, hips, feet, toes. Would limp from pain while walking. Existing neck pain was a lot worse than normal. Pain would shift from joint to joint. Continued like this for 2 weeks and then made an appt with pcp and was referred to a Rheumatologist. Was put on prednisone for imflammation.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond storage expiration.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd Pfizer dose 15 days after 1st dose.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond storage expiration date.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd Pfizer dose 14 days after 1st dose, not within specified CDC guidelines.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac normal, Echocardiogram abnormal, Intensive care, Left ventricle outflow tract obstruction, Myocardial fibrosis
Clinical narrative: Originally I filed last year, I had been having Ventricular Arrhythmia, I had a full workup. Normal Echo. Now, I was hospitalized June 17th with Takotsubo Cardiomyopathy and SAM w/ LVOTO in ICU. The workup reveals a scar on the heart. This is all since the Vaccine, no issues ever, prior to the vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Myxoma, Stress cardiomyopathy, Systolic anterior motion of mitral valve, Ventricular arrhythmia
Clinical narrative: Originally I filed last year, I had been having Ventricular Arrhythmia, I had a full workup. Normal Echo. Now, I was hospitalized June 17th with Takotsubo Cardiomyopathy and SAM w/ LVOTO in ICU. The workup reveals a scar on the heart. This is all since the Vaccine, no issues ever, prior to the vaccine.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dosage administered resulting in a higher than authorized dose.
Age: 28.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Moderate side effects: body aches, headache, fatigue   Swelling, pain, redness, and itching at injection site that persists even after 6 days.
Age: 28.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site swelling, Pain
Clinical narrative: Moderate side effects: body aches, headache, fatigue   Swelling, pain, redness, and itching at injection site that persists even after 6 days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood glucose, Blood magnesium, Blood phosphorus, Blood thyroid stimulating hormone
Clinical narrative: Acute pericarditis pleural effusion
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Differential white blood cell count, Echocardiogram, Electrocardiogram, Full blood count
Clinical narrative: Acute pericarditis pleural effusion
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin, Haematology test, Influenza virus test, Laboratory test, Metabolic function test
Clinical narrative: Acute pericarditis pleural effusion
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis, Pleural effusion, Red blood cell sedimentation rate, Respiratory pathogen panel, Respiratory syncytial virus test
Clinical narrative: Acute pericarditis pleural effusion
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Troponin, Ultrasound Doppler, Urine analysis
Clinical narrative: Acute pericarditis pleural effusion
Age: 34.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Patient was given an injection that had expired 10 days prior to injection. Patient did not have any adverse reaction to the immunization at this point.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Headache, Night sweats, Pain in extremity
Clinical narrative: A headache began the morning after vaccination (approximately 18 hours later). It lingered even with treatment and then got much worse by the following night (about 30 hours later). There was also mild arm pain. In the middle of the night, there were severe night sweats.  No treatment sought.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Axillary pain, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Arm soreness, redness at injection site (size of a baseball), warmth, swelling, tenderness to palpation, left axilla now also sore.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Pain in extremity
Clinical narrative: Arm soreness, redness at injection site (size of a baseball), warmth, swelling, tenderness to palpation, left axilla now also sore.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED BEYOND STORAGE EXPIRATION DATE.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dizziness, Dyspnoea, Nausea, Pain
Clinical narrative: I had right side pain fever of 101 shortness of breath and nausea with dizziness including  pain
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had right side pain fever of 101 shortness of breath and nausea with dizziness including  pain
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dosage administered resulting in a higher than the authorized dose
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated (2 doses mRNA )
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Injection site reaction, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: pt had a red, itchy rash from near the injection site on the right leg across to the left leg, front to back running up the back and chest, pt also had a red, hot area on the right knee that had a red streak from the knee up towards the right thigh, the right knee did have a small sore or possible bite on the center the day of the injection but now redness or swelling
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test negative, Swelling
