chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pancreatitis acute, Vomiting
Clinical narrative: Discharge Summary MD (Physician) ? ? Hospitalist Physician Discharge Summary   Patient ID: MRN:  Name: Patient Age: 70 y.o. Birthday:  Admit Date: 8/14/2022  1:08 PM Discharge Date:  8/17/2022 Unit: 3A116/3A116A Admitting Physician:  Discharge Physician: M.D.   Discharge Diagnosis: Principal Problem:   Idiopathic acute pancreatitis Active Problems:   COVID-19   Essential hypertension   Hypokalemia       HPI: "The patient is a 70 y.o. female, presented on 8/14/2022 with the above. . The symptoms/labs were thought to be marked in severity and unstable. Onset several days ago. Associated symptoms include abdominal pain . Alleviated by none. The patient was diagnosed with COVID 19 on the 8th of this month. She was given steroid and paxlovid as she was not severly symptomatic. 3 days ago she began to have abdominal pain nausea and vomting. She was not able to take her paxlovid due to the vomiting. She comes in today with the above. She was found to have a lipase 100. CT of the abdomen and pelvis showed Acute pancreatitis. She has never had pancreatitis before. She denies frequent alcohol use. She is post cholecystectomy. She has been admitted for further management. "   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Idiopathic acute pancreatitis Description of the Problem/Progression:  Plan:  o Acute pancreatitis. Patient reports feeling much better. However lab showed initially bilirubin and LFTs trending up as well as serum lipase. Continued IV fluid hydration. Patient denies any history of alcohol intake. Lipid profile is unremarkable. Lipase trended down back to normal and T Bili normalized with near normal LFT's. Patient tolerated clearly a diet and was advanced to low-fat. She continued to tolerate her diet. Consulted GI and advised MRCP initially. Patient was unable to tolerate due to Claustrophobia. With her improving GI advised no further plans for endoscopy or imaging. Patient was cleared for discharge to follow up outpatient. o COVID-19 virus infection. Remains on room air. Chest x-ray shows no focal consolidation. Started on IV Remdesivir on admission due to elevated risk. Finished course day 3 / 3. o Hypokalemia. Treated in the emergency room. Continue to monitor lab closely and treat as needed with IV/oral K replacement until normalized. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.        Physical Exam on the Date of Discharge: Stable and improved.      Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO GASTROENTEROLOGY   Significant Diagnostic Studies:    labs, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blister, Blood sodium normal, Body temperature increased, COVID-19
Clinical narrative: Discharge Summary (Physician) ? ? Hospitalist Physician Discharge Summary   Age: 73 y.o. Admit Date: 8/14/2022  3:35 PM Discharge Date:  8/17/2022   Discharge Diagnosis: Principal Problem:   Cellulitis of right lower extremity Active Problems:   COVID-19 virus infection   Hyponatremia   Chronic anticoagulation   Essential hypertension       HPI: " Patient is a 73 y.o. female with a history of venous stasis and right lower extremity from chronic DVTs states over last 1-2 weeks as had increasing swelling in his right leg gotten  worse over last 2 days temperature 101 took a course of doxycycline without improvement over last day or so his had some nausea and vomiting bowels have been regular. Patient states has not been able take medication at times due to nausea and vomiting. No sick contacts patient began noticing a blister formation on anterior shin seen in the emergency room being admitted for further management and care".   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.     * Cellulitis of right lower extremity Description of the Problem/Progression:  Plan:  o Cellulitis of the right lower extremity. Improved on current treatment. Patient failed doxycycline on outpatient basis. Followed by infectious diseases. Continue Rocephin and daptomycin. MRSA swab is negative. DCed Daptomycin per ID. Continue same treatment otherwise. Seen by wound care, consult appreciated. Vision continues to show progressive improvement. ID advised transitioning to by mouth Omnicef on discharge. Patient discharged accordingly to complete a by mouth course of Omnicef for 10 days. Follow up patient with wound care, ID, primary care provider, and referral given to home health. o COVID-19 virus infection. Patient reportedly had a desaturation last night necessitating initiation of treatment with oxygen at 2 L. She was weaned off oxygen and remained off oxygen with good saturation. Completed a course of Remdesivir d3/3 days. Follow-up with PCP and ambulatory care manager o History of DVT with subtherapeutic INR. Venous ultrasound is negative for DVT. Coumadin per pharmacy dosing. INR up to 1.9 today. Follow up with PCP/Coumadin clinic.  o Hyponatremia. Resolved with serum sodium up to 136 from 1:30 on admission. Continue same treatment. o Nausea and vomiting. Resolved. Improved by mouth intake. Continue Protonix and IV antiemetics as needed. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.        Physical Exam on the Date of Discharge: Stable and improved.      Consults:   IP CONSULT TO WOUND CARE IP CONSULT TO DIETARY IP CONSULT TO INFECTIOUS DISEASES IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:    labs, microbiology, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Essential hypertension, Hyponatraemia, International normalised ratio increased, Nausea
