chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Escherichia test positive, Fall, Feeling abnormal, Glomerular filtration rate decreased, Gout
Clinical narrative: Admit date: 12/19/2023  Discharge date: 12/26/2023   Admitting Physician: MD   Discharge Physician: MD  Reason for Admission: syncope   Discharge Problem List     Acute cystitis without hematuria   Syncope   COVID-19 virus infection   Epilepsy   Hypothyroidism   Chronic back pain   CKD stage G3b/A1, GFR 30-44 and albumin creatinine ratio <30 mg/g (*)   Gout   Normocytic anemia   Type 2 diabetes mellitus, without long-term current use of insulin (HCC)  Procedures: None.    Consultations: None   Hospital Course:  Patient had been feeling poorly for a week and reportedly had an episode of Syncope and had a ground level fall but apparently no significant injuries, some bruising.  Syncope may have been from volume loss with poor oral intake and diarrhea that led to acute on chronic kidney injury with background of CKD stage G3b/A1, GFR 30-44.  Improved with hydration and no further syncope.  Found to have  COVID-19 virus infection but has not been hypoxic so was not started on targeted therapy.  Noted to have Acute cystitis without hematuria with culture growing. E.coli.   Received three days of CEFTRIAXONE  Epilepsy LEVETIRACETAM  Hypothyroidism LEVOTHYROXINE Gout  ALLOPURINOL no active disease  Chronic back pain chronic pain medication  Type 2 diabetes mellitus, without long-term current use of insulin on sliding scale  Normocytic anemia likely of chronic disease. Discharge disposition: Rehab Facility / Unit
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Hypothyroidism, Normocytic anaemia, Syncope, Type 2 diabetes mellitus
Clinical narrative: Admit date: 12/19/2023  Discharge date: 12/26/2023   Admitting Physician: MD   Discharge Physician: MD  Reason for Admission: syncope   Discharge Problem List     Acute cystitis without hematuria   Syncope   COVID-19 virus infection   Epilepsy   Hypothyroidism   Chronic back pain   CKD stage G3b/A1, GFR 30-44 and albumin creatinine ratio <30 mg/g (*)   Gout   Normocytic anemia   Type 2 diabetes mellitus, without long-term current use of insulin (HCC)  Procedures: None.    Consultations: None   Hospital Course:  Patient had been feeling poorly for a week and reportedly had an episode of Syncope and had a ground level fall but apparently no significant injuries, some bruising.  Syncope may have been from volume loss with poor oral intake and diarrhea that led to acute on chronic kidney injury with background of CKD stage G3b/A1, GFR 30-44.  Improved with hydration and no further syncope.  Found to have  COVID-19 virus infection but has not been hypoxic so was not started on targeted therapy.  Noted to have Acute cystitis without hematuria with culture growing. E.coli.   Received three days of CEFTRIAXONE  Epilepsy LEVETIRACETAM  Hypothyroidism LEVOTHYROXINE Gout  ALLOPURINOL no active disease  Chronic back pain chronic pain medication  Type 2 diabetes mellitus, without long-term current use of insulin on sliding scale  Normocytic anemia likely of chronic disease. Discharge disposition: Rehab Facility / Unit
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Urine albumin/creatinine ratio
Clinical narrative: Admit date: 12/19/2023  Discharge date: 12/26/2023   Admitting Physician: MD   Discharge Physician: MD  Reason for Admission: syncope   Discharge Problem List     Acute cystitis without hematuria   Syncope   COVID-19 virus infection   Epilepsy   Hypothyroidism   Chronic back pain   CKD stage G3b/A1, GFR 30-44 and albumin creatinine ratio <30 mg/g (*)   Gout   Normocytic anemia   Type 2 diabetes mellitus, without long-term current use of insulin (HCC)  Procedures: None.    Consultations: None   Hospital Course:  Patient had been feeling poorly for a week and reportedly had an episode of Syncope and had a ground level fall but apparently no significant injuries, some bruising.  Syncope may have been from volume loss with poor oral intake and diarrhea that led to acute on chronic kidney injury with background of CKD stage G3b/A1, GFR 30-44.  Improved with hydration and no further syncope.  Found to have  COVID-19 virus infection but has not been hypoxic so was not started on targeted therapy.  Noted to have Acute cystitis without hematuria with culture growing. E.coli.   Received three days of CEFTRIAXONE  Epilepsy LEVETIRACETAM  Hypothyroidism LEVOTHYROXINE Gout  ALLOPURINOL no active disease  Chronic back pain chronic pain medication  Type 2 diabetes mellitus, without long-term current use of insulin on sliding scale  Normocytic anemia likely of chronic disease. Discharge disposition: Rehab Facility / Unit
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated
Age: 61.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Influenza like illness, Platelet count decreased
Clinical narrative: Flu-like symptoms. Platelet crash.
