chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines ; Moderna 1/25/21 Lot# 027L20A;  Moderna 7/9/22 Lot# 004M21A
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Agitation, Anger, Headache
Clinical narrative: Both times headaches, anger and agitation for up to 2 weeks after the vaccine. DUE FOR DOSE 3 ON 9/21/2022
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Balance disorder, Contusion, Diarrhoea, Dizziness
Clinical narrative: Booster given @ 3pm. -Vomiting, Diarhea and extreme lighthediness began @ 10pm. -Fell on floor and lost all muscle control and unable to get up.- Spent the night on floor. Received black eyes and severe bruising to head, face, and body. (I am on blood thinners). Still unsteady on feet today and experiencing muscle weakness and weakness in limbs.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eye contusion, Fall, Mobility decreased, Muscular weakness, Musculoskeletal disorder
Clinical narrative: Booster given @ 3pm. -Vomiting, Diarhea and extreme lighthediness began @ 10pm. -Fell on floor and lost all muscle control and unable to get up.- Spent the night on floor. Received black eyes and severe bruising to head, face, and body. (I am on blood thinners). Still unsteady on feet today and experiencing muscle weakness and weakness in limbs.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: Booster given @ 3pm. -Vomiting, Diarhea and extreme lighthediness began @ 10pm. -Fell on floor and lost all muscle control and unable to get up.- Spent the night on floor. Received black eyes and severe bruising to head, face, and body. (I am on blood thinners). Still unsteady on feet today and experiencing muscle weakness and weakness in limbs.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/25/21 Lot# 025L20A;  Moderna 3/25/21 Lot# 043L20A;  Moderna 12/8/21 Lot# 030H21B;  Moderna 6/13/22 Lot# 058A22-2A
Age: 75.0
Sex: F
Vaccine: COVID19-2, COVID19-2, COVID19-2, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: received Moderna bivalent booster vaccine at pharmacy 9/16/22 by RPH but it was administered too low in the left arm and deltoid was greatly missed. Pt started to develop pain radiating to tricep that evening and then next morning started with redness and swelling and warmth to arm that increased Sunday. started to improve redness today Monday 9/16/22 but still swelling and warm to touch. instructed to use cool compress and elevate. F/u PCP in 3 days if worsens.
Age: 75.0
Sex: F
Vaccine: COVID19-2, COVID19-2, COVID19-2, COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: received Moderna bivalent booster vaccine at pharmacy 9/16/22 by RPH but it was administered too low in the left arm and deltoid was greatly missed. Pt started to develop pain radiating to tricep that evening and then next morning started with redness and swelling and warmth to arm that increased Sunday. started to improve redness today Monday 9/16/22 but still swelling and warm to touch. instructed to use cool compress and elevate. F/u PCP in 3 days if worsens.
Age: 75.0
Sex: F
Vaccine: COVID19-2, COVID19-2, COVID19-2, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Product administered at inappropriate site, Rash erythematous
Clinical narrative: received Moderna bivalent booster vaccine at pharmacy 9/16/22 by RPH but it was administered too low in the left arm and deltoid was greatly missed. Pt started to develop pain radiating to tricep that evening and then next morning started with redness and swelling and warmth to arm that increased Sunday. started to improve redness today Monday 9/16/22 but still swelling and warm to touch. instructed to use cool compress and elevate. F/u PCP in 3 days if worsens.
Age: 75.0
Sex: F
Vaccine: COVID19-2, COVID19-2, COVID19-2, COVID19
Symptoms: Skin warm, Swelling, Tenderness
Clinical narrative: received Moderna bivalent booster vaccine at pharmacy 9/16/22 by RPH but it was administered too low in the left arm and deltoid was greatly missed. Pt started to develop pain radiating to tricep that evening and then next morning started with redness and swelling and warmth to arm that increased Sunday. started to improve redness today Monday 9/16/22 but still swelling and warm to touch. instructed to use cool compress and elevate. F/u PCP in 3 days if worsens.
Age: 75.0
Sex: F
Vaccine: COVID19-2, COVID19-2, COVID19-2, COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: received Moderna bivalent booster vaccine at pharmacy 9/16/22 by RPH but it was administered too low in the left arm and deltoid was greatly missed. Pt started to develop pain radiating to tricep that evening and then next morning started with redness and swelling and warmth to arm that increased Sunday. started to improve redness today Monday 9/16/22 but still swelling and warm to touch. instructed to use cool compress and elevate. F/u PCP in 3 days if worsens.