Clinical narrative: Discharge Summary (Physician) ? ? Hospitalist Physician Discharge Summary   Age: 73 y.o. Admit Date: 8/14/2022  3:35 PM Discharge Date:  8/17/2022   Discharge Diagnosis: Principal Problem:   Cellulitis of right lower extremity Active Problems:   COVID-19 virus infection   Hyponatremia   Chronic anticoagulation   Essential hypertension       HPI: " Patient is a 73 y.o. female with a history of venous stasis and right lower extremity from chronic DVTs states over last 1-2 weeks as had increasing swelling in his right leg gotten  worse over last 2 days temperature 101 took a course of doxycycline without improvement over last day or so his had some nausea and vomiting bowels have been regular. Patient states has not been able take medication at times due to nausea and vomiting. No sick contacts patient began noticing a blister formation on anterior shin seen in the emergency room being admitted for further management and care".   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.     * Cellulitis of right lower extremity Description of the Problem/Progression:  Plan:  o Cellulitis of the right lower extremity. Improved on current treatment. Patient failed doxycycline on outpatient basis. Followed by infectious diseases. Continue Rocephin and daptomycin. MRSA swab is negative. DCed Daptomycin per ID. Continue same treatment otherwise. Seen by wound care, consult appreciated. Vision continues to show progressive improvement. ID advised transitioning to by mouth Omnicef on discharge. Patient discharged accordingly to complete a by mouth course of Omnicef for 10 days. Follow up patient with wound care, ID, primary care provider, and referral given to home health. o COVID-19 virus infection. Patient reportedly had a desaturation last night necessitating initiation of treatment with oxygen at 2 L. She was weaned off oxygen and remained off oxygen with good saturation. Completed a course of Remdesivir d3/3 days. Follow-up with PCP and ambulatory care manager o History of DVT with subtherapeutic INR. Venous ultrasound is negative for DVT. Coumadin per pharmacy dosing. INR up to 1.9 today. Follow up with PCP/Coumadin clinic.  o Hyponatremia. Resolved with serum sodium up to 136 from 1:30 on admission. Continue same treatment. o Nausea and vomiting. Resolved. Improved by mouth intake. Continue Protonix and IV antiemetics as needed. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.        Physical Exam on the Date of Discharge: Stable and improved.      Consults:   IP CONSULT TO WOUND CARE IP CONSULT TO DIETARY IP CONSULT TO INFECTIOUS DISEASES IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:    labs, microbiology, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Peripheral swelling, Staphylococcus test negative, Ultrasound Doppler normal, Vomiting
Clinical narrative: Discharge Summary (Physician) ? ? Hospitalist Physician Discharge Summary   Age: 73 y.o. Admit Date: 8/14/2022  3:35 PM Discharge Date:  8/17/2022   Discharge Diagnosis: Principal Problem:   Cellulitis of right lower extremity Active Problems:   COVID-19 virus infection   Hyponatremia   Chronic anticoagulation   Essential hypertension       HPI: " Patient is a 73 y.o. female with a history of venous stasis and right lower extremity from chronic DVTs states over last 1-2 weeks as had increasing swelling in his right leg gotten  worse over last 2 days temperature 101 took a course of doxycycline without improvement over last day or so his had some nausea and vomiting bowels have been regular. Patient states has not been able take medication at times due to nausea and vomiting. No sick contacts patient began noticing a blister formation on anterior shin seen in the emergency room being admitted for further management and care".   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.     * Cellulitis of right lower extremity Description of the Problem/Progression:  Plan:  o Cellulitis of the right lower extremity. Improved on current treatment. Patient failed doxycycline on outpatient basis. Followed by infectious diseases. Continue Rocephin and daptomycin. MRSA swab is negative. DCed Daptomycin per ID. Continue same treatment otherwise. Seen by wound care, consult appreciated. Vision continues to show progressive improvement. ID advised transitioning to by mouth Omnicef on discharge. Patient discharged accordingly to complete a by mouth course of Omnicef for 10 days. Follow up patient with wound care, ID, primary care provider, and referral given to home health. o COVID-19 virus infection. Patient reportedly had a desaturation last night necessitating initiation of treatment with oxygen at 2 L. She was weaned off oxygen and remained off oxygen with good saturation. Completed a course of Remdesivir d3/3 days. Follow-up with PCP and ambulatory care manager o History of DVT with subtherapeutic INR. Venous ultrasound is negative for DVT. Coumadin per pharmacy dosing. INR up to 1.9 today. Follow up with PCP/Coumadin clinic.  o Hyponatremia. Resolved with serum sodium up to 136 from 1:30 on admission. Continue same treatment. o Nausea and vomiting. Resolved. Improved by mouth intake. Continue Protonix and IV antiemetics as needed. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.        Physical Exam on the Date of Discharge: Stable and improved.      Consults:   IP CONSULT TO WOUND CARE IP CONSULT TO DIETARY IP CONSULT TO INFECTIOUS DISEASES IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:    labs, microbiology, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive pt, vaccinated X2, admitted
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, Blood test normal, Echocardiogram normal
Clinical narrative: I have been diagnosed with AFib. I am Now on toprol xl. There is no apparent reason for getting AFib. I have no other underlying conditions.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Moderna 2/20/21 001A21A dose 2 Moderna 3/20/21 001A21A dose 3 Moderna 10/23/21 017F21A
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Injection site discomfort, Laboratory test normal, Muscle spasms, Pregnancy test
