chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hip fracture, Hip surgery, Pancreatitis, Unresponsive to stimuli, White blood cell count increased
Clinical narrative: Patient received 1st vaccine in series at 11:45 am 11/27/21 during hospitalization. She had been in hospital for 10 days after pancreatitis, fall with hip fracture and fixation of hip fractures.  At 11:45pm she was noted to be short of breath.  at 6:15 pm on 11/28/21 she was found unresponsive, coded and expired.
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hip fracture, Myocardial infarction, Pancreatitis, Pulmonary embolism
Clinical narrative: Patient received 1st vaccine in series at 11:45 am 11/27/21 during hospitalization. She had been in hospital for 10 days after pancreatitis, fall with hip fracture and fixation of hip fractures.  At 11:45pm she was noted to be short of breath.  at 6:15 pm on 11/28/21 she was found unresponsive, coded and expired.
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count, White blood cell count increased
Clinical narrative: Patient received 1st vaccine in series at 11:45 am 11/27/21 during hospitalization. She had been in hospital for 10 days after pancreatitis, fall with hip fracture and fixation of hip fractures.  At 11:45pm she was noted to be short of breath.  at 6:15 pm on 11/28/21 she was found unresponsive, coded and expired.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, C-reactive protein increased, Dyspnoea, Feeling abnormal, Memory impairment
Clinical narrative: slow onset of severe arthralgia/ joint pains and memory problems, and fogginess, shortness of breath
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: slow onset of severe arthralgia/ joint pains and memory problems, and fogginess, shortness of breath
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Ageusia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospitalized 11/21/2021; COVID-19 positive 11/18/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 11/21/2021 Discharge Date: Nov 23, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 72-year-old female with a past medical history of dyslipidemia, depression, obesity, OSA who presented secondary to a chief complaint of headache, loss of taste, decreased appetite, coughing congestion.  She also started noting shortness of breath with exertion.  She received both doses of Pfizer vaccine in March 2021.  When EMS arrived she was 80% on room air.  She was placed on 4 L nasal cannula.  In the emergency department she was otherwise hemodynamically stable.  Her labs were unremarkable.  Her chest x-ray showed findings consistent with COVID-19 infection.  She was known to be COVID positive on 11/18/2021.  She was admitted for COVID-19 pneumonia.  She was started on Decadron and was out of the window for remdesivir and monoclonal antibodies.  She weaned to 3 L nasal cannula with activity per Pulmonary rehab evaluation.  She was noted to have mildly elevated transaminases secondary to COVID-19.  She had improvement of her symptoms and was discharged home on 11/23/2021 with home oxygen.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Decreased appetite, Dyspnoea exertional, Headache
Clinical narrative: Hospitalized 11/21/2021; COVID-19 positive 11/18/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 11/21/2021 Discharge Date: Nov 23, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 72-year-old female with a past medical history of dyslipidemia, depression, obesity, OSA who presented secondary to a chief complaint of headache, loss of taste, decreased appetite, coughing congestion.  She also started noting shortness of breath with exertion.  She received both doses of Pfizer vaccine in March 2021.  When EMS arrived she was 80% on room air.  She was placed on 4 L nasal cannula.  In the emergency department she was otherwise hemodynamically stable.  Her labs were unremarkable.  Her chest x-ray showed findings consistent with COVID-19 infection.  She was known to be COVID positive on 11/18/2021.  She was admitted for COVID-19 pneumonia.  She was started on Decadron and was out of the window for remdesivir and monoclonal antibodies.  She weaned to 3 L nasal cannula with activity per Pulmonary rehab evaluation.  She was noted to have mildly elevated transaminases secondary to COVID-19.  She had improvement of her symptoms and was discharged home on 11/23/2021 with home oxygen.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test normal, Respiratory tract congestion, SARS-CoV-2 test positive, Transaminases increased