Age: 1.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Staphylococcus test positive
Clinical narrative: We did not give the vaccine but we were the urgent care facility to see the patient for the complication. She presented on December 24th for a rash on arm following a vaccine.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Back pain, Blood glucose, Electrocardiogram, Feeling cold
Clinical narrative: After 1 hour - developed 'shaking' throughout body like pt was freezing to death but was not cold.  later developed into internal shaking lasting all day saturday 12/30. Went to urgent care Monday 1/1/24  * patient also reported back pain, mental deficits where saying wrong words or forgetfulness of details
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Tremor
Clinical narrative: After 1 hour - developed 'shaking' throughout body like pt was freezing to death but was not cold.  later developed into internal shaking lasting all day saturday 12/30. Went to urgent care Monday 1/1/24  * patient also reported back pain, mental deficits where saying wrong words or forgetfulness of details
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REGRIGERATED
Age: 75.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dyspnoea, Sleep disorder
Clinical narrative: During the middle of the night, I was awakened by having trouble breathing. It was occurring in my upper throat. I would describe it as moderately severe; I was about to call EMS but I didn't. It resolved in approximately 20 mins. No additional adverse reaction noted.
Age: 75.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dyspnoea, Sleep disorder, Throat tightness
Clinical narrative: During the middle of the night, I was awakened by having trouble breathing. It was occurring in my upper throat. I would describe it as moderately severe; I was about to call EMS but I didn't. It resolved in approximately 20 mins. No additional adverse reaction noted.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity, Tenderness
Clinical narrative: Arm is sore for about a month and continuing to be sore when touched or lifted.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Angina pectoris, Arteriosclerosis coronary artery, Asthenia, COVID-19
Clinical narrative: Admit date: 12/25/2023  Discharge date: 12/26/2023  Admitting Physician: MD   Discharge Physician: MD  Admission Diagnoses: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] Acute respiratory insufficiency [R06.89]  Discharge Diagnoses: Principal Problem:   Acute respiratory insufficiency Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with cardiac complication    Essential hypertension, benign   Mixed hyperlipidemia   Coronary artery disease of native artery of native heart with stable angina pectoris    Parkinson's disease   Artificial pacemaker   Compulsive behavior disorder    Mild episode of recurrent major depressive disorder    Chronic combined systolic and diastolic heart failure    Thrombocytosis   Hyperbilirubinemia   Hypoxia   Fever  Admission Condition: poor  Discharged Condition: good  Indication for Admission: Hypoxemia  Hospital Course: Elderly man with Parkinson's disease presents with malaise cough and generalized weakness and on ER evaluation found to have mild hypoxemia and fever and COVID positive.  Patient corrected with NC oxygen and was admitted and treated with steroids and oxygen.   He rapidly improved and weaned to room air.  He improved and requested discharge to home.  CXR was unremarkable.  Referred to home care for follow up of COVID and hypoxemia.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19 pneumonia, Cardiac assistance device user, Chest X-ray normal, Cough, Diabetic complication cardiovascular
Clinical narrative: Admit date: 12/25/2023  Discharge date: 12/26/2023  Admitting Physician: MD   Discharge Physician: MD  Admission Diagnoses: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] Acute respiratory insufficiency [R06.89]  Discharge Diagnoses: Principal Problem:   Acute respiratory insufficiency Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with cardiac complication    Essential hypertension, benign   Mixed hyperlipidemia   Coronary artery disease of native artery of native heart with stable angina pectoris    Parkinson's disease   Artificial pacemaker   Compulsive behavior disorder    Mild episode of recurrent major depressive disorder    Chronic combined systolic and diastolic heart failure    Thrombocytosis   Hyperbilirubinemia   Hypoxia   Fever  Admission Condition: poor  Discharged Condition: good  Indication for Admission: Hypoxemia  Hospital Course: Elderly man with Parkinson's disease presents with malaise cough and generalized weakness and on ER evaluation found to have mild hypoxemia and fever and COVID positive.  Patient corrected with NC oxygen and was admitted and treated with steroids and oxygen.   He rapidly improved and weaned to room air.  He improved and requested discharge to home.  CXR was unremarkable.  Referred to home care for follow up of COVID and hypoxemia.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Essential hypertension, Hyperbilirubinaemia, Hypoxia, Left ventricular failure, Major depression
