chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.75
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was given 2 flu vaccines on accident.  This mistake was reported to Nurse manager of clinic and Doctor. Doctor went into room and spoke to mom to assure her that patient will be fine.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pain, Pneumonia
Clinical narrative: patient called the pharmacy on 11/30/23 and inquired about what vaccine they received on 10/16/23. apparently after receiving flu shot 10/16/2023, patient experienced pain at injection site for prolonged time. also developed pneumonia shortly after receiving the flu vaccine. patient was making sure they got a flu vaccine and not a pneumonia vaccine. patient is currently on antibiotic therapy and experiencing general pain as well as pain at flu shot injection site
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain
Clinical narrative: Body aches, lethargy
Age: 82.0
Sex: F
Vaccine: RSV
Symptoms: Balance disorder, Condition aggravated, Constipation, Dizziness, Fatigue
Clinical narrative: Three days after vaccination in addition to the routine effects , ie. arm swelling and pain i have axepetrince the following: Dizziness (I don't have dizzy spells ever) that couse me lose balance. it continued for 3-4 days  11/25-11/28 ---Resolved  blurred vision. (Both close and distance) --- Almost Resolved extreme tiredness and fatigue ---Continues but got better by today Dec 1, 2023 Unusual constipation.   I suffer from slow bowl ovement, but the was DIFFERENT  almost like "Giving Birth" to 5cm in diameter poop...  --- Resoved
Age: 82.0
Sex: F
Vaccine: RSV
Symptoms: Monoplegia, Peripheral swelling, Vision blurred
Clinical narrative: Three days after vaccination in addition to the routine effects , ie. arm swelling and pain i have axepetrince the following: Dizziness (I don't have dizzy spells ever) that couse me lose balance. it continued for 3-4 days  11/25-11/28 ---Resolved  blurred vision. (Both close and distance) --- Almost Resolved extreme tiredness and fatigue ---Continues but got better by today Dec 1, 2023 Unusual constipation.   I suffer from slow bowl ovement, but the was DIFFERENT  almost like "Giving Birth" to 5cm in diameter poop...  --- Resoved
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient came to my clinic today, 12/1/23, and reports she had red area where vaccine was given and has had continued pain since then. She states this pain is hard to describe but is in the right upper arm where vaccine was given. When asked if dull or sharp, she states it "just hurts". She states tylenol helped when she took it once.  She denies any numbness or tingling of her arm or hand and no weakness in her arm.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Pain, Peripheral swelling
Clinical narrative: Patient called on 11/30/23 to report that her R hand became swollen on 11/28/23. She also reports that her headache became worse and she had body aches that began on 11/28/23.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: The night I received the vaccine I had diarrhea and vomiting, headache, chills, fever, sneezing, coughing, shortness of breath, wheezing, rapid heartbeat that wouldn't slow, my lips and face fell swollen and tingly, overall feeling that I wouldn't make it through the night. Fell asleep early the next morning. I was unable to take myself to urgent care as I was incapacitated and extremely fatigued.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Headache, Heart rate increased, Insomnia, Lip swelling
Clinical narrative: The night I received the vaccine I had diarrhea and vomiting, headache, chills, fever, sneezing, coughing, shortness of breath, wheezing, rapid heartbeat that wouldn't slow, my lips and face fell swollen and tingly, overall feeling that I wouldn't make it through the night. Fell asleep early the next morning. I was unable to take myself to urgent care as I was incapacitated and extremely fatigued.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia, Paraesthesia oral, Pyrexia, Sneezing, Swelling face
Clinical narrative: The night I received the vaccine I had diarrhea and vomiting, headache, chills, fever, sneezing, coughing, shortness of breath, wheezing, rapid heartbeat that wouldn't slow, my lips and face fell swollen and tingly, overall feeling that I wouldn't make it through the night. Fell asleep early the next morning. I was unable to take myself to urgent care as I was incapacitated and extremely fatigued.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting, Wheezing
Clinical narrative: The night I received the vaccine I had diarrhea and vomiting, headache, chills, fever, sneezing, coughing, shortness of breath, wheezing, rapid heartbeat that wouldn't slow, my lips and face fell swollen and tingly, overall feeling that I wouldn't make it through the night. Fell asleep early the next morning. I was unable to take myself to urgent care as I was incapacitated and extremely fatigued.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia, Tremor
Clinical narrative: Fever, chills, tremors, headache
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Pain in extremity, Pyrexia
