chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor, Trigeminal neuropathy, Urine output increased, Vertigo, Vision blurred
Clinical narrative: Chronic migraines with aura, intractable, with status migrainosus (in constant pain since 11/2021 with no reprieve), full body neuropathy with numbness, hallucinations of all five senses (labeled schizoaffective), paranoia (feelings of doom), anxiety/panic attacks and depression with suicidal thoughts, minimal strength in my legs, increased pain from standing still, walking, bending, crouching, reaching, looking up or down, increased heartrate, sensitive to hot temperatures, and certain posture positions. I have a multitude of triggers to my migraines. There are no definitive causes or patterns to my migraines.  Tested for all possible medical causes through imagining and bloodwork. I am unable to work in any compacity due to my symptoms and triggers.  SYMPTOMS: Aching limbs, abdominal pain, Alice in Wonderland Syndrome, allodynia, Anxiety/panic attacks, Anxiousness/depression, auras, blurry vision, body chills/sweating, brain fog/cognitive issues, chest pressure/pain, confusion, constipation, diarrhea, dilated pupil(s), difficulty sleeping/insomnia, dizziness/lightheadedness, ear pain, ear pressure/fullness, excessive urination, excessive yawning, experience strange tastes or smells, facial drooping, fever, flushed face, frequent hiccups, gastro-intestinal discomfort/pain, Hallucinations (visual, auditory, tactile, smell, and taste), heartburn/GERD, increased pain when bending over or reaching above head, increased thirst, lack of appetite, loss of balance/coordination/unsteadiness, loss of consciousness, language difficulties (speaking/mixing words/remembering words), memory/naming problems, mood changes/irritability, muscle/motor weakness, nausea, neck pain/stiffness, neuropathy (idiopathic radiculopathy, bilateral carpel tunnel syndrome, ulnar nerve compression left elbow, bilateral S1 and S2 nerve root lesion, bilateral peroneal neuropathy, intercoastal neuropathy, trigeminal neuropathy, and nerve damage in both feet), numbness/tingling in head, hands, and feet, ocular pain, pale skin, pins-and-needles sensation, puffy eyelids, scalp tenderness, sensitivities to food, light, sound, movement, smell, touch, and visual stimuli, sinus pain/pressure, slurred or difficulty speaking, specific food cravings, TMJ/jaw muscle pain, tooth pain, unable to write, uncontrollable shaking/tremors, vertigo, vomiting, and watery eyes.   PAIN: Burning, cranial pressure, dull ache/soreness, gnawing cramp like, lightning strike, needle or icepick, piercing/stabbing, radiating, and throbbing/pulsating.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting, X-ray, Yawning
Clinical narrative: Chronic migraines with aura, intractable, with status migrainosus (in constant pain since 11/2021 with no reprieve), full body neuropathy with numbness, hallucinations of all five senses (labeled schizoaffective), paranoia (feelings of doom), anxiety/panic attacks and depression with suicidal thoughts, minimal strength in my legs, increased pain from standing still, walking, bending, crouching, reaching, looking up or down, increased heartrate, sensitive to hot temperatures, and certain posture positions. I have a multitude of triggers to my migraines. There are no definitive causes or patterns to my migraines.  Tested for all possible medical causes through imagining and bloodwork. I am unable to work in any compacity due to my symptoms and triggers.  SYMPTOMS: Aching limbs, abdominal pain, Alice in Wonderland Syndrome, allodynia, Anxiety/panic attacks, Anxiousness/depression, auras, blurry vision, body chills/sweating, brain fog/cognitive issues, chest pressure/pain, confusion, constipation, diarrhea, dilated pupil(s), difficulty sleeping/insomnia, dizziness/lightheadedness, ear pain, ear pressure/fullness, excessive urination, excessive yawning, experience strange tastes or smells, facial drooping, fever, flushed face, frequent hiccups, gastro-intestinal discomfort/pain, Hallucinations (visual, auditory, tactile, smell, and taste), heartburn/GERD, increased pain when bending over or reaching above head, increased thirst, lack of appetite, loss of balance/coordination/unsteadiness, loss of consciousness, language difficulties (speaking/mixing words/remembering words), memory/naming problems, mood changes/irritability, muscle/motor weakness, nausea, neck pain/stiffness, neuropathy (idiopathic radiculopathy, bilateral carpel tunnel syndrome, ulnar nerve compression left elbow, bilateral S1 and S2 nerve root lesion, bilateral peroneal neuropathy, intercoastal neuropathy, trigeminal neuropathy, and nerve damage in both feet), numbness/tingling in head, hands, and feet, ocular pain, pale skin, pins-and-needles sensation, puffy eyelids, scalp tenderness, sensitivities to food, light, sound, movement, smell, touch, and visual stimuli, sinus pain/pressure, slurred or difficulty speaking, specific food cravings, TMJ/jaw muscle pain, tooth pain, unable to write, uncontrollable shaking/tremors, vertigo, vomiting, and watery eyes.   PAIN: Burning, cranial pressure, dull ache/soreness, gnawing cramp like, lightning strike, needle or icepick, piercing/stabbing, radiating, and throbbing/pulsating.