Clinical narrative: Admit date: 12/25/2023  Discharge date: 12/26/2023  Admitting Physician: MD   Discharge Physician: MD  Admission Diagnoses: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] Acute respiratory insufficiency [R06.89]  Discharge Diagnoses: Principal Problem:   Acute respiratory insufficiency Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with cardiac complication    Essential hypertension, benign   Mixed hyperlipidemia   Coronary artery disease of native artery of native heart with stable angina pectoris    Parkinson's disease   Artificial pacemaker   Compulsive behavior disorder    Mild episode of recurrent major depressive disorder    Chronic combined systolic and diastolic heart failure    Thrombocytosis   Hyperbilirubinemia   Hypoxia   Fever  Admission Condition: poor  Discharged Condition: good  Indication for Admission: Hypoxemia  Hospital Course: Elderly man with Parkinson's disease presents with malaise cough and generalized weakness and on ER evaluation found to have mild hypoxemia and fever and COVID positive.  Patient corrected with NC oxygen and was admitted and treated with steroids and oxygen.   He rapidly improved and weaned to room air.  He improved and requested discharge to home.  CXR was unremarkable.  Referred to home care for follow up of COVID and hypoxemia.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Malaise, Obsessive-compulsive disorder, Parkinson's disease, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admit date: 12/25/2023  Discharge date: 12/26/2023  Admitting Physician: MD   Discharge Physician: MD  Admission Diagnoses: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] Acute respiratory insufficiency [R06.89]  Discharge Diagnoses: Principal Problem:   Acute respiratory insufficiency Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with cardiac complication    Essential hypertension, benign   Mixed hyperlipidemia   Coronary artery disease of native artery of native heart with stable angina pectoris    Parkinson's disease   Artificial pacemaker   Compulsive behavior disorder    Mild episode of recurrent major depressive disorder    Chronic combined systolic and diastolic heart failure    Thrombocytosis   Hyperbilirubinemia   Hypoxia   Fever  Admission Condition: poor  Discharged Condition: good  Indication for Admission: Hypoxemia  Hospital Course: Elderly man with Parkinson's disease presents with malaise cough and generalized weakness and on ER evaluation found to have mild hypoxemia and fever and COVID positive.  Patient corrected with NC oxygen and was admitted and treated with steroids and oxygen.   He rapidly improved and weaned to room air.  He improved and requested discharge to home.  CXR was unremarkable.  Referred to home care for follow up of COVID and hypoxemia.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Thrombocytosis, Type 2 diabetes mellitus, Type V hyperlipidaemia
Clinical narrative: Admit date: 12/25/2023  Discharge date: 12/26/2023  Admitting Physician: MD   Discharge Physician: MD  Admission Diagnoses: Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] Acute respiratory insufficiency [R06.89]  Discharge Diagnoses: Principal Problem:   Acute respiratory insufficiency Active Problems:   COVID-19 virus infection   Type 2 diabetes mellitus with cardiac complication    Essential hypertension, benign   Mixed hyperlipidemia   Coronary artery disease of native artery of native heart with stable angina pectoris    Parkinson's disease   Artificial pacemaker   Compulsive behavior disorder    Mild episode of recurrent major depressive disorder    Chronic combined systolic and diastolic heart failure    Thrombocytosis   Hyperbilirubinemia   Hypoxia   Fever  Admission Condition: poor  Discharged Condition: good  Indication for Admission: Hypoxemia  Hospital Course: Elderly man with Parkinson's disease presents with malaise cough and generalized weakness and on ER evaluation found to have mild hypoxemia and fever and COVID positive.  Patient corrected with NC oxygen and was admitted and treated with steroids and oxygen.   He rapidly improved and weaned to room air.  He improved and requested discharge to home.  CXR was unremarkable.  Referred to home care for follow up of COVID and hypoxemia.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Dyspnoea, Nausea
