chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Arthralgia, Blood pressure fluctuation, Breast pain, Intervertebral disc protrusion
Clinical narrative: Vertigo-Meclazine & Physical Therapy,                     Hair Loss-Biotin, Nutrafol, Rosemary Oil Treatment      Uncontrolled low/high Blood Pressure-Valsartan.                          Leg spasms and locking-Physical Therapy,  Vit K                         Disk fragmentation-Cortisone, Oxycodone, PT             Pain in Arm, breast, hip, and leg on left side-Aleve.         Contracted Covid-19 30 days after shot and then 9 more viruses and Covid-19 again within the year after shot.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal, Muscle spasms, Pain in extremity, Spinal X-ray
Clinical narrative: Vertigo-Meclazine & Physical Therapy,                     Hair Loss-Biotin, Nutrafol, Rosemary Oil Treatment      Uncontrolled low/high Blood Pressure-Valsartan.                          Leg spasms and locking-Physical Therapy,  Vit K                         Disk fragmentation-Cortisone, Oxycodone, PT             Pain in Arm, breast, hip, and leg on left side-Aleve.         Contracted Covid-19 30 days after shot and then 9 more viruses and Covid-19 again within the year after shot.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Visual acuity tests
Clinical narrative: Vertigo-Meclazine & Physical Therapy,                     Hair Loss-Biotin, Nutrafol, Rosemary Oil Treatment      Uncontrolled low/high Blood Pressure-Valsartan.                          Leg spasms and locking-Physical Therapy,  Vit K                         Disk fragmentation-Cortisone, Oxycodone, PT             Pain in Arm, breast, hip, and leg on left side-Aleve.         Contracted Covid-19 30 days after shot and then 9 more viruses and Covid-19 again within the year after shot.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Vaccination failure
Clinical narrative: Suspected vaccination failure; a very light case at the base of my neck; was painful; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a female patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   The patient's past medical history included shingles (a patient had them) and pain (Very painful).   On an unknown date, the patient received Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant), shingles (Verbatim: a very light case at the base of my neck) and pain (Verbatim: was painful). The outcome of the vaccination failure was unknown and the outcome of the shingles and pain were resolved (duration 1 week).   It was unknown if the reporter considered the vaccination failure, shingles and pain to be related to Shingles vaccine.     The company considered the vaccination failure to be related to Shingles vaccine. It was unknown if the company considered the shingles and pain to be related to Shingles vaccine.   Additional Information: GSK Receipt Date: 04-JUL-2024 This case was reported by a patient via interactive digital media. The reporter reported that he/she had them twice. First time the reporter was not vaccinated took almost 6 months for them to completely clear up. A patient had them around her neck down her back, under her arm and around her breast. The reporter reported that it was very painful. The reporter got vaccinated and got them again only this time it was a very light case at the base of the neck. Lasted only about a week was painful but not like the first time. This case was considered as suspected vaccination failure as details regarding completion of primary schedule, time to onset for shingles and laboratory confirmation regarding shingles were unknown at the time of reporting.; Sender's Comments: Vaccination failure is a listed event which is considered related to GSK Shingles vaccine.
Sex: U
Vaccine: RVX
Symptoms: Malaise
Clinical narrative: Sick; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of sickness in a patient who received RSVPreF3 adjuvanted (RSV vaccine) for prophylaxis.   On an unknown date, the patient received RSV vaccine. On an unknown date, an unknown time after receiving RSV vaccine, the patient experienced sickness (Verbatim: Sick). The outcome of the sickness was not reported.   It was unknown if the reporter considered the sickness to be related to RSV vaccine.     It was unknown if the company considered the sickness to be related to RSV vaccine.   Additional Information: GSK Receipt Date: 02-JUL-2024 This case was reported via (social media) interactive digital media. The reporter reported that he or she know patient who got very sick after receiving the RSV vaccine.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Sudden death
Clinical narrative: Online report of sudden death in 49-year-old EUA medical countermeasure recipient. Victim was found dead at his residence. DOSE1 date 04/10/21 LOT#030B21A. Victim was a known entertainer and was likely a recipient of a second dose in order to be deemed a fully vaccinated and maintain business-employment connections in that industry. INFO on susbequent Inoculations unknown.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Sudden death
Clinical narrative: Online report of sudden death while sleeping in 52-year-old-male EUA medical countermeasure recipient. Unable to obtain the full pharmacy store number for inoculations. DOSE1 date 01/28/2021 LOT# 042L20A, DOSE2 date 02/24/2021 LOT# unknown. Unable to ascertain info on any subsequent inoculations.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Cheilitis, Chills, Headache, Immobile
Clinical narrative: 1) Pain at injection, chills, terrible headache fever, stomach pain, felt immobilized.  2) terrible rash on corner of lips, Bridge of nose, hand that persisted for months.  7/8/24 Present, mouth rash + bridge of nose rash still persists
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Oral mucosal eruption, Pyrexia, Rash