Clinical narrative: Hospitalized 11/21/2021; COVID-19 positive 11/18/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 11/21/2021 Discharge Date: Nov 23, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 72-year-old female with a past medical history of dyslipidemia, depression, obesity, OSA who presented secondary to a chief complaint of headache, loss of taste, decreased appetite, coughing congestion.  She also started noting shortness of breath with exertion.  She received both doses of Pfizer vaccine in March 2021.  When EMS arrived she was 80% on room air.  She was placed on 4 L nasal cannula.  In the emergency department she was otherwise hemodynamically stable.  Her labs were unremarkable.  Her chest x-ray showed findings consistent with COVID-19 infection.  She was known to be COVID positive on 11/18/2021.  She was admitted for COVID-19 pneumonia.  She was started on Decadron and was out of the window for remdesivir and monoclonal antibodies.  She weaned to 3 L nasal cannula with activity per Pulmonary rehab evaluation.  She was noted to have mildly elevated transaminases secondary to COVID-19.  She had improvement of her symptoms and was discharged home on 11/23/2021 with home oxygen.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Pain in upper left arm began within minutes after injection. Fever (up to 102.5), chills, exhaustion, and body aches began 15 hours after injection. These symptoms occurred with my first two doses of Moderna and lasted for three days (the arm pain lasted for one week). In addition, the booster shot also gave me a runny nose, post-nasal drip, sore throat, and "Covid arm." The rash on my left arm was incredibly itchy and painful. It extended from the top of my shoulder to a couple of inches above my elbow, and has lasted four weeks. I used betamethasone cream to treat the allergic reaction and Sarna lotion to help with the itching. As of today, there are still some remnants of the rash, although the itching is controlled with Sarna lotion alone.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: Pain in upper left arm began within minutes after injection. Fever (up to 102.5), chills, exhaustion, and body aches began 15 hours after injection. These symptoms occurred with my first two doses of Moderna and lasted for three days (the arm pain lasted for one week). In addition, the booster shot also gave me a runny nose, post-nasal drip, sore throat, and "Covid arm." The rash on my left arm was incredibly itchy and painful. It extended from the top of my shoulder to a couple of inches above my elbow, and has lasted four weeks. I used betamethasone cream to treat the allergic reaction and Sarna lotion to help with the itching. As of today, there are still some remnants of the rash, although the itching is controlled with Sarna lotion alone.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: Pain in upper left arm began within minutes after injection. Fever (up to 102.5), chills, exhaustion, and body aches began 15 hours after injection. These symptoms occurred with my first two doses of Moderna and lasted for three days (the arm pain lasted for one week). In addition, the booster shot also gave me a runny nose, post-nasal drip, sore throat, and "Covid arm." The rash on my left arm was incredibly itchy and painful. It extended from the top of my shoulder to a couple of inches above my elbow, and has lasted four weeks. I used betamethasone cream to treat the allergic reaction and Sarna lotion to help with the itching. As of today, there are still some remnants of the rash, although the itching is controlled with Sarna lotion alone.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Dizziness and then pt threw up
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electrocardiogram ambulatory, Electrocardiogram normal, Extrasystoles, Palpitations
Clinical narrative: I first noticed it in October and I was just laying in bed because I was just trying to sleep. It felt like my heart was pounding and skipping a beat. Over the next several days it kept doing that. I went in to the doctor after a week or so. She ordered an EKG, echocardiogram, and a Holter monitor. The EKG was normal, the echocardiogram came back normal as well, and I do not have the results for the Holter monitor yet. They are supposed to call me this week for the results. While wearing the Holter monitor my heart was pounding and felt like it was skipping a beat. I had to tap the monitor and document what happened. She said she might have to start me in a low dose beta blocker.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Dizziness, Hypoaesthesia, Nausea
Clinical narrative: 3pm mother verbalizes her girl feels dizziness, general weakness and nausea, vital signs 3:10 BP 85/60, pulse 74, respiration 17 spo298% 3:25pm spo2 99%, pulse 83. Girl verbalizes blurry vision and does not feel her feet. 3:30pm medical evaluation and treatment with .9nss 500ml Iv dextrose 89 mg/dl
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: 3pm mother verbalizes her girl feels dizziness, general weakness and nausea, vital signs 3:10 BP 85/60, pulse 74, respiration 17 spo298% 3:25pm spo2 99%, pulse 83. Girl verbalizes blurry vision and does not feel her feet. 3:30pm medical evaluation and treatment with .9nss 500ml Iv dextrose 89 mg/dl
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness
Clinical narrative: admitted to hospital after asymptomatic testing for loss of consciousness due to fall.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Dehydration, Nausea
Clinical narrative: Severe Nausea.  Treated with OTC anti-nausea medicines.  Bismuth subsalicylate and  meclizine.  Patient could not keep even water down.  At 6pm sat Nov 27 took patient to emergency room.  Severe dehydration diagnosed by blood test.  They gave patient an IV bag.  Release and directed to drink plenty of fluids over several days.  Patient fully recovered by Sunday Nov 28 morning.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID 19 infection not requiring hosp.