Age: 75.0
Sex: F
Vaccine: COVID19-2, COVID19-2, COVID19-2, COVID19
Symptoms: Product administered at inappropriate site, Vaccination site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: received Moderna bivalent booster vaccine at pharmacy 9/16/22 by RPH but it was administered too low in the left arm and deltoid was greatly missed. Pt started to develop pain radiating to tricep that evening and then next morning started with redness and swelling and warmth to arm that increased Sunday. started to improve redness today Monday 9/16/22 but still swelling and warm to touch. instructed to use cool compress and elevate. F/u PCP in 3 days if worsens.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was in to receive the Pfizer bivalent vaccine but was given the regular adult Pfizer in error.
Age: 56.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: COVID-19, Chest pain, Cough, Headache, Hypersomnia
Clinical narrative: I had a sore throat, stuffy and runny nose, cough, & fever of 99.8. I took ibuprofen. I called a clinic with the doctor who advised me to initiate ZYRTEC with the ibuprofen. She also prescribed PAXLOVID but I did not take it. I had completed an at home COVID 19 test on September 13, 2022 and it was possible. The medicines I was taking over the counter cleared up the runny nose and the fever. The symptoms got worse 2 days after. The sore throat felt like I had a breathing tube. It just burned at the back of my throat and down my chest and the cough got worse. My fever continued but did not get higher. I had an extreme unbearable headache which ibuprofen did help with. I slept for almost 2 days. I was still testing positive on the 3rd day but the stuffy nose got better, the cough was not as bad and I no longer had a fever. I currently feel that I have completely recovered but I am still testing positive as recent as today.
Age: 56.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a sore throat, stuffy and runny nose, cough, & fever of 99.8. I took ibuprofen. I called a clinic with the doctor who advised me to initiate ZYRTEC with the ibuprofen. She also prescribed PAXLOVID but I did not take it. I had completed an at home COVID 19 test on September 13, 2022 and it was possible. The medicines I was taking over the counter cleared up the runny nose and the fever. The symptoms got worse 2 days after. The sore throat felt like I had a breathing tube. It just burned at the back of my throat and down my chest and the cough got worse. My fever continued but did not get higher. I had an extreme unbearable headache which ibuprofen did help with. I slept for almost 2 days. I was still testing positive on the 3rd day but the stuffy nose got better, the cough was not as bad and I no longer had a fever. I currently feel that I have completely recovered but I am still testing positive as recent as today.
Age: 56.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Throat irritation
Clinical narrative: I had a sore throat, stuffy and runny nose, cough, & fever of 99.8. I took ibuprofen. I called a clinic with the doctor who advised me to initiate ZYRTEC with the ibuprofen. She also prescribed PAXLOVID but I did not take it. I had completed an at home COVID 19 test on September 13, 2022 and it was possible. The medicines I was taking over the counter cleared up the runny nose and the fever. The symptoms got worse 2 days after. The sore throat felt like I had a breathing tube. It just burned at the back of my throat and down my chest and the cough got worse. My fever continued but did not get higher. I had an extreme unbearable headache which ibuprofen did help with. I slept for almost 2 days. I was still testing positive on the 3rd day but the stuffy nose got better, the cough was not as bad and I no longer had a fever. I currently feel that I have completely recovered but I am still testing positive as recent as today.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines: Moderna 2/18/21 Lot# 037K20A; Moderna 10/24/21 Lot# 024C21A;  Moderna 5/5/22 Lot# 004M21A.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines: Moderna 2/18/21 Lot# 037K20A; Moderna 10/24/21 Lot# 024C21A;  Moderna 5/5/22 Lot# 004M21A.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Impaired work ability, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I tested about 9:15 in the morning COVID-19 home test for work and I immediately left work, all I had was a sniffle and called the nurse at my university around 9:30 in the morning and we went over the COVID-19 recommendations and they advised me to go home and isolate which I did and on the 17th I saw a telehealth physician to go over symptoms and they prescribed me Paxlovid and a inhaler as needed and I am at home.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: I received my second Moderna booster for COVID-19 on 9/9/2022. On the evening of 9/12/2022, my right arm was swollen and I had some pain at the injection site. My arm was also itchy the entire day, and I had been scratching a lot. I went to a neighbor's house to pick something up, and she remarked that my arm was really red. At this point, the injection site pain had expanded to the area below the injection site on my right upper arm and above my elbow. The area was swollen, red, itchy, and hot to the touch. It was a very distinctive patch that a definitive border that separated it from the unaffected area. I called the pharmacy where I had received the shot to receive guidance, and I was told that the side effect was not unheard of. They told me that I could take BENADRYL for the itchiness and ADVIL for pain and swelling. I took one dose of BENADRYL, which helped for about a day and kept the swelling down the following day. I also took ADVIL about 2-3 times over the next couple of days, and it helped reduce the pain. I don't really like taking OTC medicines, so I tried to take them only when it was absolutely necessary. The last time I took any medicine was 9/14/2022. After those few days, I just let it be. The redness finally resolved on 9/16/2022 or 9/17/2022. The pain finally resolved as of 9/19/2022. At the time of this writing, I still have some itchiness, though it's not as intense as it was before. It's sporadic and still localized to the area where the red patch was.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site warmth, Peripheral swelling, Pruritus