Age: 85.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Resident Received extra dose of PCV20. Received previous dose on 2/19/2024 and now received another dose of the PCV20 on 5/8/2024.  These doses were almost 3 months apart. Resident was supposed to receive another COVID dose,  but was mistakenly given PCV20 due to order entry error. There have been no adverse event from this dose reported. Nurse performed extra monitoring  and resident appears well. No concerns noted. Provider updated of extra dose and administration error as well as pharmacy. No concerns were voiced at this time.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Diarrhoea, Dizziness, Nausea, Vomiting
Clinical narrative: I was having trouble, I was lightheaded, I had to kneel down cause I felt like I was going to pass out. I was extremley nauseous. I didnt think much of it. This morning, I had extreme dizziness, and even laying down was making it worse. I thought my blood sugar was low, so I took a sip of orange juice and within 5 mins, I vomitted 4 times and had diarhea. I'm not a vomiter, I have only vomit like 4 times in my life. My first thought was covid, and then I looked at the paperwork, and remember the tecnus shot. I looked it up online and all my symptoms matched up with what could be an adverse event.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccing given was for ages 12+ Patient is 3 years, 6 months old.
Age: 58.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Redness, warmth, swelling
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Chills, Cough, Dyspnoea, Headache
Clinical narrative: Hospitalized 12/21/22-12/27/22 dyspnea, coughing, tachypnea, wheezing, fever with chills, myalgia, HA, lethargic, AKI, PNA
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Myalgia, Pneumonia, Pyrexia, Tachypnoea
Clinical narrative: Hospitalized 12/21/22-12/27/22 dyspnea, coughing, tachypnea, wheezing, fever with chills, myalgia, HA, lethargic, AKI, PNA
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Hospitalized 12/21/22-12/27/22 dyspnea, coughing, tachypnea, wheezing, fever with chills, myalgia, HA, lethargic, AKI, PNA
Age: 73.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: PATIENT HAD ALREADY RECEIVED AN RSV VACCINE ON 10/06/2023 AT ANOTHER FACILITY.  WE ADMINISTERED A SECOND VACCINE ON 11/10/2023
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Extreme redness, soreness, and swelling of the arm
Age: 18.0
Sex: M
Vaccine: JEV1, MENB, TYP
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Injectable typhoid vaccine was inadvertently given, rather than just the JE and Men. B vaccines. (Picked up the typhoid vaccine box and not the JE box). When error was realized, the situation was explained to the pt. and the JE vaccine was then administered. The concern was that on 4/5/2024, oral typhoid was taken by patient. He had no reaction at time of visit.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pneumonia, Pyrexia, Tachycardia
Clinical narrative: Hospitalized 12/22/22-12/24/22 cough, wheeze, dyspnea, fever,  PNA, tachycardic, O2 supplement,
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Hospitalized 12/22/22-12/24/22 cough, wheeze, dyspnea, fever,  PNA, tachycardic, O2 supplement,
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood calcitonin increased, Janus kinase 2 mutation, Polycythaemia vera, Red blood cell count increased, White blood cell count increased
Clinical narrative: After apx. two years my routine blood tests showed an elevated red and white blood cell counts with an extremely high HCT level.  The doctor recommended a visit to a hematologist.  After further testing it was determined that my Jak2 gene has an abnormality causing me to have PolyCythemia Vera.  It is highly coincidental that this abnormality should occur 2 years after the Covid vaccination.  This possible connection should be explored.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aphasia, Arthropod bite, Balance disorder, Blood test, Brain fog