Clinical narrative: Dose was 0.5 ml.  It is Moderna 2023-2024 formulation for ages 12+.  Extreme pain in left arm and headache along with fever and chills.  Symptoms built after injection and peaked between hours 12 and 16 after the vaccination.   24 hours later at this writing, symptoms have almost completely subsided.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bacteraemia, COVID-19, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Admit date: 11/23/2023  Discharge date: 11/27/2023  Admitting Physician:  DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: Acute on chronic respiratory failure with hypoxia  due to COVID pneumonia with superimposed Influenza A infection, can't rule out superimposed bacterial infection   Brief Summary of Hospital Stay: 55 yo female with history of mitral valve replacement on Coumadin, lung cancer with metastasis to the bone and brain, recently admitted for hemoptysis with finding of Klebsiella pneumonia and bacteremia who was discharged on ceftriaxone on 11/19.  Patient re-presented to the emergency department with complaint of shortness a breath and altered mental status.  Was found to be influenza A and COVID-19 positive.  Initially she was admitted under the Medicine Service, however while awaiting a bed in the emergency department she became increasingly tachypneic, was transitioned to BiPAP therapy and admitted to the intensive care unit.  On admission, warfarin was held and transitioned to heparin drip.  On 11/24, she was noted to have an acute drop in her hemoglobin, accompanied with melenic stools. GI was consulted and the heparin drip was discontinued.  Considering her multiple comorbidities GI deferred endoscopy at this time.  Heparin drip remains on  hold, she is on PPI BID for GI bleed, and are monitoring her H&H every 8 hours.  After 2 units of packed red blood cells yesterday her hemoglobin has been stable today has required no further transfusions.    Hospital Course: Patient was downgraded from ICU. GI was consulted and recommended outpatient follow up for EGD once COVID quarantine for 10 days is complete. In the interim she will remain off warfarin.   Upon exam this morning, patient feeling overall better. She is stable on RA. Patient was medically optimized. Vital signs were stable for discharge. Discharged to home.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage, Haematocrit, Haemoglobin decreased, Haemoptysis, Hypoxia
Clinical narrative: Admit date: 11/23/2023  Discharge date: 11/27/2023  Admitting Physician:  DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: Acute on chronic respiratory failure with hypoxia  due to COVID pneumonia with superimposed Influenza A infection, can't rule out superimposed bacterial infection   Brief Summary of Hospital Stay: 55 yo female with history of mitral valve replacement on Coumadin, lung cancer with metastasis to the bone and brain, recently admitted for hemoptysis with finding of Klebsiella pneumonia and bacteremia who was discharged on ceftriaxone on 11/19.  Patient re-presented to the emergency department with complaint of shortness a breath and altered mental status.  Was found to be influenza A and COVID-19 positive.  Initially she was admitted under the Medicine Service, however while awaiting a bed in the emergency department she became increasingly tachypneic, was transitioned to BiPAP therapy and admitted to the intensive care unit.  On admission, warfarin was held and transitioned to heparin drip.  On 11/24, she was noted to have an acute drop in her hemoglobin, accompanied with melenic stools. GI was consulted and the heparin drip was discontinued.  Considering her multiple comorbidities GI deferred endoscopy at this time.  Heparin drip remains on  hold, she is on PPI BID for GI bleed, and are monitoring her H&H every 8 hours.  After 2 units of packed red blood cells yesterday her hemoglobin has been stable today has required no further transfusions.    Hospital Course: Patient was downgraded from ICU. GI was consulted and recommended outpatient follow up for EGD once COVID quarantine for 10 days is complete. In the interim she will remain off warfarin.   Upon exam this morning, patient feeling overall better. She is stable on RA. Patient was medically optimized. Vital signs were stable for discharge. Discharged to home.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Influenza A virus test positive, Intensive care, Melaena, Mental status changes
Clinical narrative: Admit date: 11/23/2023  Discharge date: 11/27/2023  Admitting Physician:  DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: Acute on chronic respiratory failure with hypoxia  due to COVID pneumonia with superimposed Influenza A infection, can't rule out superimposed bacterial infection   Brief Summary of Hospital Stay: 55 yo female with history of mitral valve replacement on Coumadin, lung cancer with metastasis to the bone and brain, recently admitted for hemoptysis with finding of Klebsiella pneumonia and bacteremia who was discharged on ceftriaxone on 11/19.  Patient re-presented to the emergency department with complaint of shortness a breath and altered mental status.  Was found to be influenza A and COVID-19 positive.  Initially she was admitted under the Medicine Service, however while awaiting a bed in the emergency department she became increasingly tachypneic, was transitioned to BiPAP therapy and admitted to the intensive care unit.  