Clinical narrative: I received my second Moderna booster for COVID-19 on 9/9/2022. On the evening of 9/12/2022, my right arm was swollen and I had some pain at the injection site. My arm was also itchy the entire day, and I had been scratching a lot. I went to a neighbor's house to pick something up, and she remarked that my arm was really red. At this point, the injection site pain had expanded to the area below the injection site on my right upper arm and above my elbow. The area was swollen, red, itchy, and hot to the touch. It was a very distinctive patch that a definitive border that separated it from the unaffected area. I called the pharmacy where I had received the shot to receive guidance, and I was told that the side effect was not unheard of. They told me that I could take BENADRYL for the itchiness and ADVIL for pain and swelling. I took one dose of BENADRYL, which helped for about a day and kept the swelling down the following day. I also took ADVIL about 2-3 times over the next couple of days, and it helped reduce the pain. I don't really like taking OTC medicines, so I tried to take them only when it was absolutely necessary. The last time I took any medicine was 9/14/2022. After those few days, I just let it be. The redness finally resolved on 9/16/2022 or 9/17/2022. The pain finally resolved as of 9/19/2022. At the time of this writing, I still have some itchiness, though it's not as intense as it was before. It's sporadic and still localized to the area where the red patch was.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: On Thursday, September 16th, 2022, at Healthcare, we administered the new bivalent Modena Booster Vaccines to the following patients (listed below). Our Nurse Practitioner on duty was used to the 0.25mg per dose' booster vaccines which yields 20 doses per vial. She was aware of a difference between the previous monovalent and the new bivalent but wasn't aware of a vast difference. The bivalent vaccines appear to give 5 doses per vial (0.5mg per dose) versus the monovalent which yielded 20 doses per vial. Our provider was under the impression that it yielded 10 doses per vial. Since 10 doses per vial were administered each patient received 0.25mg instead of 0.5mg. Each patient did not receive the recommended amount. The POC at the facility is aware of this. There were no adverse reactions noted and everyone seemed to be in good health status prior to our departure.
Age: 89.0
Sex: M
Vaccine: COVID19-2
Symptoms: Breath sounds abnormal, Chest X-ray, Cough, Hyperhidrosis, Oxygen saturation decreased
Clinical narrative: diaphoretic with increased temp (99.9), excessive cough, decreased oxygen saturation (84-88%) while on oxygen via nasal cannula. Lung sounds diminished upper lobes, mild wheezing to lower lobes.  increased oxygen via NC to 3 liters to maintain 90% SAT PRN DuoNeb tx started
Age: 89.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wheezing
Clinical narrative: diaphoretic with increased temp (99.9), excessive cough, decreased oxygen saturation (84-88%) while on oxygen via nasal cannula. Lung sounds diminished upper lobes, mild wheezing to lower lobes.  increased oxygen via NC to 3 liters to maintain 90% SAT PRN DuoNeb tx started
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse effects.  Resident received Covid booster #2 on 8/9/2022 and was not eligible for this booster yet.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram abnormal, Ventricular extrasystoles
Clinical narrative: On 9/17/22 I experienced dizziness. EKG on Watch showed numerous premature ventricular contractions (I am a physician).  PVCs resolved within 30 minutes. Dizziness resolved by late afternoon.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort
Clinical narrative: Very lower back to upper gluteus maximus  area slight discomfort. Like I have been sitting for too long.  Feeling better today on 9/19/22.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was given regular Pfizer 12+ vaccine instead of the Pfizer Bivalent booster that he was supposed to recieve.
Age: 12.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Dizziness, Glassy eyes, Unresponsive to stimuli, Vision blurred
Clinical narrative: Patient was waiting in line at the checkout and mother was talking to him.  He was glossy eyed, and unresponsive to her questions.  He then said that everything looked blurry and he was dizzy.  She then sat him on the floor and an employee ran back to the pharmacy to get the pharmacist.  Upon arrival of the pharmacist he was given 25mg of diphenhydramine and a cool compress to the back of the neck.  He was moved to chair where he sat for 20 minutes.  He eventually cooled down and normal vision returned.  Mother called family doctor but he was on a flight, so he was going to call her later.  Mother was given diphenhydramine to take home and a cool instant pack.  She was called today and he was fine and even went to school today.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: Resident noted with skin rash  on right shin and right side of the neck.   Loratadine Tablet 10 MG daily x 10 days ., Betamethasone Valerate External Cream 0.1 %  BID x 10 days were prescribed.