Age: 63.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia, Immediate post-injection reaction
Clinical narrative: patient experienced immediate shoulder pain.  has been goin on now for 20 days.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received Moderna 3rd Dose at 0.5mL
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Diarrhoea, Dizziness, Flatulence
Clinical narrative: I experienced terrible abdominal pain, sweats, light headedness,  nausea, bloating, gas,  and diarrhea for 5 hours consistently. There was also blood in my stool at one point. The pain I experienced was not reduced by over the counter medications. Since that time I have suffered with gas, bloating, abdominal pain daily. I have also intermittently experienced diarrhea. I have an appointment with a Gastroenterologist on December 6th
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Haematochezia, Hyperhidrosis, Nausea, Pain
Clinical narrative: I experienced terrible abdominal pain, sweats, light headedness,  nausea, bloating, gas,  and diarrhea for 5 hours consistently. There was also blood in my stool at one point. The pain I experienced was not reduced by over the counter medications. Since that time I have suffered with gas, bloating, abdominal pain daily. I have also intermittently experienced diarrhea. I have an appointment with a Gastroenterologist on December 6th
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient recieved Pfizer Covid vaccine on July 27, 2021 as the first in her series, she went to a different clinic and was not able to locate her card to get her second vaccine.  Pharmacy gave her Moderna as her second vaccination on November 3, 2021
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: patient was given fluzone quad instead of high dose flushot
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. NO ADVERSE REACTION REPORTED
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropod sting, Blood glucose increased, Burning sensation, Gait disturbance, Glycosylated haemoglobin normal
Clinical narrative: Discharge summary  HPI: Pt is a 61 y/o male with a past medical history significant for DMII, HTN, HLD, asthma, sleep apnea, pulmonary HTN and pulmonary nodules (per record review) who presents with bilateral lower extremity weakness beginning yesterday. Pt reports that sxs began 5 days ago with constant burning sensation in BUE located in his bilateral wrists and shoulders, not throughout his arms. He reports yesterday he woke up and his legs felt very heavy and this has progressed today to the point that he feels ?can?t walk quite right.? States that it feels like he has bilateral foot drop. COVID-19 vaccine (J&J) was received 15 days ago. Was stung by a bee 8 days ago. Denies any significant symptoms after either of these events. He was seen in the clinic 2 days ago for the burning sensation, he was given voltaren gel, which he has been taking without relief and Valtrex, which he was instructed only to take if he develops a rash, which he has not and so has not taken it. Pt denies unilateral weakness, slurred speech, nausea, vomiting, diarrhea, chest pain, shortness of breath, fever, chills, neck stiffness, vision changes or any other complaints.  Hospital course: Patient was admitted on 21 November 2021 due to bilateral lower extremity proximal muscle weakness. LP was performed which was consistent with Guillain-Barre Syndrome with no organisms. He was started on IVIG therapy with neuro checks and respiratory status remaining stable. Symptoms remained localized to his hip flexors and extensors and demonstrated mild improvement prior to discharge. While admitted, he completed 4 doses of IVIG and he was able to walk independently without significant difficulty. Also, three MRIs of Brain, Cspine, Lspine were performed without acute findings to explain symptoms. A DVT US was negative as well. He was discharged with instructions for close follow up with neurology as well as PT and OT referrals.   While inpatient, his glucose remained persistently elevated, A1c revealed 8.6%. He was discharged to change and increase his 500mg Metformin XR daily to 1000mg XR twice daily (with instructions for titration). He was instructed to follow up with his PCM for further management.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Limb discomfort, Lumbar puncture abnormal, Magnetic resonance imaging head normal
Clinical narrative: Discharge summary  HPI: Pt is a 61 y/o male with a past medical history significant for DMII, HTN, HLD, asthma, sleep apnea, pulmonary HTN and pulmonary nodules (per record review) who presents with bilateral lower extremity weakness beginning yesterday. Pt reports that sxs began 5 days ago with constant burning sensation in BUE located in his bilateral wrists and shoulders, not throughout his arms. He reports yesterday he woke up and his legs felt very heavy and this has progressed today to the point that he feels ?can?t walk quite right.? States that it feels like he has bilateral foot drop. COVID-19 vaccine (J&J) was received 15 days ago. Was stung by a bee 8 days ago. Denies any significant symptoms after either of these events. He was seen in the clinic 2 days ago for the burning sensation, he was given voltaren gel, which he has been taking without relief and Valtrex, which he was instructed only to take if he develops a rash, which he has not and so has not taken it. Pt denies unilateral weakness, slurred speech, nausea, vomiting, diarrhea, chest pain, shortness of breath, fever, chills, neck stiffness, vision changes or any other complaints.  Hospital course: Patient was admitted on 21 November 2021 due to bilateral lower extremity proximal muscle weakness. LP was performed which was consistent with Guillain-Barre Syndrome with no organisms. He was started on IVIG therapy with neuro checks and respiratory status remaining stable. Symptoms remained localized to his hip flexors and extensors and demonstrated mild improvement prior to discharge. While admitted, he completed 4 doses of IVIG and he was able to walk independently without significant difficulty. Also, three MRIs of Brain, Cspine, Lspine were performed without acute findings to explain symptoms. A DVT US was negative as well. He was discharged with instructions for close follow up with neurology as well as PT and OT referrals.   While inpatient, his glucose remained persistently elevated, A1c revealed 8.6%. He was discharged to change and increase his 500mg Metformin XR daily to 1000mg XR twice daily (with instructions for titration). He was instructed to follow up with his PCM for further management.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal normal, Muscular weakness, Peroneal nerve palsy, Ultrasound Doppler normal