On admission, warfarin was held and transitioned to heparin drip.  On 11/24, she was noted to have an acute drop in her hemoglobin, accompanied with melenic stools. GI was consulted and the heparin drip was discontinued.  Considering her multiple comorbidities GI deferred endoscopy at this time.  Heparin drip remains on  hold, she is on PPI BID for GI bleed, and are monitoring her H&H every 8 hours.  After 2 units of packed red blood cells yesterday her hemoglobin has been stable today has required no further transfusions.    Hospital Course: Patient was downgraded from ICU. GI was consulted and recommended outpatient follow up for EGD once COVID quarantine for 10 days is complete. In the interim she will remain off warfarin.   Upon exam this morning, patient feeling overall better. She is stable on RA. Patient was medically optimized. Vital signs were stable for discharge. Discharged to home.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia klebsiella, Positive airway pressure therapy, Red blood cell transfusion, SARS-CoV-2 test positive, Superinfection
Clinical narrative: Admit date: 11/23/2023  Discharge date: 11/27/2023  Admitting Physician:  DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: Acute on chronic respiratory failure with hypoxia  due to COVID pneumonia with superimposed Influenza A infection, can't rule out superimposed bacterial infection   Brief Summary of Hospital Stay: 55 yo female with history of mitral valve replacement on Coumadin, lung cancer with metastasis to the bone and brain, recently admitted for hemoptysis with finding of Klebsiella pneumonia and bacteremia who was discharged on ceftriaxone on 11/19.  Patient re-presented to the emergency department with complaint of shortness a breath and altered mental status.  Was found to be influenza A and COVID-19 positive.  Initially she was admitted under the Medicine Service, however while awaiting a bed in the emergency department she became increasingly tachypneic, was transitioned to BiPAP therapy and admitted to the intensive care unit.  On admission, warfarin was held and transitioned to heparin drip.  On 11/24, she was noted to have an acute drop in her hemoglobin, accompanied with melenic stools. GI was consulted and the heparin drip was discontinued.  Considering her multiple comorbidities GI deferred endoscopy at this time.  Heparin drip remains on  hold, she is on PPI BID for GI bleed, and are monitoring her H&H every 8 hours.  After 2 units of packed red blood cells yesterday her hemoglobin has been stable today has required no further transfusions.    Hospital Course: Patient was downgraded from ICU. GI was consulted and recommended outpatient follow up for EGD once COVID quarantine for 10 days is complete. In the interim she will remain off warfarin.   Upon exam this morning, patient feeling overall better. She is stable on RA. Patient was medically optimized. Vital signs were stable for discharge. Discharged to home.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tachypnoea
Clinical narrative: Admit date: 11/23/2023  Discharge date: 11/27/2023  Admitting Physician:  DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: Acute on chronic respiratory failure with hypoxia  due to COVID pneumonia with superimposed Influenza A infection, can't rule out superimposed bacterial infection   Brief Summary of Hospital Stay: 55 yo female with history of mitral valve replacement on Coumadin, lung cancer with metastasis to the bone and brain, recently admitted for hemoptysis with finding of Klebsiella pneumonia and bacteremia who was discharged on ceftriaxone on 11/19.  Patient re-presented to the emergency department with complaint of shortness a breath and altered mental status.  Was found to be influenza A and COVID-19 positive.  Initially she was admitted under the Medicine Service, however while awaiting a bed in the emergency department she became increasingly tachypneic, was transitioned to BiPAP therapy and admitted to the intensive care unit.  On admission, warfarin was held and transitioned to heparin drip.  On 11/24, she was noted to have an acute drop in her hemoglobin, accompanied with melenic stools. GI was consulted and the heparin drip was discontinued.  Considering her multiple comorbidities GI deferred endoscopy at this time.  Heparin drip remains on  hold, she is on PPI BID for GI bleed, and are monitoring her H&H every 8 hours.  After 2 units of packed red blood cells yesterday her hemoglobin has been stable today has required no further transfusions.    Hospital Course: Patient was downgraded from ICU. GI was consulted and recommended outpatient follow up for EGD once COVID quarantine for 10 days is complete. In the interim she will remain off warfarin.   Upon exam this morning, patient feeling overall better. She is stable on RA. Patient was medically optimized. Vital signs were stable for discharge. Discharged to home.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Tremor
Clinical narrative: Fever, tremors, body aches, nausea
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia
Clinical narrative: Lethargy, fever
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Patient normally on 2L of O2 at home. Presented to ED with weakness and tested positive for COVID. Admitted to unit for weakness. Also, notes complain of fatigue and cough.
