chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Computerised tomogram head normal, Dizziness, Full blood count normal, Headache, Injection site pain
Clinical narrative: 8/23/2022 4-4:30 Injection site hurt after injection. 8/24/2022@ 10am pt. was practicing soccer, she got dizzy, sat down and her vision got blurry then she experienced a sudden headache that increasingly got worse. 11:15-12 I took her to the ER where her speech was garbled at times. She was weak all over, became slightly nauseous. 12:30 She lost her vision completely for about 1 hour. It started to slowly resolve. IV of NS started, Piggy back of reglan administered. she had a CT of her head which was negative. IV toradol for pain which didn't help. Tylenol 1000mg IV which helped eventually. CBC was  normal, potassium was 3.1, glucose 118, cr/bn10.1.  3:30-4pm She was given kcl 20 meq and fiorecet. By this time she reported it as a normal headache. Needed wheelchair to car and experienced pain getting out of the car which required her having to sit back down and get up slowly after the head pain resolved. She is sleeping
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Nausea, Speech disorder, Vision blurred
Clinical narrative: 8/23/2022 4-4:30 Injection site hurt after injection. 8/24/2022@ 10am pt. was practicing soccer, she got dizzy, sat down and her vision got blurry then she experienced a sudden headache that increasingly got worse. 11:15-12 I took her to the ER where her speech was garbled at times. She was weak all over, became slightly nauseous. 12:30 She lost her vision completely for about 1 hour. It started to slowly resolve. IV of NS started, Piggy back of reglan administered. she had a CT of her head which was negative. IV toradol for pain which didn't help. Tylenol 1000mg IV which helped eventually. CBC was  normal, potassium was 3.1, glucose 118, cr/bn10.1.  3:30-4pm She was given kcl 20 meq and fiorecet. By this time she reported it as a normal headache. Needed wheelchair to car and experienced pain getting out of the car which required her having to sit back down and get up slowly after the head pain resolved. She is sleeping
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Pt came in today for 2nd shot of series and complained his arm still hurt from first shot in May
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: 17 YO PATIENT.  2 PFIZER PRIMARY.  TEAR PAD, TEAR STRIP, VACCINE CARD, AND VACCINE LABELED MODERNA BOOSTER #1.  CONSENT RECEIVED BY MOTHER FOR  CONSENT.  MODERNA BOOSTER ADMINISTERED LEFT DELTOID.  NO COMPLICATIONS.   OBSERVATION FOR 15 MIN WITHOUT INCIDENT.
Age: 1.33
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Crying, Fall, Gait disturbance, Lethargy, Mood swings
Clinical narrative: Fever for 5 days, personality changes, blank staring for minutes, temperament changes (happy for a minute then crying), can?t walk straight and keeps falling down, lethargy,
Age: 1.33
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Pyrexia, Staring
Clinical narrative: Fever for 5 days, personality changes, blank staring for minutes, temperament changes (happy for a minute then crying), can?t walk straight and keeps falling down, lethargy,
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Pyrexia, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: 8 days after his first shot (7/3/22) he had a high fever (~103) and a red raised rash around his injection site (see attached). The rash was hot to the touch and he said it was itchy. The fever resolved in 24 hours and the rash resolved with a few days. Tylenol was used for his fever only on 7/3/22.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 8 days after his first shot (7/3/22) he had a high fever (~103) and a red raised rash around his injection site (see attached). The rash was hot to the touch and he said it was itchy. The fever resolved in 24 hours and the rash resolved with a few days. Tylenol was used for his fever only on 7/3/22.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Impaired work ability, Pain in extremity, Pruritus
Clinical narrative: Pt report redness, bumps, pruritis, spreading eventually all over body, went to see Dermatologist, started approximately a month after 3rd dose booster.  Arms are now dry, red and peeling.  Showed bumps all over body, legs & feet.  Patient said had pain in arms and legs that could not go to work.  Says she is a masseuse but could not work.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin exfoliation
Clinical narrative: Pt report redness, bumps, pruritis, spreading eventually all over body, went to see Dermatologist, started approximately a month after 3rd dose booster.  Arms are now dry, red and peeling.  Showed bumps all over body, legs & feet.  Patient said had pain in arms and legs that could not go to work.  Says she is a masseuse but could not work.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Genital herpes
Clinical narrative: Three weeks post Shingrix vaccine multiple outbreaks of genital herpes have occurred, all  in multiple spots on the body that do not respond to acyclovir.  Prior to the vaccine outbreaks occurred in one spot typically once per year lasting typically 4 days. Post Shingrix vaccine the breakout is spread across multiple locations - face, hands, arms, back, and lasting multiple weeks.