Clinical narrative: Admit date: 12/22/2023  Discharge date: 12/26/2023   Admitting Physician:  MD   Attending Physician at the Time of Discharge:  DO  Primary Care Physician: No primary care provider on file., None  Reason for Admission:  Acute hypoxic respiratory failure in the setting of COVID-19 infection  Hospital Course: 79-year-old female with past medical history significant for hypertension, hyperlipidemia, anxiety, diabetes mellitus type 2 with long term insulin use, chronic pain with long-term opioid use who presented to  emergency department on 12/22 with worsening symptoms of debility, nausea, vomiting, shortness of breath in the setting of COVID-19 infection.  During the admission patient completed a short course of remdesivir, she was also started on dexamethasone.  Due to the hypoxic respiratory failure patient required oxygen supplementation throughout most of her stay, up to 2 L oxygen via nasal cannula.  On the day of discharge, patient was able to be weaned off oxygen.  Ambulation test revealed patient is saturating well at 94% on room air.  Symptoms improved significantly prior to discharge, she is being discharged in 12/26 in stable condition. Discharged to home.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Walking distance test normal
Clinical narrative: Admit date: 12/22/2023  Discharge date: 12/26/2023   Admitting Physician:  MD   Attending Physician at the Time of Discharge:  DO  Primary Care Physician: No primary care provider on file., None  Reason for Admission:  Acute hypoxic respiratory failure in the setting of COVID-19 infection  Hospital Course: 79-year-old female with past medical history significant for hypertension, hyperlipidemia, anxiety, diabetes mellitus type 2 with long term insulin use, chronic pain with long-term opioid use who presented to  emergency department on 12/22 with worsening symptoms of debility, nausea, vomiting, shortness of breath in the setting of COVID-19 infection.  During the admission patient completed a short course of remdesivir, she was also started on dexamethasone.  Due to the hypoxic respiratory failure patient required oxygen supplementation throughout most of her stay, up to 2 L oxygen via nasal cannula.  On the day of discharge, patient was able to be weaned off oxygen.  Ambulation test revealed patient is saturating well at 94% on room air.  Symptoms improved significantly prior to discharge, she is being discharged in 12/26 in stable condition. Discharged to home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Febrile neutropenia, Pancytopenia, Platelet transfusion, Syncope
Clinical narrative: Admit date: 12/23/2023  Discharge date: 12/27/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Primary Care Physician: DO FACOI Reason for Admission: Viral sepsis, neutropenic fever  Hospital Course: Patient is a 78-year-old male with a past medical history of lung cancer receiving chemotherapy with Dr. paroxysmal atrial fibrillation, hypertension, hyperlipidemia, sick sinus syndrome status post pacemaker, presented to the emergency department for a syncopal episode.  Patient was admitted for viral sepsis due to COVID-19 and likely postural hypotension and dizziness due to initiation terazosin at 5 mg twice daily by primary care provider for blood pressure management.  Patient was placed on cefepime and remdesivir protocol.  Patient did not have any evidence of hypoxia.  Patient was also found to be neutropenic which resolved with granulocyte colony stimulating factor.  During hospital course, patient was also found to have worsening thrombocytopenia where in 1 unit of platelets was transfused with improvement.  Patient will need to follow up with heme Onc for pancytopenia and continued treatments for lung cancer.  Patient will also need to follow up with primary care provider for blood pressure management.  Blood pressure is inpatient were acceptable, advised patient to keep a blood pressure log and if an additional agent is needed, we do suggest starting an alternative medication other than terazosin such as amlodipine.  Discharged on Augmentin and ciprofloxacin to complete course for neutropenic fever. Discharged to home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenia, Viral sepsis