Clinical narrative: Patient verbalizes that the influenza vaccine (FLUARIX) administered on august 23, 2022 approximately on September 5, 2022 she began to present swelling in the face , cramps in both legs and left arm and pain in the lower back.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Renal function test, Swelling face
Clinical narrative: Patient verbalizes that the influenza vaccine (FLUARIX) administered on august 23, 2022 approximately on September 5, 2022 she began to present swelling in the face , cramps in both legs and left arm and pain in the lower back.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Moderna 2/27/21 010A21A, 3/27/21 018B21A and boosted 12/6/21 058H21A.
Age: 8.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Abdominal discomfort, Axillary pain, Decreased appetite, Feeding disorder, Injection site pain
Clinical narrative: Pain at injection point and adjacent armpit. Pain throughout his arm and legs when picked up from school yesterday 8/22/2022, he also said his arms and legs hurt really bad all day whenever he moved. Pain throughout body is continuing today 8/23/2022. Loss of appetite. Pt. is normally the biggest eater in the family however, he is saying his stomach is bothering him and he is unable to eat. Nauseous: He woke up feeling nauseous and vomited. Decreased appetite for 1 week.
Age: 8.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Nausea, Pain, Pain in extremity, Vomiting
Clinical narrative: Pain at injection point and adjacent armpit. Pain throughout his arm and legs when picked up from school yesterday 8/22/2022, he also said his arms and legs hurt really bad all day whenever he moved. Pain throughout body is continuing today 8/23/2022. Loss of appetite. Pt. is normally the biggest eater in the family however, he is saying his stomach is bothering him and he is unable to eat. Nauseous: He woke up feeling nauseous and vomited. Decreased appetite for 1 week.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital on this date.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Vaccine was not diluted before administration at 0900. Staff realized vaccine needed to be diluted at 0921. Dr. Patient has no adverse signs or symptoms at this time.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: reviewed with dad to get correct dose ASAP. He wants to think about it
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Hallucination, Lymphadenopathy, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Very swollen glands in neck, high fever for several hours, 103?-104?, low grade fever lasting several days, hallucinating bugs
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The Monovalent COVID-19 vaccine was inadvertently given to the patient who was scheduled to receive the Bivalent COVID-19 vaccination as per the recent FDA approval of the Bivalent COVID-19 vaccines.  The patient was notified of the error on the same day of the incident and written communication is being drafted and sent to all patients reiterating what was discussed over the phone with the patient. Further action is underway with the guidance of the CDC Interim Clinical Considerations for using COVID-19 Vaccines.  All patients were instructed to follow up with their primary care physician and were offered the opportunity to receive a booster dosage in line with the recommendations of the FDA.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The Monovalent COVID-19 vaccine was inadvertently given to the patient who was scheduled to receive the Bivalent COVID-19 vaccination as per the recent FDA approval of the Bivalent COVID-19 vaccines.  The patient was notified of the error on the same day of the incident and written communication is being drafted and sent to all patients reiterating what was discussed over the phone with the patient. Further action is underway with the guidance of the CDC Interim Clinical Considerations for using COVID-19 Vaccines.  All patients were instructed to follow up with their primary care physician and were offered the opportunity to receive a booster dosage in line with the recommendations of the FDA.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The Monovalent COVID-19 vaccine was inadvertently given to the patient who was scheduled to receive the Bivalent COVID-19 vaccination as per the recent FDA approval of the Bivalent COVID-19 vaccines. The patient was notified of the error on the same day of the incident and written communication is being drafted and sent to all patients reiterating what was discussed over the phone with the patient. Further action is underway with the guidance of the CDC Interim Clinical Considerations for using COVID-19 Vaccines. All patients were instructed to follow up with their primary care physician and were offered the opportunity to receive a booster dosage in line with the recommendations of the FDA.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Sleep disorder
Clinical narrative: Approximately 31 hours after receiving the dose, it was about 11;30 PM on 9/8/22 I woke up with a bad headache which started at the back base of my left side of my head and went up and around my left eye. Even today  9/9/22 11:21 AM I still feel like I have a slight headache across my forehead. When it first occurred I got up and took Acetaminophen extra strength two tablets and was able to go back to be and slept through the night. I have not taken anything for the headache this morning. I have had my normal prescriptions. The headache across my forehead is not at strong as the one I felt last night.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The Monovalent COVID-19 vaccine was inadvertently given to the patient who was scheduled to receive the Bivalent COVID-19 vaccination as per the recent FDA approval of the Bivalent COVID-19 vaccines. The patient was notified of the error on the same day of the incident and written communication is being drafted and sent to all patients reiterating what was discussed over the phone with the patient. Further action is underway with the guidance of the Interim Clinical Considerations for using COVID-19 Vaccines.  