Age: 65.0
Sex: F
Vaccine: PNC20, TDAP
Symptoms: Epistaxis
Clinical narrative: PATIENT CAME TO THE PHARMACY TODAY 9-19-22 AND WANTED US TO REPORT THAT SHE HAD ABOUT 20 OR SO NOSEBLEEDS AFTER HAVING THESE VACCINATIONS THE NEXT DAY. SHE SAID SHE NEVER HAS NOSEBLEEDS AND HER DOCTOR COULDN'T REPORT IT.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Insomnia, Loss of personal independence in daily activities, Vaccination site pain
Clinical narrative: Extreme sharp pain on left arm right where the vaccine was given. Pain has been going on for 10 days now. I have been taking tylenol and Ibuprofen but it hasn't helped much. I have difficulty doing daily activities including raising my arm to change clothes etc and sleeping at night due to the pain.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Mechanical ventilation, SARS-CoV-2 test positive
Clinical narrative: COVID Breakthrough. Patient came to the hospital on 8/31/22 for shortness of breath. Patient got vented on 9/1/22. Patient passed away on 9/14/22
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough. Patient came to the hospital on 8/31/22 for shortness of breath. Patient got vented on 9/1/22. Patient passed away on 9/14/22
Age: 1.17
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Dermatitis diaper, Rash
Clinical narrative: Mom called in on 9/19/22 stating that child had developed a ''diaper rash'' on Thursday(9/15/22) night that spread by Friday morning to include butt, legs, stomach, arms, and a little on the face. Mom states that she used breast milk in the child's bath on Thursday evening d/t the diaper rash. Child has had no fever and had no trouble breathing. Rash is not itchy. Child has remained ''lively.''  Instructed that she should call her doctor for advice on the administration of medicine and to have the rash looked at since it could be caused by something else and the doctor would have a better idea of any illness that is going around.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Headache, Muscular weakness, Nasal discomfort
Clinical narrative: I had vaccination on 07/14/2022. I started to experience sore throat and slight headache on 09/13/2022. I had a COVID-19 negative test at home. My husband was COVID-19 positive so I took a PCR test at my PCM the following day. I was COVID-19 positive 09/14/2022. I decided not to take the PAXLOVID. My nose is still burning and my legs are still week on 09/16/2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had vaccination on 07/14/2022. I started to experience sore throat and slight headache on 09/13/2022. I had a COVID-19 negative test at home. My husband was COVID-19 positive so I took a PCR test at my PCM the following day. I was COVID-19 positive 09/14/2022. I decided not to take the PAXLOVID. My nose is still burning and my legs are still week on 09/16/2022.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: 6m-4yr doses given to 5 year old patient,  Correct doses given within 10 minutes.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV9, IPV, MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child was too old to receive a proquad. No adverse reaction.
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Pericarditis
Clinical narrative: Pericarditis
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Wrong dose given.  0.25ml given instead of 0.5ml of recommended dose.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Joint range of motion decreased, Pain
Clinical narrative: The patient called on 9/10/22 at 9:33am. She stated she had pain with the injection and that is continued and has decreased her range of motion. She has pain when moving the arm and sleeping. Patient was advised to go to urgent care. Multiple attempts to contact the patient have failed to determine if she did get medical care.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose was given.  We gave 0.25 mL instead of 0.5 mL.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: I experienced body aches, fever, swelling and redness on my left arm.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received 10x the dosage, no concerns of adverse reaction at this time
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 40.0
Sex: M
Vaccine: COVID19, PNC
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Dyspnoea, Malaise
Clinical narrative: On Day two of the shot I had a sore arm and began to feel symptoms in which on day three I began to feel symptomatic on day 4 I took a home COVID-19 test which was positive. I contacted my Primary Care Provider who told me due to difficulty breathing to call an ambulance which transported me to the hospital, the hospital discharged me four hours later. I digressed again my wife was home then and took me back to the same hospital which prescribed Paxlovid for me and gave ne breathing treatments.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: On Day two of the shot I had a sore arm and began to feel symptoms in which on day three I began to feel symptomatic on day 4 I took a home COVID-19 test which was positive. I contacted my Primary Care Provider who told me due to difficulty breathing to call an ambulance which transported me to the hospital, the hospital discharged me four hours later. I digressed again my wife was home then and took me back to the same hospital which prescribed Paxlovid for me and gave ne breathing treatments.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 36.0