Clinical narrative: Discharge summary  HPI: Pt is a 61 y/o male with a past medical history significant for DMII, HTN, HLD, asthma, sleep apnea, pulmonary HTN and pulmonary nodules (per record review) who presents with bilateral lower extremity weakness beginning yesterday. Pt reports that sxs began 5 days ago with constant burning sensation in BUE located in his bilateral wrists and shoulders, not throughout his arms. He reports yesterday he woke up and his legs felt very heavy and this has progressed today to the point that he feels ?can?t walk quite right.? States that it feels like he has bilateral foot drop. COVID-19 vaccine (J&J) was received 15 days ago. Was stung by a bee 8 days ago. Denies any significant symptoms after either of these events. He was seen in the clinic 2 days ago for the burning sensation, he was given voltaren gel, which he has been taking without relief and Valtrex, which he was instructed only to take if he develops a rash, which he has not and so has not taken it. Pt denies unilateral weakness, slurred speech, nausea, vomiting, diarrhea, chest pain, shortness of breath, fever, chills, neck stiffness, vision changes or any other complaints.  Hospital course: Patient was admitted on 21 November 2021 due to bilateral lower extremity proximal muscle weakness. LP was performed which was consistent with Guillain-Barre Syndrome with no organisms. He was started on IVIG therapy with neuro checks and respiratory status remaining stable. Symptoms remained localized to his hip flexors and extensors and demonstrated mild improvement prior to discharge. While admitted, he completed 4 doses of IVIG and he was able to walk independently without significant difficulty. Also, three MRIs of Brain, Cspine, Lspine were performed without acute findings to explain symptoms. A DVT US was negative as well. He was discharged with instructions for close follow up with neurology as well as PT and OT referrals.   While inpatient, his glucose remained persistently elevated, A1c revealed 8.6%. He was discharged to change and increase his 500mg Metformin XR daily to 1000mg XR twice daily (with instructions for titration). He was instructed to follow up with his PCM for further management.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented to clinic and stated he wanted the Jansen covid vaccine. Vaccine was administered to patient. Upon further review,it was determined patient needed second dose of Pfizer covid vaccine. Patient did not have his vaccine card at the time of vaccination
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Pharyngeal swelling, Throat tightness
Clinical narrative: Throat tingling and swollen, felt like it was shutting
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: patient received Moderna 3rd dose @ 0.5 ml
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Dose 1: immediate swelling, redness and pain at injection site. Resolved approx 1 week. Pharmacist concerned about allergic reaction. Dose 2: swelling, redness and pain at injection site approx 2 hrs later. Pharmacist recommended watching for allergic reaction, take Benadryl as needed, and report if necessary.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient received his booster for pfizer early. He received it before 6 months. Previous dose was in September 2021.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID 19 infection not requiring hospitalization
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: Bad cold turned into sinus infection. Did home rapid tests and they were negative for COVID 19.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Dyspnoea, Hypoxia, Nausea
Clinical narrative: presenting the hospital ED for shortness of breath. Patient diagnosed Covid positive in outpatient setting. Patient reports progressive symptoms including body aches, nausea, decreased appetite, shortness of breath. Patient hypoxic on EMS arrival. 74% on room air
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: presenting the hospital ED for shortness of breath. Patient diagnosed Covid positive in outpatient setting. Patient reports progressive symptoms including body aches, nausea, decreased appetite, shortness of breath. Patient hypoxic on EMS arrival. 74% on room air
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. PATIENT REPORTED A SORE ARM
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Feeling abnormal
Clinical narrative: Client alerted mother that he felt strange. Mother alerted staff sating this is how he typically lets her know when his blood sugar is low. Provided carbohydrate snack. Client reported feeling resolved after two minutes from eating snack. Reported feeling 'fine' when left clinic site at 0935.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: pt should have gotten 0.5ml dose for 1st shot, but instead received the 0.25ml
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Migraine
Clinical narrative: Migraine headaches have increased. Maintenance meds no longer work as they used to. I have increased use of prn medication from 1-2 times a month to 2-3 time a week since taking vaccine. Neurologist has added gabapentin to regular regimen of medication, but it has not helped with the headaches.