Age: 10.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Axillary pain, Incorrect dose administered, Pain in extremity, Product preparation issue
Clinical narrative: PT WAS ADMINISTERED UNDILUTED COVID-19 VACCINE. SHE SHOULD HAVE RECEIVED 10 MCG BUT INSTEAD RECEIVED 20MCG.  ERROR WAS REPORTED TO MOM ON 08/23/2022 @ 1700 BY DR. WHEN ERROR WAS REALIZED. MOM STATED THAT PT HAD SORE ARM AND ARMPIT BUT NO OTHER SYMPTOMS.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Incorrect dose administered, Pain in extremity, Product preparation error
Clinical narrative: PATIENT WAS ADMINISTERED UNDILUTED COVID-19 VACCINE ON 08/24/2022.  SHE SHOULD HAVE RECEIVED 10 MCG BUT INSTEAD RECEIVED 20 MCG.  ERROR WAS REPORTED TO MOM ON 08/23/2022 @ 1700 BY DR. WHEN THE ERROR WAS REALIZED.  MOM STATED THAT PATIENT HAS A SORE ARM AND ARMPIT BUT NO OTHER SYMPTOMS.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal adhesions, Abdominal pain, Asymptomatic bacteriuria, Bacterial test positive, Blood creatinine normal
Clinical narrative: Patient was given the Janssen Ad26.CoV2.S vaccine on 8/2/22. Per Pl this SAE is not related. 41 y.o. male with a complex past medical history significant for renal transplant 2022 (ESRD 2/2 obstructive uropathy from neurogenic bladder and horseshoe kidney), HTN, HLD, spina bifida with paraplegia and VP shunt on-situ, Chiari 2 malformation, neurogenic bladder (self-caths every 4-6 hours), neurogenic bowel s/p MACE stoma, recurrent UTIs, recurrent SBOs, chronic migraine, anemia of CKS and iron deficiency, h/o elevated LFTs, mild neurocognitive disorder, OSA on cpap.  Patient presented to the emergency department at clinic on 8/16/2022 with complaints of new onset abdominal pain, nausea and vomiting.  On presentation in the ED (admitted 16:03) her was afebrile, tachycardic up to 103, hypertensive to 166/111. Labs significant for WBC 10, lactate 1.3, normal creatinine. UA shows large leukocyte esterase with moderate squamous epithelials, moderate bacteria, positive nitrites and 51-100 WBC. CT abdomen and pelvis with contrast shows a large small-bowel obstruction in the left lower quadrant with transition point secondary to adhesions in the left anterior abdominal wall and left ileal neobladder.  The patient received antiemetic, pain medication and 1 L NS in the ED. Hospital internal medicine was asked to admit this patient for further evaluation and management.  Patient was placed on bowel rest, with antiemetics and IV fluids. On hospital admit 1 he had a large liquid bowel movement. He did have 1 bout of emesis but reported subjective improvement in his nausea. His symptoms continued to improve throughout the day and his diet was advanced to clear liquids. On 08/19, he was able to tolerate a soft low-fiber diet from a full liquid diet. He was without any fever, chills, chest pain or shortness of breath. His abdominal pain had improved greatly, and he was without any nausea or vomiting.   We obtained a repeat KUB which revealed moderately dilated loops of small bowel, partial small-bowel obstruction.   Urine culture resulted with Klebsiella pneumonia. Pt is chronically colonized. He received 2 doses of ciprofloxacin. Ultimately, given normal WBC and appearing well clinically, along with being afebrile-antibiotics were discontinued.  Renal transplant was consulted for recommendations. They recommended holding off on any treatment for asymptomatic bacteriuria. Additionally, they recommended continuing home dose immunosuppression medications.  Pt discharged on 8/19 at 14:29.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Bowel movement irregularity, Computerised tomogram abdomen abnormal, Condition aggravated, Culture urine positive
Clinical narrative: Patient was given the Janssen Ad26.CoV2.S vaccine on 8/2/22. Per Pl this SAE is not related. 41 y.o. male with a complex past medical history significant for renal transplant 2022 (ESRD 2/2 obstructive uropathy from neurogenic bladder and horseshoe kidney), HTN, HLD, spina bifida with paraplegia and VP shunt on-situ, Chiari 2 malformation, neurogenic bladder (self-caths every 4-6 hours), neurogenic bowel s/p MACE stoma, recurrent UTIs, recurrent SBOs, chronic migraine, anemia of CKS and iron deficiency, h/o elevated LFTs, mild neurocognitive disorder, OSA on cpap.  Patient presented to the emergency department at clinic on 8/16/2022 with complaints of new onset abdominal pain, nausea and vomiting.  On presentation in the ED (admitted 16:03) her was afebrile, tachycardic up to 103, hypertensive to 166/111. Labs significant for WBC 10, lactate 1.3, normal creatinine. UA shows large leukocyte esterase with moderate squamous epithelials, moderate bacteria, positive nitrites and 51-100 WBC. CT abdomen and pelvis with contrast shows a large small-bowel obstruction in the left lower quadrant with transition point secondary to adhesions in the left anterior abdominal wall and left ileal neobladder.  