Sex: M
Vaccine: COVID19, PNC
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after regulatory authority recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Blood creatinine increased, Blood culture
Clinical narrative: Patient is a 82 y.o. female patient of CNP with history of CAD (s/p PCI), CKD3, HTN, HLD, hypothyroidism, GERD  presented with SOB and confusion.   Acute hypoxic respiratory failure  Severe sepsis due to COVID pneumonia, can not rule out Bacterial pneumonia P/w confusion, shortness of breath, generalized weakness at assisted living facility. Now all resolved and pt back to baseline and upbeat (probably steroids helping) Afebrile on arrival but hypotension and tachycardia noted, associated with tachypnea and leukocytosis. Now improved, mild tachycardia with activity Initially hypoxemic requiring 4L NC O2, now weaned to room air WBC 28 on adm, now improving but persistent due to steroids.  CRP 132, lactic ac nl.  COVID positive 8/23/22. Pt was vaccinated, has not gotten booster CXR: New ill-defined opacities in the right mid lung, which are concerning for a pneumonia. Fluids given  Given Vanc and zosyn in the ED, change zosyn to cefepime, de-escalate to omnicef at discharge Decadron 6mg daily for 10 days  No Remdesivir due to AKI Blood Cx. strep/legionella Ag negative Encourage IS/PEP    Acute metabolic encephalopathy, resolved.  Initially confused on admission, most probably due to sepsis, hypotension and hypoxia, now resolved.  Cont supportive care   Acute kidney injury on CKDIII Hyponatremia/ Hyperkalemia Initial Cr 2.35 (baseline ~around 1.1). Now improving, down to 1.7 Likely pre-renal in setting of severe sepsis UA nl Na 133/  K 5.2, monitor Avoid nephrotoxic agents, renally adjust meds as indicated   Chronic normocytic anemia No e/o bleeding, Likely ACD.  Hgb ~9 near previous baseline Previous Iron panel and retic suggest ACD Previous B12/folate wnl  Daily CBCs  CAD s/p remote PCI HTN, HLD Holding home BP meds Cont home plavix, statin   Moderate PAD Chronic pain sydrome Hold tramadol  Cont gabapentin Doxycycline ordered by podiatrist 8/22, hold    Hypothyroidism Cont home synthroid    GERD Home PPI   Goals of care with advanced directives Patient requesting DNR-CCA, code status order updated to reflect their wishes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood folate normal, Blood iron abnormal, Blood lactic acid normal, Blood potassium increased, Blood sodium decreased
Clinical narrative: Patient is a 82 y.o. female patient of CNP with history of CAD (s/p PCI), CKD3, HTN, HLD, hypothyroidism, GERD  presented with SOB and confusion.   Acute hypoxic respiratory failure  Severe sepsis due to COVID pneumonia, can not rule out Bacterial pneumonia P/w confusion, shortness of breath, generalized weakness at assisted living facility. Now all resolved and pt back to baseline and upbeat (probably steroids helping) Afebrile on arrival but hypotension and tachycardia noted, associated with tachypnea and leukocytosis. Now improved, mild tachycardia with activity Initially hypoxemic requiring 4L NC O2, now weaned to room air WBC 28 on adm, now improving but persistent due to steroids.  CRP 132, lactic ac nl.  COVID positive 8/23/22. Pt was vaccinated, has not gotten booster CXR: New ill-defined opacities in the right mid lung, which are concerning for a pneumonia. Fluids given  Given Vanc and zosyn in the ED, change zosyn to cefepime, de-escalate to omnicef at discharge Decadron 6mg daily for 10 days  No Remdesivir due to AKI Blood Cx. strep/legionella Ag negative Encourage IS/PEP    Acute metabolic encephalopathy, resolved.  Initially confused on admission, most probably due to sepsis, hypotension and hypoxia, now resolved.  Cont supportive care   Acute kidney injury on CKDIII Hyponatremia/ Hyperkalemia Initial Cr 2.35 (baseline ~around 1.1). Now improving, down to 1.7 Likely pre-renal in setting of severe sepsis UA nl Na 133/  K 5.2, monitor Avoid nephrotoxic agents, renally adjust meds as indicated   Chronic normocytic anemia No e/o bleeding, Likely ACD.  Hgb ~9 near previous baseline Previous Iron panel and retic suggest ACD Previous B12/folate wnl  Daily CBCs  CAD s/p remote PCI HTN, HLD Holding home BP meds Cont home plavix, statin   Moderate PAD Chronic pain sydrome Hold tramadol  Cont gabapentin Doxycycline ordered by podiatrist 8/22, hold    Hypothyroidism Cont home synthroid    GERD Home PPI   Goals of care with advanced directives Patient requesting DNR-CCA, code status order updated to reflect their wishes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Confusional state