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Disturbance in attention, Dizziness, Fatigue, Nausea
Clinical narrative: Dizziness, nausea, fatigue, difficulty focusing on tasks
Age: 81.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Blood test, Gait disturbance, Laboratory test, Magnetic resonance imaging, Muscular weakness
Clinical narrative: on the third day, patient woke up from an afternoon feeling weak on the right arm.  The next day, left arm was weak and in pain.  Bt the sixth day, patient experienced weakness and pain in both legs.  He was having trouble walking and ask for a wheel chair
Age: 81.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Pain in extremity
Clinical narrative: on the third day, patient woke up from an afternoon feeling weak on the right arm.  The next day, left arm was weak and in pain.  Bt the sixth day, patient experienced weakness and pain in both legs.  He was having trouble walking and ask for a wheel chair
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Aspiration pleural cavity, COVID-19, Diuretic therapy, Dyspnoea
Clinical narrative: Admit date: 11/25/2023  Discharge date: 11/28/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: Dr.  Reason for Admission: SOB  Hospital Course: This is a 75-year-old male with past medical history of ESRD on HD, hypertension, BPH, palindromic rheumatism, GERD, and severe mitral regurgitation who presented with acute hypoxic respiratory failure secondary to a large recurrent left pleural effusion and COVID respiratory infection.  Patient received a thoracentesis on 11/26 as well as diuresis.  Dexamethasone was also administered for his hypoxia in setting COVID respiratory infection.  His respiratory status improved and he was saturating 90 4-96% on room air upon time of discharge.  Patient has ESRD on HD schedule of Tuesday, Thursday, Saturday.  Nephrology was consulted and hemodialysis was initiated on Monday, 11/27.  Nephrology team reassess patient on 11/20 and determined he did not require additional session of HD.  He will continue his normal schedule on Thursday 11/30. Discharged to home.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Haemodialysis, Hypoxia, Pleural effusion
Clinical narrative: Admit date: 11/25/2023  Discharge date: 11/28/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: Dr.  Reason for Admission: SOB  Hospital Course: This is a 75-year-old male with past medical history of ESRD on HD, hypertension, BPH, palindromic rheumatism, GERD, and severe mitral regurgitation who presented with acute hypoxic respiratory failure secondary to a large recurrent left pleural effusion and COVID respiratory infection.  Patient received a thoracentesis on 11/26 as well as diuresis.  Dexamethasone was also administered for his hypoxia in setting COVID respiratory infection.  His respiratory status improved and he was saturating 90 4-96% on room air upon time of discharge.  Patient has ESRD on HD schedule of Tuesday, Thursday, Saturday.  Nephrology was consulted and hemodialysis was initiated on Monday, 11/27.  Nephrology team reassess patient on 11/20 and determined he did not require additional session of HD.  He will continue his normal schedule on Thursday 11/30. Discharged to home.
Age: 78.0
Sex: F
Vaccine: RSV
Symptoms: Pruritus, Rash
Clinical narrative: The patient reported feeling itchy the night after receiving that vaccination.  The next morning , she reported a rash and itching all over her body.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Fever, headache
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, COVID-19, Computerised tomogram head normal, Dizziness, Fall
Clinical narrative: Admit date: 11/27/2023  Discharge date: 11/28/23   Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Reason for Admission:  Ground level fall and COVID  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   "This is a 75 YO female with h/o carotid stenosis, prior strokes, diabetes mellitus, dementia, hypertension who presented to the emergency department today after a ground level fall as well as a positive COVID diagnosis.  Patient states that she lives alone and she was feeling dizzy like the room was spinning before she fell.  She also endorses a bad right knee which probably played some part in the fall.  When she fell she does not remember if she passed out or lost consciousness.  Imaging in the emergency department showed no bleed or infarct on CT scan.  She does endorse some weakness on the right side that was not there prior to yesterday mainly in the upper right extremity.  Patient is saturating fine on room air while lying down however if she tries to get up and move around she quickly desaturates.  At home it looks like she is able to walk about 10 ft before needing to sit down.  She has no prior asthma or chronic obstructive pulmonary disease diagnosis.  She is not a prior smoker or a prior drinker.  Patient is not on oxygen at home.  Otherwise patient has no questions or concerns at this time. "  Patient did well overnight.  Patient was saturating well on room air.  Patient was not complaining of any dyspnea or shortness of breath today.  There were no further investigation was needed for the ground level fall.  Patient should follow up with PCP for more assessment of the knee otherwise was deemed medically stable for discharge today. Discharged to home.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hemiparesis, Memory impairment, Muscular weakness, Oxygen saturation decreased
Clinical narrative: Admit date: 11/27/2023  Discharge date: 11/28/23   Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Reason for Admission:  Ground level fall and COVID  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   "This is a 75 YO female with h/o carotid stenosis, prior strokes, diabetes mellitus, dementia, hypertension who presented to the emergency department today after a ground level fall as well as a positive COVID diagnosis.  Patient states that she lives alone and she was feeling dizzy like the room was spinning before she fell.  She also endorses a bad right knee which probably played some part in the fall.  When she fell she does not remember if she passed out or lost consciousness.  Imaging in the emergency department showed no bleed or infarct on CT scan.  She does endorse some weakness on the right side that was not there prior to yesterday mainly in the upper right extremity.  Patient is saturating fine on room air while lying down however if she tries to get up and move around she quickly desaturates.  At home it looks like she is able to walk about 10 ft before needing to sit down.  She has no prior asthma or chronic obstructive pulmonary disease diagnosis.  She is not a prior smoker or a prior drinker.  Patient is not on oxygen at home.  Otherwise patient has no questions or concerns at this time. "  Patient did well overnight.  Patient was saturating well on room air.  Patient was not complaining of any dyspnea or shortness of breath today.  There were no further investigation was needed for the ground level fall.  Patient should follow up with PCP for more assessment of the knee otherwise was deemed medically stable for discharge today. Discharged to home.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vertigo
