chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: pfizer 5-11 year old dose was given. patient just turned 12 and 1st dose was given was adult dose. 2nd dose we accidentally gave kids dose.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Paraesthesia, Swollen tongue
Clinical narrative: tongue swelling, elevated blood pressure, tingling in arm and leg
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Bilirubin conjugated increased, Blood alkaline phosphatase increased
Clinical narrative: Pt symptoms started on wednesday following vaccination on monday. Initially she had abdominal pain, nausea, vomiting and diarrhea. On thursday symptoms worsened with and pt febrile to 105 (per husband at bedside). EMS was called as patient developed alerted mental status.  Pt initially presented to (Community Medical Center) with hypotension concern for sepsis. While her initial LFTs on presentation showed a mild elevation in AST (60) and normal ALT on 11/11/21. Following her episode hypotension AST/ALT increased dramatically to 3690/1938. She also had rapidly worsening thrombocytopenia from 48,00 on presentation to 8000 . INR was elevated, fibrinogen was low rasing concern for DIC. At the hospital pt with renal failure requiring HD on 11/15. Labs were also notable for elevated CK of > 5000 noted to be 244 on 11/12/21. CT with perinephric standing, fecal retention concern for ileus/ suscepted colitis, and possible PNA with multifocal infiltrate. Additionally she developed painful purpura fulminans involving her hands, forearms, legs and feet during her hospitalization. Patient was transferred to shands for evaluation for liver transplant. At shands patient stablized with downtrending LFT. Now patient is recovering in hospital, no plans for liver transplant.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Blood bilirubin increased, Blood creatine phosphokinase increased, Blood fibrinogen decreased, Colitis, Computerised tomogram abnormal
Clinical narrative: Pt symptoms started on wednesday following vaccination on monday. Initially she had abdominal pain, nausea, vomiting and diarrhea. On thursday symptoms worsened with and pt febrile to 105 (per husband at bedside). EMS was called as patient developed alerted mental status.  Pt initially presented to (Community Medical Center) with hypotension concern for sepsis. While her initial LFTs on presentation showed a mild elevation in AST (60) and normal ALT on 11/11/21. Following her episode hypotension AST/ALT increased dramatically to 3690/1938. She also had rapidly worsening thrombocytopenia from 48,00 on presentation to 8000 . INR was elevated, fibrinogen was low rasing concern for DIC. At the hospital pt with renal failure requiring HD on 11/15. Labs were also notable for elevated CK of > 5000 noted to be 244 on 11/12/21. CT with perinephric standing, fecal retention concern for ileus/ suscepted colitis, and possible PNA with multifocal infiltrate. Additionally she developed painful purpura fulminans involving her hands, forearms, legs and feet during her hospitalization. Patient was transferred to shands for evaluation for liver transplant. At shands patient stablized with downtrending LFT. Now patient is recovering in hospital, no plans for liver transplant.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Diarrhoea, Faecaloma, Haemodialysis, Hypotension, International normalised ratio increased