Clinical narrative: pt had a red, itchy rash from near the injection site on the right leg across to the left leg, front to back running up the back and chest, pt also had a red, hot area on the right knee that had a red streak from the knee up towards the right thigh, the right knee did have a small sore or possible bite on the center the day of the injection but now redness or swelling
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Anticoagulant therapy, COVID-19, Cough, Death
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 11/12/21, LOT #FF2593; 1/8/22 pt had a positive COVID test at Medical Center and was given monoclonal antibodies; 1/27/22 pt to ED and admitted with fever, fatigue, SOB, cough, nausea and vomiting; ARDS; given Decadron, Baricitinib, empiric ABX, O2 supplement; worsening hypoxemia; toggled between BiPAP and Vapotherm; respiratory status continued to worsen; transferred to ICU; intubated RLE DVT, anticoagulation therapy until a GI bleed, then placed IVC filter; pt's condition did not improve, worsened; family decided to withdraw all life support and pt expired in the hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Dyspnoea, Endotracheal intubation, Fatigue, Gastrointestinal haemorrhage
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 11/12/21, LOT #FF2593; 1/8/22 pt had a positive COVID test at Medical Center and was given monoclonal antibodies; 1/27/22 pt to ED and admitted with fever, fatigue, SOB, cough, nausea and vomiting; ARDS; given Decadron, Baricitinib, empiric ABX, O2 supplement; worsening hypoxemia; toggled between BiPAP and Vapotherm; respiratory status continued to worsen; transferred to ICU; intubated RLE DVT, anticoagulation therapy until a GI bleed, then placed IVC filter; pt's condition did not improve, worsened; family decided to withdraw all life support and pt expired in the hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Hypoxia, Intensive care, Life support, Nausea
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 11/12/21, LOT #FF2593; 1/8/22 pt had a positive COVID test at Medical Center and was given monoclonal antibodies; 1/27/22 pt to ED and admitted with fever, fatigue, SOB, cough, nausea and vomiting; ARDS; given Decadron, Baricitinib, empiric ABX, O2 supplement; worsening hypoxemia; toggled between BiPAP and Vapotherm; respiratory status continued to worsen; transferred to ICU; intubated RLE DVT, anticoagulation therapy until a GI bleed, then placed IVC filter; pt's condition did not improve, worsened; family decided to withdraw all life support and pt expired in the hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pyrexia, Respiratory disorder, SARS-CoV-2 test positive, Vena cava filter insertion
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 11/12/21, LOT #FF2593; 1/8/22 pt had a positive COVID test at Medical Center and was given monoclonal antibodies; 1/27/22 pt to ED and admitted with fever, fatigue, SOB, cough, nausea and vomiting; ARDS; given Decadron, Baricitinib, empiric ABX, O2 supplement; worsening hypoxemia; toggled between BiPAP and Vapotherm; respiratory status continued to worsen; transferred to ICU; intubated RLE DVT, anticoagulation therapy until a GI bleed, then placed IVC filter; pt's condition did not improve, worsened; family decided to withdraw all life support and pt expired in the hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 11/12/21, LOT #FF2593; 1/8/22 pt had a positive COVID test at Medical Center and was given monoclonal antibodies; 1/27/22 pt to ED and admitted with fever, fatigue, SOB, cough, nausea and vomiting; ARDS; given Decadron, Baricitinib, empiric ABX, O2 supplement; worsening hypoxemia; toggled between BiPAP and Vapotherm; respiratory status continued to worsen; transferred to ICU; intubated RLE DVT, anticoagulation therapy until a GI bleed, then placed IVC filter; pt's condition did not improve, worsened; family decided to withdraw all life support and pt expired in the hospital
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for and then tested positive for COVID-19
Age: 37.0
Sex: F
Vaccine: COVID19, HEP, TDAP, VARCEL
Symptoms: Anxiety, Aphasia, Chest pain, Cold sweat, Dizziness
Clinical narrative: Patients  vaccines were administered and she was asked to wait for a 15 minute observation period.  She initially reported feeling light headed and like she felt she could pass out. She was pale, cold and clammy. She was also having a hard time forming words and completing a sentence. She was given water, 7 Up and ate a few peanut butter crackers and a cool pack was applied to her neck. This helped her feel a little better and she was asked to still sit and rest for a few more minutes. After about 5 minutes she started complaining that her head hurt, she was having trouble getting deep breaths, that her chest was hurting and her tongue felt numb and her lips were tingling. She was asked to focus on some breathing exercises and her feet were elevated. She was also saying if she looked up then she was dizzy and wanted to pass out so she kept her head looking straight ahead. We were not able to obtain her vitals because she could not handle the blood pressure cuff. After about 10 minutes she was not improving and continued to say her chest hurt and she could not breath. At this point a call was placed to 911 for ambulance services. They arrived within about 5 minutes and was transported to the hospital for evaluation of anxiety and possible allergic reaction due to some tongue swelling. She also mentioned she had been taken to the ED last week with similar symptoms of shortness of breath and chest pain and been given clonazepam for anxiety.