Clinical narrative: Admit date: 11/27/2023  Discharge date: 11/28/23   Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Reason for Admission:  Ground level fall and COVID  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   "This is a 75 YO female with h/o carotid stenosis, prior strokes, diabetes mellitus, dementia, hypertension who presented to the emergency department today after a ground level fall as well as a positive COVID diagnosis.  Patient states that she lives alone and she was feeling dizzy like the room was spinning before she fell.  She also endorses a bad right knee which probably played some part in the fall.  When she fell she does not remember if she passed out or lost consciousness.  Imaging in the emergency department showed no bleed or infarct on CT scan.  She does endorse some weakness on the right side that was not there prior to yesterday mainly in the upper right extremity.  Patient is saturating fine on room air while lying down however if she tries to get up and move around she quickly desaturates.  At home it looks like she is able to walk about 10 ft before needing to sit down.  She has no prior asthma or chronic obstructive pulmonary disease diagnosis.  She is not a prior smoker or a prior drinker.  Patient is not on oxygen at home.  Otherwise patient has no questions or concerns at this time. "  Patient did well overnight.  Patient was saturating well on room air.  Patient was not complaining of any dyspnea or shortness of breath today.  There were no further investigation was needed for the ground level fall.  Patient should follow up with PCP for more assessment of the knee otherwise was deemed medically stable for discharge today. Discharged to home.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chest X-ray, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presented to ED on 11/25/23 with complaints of cough and SOB. Tested positive at that time. Was found on floor on 11/30 for unknown amount of time and brought to ED for admission. Admitted for continued testing.
Age: 10.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No symptoms patient is just out of age range.  Patient is way behind with vaccinations and I did not realize she was out of age range as we were trying to catcher her up.   11/30--Mom has been notified of this error as she came in the office yesterday.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose increased, COVID-19, Costovertebral angle tenderness, Cough, Dyspnoea
Clinical narrative: Admit date: 11/27/2023  Discharge date: 11/29/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: cough, shortness of breath, bilateral rib pain  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  82 YO-year-old female with h/o hypertension, hyperlipidemia, CKD 4, type 2 diabetes, peripheral vascular disease, AAA status post aortoiliac stent placement, vestibular neuronitis, and chronic rhinitis presents for evaluation of dry cough and shortness of breath.  My admission, patient found to be COVID positive.  She was started on Decadron 6 mg daily on remdesivir IV.  Initially placed on 1-2 L nasal cannula O2, was then weaned off today.  Patient is now saturating well on room air and walking around independently without any shortness a breath.  She NS associated bilateral costovertebral angle tenderness, worse with coughing, and improved with cough drops.  Her blood glucose has been elevated into the 200s to 300s range while on Decadron.  We will plan to resume her home glipizide 5 mg daily along with insulin 40 units long-acting and Ozempic when she goes home.  Plan for total 7 day Decadron 6 mg daily.  PT/OT evaluated patient and recommended home on discharge.  Patient found to have some oral candidiasis on examination, started on nystatin swish and spit with improvement of throat pain.  Also given Robitussin for cough with improvement.  No other active concerns. Discharged to home.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Musculoskeletal chest pain, Oral candidiasis, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Admit date: 11/27/2023  Discharge date: 11/29/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: cough, shortness of breath, bilateral rib pain  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  82 YO-year-old female with h/o hypertension, hyperlipidemia, CKD 4, type 2 diabetes, peripheral vascular disease, AAA status post aortoiliac stent placement, vestibular neuronitis, and chronic rhinitis presents for evaluation of dry cough and shortness of breath.  My admission, patient found to be COVID positive.  She was started on Decadron 6 mg daily on remdesivir IV.  Initially placed on 1-2 L nasal cannula O2, was then weaned off today.  Patient is now saturating well on room air and walking around independently without any shortness a breath.  She NS associated bilateral costovertebral angle tenderness, worse with coughing, and improved with cough drops.  Her blood glucose has been elevated into the 200s to 300s range while on Decadron.  We will plan to resume her home glipizide 5 mg daily along with insulin 40 units long-acting and Ozempic when she goes home.  Plan for total 7 day Decadron 6 mg daily.  PT/OT evaluated patient and recommended home on discharge.  Patient found to have some oral candidiasis on examination, started on nystatin swish and spit with improvement of throat pain.  Also given Robitussin for cough with improvement.  No other active concerns. Discharged to home.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Vomiting
Clinical narrative: Patient arrives at the clinic the next day due to possible adverse reaction. Patient reports that it vomited at home. Red, hot and hardened injection area is observed.