Clinical narrative: Pt symptoms started on wednesday following vaccination on monday. Initially she had abdominal pain, nausea, vomiting and diarrhea. On thursday symptoms worsened with and pt febrile to 105 (per husband at bedside). EMS was called as patient developed alerted mental status.  Pt initially presented to (Community Medical Center) with hypotension concern for sepsis. While her initial LFTs on presentation showed a mild elevation in AST (60) and normal ALT on 11/11/21. Following her episode hypotension AST/ALT increased dramatically to 3690/1938. She also had rapidly worsening thrombocytopenia from 48,00 on presentation to 8000 . INR was elevated, fibrinogen was low rasing concern for DIC. At the hospital pt with renal failure requiring HD on 11/15. Labs were also notable for elevated CK of > 5000 noted to be 244 on 11/12/21. CT with perinephric standing, fecal retention concern for ileus/ suscepted colitis, and possible PNA with multifocal infiltrate. Additionally she developed painful purpura fulminans involving her hands, forearms, legs and feet during her hospitalization. Patient was transferred to shands for evaluation for liver transplant. At shands patient stablized with downtrending LFT. Now patient is recovering in hospital, no plans for liver transplant.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Liver function test increased, Mental status changes, Nausea, Perinephric oedema, Platelet count decreased
Clinical narrative: Pt symptoms started on wednesday following vaccination on monday. Initially she had abdominal pain, nausea, vomiting and diarrhea. On thursday symptoms worsened with and pt febrile to 105 (per husband at bedside). EMS was called as patient developed alerted mental status.  Pt initially presented to (Community Medical Center) with hypotension concern for sepsis. While her initial LFTs on presentation showed a mild elevation in AST (60) and normal ALT on 11/11/21. Following her episode hypotension AST/ALT increased dramatically to 3690/1938. She also had rapidly worsening thrombocytopenia from 48,00 on presentation to 8000 . INR was elevated, fibrinogen was low rasing concern for DIC. At the hospital pt with renal failure requiring HD on 11/15. Labs were also notable for elevated CK of > 5000 noted to be 244 on 11/12/21. CT with perinephric standing, fecal retention concern for ileus/ suscepted colitis, and possible PNA with multifocal infiltrate. Additionally she developed painful purpura fulminans involving her hands, forearms, legs and feet during her hospitalization. Patient was transferred to shands for evaluation for liver transplant. At shands patient stablized with downtrending LFT. Now patient is recovering in hospital, no plans for liver transplant.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Purpura fulminans, Pyrexia, Renal failure, Thrombocytopenia, Vomiting
Clinical narrative: Pt symptoms started on wednesday following vaccination on monday. Initially she had abdominal pain, nausea, vomiting and diarrhea. On thursday symptoms worsened with and pt febrile to 105 (per husband at bedside). EMS was called as patient developed alerted mental status.  Pt initially presented to (Community Medical Center) with hypotension concern for sepsis. While her initial LFTs on presentation showed a mild elevation in AST (60) and normal ALT on 11/11/21. Following her episode hypotension AST/ALT increased dramatically to 3690/1938. She also had rapidly worsening thrombocytopenia from 48,00 on presentation to 8000 . INR was elevated, fibrinogen was low rasing concern for DIC. At the hospital pt with renal failure requiring HD on 11/15. Labs were also notable for elevated CK of > 5000 noted to be 244 on 11/12/21. CT with perinephric standing, fecal retention concern for ileus/ suscepted colitis, and possible PNA with multifocal infiltrate. Additionally she developed painful purpura fulminans involving her hands, forearms, legs and feet during her hospitalization. Patient was transferred to shands for evaluation for liver transplant. At shands patient stablized with downtrending LFT. Now patient is recovering in hospital, no plans for liver transplant.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 46.0
Sex: M
Vaccine: UNK
Symptoms: Electrocardiogram normal, Hypertension
Clinical narrative: Extremely high-blood pressure 15-20 minutes after shot. 177/110.  Rested 45 minutes; bp now at 201/120.  Staff recommends I go to ER.  Nurse drives me to office.  My boss drops me off at hospital ER. EKG done. All stats good. Sent home. Went to GP following day...BP still good...