Age: 37.0
Sex: F
Vaccine: COVID19, HEP, TDAP, VARCEL
Symptoms: Dyspnoea, Headache, Hypoaesthesia oral, Pallor, Paraesthesia oral
Clinical narrative: Patients  vaccines were administered and she was asked to wait for a 15 minute observation period.  She initially reported feeling light headed and like she felt she could pass out. She was pale, cold and clammy. She was also having a hard time forming words and completing a sentence. She was given water, 7 Up and ate a few peanut butter crackers and a cool pack was applied to her neck. This helped her feel a little better and she was asked to still sit and rest for a few more minutes. After about 5 minutes she started complaining that her head hurt, she was having trouble getting deep breaths, that her chest was hurting and her tongue felt numb and her lips were tingling. She was asked to focus on some breathing exercises and her feet were elevated. She was also saying if she looked up then she was dizzy and wanted to pass out so she kept her head looking straight ahead. We were not able to obtain her vitals because she could not handle the blood pressure cuff. After about 10 minutes she was not improving and continued to say her chest hurt and she could not breath. At this point a call was placed to 911 for ambulance services. They arrived within about 5 minutes and was transported to the hospital for evaluation of anxiety and possible allergic reaction due to some tongue swelling. She also mentioned she had been taken to the ED last week with similar symptoms of shortness of breath and chest pain and been given clonazepam for anxiety.
Age: 37.0
Sex: F
Vaccine: COVID19, HEP, TDAP, VARCEL
Symptoms: Swollen tongue
Clinical narrative: Patients  vaccines were administered and she was asked to wait for a 15 minute observation period.  She initially reported feeling light headed and like she felt she could pass out. She was pale, cold and clammy. She was also having a hard time forming words and completing a sentence. She was given water, 7 Up and ate a few peanut butter crackers and a cool pack was applied to her neck. This helped her feel a little better and she was asked to still sit and rest for a few more minutes. After about 5 minutes she started complaining that her head hurt, she was having trouble getting deep breaths, that her chest was hurting and her tongue felt numb and her lips were tingling. She was asked to focus on some breathing exercises and her feet were elevated. She was also saying if she looked up then she was dizzy and wanted to pass out so she kept her head looking straight ahead. We were not able to obtain her vitals because she could not handle the blood pressure cuff. After about 10 minutes she was not improving and continued to say her chest hurt and she could not breath. At this point a call was placed to 911 for ambulance services. They arrived within about 5 minutes and was transported to the hospital for evaluation of anxiety and possible allergic reaction due to some tongue swelling. She also mentioned she had been taken to the ED last week with similar symptoms of shortness of breath and chest pain and been given clonazepam for anxiety.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Decreased appetite, Fall
Clinical narrative: 91-year-old female with past medical history listed below admitted on 8/15/2022 for weakness.  Was residing in a nursing home and fell.  She was brought to the hospital for further evaluation, to have AKI.  Patient denies any headache, dizziness, chest pain, palpitations, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, urinary symptoms. Reports that she has had decreased appetite for the last 2 weeks.  Did get the COVID vaccine about 3 weeks ago.  In the ED, was noted to have AKI.  She will be admitted for further evaluation and treatment
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER STORAGE EXPIRATION DATE
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: deceased on 11/24/2021
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: COVID Pfizer 6mo-4yr vaccine given instead of COVID Pfizer 5-11yr
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin E increased, Food allergy, Hypersensitivity
Clinical narrative: Patient has no previous history of anaphylactic reactions nor severe allergies.  Within the short period of time after one vaccination, he developed severe, class 6, allergies and had multiple visits to local emergency department.  Since that time, the allergic reactions have started to slowly dissipate somewhat.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 12.0