All patients were instructed to follow up with their primary care physician and were offered the opportunity to receive a booster dosage in line with the recommendations of the FDA.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Paranasal sinus hypersecretion, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: So on Friday 9/2/22 I just had a little bit of drainage but I get that with my sinuses and drank an Emergence and on Sunday I was lying down and when I got up I felt like my sinuses were full. On Monday I was feeling congested and I took a home COVID-19 test and it was positive and I went to the urgent care and took a PCR COVID -19 test and it was positive and they prescribed me a Anti-viral Molunpiravir and a nose spray.  I am totally better an walked 2.5 miles this morning.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Electrocardiogram abnormal, Fatigue, Feeling abnormal, Heart rate increased
Clinical narrative: I received my COVID-19 vaccine on 09/04/2022. After I felt a little fatigue for the next 3 days. On the third day I felt as is my blood pressure elevated, heart rate increased and I started feeling "spacy" in the head . I went to get an EKG. I was refereed to an cardiologist because of my elevated heart rate. I was diagnosed with tachycardia, and other fatigue . I am still feeling fatigue and spacy.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tachycardia
Clinical narrative: I received my COVID-19 vaccine on 09/04/2022. After I felt a little fatigue for the next 3 days. On the third day I felt as is my blood pressure elevated, heart rate increased and I started feeling "spacy" in the head . I went to get an EKG. I was refereed to an cardiologist because of my elevated heart rate. I was diagnosed with tachycardia, and other fatigue . I am still feeling fatigue and spacy.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine.  I tested positive for COVID-19 via home test on 07/28/2022. We had traveled out-of-state for a family gathering and got sick from that trip. I wasn't running a temperature but I just didn't feel good. I contacted my doctor and was prescribed Paxlovid.  My symptoms was not bad so I'm not sure that it really helped me.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient 12 years of age or older who received the original mRNA formulation (aka monovalent formulation) as a booster dose. Due to the FDA's abrupt revision of booster recommendations means that administering the monovalent to individuals 12 years of age or older is considered a medication error as of 8/31/2022 and been advised that a VAERS be completed.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Pain, Rhinorrhoea, Somnolence
Clinical narrative: Headache, vomiting, somnolence, Bodyaches, Sweating, and runny nose.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, vomiting, somnolence, Bodyaches, Sweating, and runny nose.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Chest pain, Dyspnoea, Lethargy
Clinical narrative: Individual became anxious and stating unable to breathe and feeling lethargic. She was experiencing chest pain and in pending doom. She suffers from anxiety and takes medication on and off. Her vitals signs were the following: 6:45pm B/P 170/110, HR - 95, O2 at 97 %, Resp. 16, at 6:51 B/P - 154/98, 7:01 B/P 144/92.  EMS called due to the patient still c/o of feeling chest pain and lethargic. Paramedics arrived and B/P was higher. Patient was transported via to Doctor's Hospital.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Incident details: Per Drs. (Medical director) email sent out on 9/1/22-"the monovalent mRNA COVID-19 vaccines are not authorized as booster doses for individuals 12 years of age and older. Any patients that are currently scheduled to receive a booster should wait until we have the bivalent booster on hand." The patient was seen in office on 9/2/22 and received a booster dose of the monovalent mRNA COVID-19 vaccine (Pfizer) by RN in error as patients are now only supposed to receive the bivalent booster per Drs. email. Patient was due for booster at the time they received it, however the bivalent booster was not yet stocked. Possible Cause: Possible cause of the incident is that an email was sent out regarding the discontinuation of monovalent Covid boosters until Private receives the bivalent booster doses. This was overlooked by management and staff, as previous changes to clinic processes is usually discussed in a meeting. Also 'monovalent' and 'bivalent' are new terms that have not previously been used when discussing booster vaccines.  Corrective Action: Corrective action included notifying staff and providers of the recent change regarding COVID vaccines and were notified to stop giving COVID booster doses until the Clinic receives the bivalent vaccines. Staff and providers were notified via email, skype, and verbally. Incident reported to VAERS
Age: 8.0
Sex: M
Vaccine: MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none,  inappropriate age for the vaccine , child  is less that 11 years age
Age: 68.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Acute disseminated encephalomyelitis, Atelectasis, Cervical spinal stenosis, Coma, Computerised tomogram head normal
Clinical narrative: Acute disseminated encephalomyelitis (ADEM). Patient first experienced dysarthria, facial droop, R sided weakness and gait instability on 8/25. On 8/27 he deteriorated and was intubated. CT and MRI showed no acute intracranial abnormalities. He has been intubated and comatose since 8/27. Tests for infectious diseases, hematologic abnormalities, and other possible etiologies have been negative.