Clinical narrative: 1) Pain at injection, chills, terrible headache fever, stomach pain, felt immobilized.  2) terrible rash on corner of lips, Bridge of nose, hand that persisted for months.  7/8/24 Present, mouth rash + bridge of nose rash still persists
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Illness, Sudden death
Clinical narrative: Online report of sudden death in 59-year-old male EUA medical countermeasure recipient. This recipient made a social media post, on 12/26/21 about having a breakthrough case of COVID-19 that involved the loss of smell and taste. Prior to his death on 06/14/2024 recipient made posts about having to cancel a musical show due to illness in the band he played in. This occurred within a month of his death. Unable to ascertain DOB of this victim. DOSE1 date 03/31/21 LOT#ER8732 DOSE2 date 04/21/21 LOT#ER8734 (Age approximately 57 at the time of inoculation). Victim makes no mention of boosters or additional inoculations on social media posts.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Sudden death
Clinical narrative: Online report of sudden death in 62-year-old made EUA medical countermeausre recipient. Report indicates victim complained of chest pains Friday June 28, 2024. A colleague, drove him to Medical Center. Victim died suddenly the same day. County Coroner announced the event. DATE1 dose 04/05/21 LOT#EW0153, DATE2 dose 05/03/21 LOT#EE7935, DATE3 dose 11/17/21 LOT#33026BD, Info on any potential subsequent inoculations unknown. Victim posts extensively on social medical. Age approximately 59-60 years at the time of inoculations. Unable to ascertain DOB
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Flushing, Hypersensitivity, Paraesthesia, Pruritus, Rash
Clinical narrative: Patient is a new hire at our hospital and required a TDap because hers had expired in 2019.  The TDap was given to her on first day of orientation, 7/8/2024 at 9:53. She, also, got a TB Skin Test that same morning.  Patient noticed about noon a rash, hives, itching and tingling to neck, face, and chest and her face felt flushed.  No fever.  Per hospital policy Patient was sent to our emergency room and was given Benadryl, Dexamethasone, and Pepcid, all PO (by mouth).  Blood pressure 126/77, Pulse 71, respirations 18, Temperature 98.7, Oxygen Sat. 97%, no pain. She was treated by Dr. who sent Patient home with prescriptions for Pepcid and Prednisone and was told to take for 5 days along with Benadryl. Patient was sent home from the emergency room that same day, 7/8/2024 with her symptoms better but rash not completely gone. I saw Patient the following day and she still had a rash, but was completely gone two days later on 7/10/2024. ER Diagnosis: Allergy unspecified, initial encounter.  Differential Diagnosis: Impression: allergic reaction.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Patient is a new hire at our hospital and required a TDap because hers had expired in 2019.  The TDap was given to her on first day of orientation, 7/8/2024 at 9:53. She, also, got a TB Skin Test that same morning.  Patient noticed about noon a rash, hives, itching and tingling to neck, face, and chest and her face felt flushed.  No fever.  Per hospital policy Patient was sent to our emergency room and was given Benadryl, Dexamethasone, and Pepcid, all PO (by mouth).  Blood pressure 126/77, Pulse 71, respirations 18, Temperature 98.7, Oxygen Sat. 97%, no pain. She was treated by Dr. who sent Patient home with prescriptions for Pepcid and Prednisone and was told to take for 5 days along with Benadryl. Patient was sent home from the emergency room that same day, 7/8/2024 with her symptoms better but rash not completely gone. I saw Patient the following day and she still had a rash, but was completely gone two days later on 7/10/2024. ER Diagnosis: Allergy unspecified, initial encounter.  Differential Diagnosis: Impression: allergic reaction.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Irritability, Pruritus, Pyrexia, Rash
Clinical narrative: patient started with minimal rash day after receiving vaccines.  Worsened through the day, developed a fever up to 101. Patient was very irritable, scratching often, fussy and clingy. Rash continued to worsen through Thursday evening. Patient was seen on Friday 07/12 with increased rash all over the body. Large clusters on legs, behind the knee, ankle, wrist. Rash started to spread on to the chest as of 07/12.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HIBV, MMR, PNC20, VARCEL
Symptoms: Erythema, Rash
Clinical narrative: Nurse was administering vaccines to the patient.  After nurse administered the first set of vaccines, mom noticed redness under eyes.  Then after all vaccines were administered, mom and nurse noticed rash on face, neck, and back.  Doctor was notified and suggested the epinephrine to be administered.   Ambulance was notified and patient was taken to hospital for observation.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Immediate post-injection reaction, Nausea, Pallor, Retching
Clinical narrative: Patient appeared to be nervous and stated "I'm nervous". Nurse administered 1st vaccine MCV4 on Left deltoid. Patient was conversing and answering questions. Client stood up while nurse rotated chair to access Right deltoid. Nurse administered TDaP in Right deltoid. Immediately after vaccine was injected, facial appearance was pale, lips were gray. Patient's eyes remained opened, but appeared to look off in the distance. Nurse asked Patient how she was feeling and she stated "I need to throw up". Patient did not throw up, but did have two gag reflexes. Patient was given glucose. Patient was provided a padded mat and escorted by two nurses to lay supine position. Legs were elevated. Patient remained in supine position for approximately 20 minutes. Nurse assisted Patient to rise slowly and sit in chair. Patient was given juice. Patient's color returned slowly. Nurse monitored for an additional 10 minutes and walked patient to lobby with guardian. Patient was conversing and drinking juice provided.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiovascular disorder, Catheterisation cardiac, Computerised tomogram, Echocardiogram, Hypoaesthesia