Sex: F
Vaccine: TDAP, UNK
Symptoms: Fall, Headache, Syncope, Vaccination site pain
Clinical narrative: Grandmother verbally reported to that pt. "fell and fainted".  When staff looked up at pt., she was returning to a sitting position from leaning to the left in the chair.  No fall or fainting witness by the staff.  When I approached pt., she was sitting in the chair.  Pt. verbally reported that her head was hurting on the right side of her head and that her arm was hurting on the right side where she received the vaccine.  Temperature taken and was 97.3, B/P 107/73 on left arm, RR 20 and HR 80.  Staff translated in other language with the grandmother and she reported that pt. never had a reaction to vaccines in the past and that pt. had eaten breakfast. Pt. was encouraged to continue to drink fluids.  Pt. was reassessed every 5 minutes and verbally reported that she was feeling better, head and arm was hurting less and that she felt back to normal.  After the 30 minutes of observation, pt. was able to stand, lift arms above head, and she ambulated around the chairs in the post vac area without any signs of dizziness and no verbal complaints.  Patient left the post vacc area without ambulating independently and verbally stating that she felt back to normal.  Post vacc instructions translated to the grandmother from staff.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test normal, Chest discomfort, Chest pain, Echocardiogram normal
Clinical narrative: Chest pain and tightness same night as the shot on 2/2/2022 that lasted for over a week.  Then on 4/26/2022 I developed atrial fibrillation for the first time in my life.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal
Clinical narrative: Chest pain and tightness same night as the shot on 2/2/2022 that lasted for over a week.  Then on 4/26/2022 I developed atrial fibrillation for the first time in my life.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond storage expiration date.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired Vaccine administered. Pt did not have any negative effects. Stayed in store shopping for 2 hours and had no symptoms or signs of harm
Age: 30.0
Sex: F
Vaccine: DTAP
Symptoms: Lymphadenopathy
Clinical narrative: swollen lymph node in armpit
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dyspnoea, Lung opacity
Clinical narrative: Patient admitted due to SOB from receny COVID viral infection. CXR showed RLL airspace opacity, She was treated with nasal oxygen, IV remdesvir and decadron. Pt discharged home
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Mental status changes, SARS-CoV-2 test, Vertigo
Clinical narrative: presented to emergency department for evaluation of recurrent vertigo symptoms as well as altered mental status. Pt followed my nerology and medically managed. Tested for Covid before d/c to a Snf. pt asymptomatic.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED BEYOND STORAGE EXPIRATION DATE.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Hypotension, Metabolic encephalopathy
Clinical narrative: Patient admitted for COVID-19 pneumonia, hypotension, metabolic encephalopathy, acute hypoxemic respiratory failure. Treated with decadron and remdesivir and inhalers. Once stable pt d/c home
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea
Clinical narrative: Primary Care Physician at Discharge: Hematologist/Oncologist: Dr. Admission Date: 8/12/2022; Discharge Date: 08/18/2022; Patient's Discharge Disposition:  Home in stable condition. PRESENTING PROBLEM: Pneumonia [J18.9] Hospital course: This is a 73 year old man with a past medical history as listed above who presented toHospital with SOB, 4 days of fevers and chills, and general malaise having failed outpatient antibiotics from his PCP. In the ED, the patient was febrile with increased WOB in the ED. CXR demonstrated RML PNA. He was started on Zosyn/Vanco and admitted to Hospital. MRSA was neg so Vanco was stopped. CT chest 8/12 demonstrated extensive right sided PNA. ID was consulted and Merrem was started. ID felt that the patient warranted transfer to hospital for pulmonary evaluation. The patient was transferred to hospital for further evaluation and management. Pulmonology and ID assisted in management. A bronch was completed on 8/13 with the above results. A covid test was done for a cycle threshold, which was 21.4. This is indicative of an active covid infection and the patient was started on steroids, remdesivir, and received high titer plasma. The remaining infectious work up remained negative throughout the admission. The patient's symptoms greatly improved and he was able to be weaned off oxygen. The patient was eating and ambulating at the time of discharge. He was instructed to hold his Eliquis and Venetoclax until his follow up appointment with Dr. Discharge medications and follow up as listed below. Answered all questions and the patient and family were comfortable with the discharge plan.