Clinical narrative: Admit date: 12/23/2023  Discharge date: 12/27/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Primary Care Physician: DO FACOI Reason for Admission: Viral sepsis, neutropenic fever  Hospital Course: Patient is a 78-year-old male with a past medical history of lung cancer receiving chemotherapy with Dr. paroxysmal atrial fibrillation, hypertension, hyperlipidemia, sick sinus syndrome status post pacemaker, presented to the emergency department for a syncopal episode.  Patient was admitted for viral sepsis due to COVID-19 and likely postural hypotension and dizziness due to initiation terazosin at 5 mg twice daily by primary care provider for blood pressure management.  Patient was placed on cefepime and remdesivir protocol.  Patient did not have any evidence of hypoxia.  Patient was also found to be neutropenic which resolved with granulocyte colony stimulating factor.  During hospital course, patient was also found to have worsening thrombocytopenia where in 1 unit of platelets was transfused with improvement.  Patient will need to follow up with heme Onc for pancytopenia and continued treatments for lung cancer.  Patient will also need to follow up with primary care provider for blood pressure management.  Blood pressure is inpatient were acceptable, advised patient to keep a blood pressure log and if an additional agent is needed, we do suggest starting an alternative medication other than terazosin such as amlodipine.  Discharged on Augmentin and ciprofloxacin to complete course for neutropenic fever. Discharged to home.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Blood culture negative, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Admit date: 12/27/2023  Discharge date: 12/29/2023     Reason for Admission: Coughing, SOB  Brief Summary of Hospital Stay: PT. is a 63 YO female who presents with cough, SOB. She has relevant medical history of  dysphagia, tobacco abuse, chronic obstructive pulmonary disease (?), schizophrenia.   On presentation patient stable with symptoms of coughing "until blue in the face" and/or until she threw up. Tested positive for COVID on admission, blood cultures negative. CXR with R hemidiaphragm elevation, R lung base strandy opacifications. Mild leukocytosis on labs. Treated with steroids, remdesivir and symptomatic management. Oxygen weaned on 12/29 with normal walk test. Discharged in stable condition back to facility with steroid course, inhalers, symptomatic   Discharged to home.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Dyspnoea, Laboratory test abnormal, Leukocytosis, Lung opacity
Clinical narrative: Admit date: 12/27/2023  Discharge date: 12/29/2023     Reason for Admission: Coughing, SOB  Brief Summary of Hospital Stay: PT. is a 63 YO female who presents with cough, SOB. She has relevant medical history of  dysphagia, tobacco abuse, chronic obstructive pulmonary disease (?), schizophrenia.   On presentation patient stable with symptoms of coughing "until blue in the face" and/or until she threw up. Tested positive for COVID on admission, blood cultures negative. CXR with R hemidiaphragm elevation, R lung base strandy opacifications. Mild leukocytosis on labs. Treated with steroids, remdesivir and symptomatic management. Oxygen weaned on 12/29 with normal walk test. Discharged in stable condition back to facility with steroid course, inhalers, symptomatic   Discharged to home.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting, Walking distance test normal
Clinical narrative: Admit date: 12/27/2023  Discharge date: 12/29/2023     Reason for Admission: Coughing, SOB  Brief Summary of Hospital Stay: PT. is a 63 YO female who presents with cough, SOB. She has relevant medical history of  dysphagia, tobacco abuse, chronic obstructive pulmonary disease (?), schizophrenia.   On presentation patient stable with symptoms of coughing "until blue in the face" and/or until she threw up. Tested positive for COVID on admission, blood cultures negative. CXR with R hemidiaphragm elevation, R lung base strandy opacifications. Mild leukocytosis on labs. Treated with steroids, remdesivir and symptomatic management. Oxygen weaned on 12/29 with normal walk test. Discharged in stable condition back to facility with steroid course, inhalers, symptomatic   Discharged to home.