Clinical narrative: Left index finger and thumb - no blood flow turned white and numb and then purple.  Condition worsened, consulted hand physician who recommended going to ER.  Dr. said it could be caused by blood clots.  I went to ER and then I was admitted to hospital.  Went to ER on November 22, 2022.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin discolouration, Stress cardiomyopathy
Clinical narrative: Left index finger and thumb - no blood flow turned white and numb and then purple.  Condition worsened, consulted hand physician who recommended going to ER.  Dr. said it could be caused by blood clots.  I went to ER and then I was admitted to hospital.  Went to ER on November 22, 2022.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient came in for a new patient appointment on 6/26/24. Patient is 7 years old and received a Dtap (Infanrix). Per the Infanrix package insert, the age range states it can be given at 6 weeks through 6 years (prior to the seventh birthday). According to staff from the Health Department, the child should have received a Tdap instead as age appropriate.
Age: 81.0
Sex: F
Vaccine: COVID19, PNC20, RSV, TDAP, VARZOS
Symptoms: Arthralgia, Rash
Clinical narrative: patient had confusion for 48 hours afterwards. patient had rash (pustules) that started within a day or two after vaccination that was a different rash than her arthritis rashes. after 2 months she started using trimcinolone which has helped but they come back if she stops. rash is on left face and left arm. patient has complained of shoulder pain since her shots, but i was extra careful to ensure no shot was given too high or too low and that they were all given 1 inch apart. she already had two torn rotator cuffs and limited range of motion.
Age: 7.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient came in for a new patient appointment on 6/06/24. Patient is 7 years old and received a Dtap-IPV (Quadracel). Per the Quadracel package insert, the age range states it can be given at 4 through 6 years of age.
Age: 44.0
Sex: F
Vaccine: VARZOS
Symptoms: Expired product administered, No adverse event
Clinical narrative: We administered a vaccine which had expired on 7/9/24. Pt had no other reactions. We contacted GSK and they stated pt should get another dose in 28 days to complete series.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: My arm is still sore and in pain when I touch the shot area. My doctor said to take advil or tylenol. I have no issues with pfizer, but may be allergic to moderna.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain, Paraesthesia, Pyrexia
Clinical narrative: Pt received vaccine 6/25/24, the next day she started to experience chills, fever, body aches, tingling. Currently only experiencing occasional tingling and aches in legs
Age: 4.0
Sex: M
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Healthy child accidentally given HPV vaccine.  Also co-administered with MMRV vaccine.
Sex: U
Vaccine: PNC20
Symptoms: Headache, Wrong product administered
Clinical narrative: Pt received vaccination in error- c/o headache after receiving.
Age: 0.42
Sex: F
Vaccine: HIBV, RV1
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Wrong vaccine for age given.
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Injection site swelling, Nausea, Pyrexia
Clinical narrative: EDD 13 Sep 2024. Adverse event includes swelling at injection site, nausea, diarrhea and fever.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Flushing, Hypoaesthesia oral
Clinical narrative: face flushed numbness to tongue and lips. no swelling to tongue and lips noted deny shortness of breath. patient was escorted to emergency center for further evaluation.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Condition aggravated, Diabetes mellitus inadequate control, Type 1 diabetes mellitus
Clinical narrative: Pt received Shingrix vaccine dose #1 on 6/25/24. Pt is diabetic (on insulin) and blood sugars are normally controlled between 80-150s. After the vaccination, pt's sugars have been in the 300s for the next 2 weeks. Pt will be speaking to his doctor.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site rash, Rash, Rash erythematous, Skin warm
Clinical narrative: Pt was vaccinated on 6/17. Pt presented today with a burn like rash at the injection site. The rash was at least 2 inches in diameter and appeared to be painful. Pt stated the rash stated has a warm red rash, then went to bruised, then turned to the burn like rash she has now. The rash is at the injection site.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site pain, Injection site swelling
Clinical narrative: Injection site swelled to size of small orange (cutie) extremely painful.  I still have brown discoloration on my arm. I received  my second shirngrix vaccine 7-10-2024 at my family doctor, Dr's office since I was not comfortable getting one from Dr's office. . They told me there is not a vaccine that is administered that low on the arm. I have taken photos every month throughout my ordeal in which I have shared with my family doctor.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Pt presents with a bruise about 6 inches below the injection site in which she states is causing her significant pain. Pt it not on warfarin
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: Redness and inflammation at site, swelling, some fluid. Warmth also reported. Soreness was gone when reported 2 days later.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV5
Symptoms: Dyspnoea, Hypotonia, Pallor
Clinical narrative: Experienced an episode of pallor, gasping and limp x 5-10 minutes @ 6-8 hours after 2-month vaccine administration.