Age: 0.58
Sex: F
Vaccine: FLU4
Symptoms: Electroencephalogram, Posture abnormal
Clinical narrative: The patient reported to emergency room at 18:41 on 11/29/2023. The Parent reported to ER staff at intake patient t with a left-sided head drop beginning on Monday  11-27-2023. No color change or eye deviation during episodes per father. The patient has roughly one episode per day. Episodes roughly last 30 seconds, with 1-4 head drops.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Hypoxia, Pneumonia, Positive airway pressure therapy
Clinical narrative: Admit date: 11/25/2023  Discharge date: 11/30/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: DO  Reason for Admission: Acute Respiratory Failure   Brief Summary of Hospital Stay: Pateint is a 80 YO year old female with a history of hypertension, TIA, hypothyroidism, brain aneurysm, OSA on CPAP, home 1-2 L, asthma, was admitted on 11/25/2023 with acute respiratory distress with hypoxia. She was recently treated for community-acquired pneumonia (with ceftriaxone and doxycycline and prednisone for 5 days) in a previous admission on 11/17/23 and returns with new positive COVID test .  Differential Diagnoses are possible worsening community-acquired pneumonia or COVID pneumonia.  On this admission she was given 1 day of Ceftriaxone-Doxy, followed by COVID therapies of Decadron and remdesivir for 5 days. She showed continuous improvement from BIPAP to now 1L oxygen therapy prior to discharge. Discharged to home.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Admit date: 11/25/2023  Discharge date: 11/30/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: DO  Reason for Admission: Acute Respiratory Failure   Brief Summary of Hospital Stay: Pateint is a 80 YO year old female with a history of hypertension, TIA, hypothyroidism, brain aneurysm, OSA on CPAP, home 1-2 L, asthma, was admitted on 11/25/2023 with acute respiratory distress with hypoxia. She was recently treated for community-acquired pneumonia (with ceftriaxone and doxycycline and prednisone for 5 days) in a previous admission on 11/17/23 and returns with new positive COVID test .  Differential Diagnoses are possible worsening community-acquired pneumonia or COVID pneumonia.  On this admission she was given 1 day of Ceftriaxone-Doxy, followed by COVID therapies of Decadron and remdesivir for 5 days. She showed continuous improvement from BIPAP to now 1L oxygen therapy prior to discharge. Discharged to home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This is an administrative error and does not involve side effects. Pt claimed she was due for a Covid shot like her husband. Based off of Husband's vaccination card, they were both due for a covid shot. After giving the shot and starting to put in the shot into the state registry, it turns out she alone received a Spikevax just a month ago. I called that pharmacy to confirm. As long as she does not have unexpected side effects, no further action is needed.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Urticaria
Clinical narrative: Patient is reporting hives
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Hypoxia, Mental status changes, Pneumonia bacterial
Clinical narrative: Admit date: 11/26/2023  Discharge date: 11/30/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: AMS, weakness Brief Summary of Hospital Stay: Patient is a 83 y/o male with a past medical history significant for dementia, BPH, COPD, HTN and hypothyroid. He presented to the ED on 11/27/2023 due to weakness, altered mentation and hypoxia in setting of recent COVID diagnosis. Patient did not require oxygen during his stay. He was also diagnosed with superimposed bacterial pneumonia and was started on antibiotics. His mentation/weakness continued to improve over the course of his stay. He will return to his rehab facility today for continuation of his care. Daughter was called at time of discharge, all questions were answered. Discharged to SNF.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Superinfection
Clinical narrative: Admit date: 11/26/2023  Discharge date: 11/30/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Reason for Admission: AMS, weakness Brief Summary of Hospital Stay: Patient is a 83 y/o male with a past medical history significant for dementia, BPH, COPD, HTN and hypothyroid. He presented to the ED on 11/27/2023 due to weakness, altered mentation and hypoxia in setting of recent COVID diagnosis. Patient did not require oxygen during his stay. He was also diagnosed with superimposed bacterial pneumonia and was started on antibiotics. His mentation/weakness continued to improve over the course of his stay. He will return to his rehab facility today for continuation of his care. Daughter was called at time of discharge, all questions were answered. Discharged to SNF.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Eye pain, Headache, Injection site erythema, Night sweats