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt does not meet age requirement for Moderna vaccine. She should have received the Adult Pfizer.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Extra dose administered, Fatigue, Pain in extremity
Clinical narrative: Patient was given  0.3 ml of undiluted Pfizer COVID-19 vaccine for an appointment for her Booster dose.  1st dose 3/27/21 2nd dose 4/24/21
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given  0.3 ml of undiluted Pfizer COVID-19 vaccine for an appointment for her Booster dose.  1st dose 3/27/21 2nd dose 4/24/21
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient received dose of Moderna on 11/10/21 at off-site vaccine clinic. Patient received Pfizer vaccine on 11/18/21 at off-site vaccine clinic. Incentives were given at each vaccine clinic.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Pt accidently given 0.3mL of air instead of vaccine.  Full pediatric dose given after.  Pt stable and released from the vaccination site.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: Patient received pfizer vaccine and felt upper back pain on the left side 15 minutes after administration. There was no rash, lump, bump or warm sensation around her upperback/neck area. Patient was advised to stay in the observation area an additional 15 minutes. Patient advised that she felt better but still had a little pain. She was then advised to drink plenty of water, take tylenol every 6 hours as needed and to see her PCP if the pain continues. Patient's condition was alert and oriented.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt does not meet age requirements for Moderna vaccine
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: Case completed Covid vaccine series in April 2021, and was hospitalized in October 2021 for Covid.   * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Presented with an approximate 7-day history of cough and progressive shortness of breath.  Left-sided pulmonary infiltrates seen on chest imaging.  Covid positive on a home kit, around 10/19.  Borderline febrile and hypoxic upon arrival, needing 3 L.  Completed Moderna vaccine series in April.  -Patient received dexamethasone and remdesivir. At time of discharge stopping dexamethasone based on guidelines. Also, for him he was having some p.m. hyperglycemia that was likely related to steroids, which is 1 additional reason to avoid going on -Discussed IS use, prone positioning, and ambulation around his hospital room.  -Full code -Patient subjectively feels somewhat better as of 10/27. On day of discharge was at 3 L, but at times seem to be improving on room air. Well recommend home oxygen, patient will monitor his own oxygen as above and use oxygen to keep levels at 90% or greater.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Lung infiltration, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Case completed Covid vaccine series in April 2021, and was hospitalized in October 2021 for Covid.   * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Presented with an approximate 7-day history of cough and progressive shortness of breath.  Left-sided pulmonary infiltrates seen on chest imaging.  Covid positive on a home kit, around 10/19.  Borderline febrile and hypoxic upon arrival, needing 3 L.  Completed Moderna vaccine series in April.  -Patient received dexamethasone and remdesivir. At time of discharge stopping dexamethasone based on guidelines. Also, for him he was having some p.m. hyperglycemia that was likely related to steroids, which is 1 additional reason to avoid going on -Discussed IS use, prone positioning, and ambulation around his hospital room.  -Full code -Patient subjectively feels somewhat better as of 10/27. On day of discharge was at 3 L, but at times seem to be improving on room air. Well recommend home oxygen, patient will monitor his own oxygen as above and use oxygen to keep levels at 90% or greater.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ascites, Blood immunoglobulin G, Computerised tomogram abdomen abnormal, Heparin-induced thrombocytopenia test positive, Immunology test
Clinical narrative: patient diagnosed with an occlusive thrombus in the right and main portal veins extending thrombus into proximal mid and distal superior mesenteric vein and splenic vein.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Mesenteric vein thrombosis, Portal vein cavernous transformation, Portal vein thrombosis, Retroperitoneal lymphadenopathy, Splenic vein thrombosis
Clinical narrative: patient diagnosed with an occlusive thrombus in the right and main portal veins extending thrombus into proximal mid and distal superior mesenteric vein and splenic vein.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Splenomegaly
Clinical narrative: patient diagnosed with an occlusive thrombus in the right and main portal veins extending thrombus into proximal mid and distal superior mesenteric vein and splenic vein.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Oedema peripheral
Clinical narrative: THE PATIENTS UNDERARM SWELLED UP AND HER RIGHT ELBOW WENT NUMB.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Needle Malfunction only .2cc administered