Age: 68.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Dysarthria, Endotracheal intubation, Exostosis, Facet joint syndrome, Facial paralysis
Clinical narrative: Acute disseminated encephalomyelitis (ADEM). Patient first experienced dysarthria, facial droop, R sided weakness and gait instability on 8/25. On 8/27 he deteriorated and was intubated. CT and MRI showed no acute intracranial abnormalities. He has been intubated and comatose since 8/27. Tests for infectious diseases, hematologic abnormalities, and other possible etiologies have been negative.
Age: 68.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Gait disturbance, General physical health deterioration, Haematology test normal, Hemiparesis, Intervertebral disc protrusion
Clinical narrative: Acute disseminated encephalomyelitis (ADEM). Patient first experienced dysarthria, facial droop, R sided weakness and gait instability on 8/25. On 8/27 he deteriorated and was intubated. CT and MRI showed no acute intracranial abnormalities. He has been intubated and comatose since 8/27. Tests for infectious diseases, hematologic abnormalities, and other possible etiologies have been negative.
Age: 68.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Intervertebral disc space narrowing, Laboratory test normal, Lordosis, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal abnormal
Clinical narrative: Acute disseminated encephalomyelitis (ADEM). Patient first experienced dysarthria, facial droop, R sided weakness and gait instability on 8/25. On 8/27 he deteriorated and was intubated. CT and MRI showed no acute intracranial abnormalities. He has been intubated and comatose since 8/27. Tests for infectious diseases, hematologic abnormalities, and other possible etiologies have been negative.
Age: 68.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Myelopathy, Scan with contrast abnormal, Spinal cord disorder, Spinal cord oedema, Spinal stenosis
Clinical narrative: Acute disseminated encephalomyelitis (ADEM). Patient first experienced dysarthria, facial droop, R sided weakness and gait instability on 8/25. On 8/27 he deteriorated and was intubated. CT and MRI showed no acute intracranial abnormalities. He has been intubated and comatose since 8/27. Tests for infectious diseases, hematologic abnormalities, and other possible etiologies have been negative.
Age: 68.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Vertebral foraminal stenosis, White matter lesion
Clinical narrative: Acute disseminated encephalomyelitis (ADEM). Patient first experienced dysarthria, facial droop, R sided weakness and gait instability on 8/25. On 8/27 he deteriorated and was intubated. CT and MRI showed no acute intracranial abnormalities. He has been intubated and comatose since 8/27. Tests for infectious diseases, hematologic abnormalities, and other possible etiologies have been negative.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Dizziness, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Severe arm pain from the shoulder down to the fingers, joint pain, nausea, vomiting, dizziness, fever
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Severe arm pain from the shoulder down to the fingers, joint pain, nausea, vomiting, dizziness, fever
Age: 11.0
Sex: M
Vaccine: COVID19-2, FLU4, HPV9, MNQ, TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The COVID Bivalent vaccine was given to him under the age of 12 years.  No adverse effects were noticed.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Incident details: Per Drs. (Medical director) email sent out on 9/1/22-"the monovalent mRNA COVID-19 vaccines are not authorized as booster doses for individuals 12 years of age and older. Any patients that are currently scheduled to receive a booster should wait until we have the bivalent booster on hand." The patient was seen in office on 9/2/22 and received a booster dose of the monovalent mRNA COVID-19 vaccine (Pfizer) by RN in error as patients are now only supposed to receive the bivalent booster per Drs. email. Patient was due for booster at the time they received it, however the bivalent booster was not yet stocked. Possible Cause: Possible cause of the incident is that an email was sent out regarding the discontinuation of monovalent Covid boosters until Private receives the bivalent booster doses. This was overlooked by management and staff, as previous changes to clinic processes is usually discussed in a meeting. Also 'monovalent' and 'bivalent' are new terms that have not previously been used when discussing booster vaccines.  Corrective Action: Corrective action included notifying staff and providers of the recent change regarding COVID vaccines and were notified to stop giving COVID booster doses until the Clinic receives the bivalent vaccines. Staff and providers were notified via email, digital media, and verbally. Incident reported to VAERS
Age: 25.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site rash