Age: 16.0
Sex: M
Vaccine: MENB, TD
Symptoms: Headache, Injection site pain, Injection site swelling, Migraine, Photophobia
Clinical narrative: Patient developed a throbbing headache and photophobia ~ 24 hrs after receiving these vaccines. He was seen in our office for these symptoms on 7/12/24.  He has had some swelling and tenderness of his left upper arm (around where he received Trumenba).  His headache is consistent with a migraine. Patient has never had migraines before, but there is a family history (sister).
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hyperglycaemia, Insulin therapy, International normalised ratio increased
Clinical narrative: Admit date: 7/5/2024  Discharge date: 7/8/2024  Admitting Physician: DO  Attending Physician at the Time of Discharge: DO  Primary Care Physician: MD,  Reason for Admission: Dyspnea secondary to COVID  Brief Summary of Hospital Stay: Patient presented with shortness of breath and cough secondary to COVID infection which improved on oxygen, prednisone, and duonebs and she was discharged after stabilizing with a course of prednisone.  Hospital Course: Patient presented to the ER with shortness of breath and cough after completing a course of prednisone for a previous visit with similar symptoms where she tested positive for COVID. Patient was acutely ill and received a a dose of methylprednisone and duonebs in the ER which provided some relief but her cough and sputum production persisted. Patient's warfarin was stopped for increased PT/INR and she was instructed on following with her coumadin clinic after her stay to resume it. Patient improved on O2, steroids  and albuterol and was also treated for steroid induced hyperglycemia in the hospital with insulin and given a regimen to follow until she completed her steroid course. Once she was stable the patient was discharged with instructions for five days of steroids to control her blood sugar with glipizide.   Discharged to Home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Productive cough, Prothrombin time prolonged, SARS-CoV-2 test positive
Clinical narrative: Admit date: 7/5/2024  Discharge date: 7/8/2024  Admitting Physician: DO  Attending Physician at the Time of Discharge: DO  Primary Care Physician: MD,  Reason for Admission: Dyspnea secondary to COVID  Brief Summary of Hospital Stay: Patient presented with shortness of breath and cough secondary to COVID infection which improved on oxygen, prednisone, and duonebs and she was discharged after stabilizing with a course of prednisone.  Hospital Course: Patient presented to the ER with shortness of breath and cough after completing a course of prednisone for a previous visit with similar symptoms where she tested positive for COVID. Patient was acutely ill and received a a dose of methylprednisone and duonebs in the ER which provided some relief but her cough and sputum production persisted. Patient's warfarin was stopped for increased PT/INR and she was instructed on following with her coumadin clinic after her stay to resume it. Patient improved on O2, steroids  and albuterol and was also treated for steroid induced hyperglycemia in the hospital with insulin and given a regimen to follow until she completed her steroid course. Once she was stable the patient was discharged with instructions for five days of steroids to control her blood sugar with glipizide.   Discharged to Home.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Herpes virus infection, Pain in extremity
Clinical narrative: Herpes outbreak; headache; arm pain
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Angiopathy, Aphasia, Asthenia, Blood creatinine increased
Clinical narrative: Admit date: 7/9/2024  Discharge date: 7/11/2024  Admitting Physician:  Attending Physician at the Time of Discharge:  Primary Care Physician:  Reason for Admission: Word finding difficulty, weakness  Brief Summary of Hospital Stay:  Patient arrived to ED 7/9 for stroke like symptoms of word finding difficulty and lower extremity weakness, also had a mild fever at this time. Stroke workup started along with Blood cx NIHSS 0 on arrival, CT/CTA showed some chronic changes but no acute findings. Labs significant for elevated creatinine, likely baseline. No evidence for infection on UA.  7/10 - MRI showed chronic microvascular changes, no acute ischemia. Echo showed normal EF, mild LVH, no septal defects. A1C and lipid panel WNL. Stroke workup negative. PT/OT recommended a PM&R consult due to some residual weakness and difficulty with ambulating, however patient and family wished for outpatient care instead.  He did spike a fever in the afternoon, prompting respiratory viral panel prior to further invasive testing, acetaminophen, and IV fluids. Viral panel showed positive for covid, patient placed in isolation precautions.  7/11 - Patient has a slight cough this morning, but  otherwise stable, no further treatment indicated discharge to home today with tesslon for cough. He was responsive to IV fluids, dehydration could have affected his functional status.  Discharged to Home.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, COVID-19, Computerised tomogram abnormal, Cough, Dehydration