Clinical narrative: Patient is a 82 y.o. female patient of CNP with history of CAD (s/p PCI), CKD3, HTN, HLD, hypothyroidism, GERD  presented with SOB and confusion.   Acute hypoxic respiratory failure  Severe sepsis due to COVID pneumonia, can not rule out Bacterial pneumonia P/w confusion, shortness of breath, generalized weakness at assisted living facility. Now all resolved and pt back to baseline and upbeat (probably steroids helping) Afebrile on arrival but hypotension and tachycardia noted, associated with tachypnea and leukocytosis. Now improved, mild tachycardia with activity Initially hypoxemic requiring 4L NC O2, now weaned to room air WBC 28 on adm, now improving but persistent due to steroids.  CRP 132, lactic ac nl.  COVID positive 8/23/22. Pt was vaccinated, has not gotten booster CXR: New ill-defined opacities in the right mid lung, which are concerning for a pneumonia. Fluids given  Given Vanc and zosyn in the ED, change zosyn to cefepime, de-escalate to omnicef at discharge Decadron 6mg daily for 10 days  No Remdesivir due to AKI Blood Cx. strep/legionella Ag negative Encourage IS/PEP    Acute metabolic encephalopathy, resolved.  Initially confused on admission, most probably due to sepsis, hypotension and hypoxia, now resolved.  Cont supportive care   Acute kidney injury on CKDIII Hyponatremia/ Hyperkalemia Initial Cr 2.35 (baseline ~around 1.1). Now improving, down to 1.7 Likely pre-renal in setting of severe sepsis UA nl Na 133/  K 5.2, monitor Avoid nephrotoxic agents, renally adjust meds as indicated   Chronic normocytic anemia No e/o bleeding, Likely ACD.  Hgb ~9 near previous baseline Previous Iron panel and retic suggest ACD Previous B12/folate wnl  Daily CBCs  CAD s/p remote PCI HTN, HLD Holding home BP meds Cont home plavix, statin   Moderate PAD Chronic pain sydrome Hold tramadol  Cont gabapentin Doxycycline ordered by podiatrist 8/22, hold    Hypothyroidism Cont home synthroid    GERD Home PPI   Goals of care with advanced directives Patient requesting DNR-CCA, code status order updated to reflect their wishes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Full blood count, Haemoglobin decreased, Hyperkalaemia, Hyponatraemia
Clinical narrative: Patient is a 82 y.o. female patient of CNP with history of CAD (s/p PCI), CKD3, HTN, HLD, hypothyroidism, GERD  presented with SOB and confusion.   Acute hypoxic respiratory failure  Severe sepsis due to COVID pneumonia, can not rule out Bacterial pneumonia P/w confusion, shortness of breath, generalized weakness at assisted living facility. Now all resolved and pt back to baseline and upbeat (probably steroids helping) Afebrile on arrival but hypotension and tachycardia noted, associated with tachypnea and leukocytosis. Now improved, mild tachycardia with activity Initially hypoxemic requiring 4L NC O2, now weaned to room air WBC 28 on adm, now improving but persistent due to steroids.  CRP 132, lactic ac nl.  COVID positive 8/23/22. Pt was vaccinated, has not gotten booster CXR: New ill-defined opacities in the right mid lung, which are concerning for a pneumonia. Fluids given  Given Vanc and zosyn in the ED, change zosyn to cefepime, de-escalate to omnicef at discharge Decadron 6mg daily for 10 days  No Remdesivir due to AKI Blood Cx. strep/legionella Ag negative Encourage IS/PEP    Acute metabolic encephalopathy, resolved.  Initially confused on admission, most probably due to sepsis, hypotension and hypoxia, now resolved.  Cont supportive care   Acute kidney injury on CKDIII Hyponatremia/ Hyperkalemia Initial Cr 2.35 (baseline ~around 1.1). Now improving, down to 1.7 Likely pre-renal in setting of severe sepsis UA nl Na 133/  K 5.2, monitor Avoid nephrotoxic agents, renally adjust meds as indicated   Chronic normocytic anemia No e/o bleeding, Likely ACD.  Hgb ~9 near previous baseline Previous Iron panel and retic suggest ACD Previous B12/folate wnl  Daily CBCs  CAD s/p remote PCI HTN, HLD Holding home BP meds Cont home plavix, statin   Moderate PAD Chronic pain sydrome Hold tramadol  Cont gabapentin Doxycycline ordered by podiatrist 8/22, hold    Hypothyroidism Cont home synthroid    GERD Home PPI   Goals of care with advanced directives Patient requesting DNR-CCA, code status order updated to reflect their wishes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Legionella test, Leukocytosis, Lung opacity, Metabolic encephalopathy