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Disorientation, Dizziness, Headache, Malaise
Clinical narrative: At around 3:03PM, patient came into the Pharmacy to request vaccination for flu. Paperwork was filled and at 3:14pm patient received Influenza vaccine (Fluzone HD) by Pharmacy Technician. After administration, the patient was walking with a relative and stated that she did not feel good, and was feeling faint. Family member was able to grab her and placed her on the ground in front of the Department. Health Ambassador came to the Pharmacy and notified that there was a person on the floor, she stated had received a vaccine. Pharmacist left the Pharmacy area to attend to the patient where the Store Co-Manager had already arrived at the scene and placed the patient on a chair. The patient was disoriented and stated she had chest pains and headache; Pharmacist felt for a radial pulse, and was able to feel it. Pharmacist instructed technicians to close the Pharmacy while calling 9-1-1 to request emergency personnel to come into the store. After that, pharmacist took oxygen tank and placed cannula in order to administer oxygen (at 3:26pm; 2L); meanwhile staff was helping with the code. Paramedic arrived at the scene at 3:32pm, and  instructed the Pharmacist to accompany him to the ambulance with the oxygen tank in order to load her into the ambulance. Paramedics took the patient to nearest hospital at around 3:37pm; they mentioned were taking her to Hospital.
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Resuscitation
Clinical narrative: At around 3:03PM, patient came into the Pharmacy to request vaccination for flu. Paperwork was filled and at 3:14pm patient received Influenza vaccine (Fluzone HD) by Pharmacy Technician. After administration, the patient was walking with a relative and stated that she did not feel good, and was feeling faint. Family member was able to grab her and placed her on the ground in front of the Department. Health Ambassador came to the Pharmacy and notified that there was a person on the floor, she stated had received a vaccine. Pharmacist left the Pharmacy area to attend to the patient where the Store Co-Manager had already arrived at the scene and placed the patient on a chair. The patient was disoriented and stated she had chest pains and headache; Pharmacist felt for a radial pulse, and was able to feel it. Pharmacist instructed technicians to close the Pharmacy while calling 9-1-1 to request emergency personnel to come into the store. After that, pharmacist took oxygen tank and placed cannula in order to administer oxygen (at 3:26pm; 2L); meanwhile staff was helping with the code. Paramedic arrived at the scene at 3:32pm, and  instructed the Pharmacist to accompany him to the ambulance with the oxygen tank in order to load her into the ambulance. Paramedics took the patient to nearest hospital at around 3:37pm; they mentioned were taking her to Hospital.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, visual, Pruritus, Tenderness, Urticaria
Clinical narrative: Patient experienced vivid hallucinations, hives, itching, and hurt to touch
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID 19 infection not requiring hospitalization
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Tinnitus
Clinical narrative: Bad bilateral ringing in both ears starting at the same time as other symptoms (headache, fatigue, etc.) in the evening of the same day as the shot.  The other symptoms subsided, but the ear ringing has been 24/7 in the 10 days since then and is driving me mad
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received the Moderna 3rd dose @  0.5 ml
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Presyncope
Clinical narrative: near-syncope and nausea
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Plugged left ear and ringing sensation
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Headache, Vomiting
Clinical narrative: Patient received vaccine and waited at drive through pod for 15 minutes after receiving. Patient returned stating she had vomited in her car, has a pounding headache, and feels flushed. Patient evaluated by EMS and chose to go to the hospital.
Age: 18.0
Sex: M
Vaccine: HPV9
Symptoms: Bed rest, Blood pressure decreased, Fall, Head injury, Headache
Clinical narrative: Upon 2nd dose of Gardasil 9 my son went out to the car to leave and passed out while attempting to get into car and drive away.  Had lump on head from fall in parking lot and was sick rest of day with throwing up several times.   Upon 3rd dose of Gardasil 9, I attended appointment.  30 seconds after the 3rd injection of Gardasil 9 he passed out and was unresponsive.  His blood pressure dropped to 60/40 and shallow respiration rate.  Spent 45 minutes in office under supervision of healthcare provider until blood pressure and blood oxygen level returned to acceptable levels.  My son then had a debilitating headache and spent rest of day in bed.  I am reporting this several years after the fact,  I believe that this should have been reported by my PCP but not sure if that is the case.  If my son would have driven away and passed out after leaving it could have resulted in a fatality which needs to be reported as an adverse reaction.