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Malaise, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Primary Care Physician at Discharge: Hematologist/Oncologist: Dr. Admission Date: 8/12/2022; Discharge Date: 08/18/2022; Patient's Discharge Disposition:  Home in stable condition. PRESENTING PROBLEM: Pneumonia [J18.9] Hospital course: This is a 73 year old man with a past medical history as listed above who presented toHospital with SOB, 4 days of fevers and chills, and general malaise having failed outpatient antibiotics from his PCP. In the ED, the patient was febrile with increased WOB in the ED. CXR demonstrated RML PNA. He was started on Zosyn/Vanco and admitted to Hospital. MRSA was neg so Vanco was stopped. CT chest 8/12 demonstrated extensive right sided PNA. ID was consulted and Merrem was started. ID felt that the patient warranted transfer to hospital for pulmonary evaluation. The patient was transferred to hospital for further evaluation and management. Pulmonology and ID assisted in management. A bronch was completed on 8/13 with the above results. A covid test was done for a cycle threshold, which was 21.4. This is indicative of an active covid infection and the patient was started on steroids, remdesivir, and received high titer plasma. The remaining infectious work up remained negative throughout the admission. The patient's symptoms greatly improved and he was able to be weaned off oxygen. The patient was eating and ambulating at the time of discharge. He was instructed to hold his Eliquis and Venetoclax until his follow up appointment with Dr. Discharge medications and follow up as listed below. Answered all questions and the patient and family were comfortable with the discharge plan.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test negative, Transfusion
Clinical narrative: Primary Care Physician at Discharge: Hematologist/Oncologist: Dr. Admission Date: 8/12/2022; Discharge Date: 08/18/2022; Patient's Discharge Disposition:  Home in stable condition. PRESENTING PROBLEM: Pneumonia [J18.9] Hospital course: This is a 73 year old man with a past medical history as listed above who presented toHospital with SOB, 4 days of fevers and chills, and general malaise having failed outpatient antibiotics from his PCP. In the ED, the patient was febrile with increased WOB in the ED. CXR demonstrated RML PNA. He was started on Zosyn/Vanco and admitted to Hospital. MRSA was neg so Vanco was stopped. CT chest 8/12 demonstrated extensive right sided PNA. ID was consulted and Merrem was started. ID felt that the patient warranted transfer to hospital for pulmonary evaluation. The patient was transferred to hospital for further evaluation and management. Pulmonology and ID assisted in management. A bronch was completed on 8/13 with the above results. A covid test was done for a cycle threshold, which was 21.4. This is indicative of an active covid infection and the patient was started on steroids, remdesivir, and received high titer plasma. The remaining infectious work up remained negative throughout the admission. The patient's symptoms greatly improved and he was able to be weaned off oxygen. The patient was eating and ambulating at the time of discharge. He was instructed to hold his Eliquis and Venetoclax until his follow up appointment with Dr. Discharge medications and follow up as listed below. Answered all questions and the patient and family were comfortable with the discharge plan.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 12/29/21, LOT #FJ8757; 1/4/22 pt had a positive COVID test from Urgent Care; 1/9 - 1/19/22 pt had a hospitalization (name of hosp unknown) with COVID pneumonia; 2/7 - 2/26/22 pt brought to hospital again with increasing weakness, falling, and poor oral intake; CXR showed improvements, still with bilateral interstitial and patchy alveolar opacities; AKI;  pt had a seizure in the hospital; found to have HSV-2 meningitis; treated with Acyclovir; seizure medications given for seizures; poor prognosis; transitioned to comfort care; dc'd to Life Care Center on  hospice; pt expired in the Life Care Center