Clinical narrative: Admit date: 7/9/2024  Discharge date: 7/11/2024  Admitting Physician:  Attending Physician at the Time of Discharge:  Primary Care Physician:  Reason for Admission: Word finding difficulty, weakness  Brief Summary of Hospital Stay:  Patient arrived to ED 7/9 for stroke like symptoms of word finding difficulty and lower extremity weakness, also had a mild fever at this time. Stroke workup started along with Blood cx NIHSS 0 on arrival, CT/CTA showed some chronic changes but no acute findings. Labs significant for elevated creatinine, likely baseline. No evidence for infection on UA.  7/10 - MRI showed chronic microvascular changes, no acute ischemia. Echo showed normal EF, mild LVH, no septal defects. A1C and lipid panel WNL. Stroke workup negative. PT/OT recommended a PM&R consult due to some residual weakness and difficulty with ambulating, however patient and family wished for outpatient care instead.  He did spike a fever in the afternoon, prompting respiratory viral panel prior to further invasive testing, acetaminophen, and IV fluids. Viral panel showed positive for covid, patient placed in isolation precautions.  7/11 - Patient has a slight cough this morning, but  otherwise stable, no further treatment indicated discharge to home today with tesslon for cough. He was responsive to IV fluids, dehydration could have affected his functional status.  Discharged to Home.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction normal, Gait disturbance, Glycosylated haemoglobin normal, Laboratory test normal
Clinical narrative: Admit date: 7/9/2024  Discharge date: 7/11/2024  Admitting Physician:  Attending Physician at the Time of Discharge:  Primary Care Physician:  Reason for Admission: Word finding difficulty, weakness  Brief Summary of Hospital Stay:  Patient arrived to ED 7/9 for stroke like symptoms of word finding difficulty and lower extremity weakness, also had a mild fever at this time. Stroke workup started along with Blood cx NIHSS 0 on arrival, CT/CTA showed some chronic changes but no acute findings. Labs significant for elevated creatinine, likely baseline. No evidence for infection on UA.  7/10 - MRI showed chronic microvascular changes, no acute ischemia. Echo showed normal EF, mild LVH, no septal defects. A1C and lipid panel WNL. Stroke workup negative. PT/OT recommended a PM&R consult due to some residual weakness and difficulty with ambulating, however patient and family wished for outpatient care instead.  He did spike a fever in the afternoon, prompting respiratory viral panel prior to further invasive testing, acetaminophen, and IV fluids. Viral panel showed positive for covid, patient placed in isolation precautions.  7/11 - Patient has a slight cough this morning, but  otherwise stable, no further treatment indicated discharge to home today with tesslon for cough. He was responsive to IV fluids, dehydration could have affected his functional status.  Discharged to Home.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular hypertrophy, Lipids normal, Magnetic resonance imaging abnormal, Muscular weakness, NIH stroke scale
Clinical narrative: Admit date: 7/9/2024  Discharge date: 7/11/2024  Admitting Physician:  Attending Physician at the Time of Discharge:  Primary Care Physician:  Reason for Admission: Word finding difficulty, weakness  Brief Summary of Hospital Stay:  Patient arrived to ED 7/9 for stroke like symptoms of word finding difficulty and lower extremity weakness, also had a mild fever at this time. Stroke workup started along with Blood cx NIHSS 0 on arrival, CT/CTA showed some chronic changes but no acute findings. Labs significant for elevated creatinine, likely baseline. No evidence for infection on UA.  7/10 - MRI showed chronic microvascular changes, no acute ischemia. Echo showed normal EF, mild LVH, no septal defects. A1C and lipid panel WNL. Stroke workup negative. PT/OT recommended a PM&R consult due to some residual weakness and difficulty with ambulating, however patient and family wished for outpatient care instead.  He did spike a fever in the afternoon, prompting respiratory viral panel prior to further invasive testing, acetaminophen, and IV fluids. Viral panel showed positive for covid, patient placed in isolation precautions.  7/11 - Patient has a slight cough this morning, but  otherwise stable, no further treatment indicated discharge to home today with tesslon for cough. He was responsive to IV fluids, dehydration could have affected his functional status.  Discharged to Home.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Neurological symptom, Pyrexia, Respiratory viral panel, SARS-CoV-2 test positive, Urine analysis normal
Clinical narrative: Admit date: 7/9/2024  Discharge date: 7/11/2024  Admitting Physician:  Attending Physician at the Time of Discharge:  Primary Care Physician:  Reason for Admission: Word finding difficulty, weakness  Brief Summary of Hospital Stay:  Patient arrived to ED 7/9 for stroke like symptoms of word finding difficulty and lower extremity weakness, also had a mild fever at this time. Stroke workup started along with Blood cx NIHSS 0 on arrival, CT/CTA showed some chronic changes but no acute findings. Labs significant for elevated creatinine, likely baseline. No evidence for infection on UA.  7/10 - MRI showed chronic microvascular changes, no acute ischemia. Echo showed normal EF, mild LVH, no septal defects. A1C and lipid panel WNL. Stroke workup negative. PT/OT recommended a PM&R consult due to some residual weakness and difficulty with ambulating, however patient and family wished for outpatient care instead.  He did spike a fever in the afternoon, prompting respiratory viral panel prior to further invasive testing, acetaminophen, and IV fluids. Viral panel showed positive for covid, patient placed in isolation precautions.  7/11 - Patient has a slight cough this morning, but  otherwise stable, no further treatment indicated discharge to home today with tesslon for cough. He was responsive to IV fluids, dehydration could have affected his functional status.  Discharged to Home.