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4, HEPAB, TDAP
Symptoms: Extra dose administered, Wrong patient
Clinical narrative: I mistakenly gave the client a Twinrix vaccine in her LD when she was immunized as a child for Hepatitis A&B. The client's husband was present at the visit and was supposed to receive that vaccine. The client was informed of the mistake.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZWN INSTEAD OF REFRIGERATED
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Cough, Fatigue
Clinical narrative: She got her vaccine, and Saturday afternoon she started having a cough from her chest, not a sore throat.  It got progressively more frequent Saturday night, but definitely out of the ordinary and deep.  Sunday, she felt generally OK, fatigued but she worked in her yard and did some other things.  By Sunday night she was starting to get sick, coughing was almost like bronchitis and really deep.  She started getting a head cold situation, and just generally feeling bad, joints hurting, back hurting and her hips as well.  Her arm where the injection was sore, but she expected that.  By Sunday night she was just full time sick and could not move.  She was in bed all day yesterday as it hurt to get out of bed, did not e anything other than a little biscuit.  The coughing hurt, she had a fever this whole time that broke Sunday night and then came back yesterday.  She did not measure the temp, but had chills, flu-like symptoms the entire time.  She has been taking Nyquil for her symptoms.  She started to get a headache yesterday afternoon and would take the Nyquil and it would go away, and then woke up with an excruciating headache and took some Advil for it.    She has not called her doctor.  She is feeling better today, not going to work today but feeling better than she did yesteday and able to move around some.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Impaired work ability, Influenza like illness, Injection site pain
Clinical narrative: She got her vaccine, and Saturday afternoon she started having a cough from her chest, not a sore throat.  It got progressively more frequent Saturday night, but definitely out of the ordinary and deep.  Sunday, she felt generally OK, fatigued but she worked in her yard and did some other things.  By Sunday night she was starting to get sick, coughing was almost like bronchitis and really deep.  She started getting a head cold situation, and just generally feeling bad, joints hurting, back hurting and her hips as well.  Her arm where the injection was sore, but she expected that.  By Sunday night she was just full time sick and could not move.  She was in bed all day yesterday as it hurt to get out of bed, did not e anything other than a little biscuit.  The coughing hurt, she had a fever this whole time that broke Sunday night and then came back yesterday.  She did not measure the temp, but had chills, flu-like symptoms the entire time.  She has been taking Nyquil for her symptoms.  She started to get a headache yesterday afternoon and would take the Nyquil and it would go away, and then woke up with an excruciating headache and took some Advil for it.    She has not called her doctor.  She is feeling better today, not going to work today but feeling better than she did yesteday and able to move around some.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Nasopharyngitis, Pyrexia
Clinical narrative: She got her vaccine, and Saturday afternoon she started having a cough from her chest, not a sore throat.  It got progressively more frequent Saturday night, but definitely out of the ordinary and deep.  Sunday, she felt generally OK, fatigued but she worked in her yard and did some other things.  By Sunday night she was starting to get sick, coughing was almost like bronchitis and really deep.  She started getting a head cold situation, and just generally feeling bad, joints hurting, back hurting and her hips as well.  Her arm where the injection was sore, but she expected that.  By Sunday night she was just full time sick and could not move.  She was in bed all day yesterday as it hurt to get out of bed, did not e anything other than a little biscuit.  The coughing hurt, she had a fever this whole time that broke Sunday night and then came back yesterday.  She did not measure the temp, but had chills, flu-like symptoms the entire time.  She has been taking Nyquil for her symptoms.  She started to get a headache yesterday afternoon and would take the Nyquil and it would go away, and then woke up with an excruciating headache and took some Advil for it.    She has not called her doctor.  She is feeling better today, not going to work today but feeling better than she did yesteday and able to move around some.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Bradycardia, Computerised tomogram head, Disorientation, Dyskinesia, Facial paralysis