Clinical narrative: Large rash at the site of injection that has been growing over the last few days.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Incident details: Per Dr. (medical director) email sent out on 9/1/22-"the monovalent mRNA COVID-19 vaccines are not authorized as booster doses for individuals 12 years of age and older. Any patients that are currently scheduled to receive a booster should wait until we have the bivalent booster on hand." The patient was seen in office on 9/2/22 and received a booster dose of the monovalent mRNA COVID-19 vaccine (pfizer) in error as patients are now only supposed to receive the bivalent booster per Dr. email. Pt was due for booster at the time they received it, however the bivlalent booster was not yet stocked at company. Possible Cause: Possible cause of the incident is that an email was sent out regarding the discontinuation  of monovalent covid boosters until company receives the bivalent booster doses. This was overlooked by management and staff, as previous changes to clinic processes is usually discussed in a meeting. Also ?monovalent? and ?bivalent? are new terms that have not previously been used when discussing booster vaccines.  Corrective Action: Corrective action included notifying staff and providers of the recent change regarding COVID vaccines and were notified to stop giving COVID booster doses until the Vancouver Clinic receives the bivalent vaccines. Staff and providers were notified via email, social media, and verbally. Incident reported to VAERS.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient 12 years of age or older who received the original mRNA formulation (aka monovalent formulation) as a booster dose.   Due to the FDA's abrupt revision of booster recommendations means that administering the monovalent to individuals 12 years of age or older is considered a medication error as of 8/31/2022 and Facility has advised that a VAERS be completed.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Incident details: Per Drs. (Medical director) email sent out on 9/1/22-"the monovalent mRNA COVID-19 vaccines are not authorized as booster doses for individuals 12 years of age and older. Any patients that are currently scheduled to receive a booster should wait until we have the bivalent booster on hand." The patient was seen in office on 9/2/22 and received a booster dose of the monovalent mRNA COVID-19 vaccine (Pfizer) by RN in error as patients are now only supposed to receive the bivalent booster per Drs. email. Patient was due for booster at the time they received it, however the bivalent booster was not yet stocked. Possible Cause: Possible cause of the incident is that an email was sent out regarding the discontinuation of monovalent Covid boosters until Private receives the bivalent booster doses. This was overlooked by management and staff, as previous changes to clinic processes is usually discussed in a meeting. Also 'monovalent' and 'bivalent' are new terms that have not previously been used when discussing booster vaccines.  Corrective Action: Corrective action included notifying staff and providers of the recent change regarding COVID vaccines and were notified to stop giving COVID booster doses until the Clinic receives the bivalent vaccines. Staff and providers were notified via email, digital media, and verbally. Incident reported to VAERS
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to Hospital
Age: 9.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The COVID Pfizer Bivalent vaccine was administered to patient under the age of 12 years.  No adverse effects witnessed.
Age: 6.0
Sex: M
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none, inappropriate age , child is under 7 years old
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Incident details: Per Drs. (Medical director) email sent out on 9/1/22-"the monovalent mRNA COVID-19 vaccines are not authorized as booster doses for individuals 12 years of age and older. Any patients that are currently scheduled to receive a booster should wait until we have the bivalent booster on hand." The patient was seen in office on 9/2/22 and received a booster dose of the monovalent mRNA COVID-19 vaccine (Pfizer) by RN in error as patients are now only supposed to receive the bivalent booster per Drs. email. Patient was due for booster at the time they received it, however the bivalent booster was not yet stocked. Possible Cause: Possible cause of the incident is that an email was sent out regarding the discontinuation of monovalent Covid boosters until Private receives the bivalent booster doses. This was overlooked by management and staff, as previous changes to clinic processes is usually discussed in a meeting. Also 'monovalent' and 'bivalent' are new terms that have not previously been used when discussing booster vaccines.  Corrective Action: Corrective action included notifying staff and providers of the recent change regarding COVID vaccines and were notified to stop giving COVID booster doses until the Clinic receives the bivalent vaccines. Staff and providers were notified via email, digital media, and verbally. Incident reported to VAERS
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I felt tired after the vaccine for that afternoon but that was all. I tested positive via a home test for COVID-19 on 08/10/2022. I had coughing, sneezing and congestion. I contacted my doctor and they prescribed an antibody (don't remember the name).  After taking it for two days, my symptoms went away.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I felt tired after the vaccine for that afternoon but that was all. I tested positive via a home test for COVID-19 on 08/10/2022. I had coughing, sneezing and congestion. I contacted my doctor and they prescribed an antibody (don't remember the name).  After taking it for two days, my symptoms went away.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospital Admission.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity, Product preparation issue, Pyrexia, Vomiting