The patient received antiemetic, pain medication and 1 L NS in the ED. Hospital internal medicine was asked to admit this patient for further evaluation and management.  Patient was placed on bowel rest, with antiemetics and IV fluids. On hospital admit 1 he had a large liquid bowel movement. He did have 1 bout of emesis but reported subjective improvement in his nausea. His symptoms continued to improve throughout the day and his diet was advanced to clear liquids. On 08/19, he was able to tolerate a soft low-fiber diet from a full liquid diet. He was without any fever, chills, chest pain or shortness of breath. His abdominal pain had improved greatly, and he was without any nausea or vomiting.   We obtained a repeat KUB which revealed moderately dilated loops of small bowel, partial small-bowel obstruction.   Urine culture resulted with Klebsiella pneumonia. Pt is chronically colonized. He received 2 doses of ciprofloxacin. Ultimately, given normal WBC and appearing well clinically, along with being afebrile-antibiotics were discontinued.  Renal transplant was consulted for recommendations. They recommended holding off on any treatment for asymptomatic bacteriuria. Additionally, they recommended continuing home dose immunosuppression medications.  Pt discharged on 8/19 at 14:29.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Immunosuppressant drug therapy, Intestinal dilatation, Klebsiella test positive, Nausea
Clinical narrative: Patient was given the Janssen Ad26.CoV2.S vaccine on 8/2/22. Per Pl this SAE is not related. 41 y.o. male with a complex past medical history significant for renal transplant 2022 (ESRD 2/2 obstructive uropathy from neurogenic bladder and horseshoe kidney), HTN, HLD, spina bifida with paraplegia and VP shunt on-situ, Chiari 2 malformation, neurogenic bladder (self-caths every 4-6 hours), neurogenic bowel s/p MACE stoma, recurrent UTIs, recurrent SBOs, chronic migraine, anemia of CKS and iron deficiency, h/o elevated LFTs, mild neurocognitive disorder, OSA on cpap.  Patient presented to the emergency department at clinic on 8/16/2022 with complaints of new onset abdominal pain, nausea and vomiting.  On presentation in the ED (admitted 16:03) her was afebrile, tachycardic up to 103, hypertensive to 166/111. Labs significant for WBC 10, lactate 1.3, normal creatinine. UA shows large leukocyte esterase with moderate squamous epithelials, moderate bacteria, positive nitrites and 51-100 WBC. CT abdomen and pelvis with contrast shows a large small-bowel obstruction in the left lower quadrant with transition point secondary to adhesions in the left anterior abdominal wall and left ileal neobladder.  The patient received antiemetic, pain medication and 1 L NS in the ED. Hospital internal medicine was asked to admit this patient for further evaluation and management.  Patient was placed on bowel rest, with antiemetics and IV fluids. On hospital admit 1 he had a large liquid bowel movement. He did have 1 bout of emesis but reported subjective improvement in his nausea. His symptoms continued to improve throughout the day and his diet was advanced to clear liquids. On 08/19, he was able to tolerate a soft low-fiber diet from a full liquid diet. He was without any fever, chills, chest pain or shortness of breath. His abdominal pain had improved greatly, and he was without any nausea or vomiting.   We obtained a repeat KUB which revealed moderately dilated loops of small bowel, partial small-bowel obstruction.   Urine culture resulted with Klebsiella pneumonia. Pt is chronically colonized. He received 2 doses of ciprofloxacin. Ultimately, given normal WBC and appearing well clinically, along with being afebrile-antibiotics were discontinued.  Renal transplant was consulted for recommendations. They recommended holding off on any treatment for asymptomatic bacteriuria. Additionally, they recommended continuing home dose immunosuppression medications.  Pt discharged on 8/19 at 14:29.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Nitrite urine present, Scan with contrast abnormal, Small intestinal obstruction, Tachycardia, Urinary sediment present