Clinical narrative: Patient is a 82 y.o. female patient of CNP with history of CAD (s/p PCI), CKD3, HTN, HLD, hypothyroidism, GERD  presented with SOB and confusion.   Acute hypoxic respiratory failure  Severe sepsis due to COVID pneumonia, can not rule out Bacterial pneumonia P/w confusion, shortness of breath, generalized weakness at assisted living facility. Now all resolved and pt back to baseline and upbeat (probably steroids helping) Afebrile on arrival but hypotension and tachycardia noted, associated with tachypnea and leukocytosis. Now improved, mild tachycardia with activity Initially hypoxemic requiring 4L NC O2, now weaned to room air WBC 28 on adm, now improving but persistent due to steroids.  CRP 132, lactic ac nl.  COVID positive 8/23/22. Pt was vaccinated, has not gotten booster CXR: New ill-defined opacities in the right mid lung, which are concerning for a pneumonia. Fluids given  Given Vanc and zosyn in the ED, change zosyn to cefepime, de-escalate to omnicef at discharge Decadron 6mg daily for 10 days  No Remdesivir due to AKI Blood Cx. strep/legionella Ag negative Encourage IS/PEP    Acute metabolic encephalopathy, resolved.  Initially confused on admission, most probably due to sepsis, hypotension and hypoxia, now resolved.  Cont supportive care   Acute kidney injury on CKDIII Hyponatremia/ Hyperkalemia Initial Cr 2.35 (baseline ~around 1.1). Now improving, down to 1.7 Likely pre-renal in setting of severe sepsis UA nl Na 133/  K 5.2, monitor Avoid nephrotoxic agents, renally adjust meds as indicated   Chronic normocytic anemia No e/o bleeding, Likely ACD.  Hgb ~9 near previous baseline Previous Iron panel and retic suggest ACD Previous B12/folate wnl  Daily CBCs  CAD s/p remote PCI HTN, HLD Holding home BP meds Cont home plavix, statin   Moderate PAD Chronic pain sydrome Hold tramadol  Cont gabapentin Doxycycline ordered by podiatrist 8/22, hold    Hypothyroidism Cont home synthroid    GERD Home PPI   Goals of care with advanced directives Patient requesting DNR-CCA, code status order updated to reflect their wishes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Normocytic anaemia, SARS-CoV-2 test positive, Sepsis, Streptococcus test negative, Tachycardia
Clinical narrative: Patient is a 82 y.o. female patient of CNP with history of CAD (s/p PCI), CKD3, HTN, HLD, hypothyroidism, GERD  presented with SOB and confusion.   Acute hypoxic respiratory failure  Severe sepsis due to COVID pneumonia, can not rule out Bacterial pneumonia P/w confusion, shortness of breath, generalized weakness at assisted living facility. Now all resolved and pt back to baseline and upbeat (probably steroids helping) Afebrile on arrival but hypotension and tachycardia noted, associated with tachypnea and leukocytosis. Now improved, mild tachycardia with activity Initially hypoxemic requiring 4L NC O2, now weaned to room air WBC 28 on adm, now improving but persistent due to steroids.  CRP 132, lactic ac nl.  COVID positive 8/23/22. Pt was vaccinated, has not gotten booster CXR: New ill-defined opacities in the right mid lung, which are concerning for a pneumonia. Fluids given  Given Vanc and zosyn in the ED, change zosyn to cefepime, de-escalate to omnicef at discharge Decadron 6mg daily for 10 days  No Remdesivir due to AKI Blood Cx. strep/legionella Ag negative Encourage IS/PEP    Acute metabolic encephalopathy, resolved.  Initially confused on admission, most probably due to sepsis, hypotension and hypoxia, now resolved.  Cont supportive care   Acute kidney injury on CKDIII Hyponatremia/ Hyperkalemia Initial Cr 2.35 (baseline ~around 1.1). Now improving, down to 1.7 Likely pre-renal in setting of severe sepsis UA nl Na 133/  K 5.2, monitor Avoid nephrotoxic agents, renally adjust meds as indicated   Chronic normocytic anemia No e/o bleeding, Likely ACD.  Hgb ~9 near previous baseline Previous Iron panel and retic suggest ACD Previous B12/folate wnl  Daily CBCs  CAD s/p remote PCI HTN, HLD Holding home BP meds Cont home plavix, statin   Moderate PAD Chronic pain sydrome Hold tramadol  Cont gabapentin Doxycycline ordered by podiatrist 8/22, hold    Hypothyroidism Cont home synthroid    GERD Home PPI   Goals of care with advanced directives Patient requesting DNR-CCA, code status order updated to reflect their wishes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Tachypnoea, Urine analysis normal, Vitamin B12 normal, White blood cell count increased
Clinical narrative: Patient is a 82 y.o. female patient of CNP with history of CAD (s/p PCI), CKD3, HTN, HLD, hypothyroidism, GERD  presented with SOB and confusion.   Acute hypoxic respiratory failure  Severe sepsis due to COVID pneumonia, can not rule out Bacterial pneumonia P/w confusion, shortness of breath, generalized weakness at assisted living facility. Now all resolved and pt back to baseline and upbeat (probably steroids helping) Afebrile on arrival but hypotension and tachycardia noted, associated with tachypnea and leukocytosis. Now improved, mild tachycardia with activity Initially hypoxemic requiring 4L NC O2, now weaned to room air WBC 28 on adm, now improving but persistent due to steroids.  CRP 132, lactic ac nl.  COVID positive 8/23/22. Pt was vaccinated, has not gotten booster CXR: New ill-defined opacities in the right mid lung, which are concerning for a pneumonia. Fluids given  Given Vanc and zosyn in the ED, change zosyn to cefepime, de-escalate to omnicef at discharge Decadron 6mg daily for 10 days  No Remdesivir due to AKI Blood Cx. strep/legionella Ag negative Encourage IS/PEP    Acute metabolic encephalopathy, resolved.  Initially confused on admission, most probably due to sepsis, hypotension and hypoxia, now resolved.  