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: RED, SWOLLEN (3-4inch), AND WARM TO TOUCH AT INJECTION SITE. Symptoms started on the day of injection and have gotten worse next day and the day after.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna Vaccine administered past expiration date of 6/8/2024. No adverse reactions or reported issues.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site rash, Pain, Pyrexia, Rash
Clinical narrative: Patient report the onset of the adverse reaction occurred hours after receiving the second vaccine of Shingrix on 7/10/24. The patient experienced the typical adverse reactions related to Shingrix vaccine including  fatigue, body aches, moderate fever.  The patient also developed a red rash on the arm at the site of injection that had spread downwards her upper arm and also developed a rash on her left side of her chest by her neck, The rash was red but not raised.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: Patient report the onset of the adverse reaction occurred hours after receiving the second vaccine of Shingrix on 7/10/24. The patient experienced the typical adverse reactions related to Shingrix vaccine including  fatigue, body aches, moderate fever.  The patient also developed a red rash on the arm at the site of injection that had spread downwards her upper arm and also developed a rash on her left side of her chest by her neck, The rash was red but not raised.
Age: 11.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Extra dose administered
Clinical narrative: duplicate vaccine
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspepsia, Echocardiogram, Electrocardiogram, Myalgia
Clinical narrative: Pericarditis, diagnosed 7/8/2024. Believe started 5/6/2024. Had an event, which was undiagnosed at the ER, on 5/13/2024. Seemed to clear up. Was taking Prilosec for indigestion and Aleve for muscle pain for about two weeks. Then had a recurrence on 7/4/2024 and went to the ER again on 7/8/2024 when I was diagnosed.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis, Scan with contrast
Clinical narrative: Pericarditis, diagnosed 7/8/2024. Believe started 5/6/2024. Had an event, which was undiagnosed at the ER, on 5/13/2024. Seemed to clear up. Was taking Prilosec for indigestion and Aleve for muscle pain for about two weeks. Then had a recurrence on 7/4/2024 and went to the ER again on 7/8/2024 when I was diagnosed.
Age: 0.33
Sex: F
Vaccine: RV1
Symptoms: Immediate post-injection reaction, Rash, Rash erythematous
Clinical narrative: Came into room 4 asked mother to verify baby's first and last name, date of birth and which vaccine she was receiving today. She stated baby will be getting 4 month vaccines. Dr. orders were verified and vaccines were prepared per protocol. Vaccines were scanned in to make sure they were correct. After that I washed my hands, donned my gloves and asked mom to hold baby straight up to give the Rota by mouth. She did so and as soon as the administration of the vaccine was complete baby presented with a red  rash immediately on her forehead and in her hairline. I stopped asked mom to keep baby elevated and told her I would be right back and went to get Dr. as she was the first one available. Dr. Ordered Benadryl  3.2 ml By mouth and it was prepared and given by the RN. Baby tolerated the medication well and the rash subsided.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No issues or adverse reaction reported.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Confusional state, Differential white blood cell count normal, Fatigue, Full blood count normal
Clinical narrative: Patient presented to the emergency room after having one week of fatigue, weakness, confusion, headaches, and nausea.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Laboratory test normal, Liver function test normal, Nausea
Clinical narrative: Patient presented to the emergency room after having one week of fatigue, weakness, confusion, headaches, and nausea.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mobility decreased
Clinical narrative: Fatigue. Inability to raise left arm behind my back. Taken under EUA while employed as a employee in the year 2021.