Clinical narrative: Patient was given the Janssen Ad26.CoV2.S vaccine on 8/2/22. Per Pl this SAE is not related. 41 y.o. male with a complex past medical history significant for renal transplant 2022 (ESRD 2/2 obstructive uropathy from neurogenic bladder and horseshoe kidney), HTN, HLD, spina bifida with paraplegia and VP shunt on-situ, Chiari 2 malformation, neurogenic bladder (self-caths every 4-6 hours), neurogenic bowel s/p MACE stoma, recurrent UTIs, recurrent SBOs, chronic migraine, anemia of CKS and iron deficiency, h/o elevated LFTs, mild neurocognitive disorder, OSA on cpap.  Patient presented to the emergency department at clinic on 8/16/2022 with complaints of new onset abdominal pain, nausea and vomiting.  On presentation in the ED (admitted 16:03) her was afebrile, tachycardic up to 103, hypertensive to 166/111. Labs significant for WBC 10, lactate 1.3, normal creatinine. UA shows large leukocyte esterase with moderate squamous epithelials, moderate bacteria, positive nitrites and 51-100 WBC. CT abdomen and pelvis with contrast shows a large small-bowel obstruction in the left lower quadrant with transition point secondary to adhesions in the left anterior abdominal wall and left ileal neobladder.  The patient received antiemetic, pain medication and 1 L NS in the ED. Hospital internal medicine was asked to admit this patient for further evaluation and management.  Patient was placed on bowel rest, with antiemetics and IV fluids. On hospital admit 1 he had a large liquid bowel movement. He did have 1 bout of emesis but reported subjective improvement in his nausea. His symptoms continued to improve throughout the day and his diet was advanced to clear liquids. On 08/19, he was able to tolerate a soft low-fiber diet from a full liquid diet. He was without any fever, chills, chest pain or shortness of breath. His abdominal pain had improved greatly, and he was without any nausea or vomiting.   We obtained a repeat KUB which revealed moderately dilated loops of small bowel, partial small-bowel obstruction.   Urine culture resulted with Klebsiella pneumonia. Pt is chronically colonized. He received 2 doses of ciprofloxacin. Ultimately, given normal WBC and appearing well clinically, along with being afebrile-antibiotics were discontinued.  Renal transplant was consulted for recommendations. They recommended holding off on any treatment for asymptomatic bacteriuria. Additionally, they recommended continuing home dose immunosuppression medications.  Pt discharged on 8/19 at 14:29.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Urine leukocyte esterase positive, Vomiting, White blood cell count normal, White blood cells urine positive
Clinical narrative: Patient was given the Janssen Ad26.CoV2.S vaccine on 8/2/22. Per Pl this SAE is not related. 41 y.o. male with a complex past medical history significant for renal transplant 2022 (ESRD 2/2 obstructive uropathy from neurogenic bladder and horseshoe kidney), HTN, HLD, spina bifida with paraplegia and VP shunt on-situ, Chiari 2 malformation, neurogenic bladder (self-caths every 4-6 hours), neurogenic bowel s/p MACE stoma, recurrent UTIs, recurrent SBOs, chronic migraine, anemia of CKS and iron deficiency, h/o elevated LFTs, mild neurocognitive disorder, OSA on cpap.  Patient presented to the emergency department at clinic on 8/16/2022 with complaints of new onset abdominal pain, nausea and vomiting.  On presentation in the ED (admitted 16:03) her was afebrile, tachycardic up to 103, hypertensive to 166/111. Labs significant for WBC 10, lactate 1.3, normal creatinine. UA shows large leukocyte esterase with moderate squamous epithelials, moderate bacteria, positive nitrites and 51-100 WBC. CT abdomen and pelvis with contrast shows a large small-bowel obstruction in the left lower quadrant with transition point secondary to adhesions in the left anterior abdominal wall and left ileal neobladder.  The patient received antiemetic, pain medication and 1 L NS in the ED. Hospital internal medicine was asked to admit this patient for further evaluation and management.  Patient was placed on bowel rest, with antiemetics and IV fluids. On hospital admit 1 he had a large liquid bowel movement. He did have 1 bout of emesis but reported subjective improvement in his nausea. His symptoms continued to improve throughout the day and his diet was advanced to clear liquids. On 08/19, he was able to tolerate a soft low-fiber diet from a full liquid diet. He was without any fever, chills, chest pain or shortness of breath. His abdominal pain had improved greatly, and he was without any nausea or vomiting.   We obtained a repeat KUB which revealed moderately dilated loops of small bowel, partial small-bowel obstruction.   Urine culture resulted with Klebsiella pneumonia. Pt is chronically colonized. He received 2 doses of ciprofloxacin. Ultimately, given normal WBC and appearing well clinically, along with being afebrile-antibiotics were discontinued.  Renal transplant was consulted for recommendations. They recommended holding off on any treatment for asymptomatic bacteriuria. Additionally, they recommended continuing home dose immunosuppression medications.  Pt discharged on 8/19 at 14:29.