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: N/a.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: N/a.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: While My was resolving TP exception for the COVID batch, she notice the rejection that the child was underage and she notified provider immediately.  provider called the patient's Mother and apologized about the incident.  Mother was not upset and accepted what happen.  She was not informed that <18 is not approved for the Pfizer booster yet. I followed up on 12/1 to see how her daughter was doing and she only had a sore arm, no issues and did not want anyone to get in trouble.  I got her Dr's information and reported the incident. signed the COVID consent form.  provider did ask all the questions with open ended questions but was not aware if boosters were okay for <18 or not.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Feeling abnormal
Clinical narrative: Patient complained of feeling short of breath and having difficulty swallowing. She stated she just felt not right. This started approximately 1 hour after the booster vaccine was given.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal discomfort, Pruritus, Rash macular
Clinical narrative: PATIENT WAS SITTING THROUGH THE WAITING PERIOD. ABOUT 10 MINUTES LATER PATIENT'S HUSBAND NOTIFIES ME (VACCINATING PHARMACIST AND REPORTER OF THIS FORM) THAT THE PATIENT WAS GETTING TIRED, ITCHY, AND RED SPLOTCHES WERE SHOWING UP.  I ASKED THE PATIENT HOW SHE WAS FEELING, AND SHE DESCRIBED THE SYMPTOMS ABOVE AS WELL AS HER THROAT "FEELING FUNNY." I ALERTED A FELLOW PHARMACIST WHO THEN MONITORED HER AND CHECKED HER BLOOD PRESSURE. PATIENT TOOK A DOSE OF HER ALBUTEROL HFA INHALER TO SEE IF IT WOULD HELP. AFTER SOME TIME, SHE THEN REQUESTED AN EPIPEN THAT SHE INJECTED HERSELF. A CODE BLUE WAS CALLED AND THE MEDICAL STAFF ASSESSED HER. HER CURRENT STATE DID NOT WARRANT HER TO BE ADMITTED. PATIENT REMAINED IN THE LOBBY FOR STAFF TO MONITOR HER. EVENTUALLY, PATIENT LEFT TO GO TO HER CARDIOLOGIST.  I CALLED THE PATIENT TO CHECK UP ON HER THE FOLLOWING DAY, AND PATIENT REPORTS THAT SHE IS DOING WELL.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Eye pruritus
Clinical narrative: nonproductive cough resolved, itchy eyes. starting 11/24/21
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Body ache (resolved in 24 hours), headache (resolved in 24 hours), mild fever (resolved in 24 hours).
Age: 71.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: fully vaccinated, complications of covid-19 death
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Asthenia, Chills, Cough, Dyspnoea
Clinical narrative: I started to have a mild cough and an itchy throat. That night I started to sneeze and I felt like I had a cold. I had a low grade fever and chills. The next day I felt very tired and I had a runny nose. I lost my sense of smell on the third day. I was very weak and fatigued. I felt better after a week, but it took 3-4 weeks before my sense of smell returned. At the end of the second week, I was unable to take deep full breaths and my cough returned. I was prescribed an inhaler and a Z-pac. It did not help much and I felt bad. I stopped taking the medication and I felt better. On the third week I felt much better with only brief spells of coughing.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nasopharyngitis, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started to have a mild cough and an itchy throat. That night I started to sneeze and I felt like I had a cold. I had a low grade fever and chills. The next day I felt very tired and I had a runny nose. I lost my sense of smell on the third day. I was very weak and fatigued. I felt better after a week, but it took 3-4 weeks before my sense of smell returned. At the end of the second week, I was unable to take deep full breaths and my cough returned. I was prescribed an inhaler and a Z-pac. It did not help much and I felt bad. I stopped taking the medication and I felt better. On the third week I felt much better with only brief spells of coughing.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Throat irritation
Clinical narrative: I started to have a mild cough and an itchy throat. That night I started to sneeze and I felt like I had a cold. I had a low grade fever and chills. The next day I felt very tired and I had a runny nose. I lost my sense of smell on the third day. I was very weak and fatigued. I felt better after a week, but it took 3-4 weeks before my sense of smell returned. At the end of the second week, I was unable to take deep full breaths and my cough returned. I was prescribed an inhaler and a Z-pac. It did not help much and I felt bad. I stopped taking the medication and I felt better. On the third week I felt much better with only brief spells of coughing.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Skin lesion
Clinical narrative: after injection, injection site became red, raise, and enlarged. Lesion has been present since 11/19/21, and seems to be healing
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of PfizerCovid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Feeling abnormal, Pruritus, Throat irritation, Throat tightness