Age: 18.0
Sex: M
Vaccine: HPV9
Symptoms: Hypopnoea, Loss of consciousness, Malaise, Unresponsive to stimuli, Vomiting
Clinical narrative: Upon 2nd dose of Gardasil 9 my son went out to the car to leave and passed out while attempting to get into car and drive away.  Had lump on head from fall in parking lot and was sick rest of day with throwing up several times.   Upon 3rd dose of Gardasil 9, I attended appointment.  30 seconds after the 3rd injection of Gardasil 9 he passed out and was unresponsive.  His blood pressure dropped to 60/40 and shallow respiration rate.  Spent 45 minutes in office under supervision of healthcare provider until blood pressure and blood oxygen level returned to acceptable levels.  My son then had a debilitating headache and spent rest of day in bed.  I am reporting this several years after the fact,  I believe that this should have been reported by my PCP but not sure if that is the case.  If my son would have driven away and passed out after leaving it could have resulted in a fatality which needs to be reported as an adverse reaction.
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Cyanosis, Dyspnoea
Clinical narrative: Patient recieved vaccine, went to the cash register to finish transasction, stated she "couldn't breathe" . patient sat down and was cyanotic, and unable to catch breath. epinephrine was administered, and ems called. patient left under her own power and free will to follow up at emergency department.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received Moderna 3rd dose at 0.5mL
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 11 year old patient was administered the vaccine for 12 +
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Headache, Respiratory tract congestion
Clinical narrative: On November 15, 2021, I had a cough, congestion, headache, and a runny nose. November 22nd, I had a telehealth visit with a doctor. I was told that I have a sinus infection. I was prescribed Amoxicillin and Mucinex. On November 24th I lost my taste and smell.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: On November 15, 2021, I had a cough, congestion, headache, and a runny nose. November 22nd, I had a telehealth visit with a doctor. I was told that I have a sinus infection. I was prescribed Amoxicillin and Mucinex. On November 24th I lost my taste and smell.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Transfusion, Uterine haemorrhage
Clinical narrative: Severe and persistent uterine bleeding for 6 weeks, requiring a blood transfusion.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, SARS-CoV-2 test positive
Clinical narrative: Case was hospitalized then died of Covid 8 months after being fully vaccinated for Covid.  Admitted 11/8/21 for Covid pneumonia, Dexamethasone/remdesivir course completed. Transitioned to Comfort care 11/23/21, died  11/27/21
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. PATIENT REPORTED A SORE ARM, LIKE ANY OTHER SHOT.
Age: 55.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest discomfort, Chest pain, Chills, Dizziness
Clinical narrative: 10/26/21 - temp, body aches, chills, stiff neck, HA muscle aches. 10/27/21 - chest heaviness with fluttering feeling, dizziness. 10/28/21 - continuous pain in right arm, swelling in right axilla. 11/1/21 - weakness, continuing symptoms that began 10/26/21. 11/16/21 - temp, chills, achy, HA, dizziness. 11/26/21 - episodes of chest pain/fluttering with dizziness several times a week, fatigue and body aches daily, joint swelling of right wrist, right shoulder, left ankle, left knee and left hip.
Age: 55.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site pain, Joint swelling, Lymphadenopathy, Musculoskeletal stiffness
Clinical narrative: 10/26/21 - temp, body aches, chills, stiff neck, HA muscle aches. 10/27/21 - chest heaviness with fluttering feeling, dizziness. 10/28/21 - continuous pain in right arm, swelling in right axilla. 11/1/21 - weakness, continuing symptoms that began 10/26/21. 11/16/21 - temp, chills, achy, HA, dizziness. 11/26/21 - episodes of chest pain/fluttering with dizziness several times a week, fatigue and body aches daily, joint swelling of right wrist, right shoulder, left ankle, left knee and left hip.