Clinical narrative: 8 hours/10 hours after I got the shot. As soon as I got home, the shot felt like someone had hit me in the arm with a baseball bat, and as it progresses, it gets worst. I felt like my nerves were going through my skin, woke me up at night. I was in extreme pain, and I havent slept since, for 2 days. My eyes hurt yesterday. My brain hurt. My arm still hurt after 2 days, and the injection site is now 6x's more red than it was the day I got the shot. My gut hurt. Way more symptoms than the first Moderna shot, which was horrible. My blood type is A+. People who are A+ should never have this shot, and I will never have the moderna shot, ever. I am willing to take the risk of getting covid, before having another one of the shots. And that's not even mentioning the extreme temperature, night sweats.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: 8 hours/10 hours after I got the shot. As soon as I got home, the shot felt like someone had hit me in the arm with a baseball bat, and as it progresses, it gets worst. I felt like my nerves were going through my skin, woke me up at night. I was in extreme pain, and I havent slept since, for 2 days. My eyes hurt yesterday. My brain hurt. My arm still hurt after 2 days, and the injection site is now 6x's more red than it was the day I got the shot. My gut hurt. Way more symptoms than the first Moderna shot, which was horrible. My blood type is A+. People who are A+ should never have this shot, and I will never have the moderna shot, ever. I am willing to take the risk of getting covid, before having another one of the shots. And that's not even mentioning the extreme temperature, night sweats.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Tenderness
Clinical narrative: Patient arrived at appointment for injection only at 3:30pm for second course of HPV vaccine. Three hours later patient complains of auxiliary tenderness under right underarm and right shoulder along with tenderness on back of right hand.  Patient returned to PCP office for treatment and recieved Keflex 250/5 1 1/2tsp  TID for 5 days.
Age: 16.0
Sex: M
Vaccine: MENB, MENB
Symptoms: Extra dose administered
Clinical narrative: Mistakenly gave 2 Men B Vaccines on the same day. Should of been MCV and Men B. Parent has been notified.
Age: 5.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: No adverse symptoms. Child under age 7 received Tdap rather than DTaP as first dose in vaccination series.
Age: 66.0
Sex: F
Vaccine: FLUN4
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: FluMist given inadvertently to this patient who had requested FluMist, but should have received an age appropriate vaccine.
Age: 19.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Muscle contractions involuntary, Muscle spasms, Pain
Clinical narrative: Starting at Midnight following the immunization, patient experienced chills, body aches, and muscle contractions/spasms that made it difficult or impossible to walk. The worst of the symptoms occurred between midnight and 3 am. Patient reported some symptoms have subsided as of 9 am this morning.  Patient reports attending classes today, but still reports chills.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: PT reported to facility with redness and swelling surrounding the injection site and was referred to pediatrician on duty.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: Low Grade Fever followed by 4 large itchy hives around arms and torso.  Antihistamine and fever medicine helped quell discomfort.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Severe pain in left deltoid, NSAIDs given
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Patient developed a rash that had clusters of red bumps (some raised) that were itchy only on the right arm and experienced some numbness in her right arm.
Age: 53.0
Sex: M
Vaccine: FLUN4
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient inadvertently given FLUMist out of recommended age range parameters. Pt requsted FluMist but should have received age appropriate flu vaccination.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Peripheral swelling, Rash, Rash erythematous, Rash macular, Tenderness
Clinical narrative: Patient experienced a tender swollen arm (Left) that was not red or warm to the touch, and red blotchy rash on her face.  Her sx lasted for more than 2 weeks post injection.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site cellulitis, Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: ***Note about Lot number--we believe it was incorrectly documented under the above lot number. We had a changeover in lots from UT8109KA to UT8219KA on that date of service. (I bring this up because we have had subsequently 3 more cases similar to this one involving lot UT8219KA  Patient was administered vaccination on 10/30/2023 as a part of her routine, 30 month well visit. The mother called on the following day (10/31/2023) to report that the injection site was red, swollen, and tender. Symptomatic treatment including Benadryl and topical steroids were initiated. On 11/01/2023 the patient was seen in the office for worsening redness, inflammation of the injection site. Acute cellulitis was diagnosed by our physician and the patient was started on topical (mupirocin) and oral (clindamycin) antibiotics. She was seen on the following day (11/02/2023) with evidence of significant improvement after initiation of antibiotic therapy.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin abnormal, Cutaneous T-cell lymphoma, Dermatitis allergic, Psoriasis, Rash
Clinical narrative: within 2-3 weeks after 2nd Covid vaccine,  a rash on forward appeared; 32 months later (11/24/2023) that "rash" is diagnosed as Cutaneous Tcell Lymphoma
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Adverse reaction
Clinical narrative: Reaction
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Anaphylactic shock
Clinical narrative: Anaphylactic shock, unspecified, subsequent encounter on 2023-10-05.