Clinical narrative: Patient was given a dose of a Pfizer pediatric vaccine that was not reconstituted. Patient experienced severe side effects the next morning at 4:30am that included high fever, arms and head hurting, and vomiting. Patient was taken to ER and was given zofran and ibuprofen. Patient returned home later that morning and fever subsided.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Headache, Nasal congestion, Pain, Pyrexia
Clinical narrative: Severe body ache. Fever. Chills. Headache. Nasal congestion. Actually thought I was going to die. From 1am until 10am
Age: 24.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Impaired work ability, Malaise, Rash, Rash erythematous, Scab
Clinical narrative: He got his vaccine, the first day he was fine, the next day he left work early as he was feeling really sick.  He started noticing a red rash underneath his skin, circled it to see it's growth and the redness grew for about 3 days.  About the 4th or 5th day the redness stopped growing but the welt got larger.  At one point it looked infected as it had a yellowish scab, and now it looks like somebody put out a cigarette on him.  The area is red and the area is peeling off.  It kind of looked like a monkey pox pustule, but is not sure if it's a pustule or not.  He did not have any rashes all over his body or anywhere, just the area where the vaccine was given.  He still has the welt that is very visible on his arm, feels like it is going down somewhat but the redness still has not gone down.    He did not seek medical attention as it was not life threatening.
Age: 24.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Skin disorder, Skin exfoliation, Urticaria, Vaccination site rash
Clinical narrative: He got his vaccine, the first day he was fine, the next day he left work early as he was feeling really sick.  He started noticing a red rash underneath his skin, circled it to see it's growth and the redness grew for about 3 days.  About the 4th or 5th day the redness stopped growing but the welt got larger.  At one point it looked infected as it had a yellowish scab, and now it looks like somebody put out a cigarette on him.  The area is red and the area is peeling off.  It kind of looked like a monkey pox pustule, but is not sure if it's a pustule or not.  He did not have any rashes all over his body or anywhere, just the area where the vaccine was given.  He still has the welt that is very visible on his arm, feels like it is going down somewhat but the redness still has not gone down.    He did not seek medical attention as it was not life threatening.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Eye pain, Gait disturbance, Haemorrhage, Immunisation reaction
Clinical narrative: She has a distinct abnormality in her left foot; she lifts her foot up as if she's had a stroke. She had hemorrhaging in the left thigh. After receiving her vaccine, she had "COVID-19 arm" and pain for a couple of days. I took her to the hospital and she saw a cornea eye specialist due to constant tearing in her eye and pain. She had 2 CAT scans to rule out possibility of suffering a stroke. She also had a Doppler and x-rays to rule out other conditions. She's been seen by neurologist and other specialists to try to determine a diagnosis of the pain and adverse event she's suffering from. No one from the clinic associated any of her symptoms to the vaccine she received, but she has follow-up appointments for further diagnosis and investigation.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lacrimation increased, Pain, Ultrasound Doppler, X-ray
Clinical narrative: She has a distinct abnormality in her left foot; she lifts her foot up as if she's had a stroke. She had hemorrhaging in the left thigh. After receiving her vaccine, she had "COVID-19 arm" and pain for a couple of days. I took her to the hospital and she saw a cornea eye specialist due to constant tearing in her eye and pain. She had 2 CAT scans to rule out possibility of suffering a stroke. She also had a Doppler and x-rays to rule out other conditions. She's been seen by neurologist and other specialists to try to determine a diagnosis of the pain and adverse event she's suffering from. No one from the clinic associated any of her symptoms to the vaccine she received, but she has follow-up appointments for further diagnosis and investigation.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nerve injury
Clinical narrative: Nerve damage.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Needle issue
Clinical narrative: On first attempt at ID vaccine administration needle appeared to be too superficial and once vaccinator pushed the plunger the vaccine leaked onto the client's arm.  Dose successfully administered using ID method on 2nd attempt - 2 inches away from 1st attempt.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Decreased appetite, SARS-CoV-2 test positive
Clinical narrative: LOSS OF APPETITE
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Electrocardiogram normal, Extra dose administered, Myalgia
Clinical narrative: Pain started in my left shoulder that lasted for about a week and progressed to pain in my the lower end of my lungs. I also experience sharp pain when I run out of breath. I am currently scheduled for a follow up visit with a Cardiologist to rule out any heart conditions. However I do believe that it may be due to muscle pain.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary pain, X-ray normal