Age: 55.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain, Ultrasound scan normal
Clinical narrative: 10/26/21 - temp, body aches, chills, stiff neck, HA muscle aches. 10/27/21 - chest heaviness with fluttering feeling, dizziness. 10/28/21 - continuous pain in right arm, swelling in right axilla. 11/1/21 - weakness, continuing symptoms that began 10/26/21. 11/16/21 - temp, chills, achy, HA, dizziness. 11/26/21 - episodes of chest pain/fluttering with dizziness several times a week, fatigue and body aches daily, joint swelling of right wrist, right shoulder, left ankle, left knee and left hip.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest discomfort, Echocardiogram, Electrocardiogram ambulatory, Fatigue
Clinical narrative: Mild headache 1 day, tired 2 days, Premature Ventrical Contractions atarting 8 days after shot and have not gone away. PVCs increased after booster on October 29, 2021. EKG in cardiologist office on May 25, 2021 showed marked PVCs. Felt thumping in chest that increased over time. Prescribed Flecainide on September 9, 2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Ventricular extrasystoles
Clinical narrative: Mild headache 1 day, tired 2 days, Premature Ventrical Contractions atarting 8 days after shot and have not gone away. PVCs increased after booster on October 29, 2021. EKG in cardiologist office on May 25, 2021 showed marked PVCs. Felt thumping in chest that increased over time. Prescribed Flecainide on September 9, 2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to due date
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received Moderna 3rd dose at 0.5mL
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received that Moderna 3rd dose @ 0.5 ml
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received a pediatric dose of the Pfizer vaccine0 .2ml (10mcg) instead of the .3ml dose designated for age of 13
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Flank pain, Headache, Hemiplegia, Magnetic resonance imaging
Clinical narrative: Headache, pain on the right side, body aches, fever. Couldn't move on the right. Got progressively worse. Ultimately diagnosed with MS. Vaccine brought out a virus.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Multiple sclerosis, Pain, Pyrexia, Scan, Scan brain
Clinical narrative: Headache, pain on the right side, body aches, fever. Couldn't move on the right. Got progressively worse. Ultimately diagnosed with MS. Vaccine brought out a virus.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Headache, pain on the right side, body aches, fever. Couldn't move on the right. Got progressively worse. Ultimately diagnosed with MS. Vaccine brought out a virus.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Ear disorder, Fatigue, Injection site nodule, Lacrimation increased
Clinical narrative: initially had really sore arm and a knot at the site of injection and very tired. approximately 3 days later started sneezing and itchy, watery eyes. about 5 days after injection started having severe vertigo when rolling over in bed. while I have had vertigo before, it has never been this bad.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, SARS-CoV-2 test negative, Sneezing, Vertigo
Clinical narrative: initially had really sore arm and a knot at the site of injection and very tired. approximately 3 days later started sneezing and itchy, watery eyes. about 5 days after injection started having severe vertigo when rolling over in bed. while I have had vertigo before, it has never been this bad.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Hypoxia
Clinical narrative: presented to the ED of increased cough she was dx with covid about a week ago in the ED she was hypoxic and admitted for treatment
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received Moderna 3rd dose at 0.5mL
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Eye pain, Fatigue
Clinical narrative: I originally got the J&J, and got the Pfizer booster. The J&J was in March of 2021. I had vey little side effects from it.  When I got the Pfizer booster on 11/9/202 which is what I reporting on here,  I got immediate and terrible reactions. First, fever and fatigue, then in the evening of the first night a dry cough and sore throat. By the next day I was sneezing and wheezing, having difficulty breathing as my chest was tight and had a terrible head cold.  2 days after the vaccine my left eye filled with blood and hurt. Then on the 4th day,  I got a   terrible mouth infection, oral thrush. Went to see my primary  doctor. She gave me cough medicine, an inhaler and a nystatin suspension for the fungal infection in my mouth. It took almost 2 weeks for me to feel better., and I'm still suffering from the fungal infection.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Nasopharyngitis, Ocular hyperaemia, Oral candidiasis, Oropharyngeal pain
Clinical narrative: I originally got the J&J, and got the Pfizer booster. The J&J was in March of 2021. I had vey little side effects from it.  When I got the Pfizer booster on 11/9/202 which is what I reporting on here,  I got immediate and terrible reactions. First, fever and fatigue, then in the evening of the first night a dry cough and sore throat. By the next day I was sneezing and wheezing, having difficulty breathing as my chest was tight and had a terrible head cold.  2 days after the vaccine my left eye filled with blood and hurt. Then on the 4th day,  I got a   terrible mouth infection, oral thrush. Went to see my primary  doctor. She gave me cough medicine, an inhaler and a nystatin suspension for the fungal infection in my mouth. It took almost 2 weeks for me to feel better., and I'm still suffering from the fungal infection.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sneezing, Stomatitis, Wheezing