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dysgraphia, Dyspnoea, Echocardiogram, Electric shock sensation, Electrocardiogram ambulatory abnormal
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Fall, Fine motor skill dysfunction, Gastrointestinal disorder, Impaired work ability, Inflammation
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Memory impairment, Micturition disorder, Mobility decreased, Muscle spasms
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Muscle tightness, Muscular weakness, Nausea, Nervous system disorder, Neuralgia
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pain, Rash, Saliva altered, Sinus bradycardia, Skin irritation
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Skin weeping, Sleep disorder, Swelling, Ultrasound scan, Vitamin B12 decreased
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: X-ray
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aphasia, Arthropod bite, Balance disorder, Brain fog, Dysgraphia
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram ambulatory abnormal, Fall, Fear
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Fine motor skill dysfunction, Gastrointestinal disorder, Impaired work ability, Inflammation, Loss of personal independence in daily activities
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Memory impairment, Mobility decreased, Muscle spasms, Muscular weakness, Nausea
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nervous system disorder, Neuralgia, Pain, Rash, Salivary hypersecretion
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sinus bradycardia, Sleep disorder, Swelling, Urinary incontinence, Vitamin B12 decreased
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Wound secretion, X-ray
Clinical narrative: 24 hrs after receiving dose I could not get out of bed. I needed assistance even going to the bathroom. I called a Teladoc who advised me to go to Emergency Room (I was afraid to go because of what was happening to people in the hospital) I instead got a steroid and improved just enough to get into my doctor's office.  I had a halter monitor test run which diagnosed me with sinus bradycardia. My heart rate was at 32 bpm for long stretches.  I had a previous halter monitor test run less than a year prior when I had covid and had no heart issues at all.  I also have suffered a variety of neurological disorders and inflammation problems stemming from gut problems (I crash after every meal and have to lie down) to strange rashes . Example would be halter monitor gel now caused major skin irritation (previous halter monitor test I had no issue). mosquito bites now resulted in major swelling and oozing even without itching the bites.  The neurological issues  affect everything from my  balance ro buckling legs (I have fallen from it), shooting nerve pains (feels like lightning zaps), tightness in certain areas (uncontrollable spasms) during episodes, breathing and salivation issues, bathroom problems (after peeing stops it starts again when I dress during my episodes), major sleep issues,  crashing after meals, etc. being nauseous about 80% of each day..  I sometimes battle brain fog coming up with certain words and also remembering things (difficult for a pastor giving sermons). Troiuble with my fine motor skills (like writing). Trouble with  prolonged screen time (working on computer for instance). My worst episodes have led me to an overnight at the hospital.