Cont supportive care   Acute kidney injury on CKDIII Hyponatremia/ Hyperkalemia Initial Cr 2.35 (baseline ~around 1.1). Now improving, down to 1.7 Likely pre-renal in setting of severe sepsis UA nl Na 133/  K 5.2, monitor Avoid nephrotoxic agents, renally adjust meds as indicated   Chronic normocytic anemia No e/o bleeding, Likely ACD.  Hgb ~9 near previous baseline Previous Iron panel and retic suggest ACD Previous B12/folate wnl  Daily CBCs  CAD s/p remote PCI HTN, HLD Holding home BP meds Cont home plavix, statin   Moderate PAD Chronic pain sydrome Hold tramadol  Cont gabapentin Doxycycline ordered by podiatrist 8/22, hold    Hypothyroidism Cont home synthroid    GERD Home PPI   Goals of care with advanced directives Patient requesting DNR-CCA, code status order updated to reflect their wishes
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Colon cancer metastatic, Death, SARS-CoV-2 test positive
Clinical narrative: Patient tested + for covid on 1-21-2022.    deceased on 8-18-22.   Had metastatic colon cancer , passed away at home.  Not recently admitted to the hospital and last admit there was 4-2021 with anemia.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: Resident developed skin rash on her face.  She receives Loratadine 100 mg tab daily    Betamethasone cream x 10 days.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Infection, Laboratory test abnormal, Pyrexia
Clinical narrative: Pt had a fever of 104-106 after testing positive for about 48hrs. On his 8th day of infection, he had diarrhea. And he had stomach pains and vomiting until day 14.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pt had a fever of 104-106 after testing positive for about 48hrs. On his 8th day of infection, he had diarrhea. And he had stomach pains and vomiting until day 14.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anosmia, Fatigue, Headache, Influenza, Pain
Clinical narrative: Shortly after receiving the shot, I began to get phantom smells. I smelled a perfume that smelled like laundry detergent, natural gas, and smoke/burning. I do not have natural gas at this house, which is why I felt this was a strange thing to smell. The phantom smells lasted about 1-2 hours, coming and going, and afterwards my sense of smell was almost diminished. I could smell some, but it felt like 90% of my sense of smell was gone. I could not smell soap, hand lotion, or any of the normal scents in my home. This lasted for about 24-36 hours. I had the typical side effects that I'm used to with covid shots/boosters on 9/14 (body aches, headache, flu, fatigue) as well as the new issue with smell. When I woke up on 9/15, my sense of smell had fully returned and my other symptoms were gone. I did a home test to make sure I didn't have covid since losing smell wasn't listed as a side effect, and my test was negative. I have not had any issues since.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Parosmia, SARS-CoV-2 test negative
Clinical narrative: Shortly after receiving the shot, I began to get phantom smells. I smelled a perfume that smelled like laundry detergent, natural gas, and smoke/burning. I do not have natural gas at this house, which is why I felt this was a strange thing to smell. The phantom smells lasted about 1-2 hours, coming and going, and afterwards my sense of smell was almost diminished. I could smell some, but it felt like 90% of my sense of smell was gone. I could not smell soap, hand lotion, or any of the normal scents in my home. This lasted for about 24-36 hours. I had the typical side effects that I'm used to with covid shots/boosters on 9/14 (body aches, headache, flu, fatigue) as well as the new issue with smell. When I woke up on 9/15, my sense of smell had fully returned and my other symptoms were gone. I did a home test to make sure I didn't have covid since losing smell wasn't listed as a side effect, and my test was negative. I have not had any issues since.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered maintained activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Agency consulted with the Dept of Public Health and Environment and did not recommend repeating this dose in question. No ill effect post administration was reported.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose was given.  We gave 0.25 mL instead of 0.5 mL.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lip swelling, Mouth ulceration
Clinical narrative: Two days after receiving the vaccination, she started having lip swelling and oral ulcerations to her lips and inside of her mouth
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given as booster after cdc recommenations changed on 9/2/22.  Bivalent was not yet available at the time of administration.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was suppose to receive the monovalent vaccine as the first dose in her series (she had never received a covid vaccine before) but instead she received the bivalent vaccine.