Clinical narrative: I had itchy on my throat and neck.  It still is happening.  My throat feels like it is tightness  up.  I had brain fog that comes and goes.  I had depression that lasted for about 3 weeks.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Malaise, Pyrexia, Sinus tachycardia, White blood cell count increased
Clinical narrative: 2 hours after receiving booster dose patient felt ill.  Family brought patient to ER the next day.  Patient has elevated white count sinus tachycardia shortness of breath and fever
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Chronic spontaneous body rash, rotates areas
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient (5 years old) was mistakenly given the adult covid pfizer vaccine instead of the pediatric vaccine. The mother was alerted as soon as it was discovered. At the time of follow up, the pediatrician had been consulted and no adverse events had been reported.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, Chills, Cough
Clinical narrative: Case completed covid vaccine series in March 2021 then was hospitalized for Covid in October 221.  * Acute hypoxemic respiratory failure due to COVID-19 (HCC) Assessment & Plan Fully vaccinated, tested positive for SARS-CoV-2 October 18. Had N/V/D which have improved.  Symptom onset about October 16, fevers chills cough nausea diarrhea myalgias  -Hypoxia at home to mid 80s.   -On arrival systemic inflammatory syndrome, sepsis secondary to viral pneumonia.  CRP up at 24.7 but down to 4.7 on the day of d/c.  -Dexamethasone 6 mg and remdesivir started October 24, will continue cecadron for 6 more days.  - Continue to wean supplemental oxygen as able. Improved symptoms and o2 supplement down to 1L/min, doing ADLs with mild symptoms.   - Encourage self proning as able, IS and ambulation.  - Note that is DNR/DNI but is agreeable to HFNC, NIPPV, and ICU transfer if needed
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Hypoxia, Myalgia, Nausea, Pneumonia viral
Clinical narrative: Case completed covid vaccine series in March 2021 then was hospitalized for Covid in October 221.  * Acute hypoxemic respiratory failure due to COVID-19 (HCC) Assessment & Plan Fully vaccinated, tested positive for SARS-CoV-2 October 18. Had N/V/D which have improved.  Symptom onset about October 16, fevers chills cough nausea diarrhea myalgias  -Hypoxia at home to mid 80s.   -On arrival systemic inflammatory syndrome, sepsis secondary to viral pneumonia.  CRP up at 24.7 but down to 4.7 on the day of d/c.  -Dexamethasone 6 mg and remdesivir started October 24, will continue cecadron for 6 more days.  - Continue to wean supplemental oxygen as able. Improved symptoms and o2 supplement down to 1L/min, doing ADLs with mild symptoms.   - Encourage self proning as able, IS and ambulation.  - Note that is DNR/DNI but is agreeable to HFNC, NIPPV, and ICU transfer if needed
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Systemic inflammatory response syndrome, Vomiting
Clinical narrative: Case completed covid vaccine series in March 2021 then was hospitalized for Covid in October 221.  * Acute hypoxemic respiratory failure due to COVID-19 (HCC) Assessment & Plan Fully vaccinated, tested positive for SARS-CoV-2 October 18. Had N/V/D which have improved.  Symptom onset about October 16, fevers chills cough nausea diarrhea myalgias  -Hypoxia at home to mid 80s.   -On arrival systemic inflammatory syndrome, sepsis secondary to viral pneumonia.  CRP up at 24.7 but down to 4.7 on the day of d/c.  -Dexamethasone 6 mg and remdesivir started October 24, will continue cecadron for 6 more days.  - Continue to wean supplemental oxygen as able. Improved symptoms and o2 supplement down to 1L/min, doing ADLs with mild symptoms.   - Encourage self proning as able, IS and ambulation.  - Note that is DNR/DNI but is agreeable to HFNC, NIPPV, and ICU transfer if needed
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given the wrong dose of the covid-19 Pfizer vaccine.   Patient is 13 yrs only He should have received the covid - 19 pfizer vaccine for 12 -17 yrs old.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient arrived at vaccination site wanting second primary dose of Moderna shot. Vaccinator did not calcuate time frame accordingly to recommendations for second dose. Troubleshooting: reviewed correct amount time in between primary and booster shots with vaccinator. Unreported as error, found in data mining.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt accompanied by parent Pediatric pt was inadvertently given an adult dose PFIZER Lot  FJ8762. Adult parents were being vaccinated at same table as pediatric pts. Two pediatric doses and two adult doses were placed on the table, and the two adult doses were inadvertently used for the pediatric vaccinations. Processes of vaccination was without incidence. After vaccination mistake the Medical Evaluator and personnel on site were notified. Parents were notified shortly thereafter by the Medical Evaluator and vaccinator. Medical Evaluator gave parents instructions for monitoring health outcomes for the pediatric pts and contacting their pediatrician if necessary. All parent questions were answered. Pt stayed for a longer waiting period due the Parents vaccination. No adverse reaction was observed during waiting period (approx 30 min).