Age: 30.0
Sex: U
Vaccine: TDAP
Symptoms: Fatigue, Muscular weakness, Musculoskeletal stiffness, Nausea
Clinical narrative: I had TDAP shot and immediately felt nauseous, neck stiffness and fatigue. My legs felt weak and my neck stiffness has continued to worsen.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Axillary pain
Clinical narrative: Increasing pain in armpit of arm that got the vaccine
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: The month after my second dose of the covid vaccine I skipped my period which has never happened before in my life.   I got my period the following month which was heavier and longer. The next month it was heavier and longer than the previous month until the end of March 2022 I got my period and it lasted a month and a half. I had never in my life had my period more than 5 days and it was always regular. Never late or early. My period finally stopped the end of June and I skipped my period again for the month of July and now in august my period came on august 1st and ended after 12 days of heavy bleeding.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Syncope
Clinical narrative: pt fainted after immunization of Menactra pt was vaccinated with Menactra and within 2-3 mins. post vaccination, she had a dizzy spell, followed by fainting in her chair. Sister and spouse anticipated this reaction and told pharmacist not to call for EMT. Pt was laid on the ground and monitored. Circulation and breath were stable. After 10 mins., pt was up and able to smile and walk. pt states, she usually faint after vaccination
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Narrative:  Fully vaccinated but was admitted to hospital with COVID-19
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Hypoxia, Pain in extremity
Clinical narrative: Narrative:  75 year old male admitted on July 28 2022 with difficulty walking, arm pain, and hypoxia. He had received Moderna vaccine x 2 on March 3 2021, March 31 2021. He was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 4 days and dexamethasone 6 mg daily x 3 days. He clinically improved with treatment and was transferred back to long term care on 8/2/22.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Narrative:  73 year old male admitted on July 18 2022 with fever, nausea, emesis, and requiring 2-3L oxygen.. He had received Moderna vaccine x 4 on December 28 2020, January 26 2021, October 29 2021, June 7 2022. He was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 3 days and dexamethasone 6 mg daily x 3 days.. He symptomatically improved and w as transferred out of acute care unit on 7/27.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Headache, Hypoxia
Clinical narrative: Narrative: 77 year old male admitted on July 27 2022 with headache, cough, dyspnea, and mild hypoxia (O2 saturations in low 90s). He had received Moderna vaccine x 4 on January 24 2021, February 22 2021, October 6 2021, May 4 2022. He was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 4 days and dexamethasone 6 mg x 5 days. He had clinical improvement and was discharged hom on 7/31/2022
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Narrative:  Fully vaccinated but was admitted to hospital d/t COVID-19 infection
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Pyrexia
Clinical narrative: Narrative: 57 year old female admitted on July 29 2022 with fever and hypoxia.. She had received Moderna vaccine x 3 on July 23 2021, April 13 2022. She was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 4 days and dexamethasone 6 mg daily x 4 days. She symptomatically improved and was discharged home on 8/3/22.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Narrative: Patient was fully vaccinated and was hospitalized due to COVID-19.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diabetic ketoacidosis, Hypoxia
Clinical narrative: Narrative: 73 year old male admitted on August 1 2022 with DKA and hypoxia. He had received Moderna vaccine x 2 on February 26 2021, March 26 2021. He was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 2 days and dexamethasone 6 mg daily x 3 days.. He symptomatically improved and was discharged home on August 5 2022.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Feeling abnormal, Presyncope, Syncope
Clinical narrative: Dizziness fainting getting worse. Two minutes into eating. Feel like fainting all day now. Brain fog. Feel like I'm swimming. Almost fainting again after beginning lunch. Cannot concentrate.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Chest pain, Dyspnoea, Hypoaesthesia, Neuralgia
Clinical narrative: Shortness of breath, chest pain, numbness, weight loss, white tongue, ringing in ears, nerve pain all over, hair loss.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Tongue discolouration, Weight decreased
Clinical narrative: Shortness of breath, chest pain, numbness, weight loss, white tongue, ringing in ears, nerve pain all over, hair loss.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Erythema, Headache, Hyperhidrosis, Nausea
Clinical narrative: Nausea, diarrhea, fever , body aches ,pains sweats from a few hours after vaccine 24 hours, headache three days , swollen red and purple toes and feet about ten hours after vaccine for two days, shooting stabbing nerve pain in feet for 4 days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Peripheral swelling, Pyrexia, Skin discolouration
Clinical narrative: Nausea, diarrhea, fever , body aches ,pains sweats from a few hours after vaccine 24 hours, headache three days , swollen red and purple toes and feet about ten hours after vaccine for two days, shooting stabbing nerve pain in feet for 4 days.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site bruising, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: pain in elbow/forearm-Severe
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Nausea, Vomiting