Age: 75.0
Sex: M
Vaccine: PNC20
Symptoms: Erythema, Oedema, Rash
Clinical narrative: Erythema, edema, rash present for 3 days
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Chest X-ray, Chest pain, Conduction disorder, Electrocardiogram ST segment elevation
Clinical narrative: COVID booster 5/22/23. On 5/23/23 sustained tachycardia while standing (heart rate 150s) that did not resolve with increased oral fluids or laying down, still 120s laying. After hours of this, developed chest pain and went to ED. EKG showed sinus tachycardia with multiform PVCs, aberrant conduction of SV complexes, minimal ST elevation of lateral leads. I received IV fluids and my resting heart rate normalized. PASC/PoTS symptoms worsened. ANA (autoimmune test) positive 8/2023.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Full blood count, Heart rate abnormal, Metabolic function test, Prohormone brain natriuretic peptide
Clinical narrative: COVID booster 5/22/23. On 5/23/23 sustained tachycardia while standing (heart rate 150s) that did not resolve with increased oral fluids or laying down, still 120s laying. After hours of this, developed chest pain and went to ED. EKG showed sinus tachycardia with multiform PVCs, aberrant conduction of SV complexes, minimal ST elevation of lateral leads. I received IV fluids and my resting heart rate normalized. PASC/PoTS symptoms worsened. ANA (autoimmune test) positive 8/2023.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Tachycardia, Troponin, Ventricular extrasystoles
Clinical narrative: COVID booster 5/22/23. On 5/23/23 sustained tachycardia while standing (heart rate 150s) that did not resolve with increased oral fluids or laying down, still 120s laying. After hours of this, developed chest pain and went to ED. EKG showed sinus tachycardia with multiform PVCs, aberrant conduction of SV complexes, minimal ST elevation of lateral leads. I received IV fluids and my resting heart rate normalized. PASC/PoTS symptoms worsened. ANA (autoimmune test) positive 8/2023.
Age: 12.0
Sex: M
Vaccine: COVID19, FLU4, HPV9, MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Patient's mother called clinic expressing concern for adverse reactions that  patient was experiencing on left arm after receiving HPV-9 (Gardasil),  Meningococcal ACWY-Tt (Menquadfi), Flu (Peds), Covid 19 vaccine IM (Moderna)  immunizations on 05/08.   Menquadfi & Moderna COVID vaccines were administered in left arm and patient's  mother stated that the injection site area was noticeably "red, swollen, felt warm  to touch, and also felt very hard". Mother also noted that the area was a bit itchy  for patient when asked, however, patient did not experience any respiratory issues  or other systemic side effects other than the localized reaction.  I suggested to patient's mother to apply cold compresses periodically and to avoid  rubbing/itching/scratching the area. Also recommended ibuprofen or acetaminophen  depending on preference and tolerability. Stated that ibuprofen likely to be more  beneficial in reducing inflammation. If symptoms worsened or became more  concerning, I recommended mother to bring patient to ED to be evaluated.
Age: 1.08
Sex: F
Vaccine: MMRV
Symptoms: Injection site rash
Clinical narrative: Rash on Right Thigh
Age: 35.0
Sex: F
Vaccine: MMR
Symptoms: Abdominal pain, Pyrexia, Rash
Clinical narrative: Breaking out with rash, low-grade fever, and abdominal pain.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Product storage error
Clinical narrative: On January 9, 2024 the vaccines in the clinic were moved to County Health Department due to a power outage. The power came back on around 9:30a.m. when I arrived to work but I was advised by my supervisor to move the vaccine still in case it took a while for the refrigerator to return to the proper temperature. Vaccines were packed with ice packs and bubble wrap and transported by CRNP. The vaccine was transported back to County Health Department that afternoon. A temperature excursion was noted on the digital data logger. Once returned to clinic the data logger was found to be beside the ice packs instead of by the vaccine. The vaccine manufacturers of the affected vaccine were notified and made aware of the temperature excursion. I notified the companies that the vaccine reached a temperature of 1.8 degrees Celsius. The max temperature that the vaccine reached during transport was 12.0 degrees Celsius. Per the vaccine companies, the only vaccine that was not recommended to use was the opened vial of IPOL and the opened MDV of Fluzone. They were discarded per the vaccine companies? recommendations.  Moving forward to April 10, 2024. The vaccine was transported again to County Health Department due to inclement weather that day. Vaccine was transported by my supervisor and returned on April 12, 2024. Another temperature excursion occurred when the vaccine was transported back to the clinic. The vaccine companies were again contacted for recommendations on viability of the vaccine. When contacting the vaccine companies, I was asked if any of the vaccines had undergone a previous temperature excursion. It was then when I pulled my documentation from the previous excursion that I realized I had read the temperature log incorrectly and that the vaccine had reached a temperature of negative 1.8 degrees Celsius instead of what I reported to the vaccine companies of a +1.8 Degrees Celsius. Therefore, in fact there were two 2 temp excursions one on January 9, 2024 and the other on April 12th, 2024.  A list of all patients that received vaccines between January 9-April 12th was compiled. The list was sorted through as to what patients received the affected vaccine. Patients were notified of questionable viability of vaccines and were offered and recommended to be revaccinated if desired. Notes were added into immprint for outside providers. The process of packing vaccine during transport during emergencies had been reviewed by all staff to include packaging with conditioned water bottles instead of frozen ice packs. Parent was contacted. Child was re-vaccinated with DTAP on 05/05/2024 due to uncertain of effectiveness/viability of vaccine that underwent temperature excursion.