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt accompanied by parent// Pediatric pt was inadvertently given an adult dose (PFIZER Lot  FJ8762). Adult parents were being vaccinated at same table as pediatric pts. Two pediatric doses and two adult doses were placed on the table, and the two adult doses were inadvertently used for the pediatric vaccinations. Process of vaccination was without incidence. After vaccination mistake the Medical Evaluator and DOH personnel on site were notified. Parents were notified shortly thereafter by the Medical Evaluator and vaccinator. Medical Evaluator gave parents instructions for monitoring health outcomes for the pediatric pts and contacting their pediatrician if necessary. All parent questions were answered. Pt stayed for a longer period of time in observation due to parents' vaccination. No adverse reaction was observed during the waiting time, approx 30 min.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest discomfort, Chest pain, Dyspnoea, Pain in extremity
Clinical narrative: On Friday 11/12/21 she took her first dose of COVID vaccine (Pfizer). The following day she started having sharp pain in her left arm and left chest, and could not take a deep breath due to discomfort in her chest.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site infection, Injection site pain, Injection site reaction, Urticaria
Clinical narrative: (11/28) On the second day after the shot it stung like a bee sting and caused a huge welt. Called doctor to set up appointment for 11/30. At the office I got a physical exam and it was determined structure infections at the injection site.  Was issued Cephalexin for the infection and currently taking it. Seven day course at 500mg.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: N/a.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: 12/01/21: Mother brought child to pharmacy to receive flu shot, paperwork was processed for flu shot, but child received Pfizer Covid-19 pediatric vaccine.    Child's physician was contacted.  Dr. recorded error in patient's chart and recommended that patient receive second pediatric covid shot in 21 days.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Syncope
Clinical narrative: Immediately post vaccination pt had dizziness and a syncopal event.  Pt reported buzzing in his ears.  Vitals: 15:20 (supine) 127/59, 68, 12, 100% -- > 15:30 (sitting) 112/55, 78, 12, 100% Pt given water and s/s resolved.  Advised pt to request next vaccination in the supine position.  Pt stable and released from the vaccination site.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Pain, Paraesthesia
Clinical narrative: Chest pain after Flu vaccine. Pins and Needles pain that comes and goes.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Pyrexia
Clinical narrative: First day of vaccination I was having a fever of 100.8 and The second day after the vaccination I had headache for everyday for the next couple of weeks, I decided to get care from a doctor and NP stated it was a migraine, She gave me Nurtec for the migraines.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 70 doses of Pfizer-BioNTech COVID-19 vaccine for pediatric patients (orange cap) batch/lot# FK5618 assigned a beyond-use-date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility. The doses mistakenly administered to 70 patients on 11/26/2021.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccine
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Abdominal discomfort, Anaphylactic reaction, Peripheral swelling, Rash pruritic, Swelling face
Clinical narrative: Small itchy bumps on lower left leg present upon waking at 7am. Progressed to anaphylaxis. Full body hives and severe swelling of arms, legs and face followed by stomach upset. Emergency room administered Benadryl, Pepcid and steroid injections. Discharged at 1:00pm with improvement but without resolution. Prescriptions for epi pen and oral prednisone were provided.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Urticaria
Clinical narrative: Small itchy bumps on lower left leg present upon waking at 7am. Progressed to anaphylaxis. Full body hives and severe swelling of arms, legs and face followed by stomach upset. Emergency room administered Benadryl, Pepcid and steroid injections. Discharged at 1:00pm with improvement but without resolution. Prescriptions for epi pen and oral prednisone were provided.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Muscular weakness, Swelling face
Clinical narrative: PT WAS DIZZY AND WEAK IN THE KNEES; SHE ALSO REPORTED FACIAL SWELLING AND NUMBNESS TO PHARMACIST.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: 70 doses of Pfizer-BioTech Covid Vaccine for pediatric patients (orange cap) Lot FK5618 were delivered assigned a beyond use date (BUD, do not use after date) by the manufacturer due to previous storage and handling issues at another facility.  The doses were mistakenly administered to 70 patients on 11/26/21