Age: 64.0
Sex: F
Vaccine: FLUC4, PNC20, VARZOS
Symptoms: Cellulitis
Clinical narrative: Cellulitis of left upper limb on 2023-10-20.
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope
Clinical narrative: Syncope and collapse on 2023-08-29.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Immunisation reaction
Clinical narrative: Adverse effect of vaccines and biological substances, init on 2023-09-12.
Age: 59.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Adverse event, Immunisation reaction
Clinical narrative: Adverse effect of vaccines and biological substances, init on 2023-09-25.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Vaccination was administered on 11/16/2023. On 11/17/2023 she was seen in our clinic complaining of redness, swelling, and pruritis at site of injection. The patient was treated with topical steroids and oral benadryl. That evening, her mother called stating that there was an increasing area of redness at the injection site and oral antibiotics (cephalexin) were prescribed. Patient returned to clinic on the next working day (11/20/2023) and was evaluated. The physician noted that the cellulitis appeared clinically stable with improving physical signs.
Age: 78.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The patient had no symptoms or adverse event. Report is due to duplicate vaccination administered. The same exact flu vaccine was administered twice in the same season. First date administered was 9/26/2023 and second Fluad was administered 11/10/2023. Patient did not realize until pharmacy discovered this on 12/01/2023 and notified the patient. He hasn't had any symptoms.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Palpitations, Periorbital swelling, Swelling face, Urticaria
Clinical narrative: Started with having some heart palpitations roughly 3-4 hours after receiving the vaccines.  Then with the 5-6 hour mark I started with the hives.  Hives continue to get worse, swelling in my face and around my eyes.  Treating with Benadryl and Claritin with next to no relief.     PCP sent in methyl prednisone to start, 6 day taper of steroid., outcome still pending depending on how medication works.  I work in my PCP's office so I they did not make me schedule an appointment at this.  We are monitor symptom's at this time on the steroid.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: 12/2/2021-sore throat
Age: 5.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child given age inappropriate vaccines No adverse reactions were noted.  Client left clinic after one hour.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Muscle fatigue, Neck pain
Clinical narrative: Muscle fatigue, headache, neck pain
Age: 64.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Atrial fibrillation, Condition aggravated
Clinical narrative: Received both vaccines Friday morning.  Overnight that night, began experiencing A-fib for the first time in over 2 years.  Doctor prescribed Metoprolol tartrate once per day and monitored until November 21st; remained in A-fib.  Cardioversion scheduled for December 8th.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pain, Pyrexia
Clinical narrative: Achy, tired, low energy, low grade fever
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never presented with any AE, vaccine expired.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Gastrooesophageal reflux disease, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Shot site reaction - 2 days after event for 7 days.  Itching, swelling, heat, hard spot; resolved on its own. Severe Acid Reflux - continuing weeks after event; taking over the counter additional acid reflux medication - Mylanta Nausea - for 3 weeks after event; no vomiting, resolved on its own.  Weight loss - 7 pounds
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Nausea, Weight decreased
Clinical narrative: Shot site reaction - 2 days after event for 7 days.  Itching, swelling, heat, hard spot; resolved on its own. Severe Acid Reflux - continuing weeks after event; taking over the counter additional acid reflux medication - Mylanta Nausea - for 3 weeks after event; no vomiting, resolved on its own.  Weight loss - 7 pounds
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never presented with any AE, vaccine expired
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Spikvax 12+ instead of pediatric vaccine
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never presented with any AE, vaccine expired.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt never presented with any AE, vaccine expired.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Spikevax 12+ instead of age appropriate Moderna vaccine
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Severe rash and itch on torso, buttocks, and under arms, Dr prescibed prednisone for 6 days. The steroid helped immediately and rash and itch subsided.
Age: 60.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Urticaria - most pronounced on abdomen, but also on low back and to a lesser extent on upper arms and upper legs
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Donor states about 5 minutes after receiving the vaccine she felt itchy but did not report it because she thought if was from dry skin. She states at home she developed a mild case of hives on her front torso. Donor states that she also had a covid booster and flu shot on 11/07/2023
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received MMRV vaccine as well as Varicella vaccine. No noted adverse side effects. Patient mother, provider and manufacturer contacted.
Age: 0.5
Sex: F
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Six month old infant was administered Abrysvo instead of Beyfortus.
Age: 75.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: High Dose Influenza given by accident when he had already received the influenza vaccine 11/17/2023.