Age: 60.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pain, Pain
Clinical narrative: Patient states she experienced shooting pain down arm, injection site pain, extreme pain
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Crying, Dizziness, Fear, Paraesthesia, Syncope
Clinical narrative: 12:07 pm-start  Patient and dad were at the pharmacy window to pickup meds and Patient had a syncopal episode. Dad slowly led her to the floor. I went out to assist. I checked her heart rate and reassured that this is common occurance in this age after immunizations.  Patient was alert within a minute or 2 and I had them sit in the waiting room for a while as I gave reassurance and explained the phenomenon.  I asked if they would like Dr. to also talk to them and father agreed but Dr. wasn't avaiable.  Pt scared and crying a little, tissue offered and used.  Symptoms were some light headedness, tingly on extremeties and face.  Pt and father says she's not fainted ever before.  I counselled on the medications dispensed today and recommend they wait in the waiting room a 10 to 15 more minutes until they felt comforttable leaving and that if there's any further concerning symptoms to go to the ER-dad agreed with plan.  Checked on them at 12:27, still feeling a little light-headed.  Pt left waiting room at 1240hrs.  I filled out VAERS and Form
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Blood urine present, Chronic kidney disease, Computerised tomogram
Clinical narrative: He got his vaccine he stated having body pain and weakness that night, and some dizziness.  He went to bed and when he woke up the next morning he could hardy get out of bed.  He was really weak, shaky and dizzy.  he crawled on his hands to go to the bathroom and urinated blood.  He then started walk to the living room to sit down in his recliner and then he came to and was on the floor and was unable to use his legs.  He drugged himself into his chair, and 911.  The ambulance came and he was tonic and semi-unconscience.  They got him to the hospital, and the doctor came in and spoke to him, stroke protocol and other stuff.  They had him in for 3-4 days in the hospital and they tried to get him to walk and he could not stand up.  The timeline went back to the vaccination and had no protocol to help him.  He suggested going to a nursing home for rehab before Christmas.  He went there and was pushed in a wheelchair and taken by transport by ambulance to then.  They tried to do PT and he never recovered and went to Nursing home and rehab and was there 11/29/21 to 1/5/2022, about 30 days, had some outbreaks of COVID and told them he had to get out of there.  He had home health nurse worker that came and took care of him and did PT at home and he still could not walk and was in a wheelchair for a year.  He started to do PT with PT for a year.  They finally got him up to where he can use a walker and a cane, which he has to use the cane all the time.  He is still having dizzy spells, has trouble with his breath, walks a short period of time and runs out of breath and has falled 6 times.  His legs get real weak and give away on him, and that is current condition.  He fell 5 times and finally he injured his shoulder and they wanted to do surgery on him for that, and they denied his shoulder surgery at Hospital and the medical facility said they could not do it.  He was in stage III kidney failure and had to get clearance from his vascular surgeon and fell again 3 days ago in the parking lot.  He has to get a referral from his PCP.   Back 2002 he had a stoke and was paralyzed on the right side.  He then had the first 2 vaccines on 1/19/21 and 2/16/21, and was fine after those.  In fact he had just walked his dog for 5 miles the day before the vaccine and now he cannot walk much at all.   He is going start back on PT on 7/19/2024.  He did have lower back pain after the vaccine, and they finally did x-rays and found out that he has stage III kidney disease.  He does not know if it's due to not able to walk much so is going back for strength training.  He seems to have plateaued and is going back to PT to see if they can improve his situation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Dizziness, Dyspnoea, Dyspnoea exertional, Dysstasia
Clinical narrative: He got his vaccine he stated having body pain and weakness that night, and some dizziness.  He went to bed and when he woke up the next morning he could hardy get out of bed.  He was really weak, shaky and dizzy.  he crawled on his hands to go to the bathroom and urinated blood.  He then started walk to the living room to sit down in his recliner and then he came to and was on the floor and was unable to use his legs.  He drugged himself into his chair, and 911.  The ambulance came and he was tonic and semi-unconscience.  They got him to the hospital, and the doctor came in and spoke to him, stroke protocol and other stuff.  They had him in for 3-4 days in the hospital and they tried to get him to walk and he could not stand up.  The timeline went back to the vaccination and had no protocol to help him.  He suggested going to a nursing home for rehab before Christmas.  He went there and was pushed in a wheelchair and taken by transport by ambulance to then.  They tried to do PT and he never recovered and went to Nursing home and rehab and was there 11/29/21 to 1/5/2022, about 30 days, had some outbreaks of COVID and told them he had to get out of there.  He had home health nurse worker that came and took care of him and did PT at home and he still could not walk and was in a wheelchair for a year.  He started to do PT with PT for a year.  They finally got him up to where he can use a walker and a cane, which he has to use the cane all the time.  He is still having dizzy spells, has trouble with his breath, walks a short period of time and runs out of breath and has falled 6 times.  His legs get real weak and give away on him, and that is current condition.  He fell 5 times and finally he injured his shoulder and they wanted to do surgery on him for that, and they denied his shoulder surgery at Hospital and the medical facility said they could not do it.  He was in stage III kidney failure and had to get clearance from his vascular surgeon and fell again 3 days ago in the parking lot.  He has to get a referral from his PCP.   Back 2002 he had a stoke and was paralyzed on the right side.  He then had the first 2 vaccines on 1/19/21 and 2/16/21, and was fine after those.  In fact he had just walked his dog for 5 miles the day before the vaccine and now he cannot walk much at all.   He is going start back on PT on 7/19/2024.  He did have lower back pain after the vaccine, and they finally did x-rays and found out that he has stage III kidney disease.  He does not know if it's due to not able to walk much so is going back for strength training.  He seems to have plateaued and is going back to PT to see if they can improve his situation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Gait disturbance, Laboratory test, Limb injury, Magnetic resonance imaging