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy endometrium abnormal, Endometrial atrophy, Endometrial disorder, Endometrial thickening, Hysteroscopy
Clinical narrative: Post-menopausal uterine bleeding
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage, Ultrasound scan vagina abnormal, Uterine dilation and curettage, Uterine haemorrhage, Uterine leiomyoma
Clinical narrative: Post-menopausal uterine bleeding
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Superficial vein thrombosis
Clinical narrative: superficial thrombitis
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Wrong product administered
Clinical narrative: Patient came in for a  second shingle but a covid booster that was not due until 12/2/2021 was administered 11/24/2021. Patient realized he received wrong vaccine. Patient alerted PCP and patient is being monitored by PCP. No symptoms or reactions reported as of 12/01/2021
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: 11/23 vaccination administered; 11/24 onset of sore throat. Ongoing symptoms next few days. 11/26 Friday night it got worse, took her to urgent care. No temp. Cough. Congestion. Symptoms lasted every day since. Rinse with salt water to help, gargle. Cough medicine, over the counter. She missed school 11/30/2021. Lingering but not worse.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient  (9 years old) was mistakenly given adult Pfizer covid vaccine instead of pediatric covid vaccine.  The mother was notified immediately upon discovery. At this time, the patient's mom had consulted the pediatrician and no adverse events had been reported.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Extra dose administered, Heavy menstrual bleeding
Clinical narrative: ABOUT 1 HOUR AFTER RECEIVING MODERNA BOOSTER, PATIENT REPORTED PERIOD BLEEDING, VERY HEAVY BLEEDING, BAD CRAMPING, AND WAS ABOUT 10 DAYS FROM THE START OF REGULAR PERIOD START DATE. PATIENT REPORTED THIS ALSO HAPPENED WITH HER 2ND DOSE OF MODERNA SERIES.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Vomiting
Clinical narrative: Vomiting, headache and fatigue
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring normal, Cardiac stress test normal, Cardiovascular symptom, Catheterisation cardiac normal, Electrocardiogram normal
Clinical narrative: 6 Days after the second shot, I had symptoms of a heart attack, heart palpatations, extreme fatigue. I saw my family doctor, they performed an EKG in office, then had a stress test ordered, then I got referred to a Cardiologist. They performed a heart Cath to look for blockage, no blockage was found, and he stated it was more then likely an adverse reaction to the Covid Vaccine. I had a 24 hour heart monitor put on, and sent to a Pulmonary Specialist,  She ordered up an breathing challenge test, all came back negative, Dr. stated it was an adverse reaction to he Covid Vaccine and Added to my Medical Chart. Now I am currently wearing a 30 day heart monitor.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Palpitations, Pulmonary function challenge test normal, Vaccination complication
Clinical narrative: 6 Days after the second shot, I had symptoms of a heart attack, heart palpatations, extreme fatigue. I saw my family doctor, they performed an EKG in office, then had a stress test ordered, then I got referred to a Cardiologist. They performed a heart Cath to look for blockage, no blockage was found, and he stated it was more then likely an adverse reaction to the Covid Vaccine. I had a 24 hour heart monitor put on, and sent to a Pulmonary Specialist,  She ordered up an breathing challenge test, all came back negative, Dr. stated it was an adverse reaction to he Covid Vaccine and Added to my Medical Chart. Now I am currently wearing a 30 day heart monitor.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ADMINISTRATION OF IMPROPERLY STORED VACCINES
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Laboratory test normal, Swelling face, Throat irritation
Clinical narrative: Pt. comes to LH vaccine clinic for second dose of Moderna. Pt. had known reaction to first dose and had seen an allergist prior to second vaccination. Pt. was informed to pre-medicate with Zyrtec which she did the night before and the morning of. Patient informed of emergency protocol prior to vaccination if she were to have reaction. Pt. agreed to accept vaccine. Pt. was injected at 10:25. Started to have itchy throat but no hives or respiratory distress and was given 25mg of Benadryl at 10:31 per protocol. Patient at 11:00 throat itchiness was not improving, but not worse and was then directed she needed to go to ER. 911 activated. By 11:11 patient developed facial swelling and con't throat itchiness. 0.3mg of epi delivered to right thigh. No respiratory distress at the time, but patient immediately state she felt better. Medics then took patient to ER.  Patient admitted. Admission overnight to monitor respiratory status given recurrent symptoms and multiple Epi doses required.  Currently has received  Epi 0.3 x4, IV Benadryl, IV Famotidine, Methylpred 125 mg