Clinical narrative: I originally got the J&J, and got the Pfizer booster. The J&J was in March of 2021. I had vey little side effects from it.  When I got the Pfizer booster on 11/9/202 which is what I reporting on here,  I got immediate and terrible reactions. First, fever and fatigue, then in the evening of the first night a dry cough and sore throat. By the next day I was sneezing and wheezing, having difficulty breathing as my chest was tight and had a terrible head cold.  2 days after the vaccine my left eye filled with blood and hurt. Then on the 4th day,  I got a   terrible mouth infection, oral thrush. Went to see my primary  doctor. She gave me cough medicine, an inhaler and a nystatin suspension for the fungal infection in my mouth. It took almost 2 weeks for me to feel better., and I'm still suffering from the fungal infection.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: It was reported to us approx a week later, that one day post vaccination with moderna booster, Patient has severe lymph node swelling in neck area. Sought care at primary care MD and prescribed steroids.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspnoea, Hypoaesthesia, Pain
Clinical narrative: Numb fingers and toes, VERY labored breathing, inability to stay awake,  entire body weakness (unable to lift a water bottle), throat swelling, high fever, chills and body aches, semi-difficulty  breathing
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Pyrexia, Somnolence
Clinical narrative: Numb fingers and toes, VERY labored breathing, inability to stay awake,  entire body weakness (unable to lift a water bottle), throat swelling, high fever, chills and body aches, semi-difficulty  breathing
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received the Moderna 3rd dose @ 0.5 ml
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received Moderna 3rd dose at 0.5mL
Age: 40.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Positive airway pressure therapy
Clinical narrative: PATIENT ADMITTED TO THE HOSPITAL RECIEVING BIPAP
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Diarrhoea, Mental disorder
Clinical narrative: covid symptoms 11/23/21 incl abdominal pain and diarrhea, altered mental status
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. PATIENT DID NOT REPORT ANY ADVERSE REACTIONS.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Electrocardiogram, Fall, Gastric disorder
Clinical narrative: I have never had anything like this. I was having gastric discomfort, I was extremely dizzy, I could not even stand up. The dizziness lasted for 2 days after I got out of the Hospital. I was so dizzy I had fallen down, it was very alarming, I could not get up. I had to roll over to get up. It lasted for 2 days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Culture urine, Dizziness
Clinical narrative: Two weeks later I was having dizziness spells.  These were ongoing.  If I move around or sat down, it was worst.  I went to my primary care doctor.  He order blood work and urine sample.  I went on September 28th for a colonoscopy, and they found that I had Thrust.
Age: 21.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Heart rate increased, Nausea, Periorbital swelling
Clinical narrative: Vaccine given at 10:35 am. Client monitored in office for 30 minutes post injection. Tolerated well, no reaction noted. Client returned to work.  At approximately 1:00pm client calls to inform she developed lightheadedness, nausea, and "puffiness" to bilateral eyes. At this time this nurse instructed client to contact PCP office as she has been instructed to not take Benadryl in past d/t developing a rash after taking. Client voiced understanding.  To client at 2:20pm. Client states she spoke with PCP office and they are unable to get her in until 11/30/21 at 08:00 am, and instructed her if s/s worsen or new sx. develop to be evaluated at ER. Client informs this nurse she has now noticed increased HR at rest. Client is home with mother. This nurse recommended for client to be seen at Urgent Care or ER for evaluation.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Pyrexia
Clinical narrative: admitted to hospital through the ED with cough, fatigue, fever and shortness of breath
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives, given steroid shot and methyprenisolone 4mg DosPak 21S
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess limb, Acute kidney injury, Atrial fibrillation, Cellulitis, Debridement
Clinical narrative: 90yr old female presents to the Ed with complaints of an infected bunion on her left foot.  Her nurse that does the dressing change was thinking that it needs lanced.  She states she's had it for a week and she has no pain.  She also has a surgical site on her left leg that Dr. removed a hematoma.  She has drainage on the bandages on her leg and bunion. 1. Cellulitis of lower extremity, unspecified laterality    2. Abscess of left foot    3. Open wounds involving multiple regions of lower extremity    4. History of MRSA infection  Patient was brought from her group home to the ED with concerns for left foot pain. Provider states that he has concerns based on the xray that the patient might be developing an osteomyelitis.   Diagnosis:     ICD-10-CM   1. Venous stasis  I87.8   2. Cellulitis of right lower extremity  L03.115   Acute Problems 1.Purulent cellulitis of left foot, with osteomyelitis 2. Non-oliguric AKI   ASSESSMENT/PLAN Left lower extremity foot wound (suspected osteomyelitis) with associated cellulitis             - Continue cefepime and vancomycin             - Podiatry would like INR of 1.5 for surgery. Discussed case this morning with Dr.  I did note that FFP is transient but can be given to reduce INR if procedure is planned for today. He noted he will check with OR but procedure maybe done tomorrow. I did note transient nature of FFP and he did request that we give FFP incase procedure done today. FFP given while he performed beside debridement today but will plan formal I&D. Given this will give Vit K 2.5mg PO x 1 so INR will hopefully be ~1.5 tomorrow             - Discussed with patient need for reversal as Podiatry would like procedure done more urgently.    Acute kidney injury -this is improved with gentle hydration and holding home lisinopril and Lasix.  Resolved.   Hypertension -continue metoprolol.  Holding lisinopril and Lasix. Chronic atrial fibrillation -warfarin held for possible procedure.  INR is 2.02.  Continue metoprolol Venous stasis dermatitis -holding Lasix due to AKI. Left groin intertrigo -continue ketoconazole cream twice daily   - DVT prophylaxis -INR is therapeutic