Clinical narrative: He got his vaccine he stated having body pain and weakness that night, and some dizziness.  He went to bed and when he woke up the next morning he could hardy get out of bed.  He was really weak, shaky and dizzy.  he crawled on his hands to go to the bathroom and urinated blood.  He then started walk to the living room to sit down in his recliner and then he came to and was on the floor and was unable to use his legs.  He drugged himself into his chair, and 911.  The ambulance came and he was tonic and semi-unconscience.  They got him to the hospital, and the doctor came in and spoke to him, stroke protocol and other stuff.  They had him in for 3-4 days in the hospital and they tried to get him to walk and he could not stand up.  The timeline went back to the vaccination and had no protocol to help him.  He suggested going to a nursing home for rehab before Christmas.  He went there and was pushed in a wheelchair and taken by transport by ambulance to then.  They tried to do PT and he never recovered and went to Nursing home and rehab and was there 11/29/21 to 1/5/2022, about 30 days, had some outbreaks of COVID and told them he had to get out of there.  He had home health nurse worker that came and took care of him and did PT at home and he still could not walk and was in a wheelchair for a year.  He started to do PT with PT for a year.  They finally got him up to where he can use a walker and a cane, which he has to use the cane all the time.  He is still having dizzy spells, has trouble with his breath, walks a short period of time and runs out of breath and has falled 6 times.  His legs get real weak and give away on him, and that is current condition.  He fell 5 times and finally he injured his shoulder and they wanted to do surgery on him for that, and they denied his shoulder surgery at Hospital and the medical facility said they could not do it.  He was in stage III kidney failure and had to get clearance from his vascular surgeon and fell again 3 days ago in the parking lot.  He has to get a referral from his PCP.   Back 2002 he had a stoke and was paralyzed on the right side.  He then had the first 2 vaccines on 1/19/21 and 2/16/21, and was fine after those.  In fact he had just walked his dog for 5 miles the day before the vaccine and now he cannot walk much at all.   He is going start back on PT on 7/19/2024.  He did have lower back pain after the vaccine, and they finally did x-rays and found out that he has stage III kidney disease.  He does not know if it's due to not able to walk much so is going back for strength training.  He seems to have plateaued and is going back to PT to see if they can improve his situation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Musculoskeletal disorder, Pain, Renal failure
Clinical narrative: He got his vaccine he stated having body pain and weakness that night, and some dizziness.  He went to bed and when he woke up the next morning he could hardy get out of bed.  He was really weak, shaky and dizzy.  he crawled on his hands to go to the bathroom and urinated blood.  He then started walk to the living room to sit down in his recliner and then he came to and was on the floor and was unable to use his legs.  He drugged himself into his chair, and 911.  The ambulance came and he was tonic and semi-unconscience.  They got him to the hospital, and the doctor came in and spoke to him, stroke protocol and other stuff.  They had him in for 3-4 days in the hospital and they tried to get him to walk and he could not stand up.  The timeline went back to the vaccination and had no protocol to help him.  He suggested going to a nursing home for rehab before Christmas.  He went there and was pushed in a wheelchair and taken by transport by ambulance to then.  They tried to do PT and he never recovered and went to Nursing home and rehab and was there 11/29/21 to 1/5/2022, about 30 days, had some outbreaks of COVID and told them he had to get out of there.  He had home health nurse worker that came and took care of him and did PT at home and he still could not walk and was in a wheelchair for a year.  He started to do PT with PT for a year.  They finally got him up to where he can use a walker and a cane, which he has to use the cane all the time.  He is still having dizzy spells, has trouble with his breath, walks a short period of time and runs out of breath and has falled 6 times.  His legs get real weak and give away on him, and that is current condition.  He fell 5 times and finally he injured his shoulder and they wanted to do surgery on him for that, and they denied his shoulder surgery at Hospital and the medical facility said they could not do it.  He was in stage III kidney failure and had to get clearance from his vascular surgeon and fell again 3 days ago in the parking lot.  He has to get a referral from his PCP.   Back 2002 he had a stoke and was paralyzed on the right side.  He then had the first 2 vaccines on 1/19/21 and 2/16/21, and was fine after those.  In fact he had just walked his dog for 5 miles the day before the vaccine and now he cannot walk much at all.   He is going start back on PT on 7/19/2024.  He did have lower back pain after the vaccine, and they finally did x-rays and found out that he has stage III kidney disease.  He does not know if it's due to not able to walk much so is going back for strength training.  He seems to have plateaued and is going back to PT to see if they can improve his situation.