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration of improperly stored vaccines
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: 20 years old patient vaccinated with Moderna dose 1 (0.5 mL). Vaccinator asked the patient if she received any other vaccine after administering the vaccine. Patient stated she already received 2 doses Dose 1-March 19; Dose 2 - May 1.  Patient stated her PCP advised her to get another vaccine.   PM was notified, escalated to hotline, made aware. Instructed patient that she would not be able to get the Moderna second dose considering she already got WHO approved vaccine and Moderna dose 1.  Educated and reinforced the vaccinator about the importance of asking if patient received any other international vaccine prior to administering  and for any doubts/question she can escalate to leadership.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administration of improperly stored vaccines.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac monitoring normal, Chest discomfort, Dizziness, Electrocardiogram normal
Clinical narrative: On 2/17/2021, I received my first dose of the Moderna vaccine. On 2/18/2021, I began having heart palpitations. On 2/19/2021, I had a headache, sore throat, severe fatigue, and lightheadedness, all of which were likely side effects of the vaccine. On 2/24/2021, I felt a pressure in my chest. On 2/25/2021, I experienced both heart palpitations and a feeling of pressure in the chest. I went to the ER. I was kept there for 5 hours and underwent heart monitoring, blood work, and an EKG. No significant abnormalities were found, and I was sent home. As of 2/28/2021, I was still experiencing palpitations and chest pressure. I saw a cardiologist, Dr., on 3/10/2021. I no longer remember the details of the visit.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Palpitations, Tachycardia
Clinical narrative: On 2/17/2021, I received my first dose of the Moderna vaccine. On 2/18/2021, I began having heart palpitations. On 2/19/2021, I had a headache, sore throat, severe fatigue, and lightheadedness, all of which were likely side effects of the vaccine. On 2/24/2021, I felt a pressure in my chest. On 2/25/2021, I experienced both heart palpitations and a feeling of pressure in the chest. I went to the ER. I was kept there for 5 hours and underwent heart monitoring, blood work, and an EKG. No significant abnormalities were found, and I was sent home. As of 2/28/2021, I was still experiencing palpitations and chest pressure. I saw a cardiologist, Dr., on 3/10/2021. I no longer remember the details of the visit.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 65.0
Sex: M
Vaccine: HEP
Symptoms: Tinnitus
Clinical narrative: RINGING IN EARS
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: developed blood clot in leg
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Hypoaesthesia, Paraesthesia, Speech disorder, Swollen tongue
Clinical narrative: Patient seen to receive the Pfizer BioNTech booster vaccine. Patient denied complications with the first and second dose of Pfizer vaccine. Denied allergic reactions to vaccines in the past. Patient received vaccine around 1425. At approximately 1435 patient reported a tightness in throat and stated, "her tongue felt too wide for her mouth". Patient said she took 25 mg of benadryl that she brought from home right after receiving vaccine. Vitals were stable with a blood pressure of 123/76, pulse 69 and pulse oximeter read 98%. Reported no shortness of breath or difficulty breathing. Denied itching and injection site did not appear swollen or red. Patient did not appear stressed or anxious. Writer examined tongue and mouth and it did not appear swollen. Vitals remained stable. At 2:45 patient's tongue and throat were reassessed. Patient's tongue appeared more swollen, speech was slightly impaired and voice more hoarse sounding. A rapid response was called. Epinephrine injection of 0.15 mg was administered. Epi pen expiration date was 06/2022. At 1447, blood pressure was 141/85, pulse 70 and pulse oximeter 97%. A clinic doctor arrived at the scene to assess patient and 911 was called. MD assessed patient's lungs, examined throat and tongue. EMS arrived at 1505. Upon EMS arrival patient's tongue had slightly improved but still appeared swollen. Patient also reported some numbness and tingling in her cheeks. Triage RN called patient's husband as requested by patient. Report given to EMS. EMS transported patient to hospital per protocol.