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: IMMUNO COMPROMISED PT GOT 2ND BOOSER PFIZER (12+). AFTER 10 MIN LATER, GOT REACTION ON IT. PT ASKED FOR HELP, HAVING DIFFICULTIY OF BREATHING. GAVE THE PT EPINEPHRINE 0.3 MG IM. CALLED 911 AND AMBULENCE CREW CAME.  AFTER RECOVERING, THE CREW TOOK THE PT TO THE EMERGENCY ROOM.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: IMMUNO COMPROMISED PT GOT 2ND BOOSER PFIZER (12+). AFTER 10 MIN LATER, GOT REACTION ON IT. PT ASKED FOR HELP, HAVING DIFFICULTIY OF BREATHING. GAVE THE PT EPINEPHRINE 0.3 MG IM. CALLED 911 AND AMBULENCE CREW CAME.  AFTER RECOVERING, THE CREW TOOK THE PT TO THE EMERGENCY ROOM.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: IMMUNO COMPROMISED PT GOT 2ND BOOSER PFIZER (12+). AFTER 10 MIN LATER, GOT REACTION ON IT. PT ASKED FOR HELP, HAVING DIFFICULTIY OF BREATHING. GAVE THE PT EPINEPHRINE 0.3 MG IM. CALLED 911 AND AMBULENCE CREW CAME.  AFTER RECOVERING, THE CREW TOOK THE PT TO THE EMERGENCY ROOM.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: PATIENT GOT THE VACCINE ON 08/16/22 AND LAST FRIDAY, 08/19 SHE WENT TO HER DOCTOR BECAUSE HER ARM BECAME SWOLLEN AND ITCHY. DOCTOR GAVE HER STEROID SHOT AND INJECTION FOR HER MIGRAINE AS WELL. CALLED THE PHARMACY TODAY BECAUSE HER LEFT ARM BECAUSE HER ARM IS STILL SWOLLEN AND ITCHY AND FELT LIKE THERE'S A BALL INSIDE. I APOLOGIZED TO HER AND TOLD HER TO TAKE BENADRYL FOR ITCHING. IF THE SYMPTOMS PERSIST, CALL HER DOCTOR TOMORROW. INFORMED THE PHARMACIST INVOLVED AS WELL.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Migraine, Peripheral swelling, Pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: PATIENT GOT THE VACCINE ON 08/16/22 AND LAST FRIDAY, 08/19 SHE WENT TO HER DOCTOR BECAUSE HER ARM BECAME SWOLLEN AND ITCHY. DOCTOR GAVE HER STEROID SHOT AND INJECTION FOR HER MIGRAINE AS WELL. CALLED THE PHARMACY TODAY BECAUSE HER LEFT ARM BECAUSE HER ARM IS STILL SWOLLEN AND ITCHY AND FELT LIKE THERE'S A BALL INSIDE. I APOLOGIZED TO HER AND TOLD HER TO TAKE BENADRYL FOR ITCHING. IF THE SYMPTOMS PERSIST, CALL HER DOCTOR TOMORROW. INFORMED THE PHARMACIST INVOLVED AS WELL.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Rash
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 8/16/2022: 1:19pm Resident is S/P covid booster, day# 2/3 to left deltoid, but more so the outer aspect of left forearm and not deltoid area. Area is red and swollen. No drainage noted to site. There is also some bruising noted to area.  1:30pm Left mid upper arm laterally/posterior redness noted with slightly raised area. 9:14pm injection site red and warm to touch. Client rates pain on the site 4/10;prn Tylenol offered, resident refused, afebrile. 9:37pm Dr. advised of reddened area to patient's left deltoid approximately 2 inches in diameter, patient rates pain in the area as 4/10 but is refusing PRN tylenol. 8/17/2022: Reddened area observed on left upper arm. Resident states that there is pain at reddened site. Site is warm to touch. 8/18/2022: Covid booster LD, 8cm x 11cm redness/swelling with c/o soreness. 8/19/2022: Covid-19 booster to LD. Red raised area is diminishing. Resident now c/o "itchiness" to LUE.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Discomfort, Hyperhidrosis, Hypertension
Clinical narrative: I didn't feel well Thursday, but thought it was normal. Thursday night, I knew it was not normal reaction. Had chills and sweats, my ribs started hurting, and also started to itch. By Friday night a rash appeared ribs felt like I cracked them (very painful). Couldn't sleep. Saturday, traveled as symptoms got worse. Pain was so bad (10/10) that I lost appetite.  Sunday morning went to urgent care. given Valacyclovir 1 G and a useless Ketorolac 10 MG.  Blood pressure very high Symptoms persisted. Changed my trip and returned home. Sought another urgent care. Gave Lidocane by injection around rib cage and prescribed Pregabalin 75 MG. Pain persisted. Added N-SAIDS like Alka-Seltzer,  Ibuprofen, and Tylenol for pain. Today is 8/25/22, still have pain but not 10/10. Discomfort 5/10. Rash is going away slowly.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Malaise, Musculoskeletal chest pain, Pruritus, Rash
Clinical narrative: I didn't feel well Thursday, but thought it was normal. Thursday night, I knew it was not normal reaction. Had chills and sweats, my ribs started hurting, and also started to itch. By Friday night a rash appeared ribs felt like I cracked them (very painful). Couldn't sleep. Saturday, traveled as symptoms got worse. Pain was so bad (10/10) that I lost appetite.  Sunday morning went to urgent care. given Valacyclovir 1 G and a useless Ketorolac 10 MG.  Blood pressure very high Symptoms persisted. Changed my trip and returned home. Sought another urgent care. Gave Lidocane by injection around rib cage and prescribed Pregabalin 75 MG. Pain persisted. Added N-SAIDS like Alka-Seltzer,  Ibuprofen, and Tylenol for pain. Today is 8/25/22, still have pain but not 10/10. Discomfort 5/10. Rash is going away slowly.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lymph gland abnormal, COVID-19, Cellulitis streptococcal, Decreased immune responsiveness, Immunology test normal
Clinical narrative: Patient requested formal report due to following: Developed rash 6/2021. Required high-dose prednisone to control, infectious disease. Allergy consultation; diagnosis of group A strep cellulitis. Patient felt COVID-19 vaccine altered immunity. Patient had COVID+ PCR for symptoms 12/29/2021. He had influenza+ PCR 12/20/2021. Patient now under care of a COVID-19 alliance.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test positive, Lymphadenopathy, Malaise, Rash, SARS-CoV-2 test positive
Clinical narrative: Patient requested formal report due to following: Developed rash 6/2021. Required high-dose prednisone to control, infectious disease. Allergy consultation; diagnosis of group A strep cellulitis. Patient felt COVID-19 vaccine altered immunity. Patient had COVID+ PCR for symptoms 12/29/2021. He had influenza+ PCR 12/20/2021. Patient now under care of a COVID-19 alliance.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient requested formal report due to following: Developed rash 6/2021. Required high-dose prednisone to control, infectious disease. Allergy consultation; diagnosis of group A strep cellulitis. Patient felt COVID-19 vaccine altered immunity. Patient had COVID+ PCR for symptoms 12/29/2021. He had influenza+ PCR 12/20/2021. Patient now under care of a COVID-19 alliance.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  vaccine lot numbers not available
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Pain in extremity, Shoulder injury related to vaccine administration, X-ray normal
Clinical narrative: My arm was very sore for a few days, which is normal. But the shoulder pain never went away and I lost mobility in my left arm.  Made an appointment with Orthopedics May 26th, got Xray. Xray was normal. Was told to return if symptoms persisted. Returned June 23rd. Diagnosed with SIRVA and began physical therapy.