Sex: M
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Client was given an HPV injection 5/10/2024 due to vaccine error. The regional coordinator has been notified. A report through VAERS (Vaccine Adverse Event Reporting System) has been made under the instruction of regional Coordinator. The manufacturer of HPV 9 (MERCK & CO) has been contacted in regards to identify potential adverse side effects, as well as any information on previous cases reported of a similar situation. Reports from the manufacturer after searching their clinical and adverse side effects database report no information or issues with giving this vaccine under age. The case has been escalated to the manufacturer's global safety team to double check for any potential issues and previous reported cases. MERCK & CO is also aware of the patients exact age, the lot number and expiration date of the vaccine was provided to them as well.   The global safety team will give us an official report with any reported findings. This may take up to 7 business days.
Age: 59.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated.
Age: 36.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site pain, Vaccination site swelling
Clinical narrative: Symptoms started: 5/8/24 after receiving the Tdap and Varicella vaccines in the right arm. Employee notified me of symptoms today, 5/10/2024 of symptoms of itching, redness, swelling and pain occurring at the vaccine site.  Employee did try to put Benadryl cream on the site to help with itching. She reported that the itching has decreased, but redness and swelling has progressed.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Pyrexia
Clinical narrative: Redness and swelling at right thigh injection site.   ED visit on 5/9 and PCP f/u visit on 5/10.   Also had fever on 5/9 after ED visit.   Given tylenol with improvement.   Localized reaction improved by 5/10 PCP f/u visit.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Dizziness, Hypoxia
Clinical narrative: Hospitalized 12/30/22-1/10/23 abd pain, diarrhea, weakness, fever, dizziness, bowel obstruction, pancytopenia, hypoxia,
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Intestinal obstruction, Pancytopenia, Pyrexia
Clinical narrative: Hospitalized 12/30/22-1/10/23 abd pain, diarrhea, weakness, fever, dizziness, bowel obstruction, pancytopenia, hypoxia,
Age: 13.0
Sex: M
Vaccine: HEPAB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Twinrix adult formulation administered to 13 year old
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth, Local reaction
Clinical narrative: Large localized reaction to the site of the vaccine.  Erythematous large lump approximately 4-5cm in diameter.  Very tender and hot to touch.  Fever of 102.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Pyrexia
Clinical narrative: Large localized reaction to the site of the vaccine.  Erythematous large lump approximately 4-5cm in diameter.  Very tender and hot to touch.  Fever of 102.
Age: 5.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt inadvertently received Pentacel instead of ProQuad. No adverse reactions noted.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Anion gap, Aspartate aminotransferase normal, Asthenia
Clinical narrative: Full body hives, purple hands, feet, mouth, lethargy, cough and vomiting developed within 30 mins of vaccine administration on 5/1/24. Mom took patient to emergency department. In the ER patient was given intramuscular epinephrine, intravenous fluids, Benadryl, and solu-medrol. Patient was then admitted to in patient pediatric floor for observation where he stayed overnight until he was discharged mid-day on 5/2/24.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Base excess decreased, Basophil count normal, Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Full body hives, purple hands, feet, mouth, lethargy, cough and vomiting developed within 30 mins of vaccine administration on 5/1/24. Mom took patient to emergency department. In the ER patient was given intramuscular epinephrine, intravenous fluids, Benadryl, and solu-medrol. Patient was then admitted to in patient pediatric floor for observation where he stayed overnight until he was discharged mid-day on 5/2/24.