Clinical narrative: Pain started in my left shoulder that lasted for about a week and progressed to pain in my the lower end of my lungs. I also experience sharp pain when I run out of breath. I am currently scheduled for a follow up visit with a Cardiologist to rule out any heart conditions. However I do believe that it may be due to muscle pain.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Injection site pain, Pain in extremity, Pyrexia
Clinical narrative: Pain at site of injection, very sore arm Tiredness Fever - 101.9
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthritis, Asthenia, Biopsy lung normal, Blood test normal, Chest X-ray
Clinical narrative: 1. Right-side whole body numbness: sudden onset of complete numbness on right third (approx) of body, from head to foot.. with complete self-resolution in about 30 minutes. Four such incidents in 11/2021 through 12/2021. No incidents since, and only a minor and very partial numbness remains in fingertips and right side of mouth.   2. Pneumonitis: right lung mass of 4cm x 4cm x 4cm causing constant and extreme coughing. Briefly life-threatening.  Resolved with treatment.   3. Various inflammations (ear, left knee)   4. Generally feeling tired all the time, starting Nov/Dec 2021. Initially debilitating but now is 90% or more resolved.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Ear inflammation, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: 1. Right-side whole body numbness: sudden onset of complete numbness on right third (approx) of body, from head to foot.. with complete self-resolution in about 30 minutes. Four such incidents in 11/2021 through 12/2021. No incidents since, and only a minor and very partial numbness remains in fingertips and right side of mouth.   2. Pneumonitis: right lung mass of 4cm x 4cm x 4cm causing constant and extreme coughing. Briefly life-threatening.  Resolved with treatment.   3. Various inflammations (ear, left knee)   4. Generally feeling tired all the time, starting Nov/Dec 2021. Initially debilitating but now is 90% or more resolved.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypoaesthesia, Magnetic resonance imaging normal, Pneumonitis, Pulmonary mass
Clinical narrative: 1. Right-side whole body numbness: sudden onset of complete numbness on right third (approx) of body, from head to foot.. with complete self-resolution in about 30 minutes. Four such incidents in 11/2021 through 12/2021. No incidents since, and only a minor and very partial numbness remains in fingertips and right side of mouth.   2. Pneumonitis: right lung mass of 4cm x 4cm x 4cm causing constant and extreme coughing. Briefly life-threatening.  Resolved with treatment.   3. Various inflammations (ear, left knee)   4. Generally feeling tired all the time, starting Nov/Dec 2021. Initially debilitating but now is 90% or more resolved.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scan with contrast normal
Clinical narrative: 1. Right-side whole body numbness: sudden onset of complete numbness on right third (approx) of body, from head to foot.. with complete self-resolution in about 30 minutes. Four such incidents in 11/2021 through 12/2021. No incidents since, and only a minor and very partial numbness remains in fingertips and right side of mouth.   2. Pneumonitis: right lung mass of 4cm x 4cm x 4cm causing constant and extreme coughing. Briefly life-threatening.  Resolved with treatment.   3. Various inflammations (ear, left knee)   4. Generally feeling tired all the time, starting Nov/Dec 2021. Initially debilitating but now is 90% or more resolved.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: FEVER,
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, COVID-19, Death, Dyspnoea at rest, General physical health deterioration
Clinical narrative: pt had a positive COVID test in Nursing Home in on 1/25/22; placed on O2; lethargic, agitated; dyspnea at rest; poor oral intake; pt continued to deteriorate and passed away in the nursing home
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Lethargy, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test in Nursing Home in on 1/25/22; placed on O2; lethargic, agitated; dyspnea at rest; poor oral intake; pt continued to deteriorate and passed away in the nursing home
Age: 76.0
Sex: U
Vaccine: UNK
Symptoms: Back pain, Body temperature increased, Hyperhidrosis, Malaise, Pain
Clinical narrative: 102.8 temp ,sweating ,body and lower back pain .sick no food. Lasting three days
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: Redness, itching, swelling  on site where the vaccine was administered .
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anal incontinence, Appetite disorder, Decreased appetite, Diarrhoea
Clinical narrative: On July 28, 2022, after my booster I experienced body aches, diarrhea, stomach cramps and fever.  Throughout the night it progressed.  Fever broke Monday.  The next week I thought I would be fine, but the diarrhea was still present.  I went out with some friends during the week and needed to go to have a bowel movement, but I did not make it to the bathroom in time.  I have taken over the counter medications to help stop the diarrhea, but it has not resolved.  I began using two types of homeopathic remedy and that has not helped.  I can eat but only bland foods with small meals.  I have a doctor?s appointment on September 16, 2022.