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out of date
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Dyspnoea, SARS-CoV-2 test negative
Clinical narrative: Shortness of Breath,  dry cough began approximately a month later.  I have sought treatment from my allergist , assuming it was asthma,  but the symptoms have been non-responsive to medications.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Hypertension, Lymphoedema
Clinical narrative: Narrative: Hypertension lymphedema, htn chest pain started first dose Moderna and got worse each subsequent dose not certain related to vaccine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Narrative: Headache, Myalgia & NauseaVomiting
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out of date
Age: 10.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out of date
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 3/12/22, 4/9/22. Positive on 8/24/22
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out-of-date.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: Only gave the liquid component of the vaccine and did not dilute. Patient called to redo vaccine
Age: 5.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out of out of date
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Magnetic resonance imaging
Clinical narrative: Asphasa
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out of date
Age: 17.0
Sex: F
Vaccine: COVID19, MNQ, COVID19, MNQ
Symptoms: Confusional state, Loss of consciousness, Pallor, Retching, Urinary incontinence
Clinical narrative: Pt came to PRIVATE to receive menactra and first dose of covid 19 vaccine.  Pt was given injection  was t alking  with nurse and parent when she became pale  started gag like motion like she was going to vomit.  Pt  seated in chair  then passes out loses incontinence of urine.  Vitals are taken, at parent request 911 activated  pt is out approx 5- mintues.  Pt regains  consciousness  pt states she is confused.  Pt vitals  monitored  pt is alert to name place DOB .  EMS arrives pt walks to cot and is transferred to local hospital per parent request.     Vitals 14:15 Resp 12  unlabored BP 97/72            14:20 Resp 14 unlabored  BP 102/78
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood folate normal, COVID-19, Decreased appetite, Gait inability
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 8/18/2022 Discharge Date: Aug 19, 2022  PRESENTING PROBLEM: Weakness [R53.1]   HOSPITAL COURSE: Patient is a 85 yo male with PMHx essential HTN, bradycardia, pancreatic adenocarcinoma s/p Whipple with insufficiency, GERD with sliding hiatal hernia and depression with anxiety. He presented to the ED due to generalized weakness. He tested positive for COVID-19 on 8/17/22 and EMS had to be called on 8/18 due to profound weakness and inability to ambulate. He initially presented to facility on 8/17 due to weakness and decreased appetite at which time he tested positive for COVID-19   In the ED patient was without hypoxia and denied any dyspnea and was admitted to the medicine service primarily for PT/OT evaluation for potential need for SAR.   # COVID-19 He was noted to be vaccinated with booster last received 4/6/22 and treated with Remdesivir while hospitalized and pharmacological VTE prophylaxis. He denied any dyspnea during hospitalization and continued without hypoxia. He was provided education of respiratory precautions prior to discharge   # Iron Deficiency Anemia B12 and folate levels were found to be wnl. Iron saturation was noted to be 11% with ferritin 108. He was started on oral ferrous sulfate along with ascorbic acid to help with absorption. He was recommended to have repeat iron levels in 3-6 months.   His weakness improved and was back to baseline prior to discharge. PT/OT evaluated patient and patient was discharged home in stable condition with discharge instructions provided.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Iron deficiency anaemia, SARS-CoV-2 test positive, Serum ferritin normal, Transferrin saturation decreased, Vitamin B12 normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 8/18/2022 Discharge Date: Aug 19, 2022  PRESENTING PROBLEM: Weakness [R53.1]   HOSPITAL COURSE: Patient is a 85 yo male with PMHx essential HTN, bradycardia, pancreatic adenocarcinoma s/p Whipple with insufficiency, GERD with sliding hiatal hernia and depression with anxiety. He presented to the ED due to generalized weakness. He tested positive for COVID-19 on 8/17/22 and EMS had to be called on 8/18 due to profound weakness and inability to ambulate. He initially presented to facility on 8/17 due to weakness and decreased appetite at which time he tested positive for COVID-19   In the ED patient was without hypoxia and denied any dyspnea and was admitted to the medicine service primarily for PT/OT evaluation for potential need for SAR.   # COVID-19 He was noted to be vaccinated with booster last received 4/6/22 and treated with Remdesivir while hospitalized and pharmacological VTE prophylaxis. He denied any dyspnea during hospitalization and continued without hypoxia. He was provided education of respiratory precautions prior to discharge   # Iron Deficiency Anemia B12 and folate levels were found to be wnl. Iron saturation was noted to be 11% with ferritin 108. He was started on oral ferrous sulfate along with ascorbic acid to help with absorption. He was recommended to have repeat iron levels in 3-6 months.   His weakness improved and was back to baseline prior to discharge. PT/OT evaluated patient and patient was discharged home in stable condition with discharge instructions provided.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Antinuclear antibody negative, Arthralgia, Blood uric acid normal, Rheumatoid arthritis
Clinical narrative: she developed diffuse joint pains and was diagnosed with +RF rheumatoid arthritis
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor positive
Clinical narrative: she developed diffuse joint pains and was diagnosed with +RF rheumatoid arthritis
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: August 24 side effects: Extreme tiredness, achy all over body, injection site pain, tinnitus (ringing of ears), headache, nausea, muscle pain, joint pain and chills. These were throughout the day. August 25 side effects: Diarrhea in morning. It seemed like I had more severe side effects with 4th shot.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Nausea, Pain, Tinnitus
Clinical narrative: August 24 side effects: Extreme tiredness, achy all over body, injection site pain, tinnitus (ringing of ears), headache, nausea, muscle pain, joint pain and chills. These were throughout the day. August 25 side effects: Diarrhea in morning. It seemed like I had more severe side effects with 4th shot.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out of date
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Myalgia
Clinical narrative: Patient reports muscle pain in neck/shoulder post vaccination and continuing until this day.
Age: 62.0
Sex: F
Vaccine: PNC20
Symptoms: Allergy to vaccine, Chills, Diarrhoea, Headache, Immunisation reaction
Clinical narrative: Pt reports she got a fever Tuesday at 3 pm 101.2 at 6:50pm 100.5. she took Tylenol at 4 pm she also had a headache. Wednesday, she has vomiting and diarrhea. Thursday she still having diarrhea. She tested for covid Monday and Tuesday for covid and she was negative. She states that her arm as a little pain but no redness or swelling. She did have some chills last night but did not check temp. This could be a virus that started at the same time as her shot but to be on the safe side will call this a vaccine reaction and add to allergy list and fill out a reaction form.
Age: 62.0
Sex: F
Vaccine: PNC20
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Pt reports she got a fever Tuesday at 3 pm 101.2 at 6:50pm 100.5. she took Tylenol at 4 pm she also had a headache. Wednesday, she has vomiting and diarrhea. Thursday she still having diarrhea. She tested for covid Monday and Tuesday for covid and she was negative. She states that her arm as a little pain but no redness or swelling. She did have some chills last night but did not check temp. This could be a virus that started at the same time as her shot but to be on the safe side will call this a vaccine reaction and add to allergy list and fill out a reaction form.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient did not have an adverse health event. The wrong dose of covid vaccine was given to the patient with no harm caused towards the patient.
Age: 63.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site pruritus
Clinical narrative: Redness, swelling, itching, hard knot at injection site, slight pain upon touch
Age: 63.0
Sex: M
Vaccine: UNK
Symptoms: Injection site swelling
Clinical narrative: Redness, swelling, itching, hard knot at injection site, slight pain upon touch
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out of date
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Administered a 2nd dose 7 days after 1st dose. Patient is not exhibiting any symptoms.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Erythema, Pruritus, Rash, Swelling
Clinical narrative: Weakness 24 hours post administration. Rash turning to hives 2 days post shot. Itching, red, swollen
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Weakness 24 hours post administration. Rash turning to hives 2 days post shot. Itching, red, swollen
Sex: M
Vaccine: HIBV
Symptoms: Wrong product administered
Clinical narrative: Clinical staff gave the wrong vaccine. Patient had not reaction to the vaccine.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster dose given at incorrect interval-given too soon.  Previous booster dose was 6/28/22
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise
Clinical narrative: Patient symptomatic for COVID and admitted to hospital.
Age: 25.0
Sex: F
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: The medication expired 7 days ago on 08-18-22 and  today is 08-25-22   Contacted Merck and was instructed that this vaccine does not need to be readministred the potency is good because it has been stored appropriately
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered out of date
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: I have pain in my left arm between my shoulder and elbow tenderness in the front part of my shoulder. I have seen a chiropractor as well as my medical doctor. Soreness still exists.
Age: 1.0
Sex: F
Vaccine: COVID19
Symptoms: Ear infection, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: About three weeks after receiving the vaccine she experienced an ear infection. She woke up with a fever. We took her to Urgent Care. She was diagnosed with a double ear infection. She was given an antibiotic, cefdinir, and we are following up with her pediatrician on September 1st. Her brother received the same vaccine on the same day, same lot number, and did not have any adverse events.