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Headache, Lumbar puncture, Magnetic resonance imaging head, Muscular weakness, Seizure
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Vomiting
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Abdominal pain, Angiogram, Blood culture negative, Bradycardia, Bradypnoea
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: C-reactive protein, CSF glucose normal, CSF protein increased, CSF red blood cell count positive, CSF white blood cell count increased
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Computerised tomogram, Culture negative, Dysarthria, Electroencephalogram abnormal, Endotracheal intubation
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Haemoglobin normal, Headache, Hepatic enzyme, Laboratory test normal, Lumbar puncture
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Lymphocyte count decreased, Magnetic resonance imaging, Mental status changes, Metabolic function test normal, Monocyte count increased
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Mononuclear cell count, Myalgia, Neutrophil count normal, Paraesthesia, Platelet count normal
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 16.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Respiratory viral panel, Vomiting, White blood cell count increased
Clinical narrative: Pt developed HA the morning after the immunization.  HA worsened went to nurse at school stated to develop LE weakness, facial droop.  Pt taken to ED.  Per mom pt was disoriented in ED, had emesis, bradycardia (30s), abnormal movements ? seizure.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bronchitis viral, COVID-19, Chills, Cough
Clinical narrative: Admit date: 12/29/2023  Discharge date: 12/30/2023    Reason for Admission: Acute hypoxic respiratory failure due to COVID  Brief Summary of Hospital Stay: 85yoF hx below presented for SOB, cough, generalized myalgia/chills, COVID+, hypoxic and dyspneic. Admitted for O2 therapy and decadron, symptoms reported to start 12/14/23 and likely has post viral bronchitis and not still virulent with covid, oxygen rapidly weaned to RA and she ambulated around the room for me with a walker without issues, requested discharge home. Will not continue steroids given no wheeze or hypoxia on discharge. Spoke to her daughter that given CDC guidelines she is no longer infectious given >10d from symptoms onset. Discharged to home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Myalgia, SARS-CoV-2 test positive, Walking aid user
Clinical narrative: Admit date: 12/29/2023  Discharge date: 12/30/2023    Reason for Admission: Acute hypoxic respiratory failure due to COVID  Brief Summary of Hospital Stay: 85yoF hx below presented for SOB, cough, generalized myalgia/chills, COVID+, hypoxic and dyspneic. Admitted for O2 therapy and decadron, symptoms reported to start 12/14/23 and likely has post viral bronchitis and not still virulent with covid, oxygen rapidly weaned to RA and she ambulated around the room for me with a walker without issues, requested discharge home. Will not continue steroids given no wheeze or hypoxia on discharge. Spoke to her daughter that given CDC guidelines she is no longer infectious given >10d from symptoms onset. Discharged to home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac ablation, Cardioversion, Condition aggravated
Clinical narrative: Within 4 hours my heart converted from normal sinus rhythm (NSR) to atrial fibrillation (AF).  It remained there for 2 weeks until I had a cardioversion.  For the next month it was mostly NSR, with 4 episodes of AF lasting less than 24 hr.  After that it converted to AF and stayed there for over 3 months until I had an ablation 12/15/23.  That converted it to NSR for 48 hours and I am back in AF again.  Prior to the vaccine, my AF was only intermittent and was fairly well controlled by controlling triggers.  After the vaccine, it converted to constant AF without a break.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: VACCINE REFRIGERATED INSTEAD OF FROZEN
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: No adverse event
Clinical narrative: patient had no adverse reactions. As soon as med error was noticed, provider was made aware, patients parent was made aware and patient was monitored for 24-48hrs after.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN NSTEAD OF REFRIGERATED
Age: 10.0
Sex: F
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration
Clinical narrative: We thought this was patients 2nd dose in the HPV series HOWEVER it ended up being the 3rd.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VCCINE FROZEN INSTEAD OF REFRIGERATED
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Injection site discolouration, Injection site pruritus
Clinical narrative: Unsure about manufacturer of RSV vaccine.  After a couple of days I noticed and darkening patch appear at the point of the injection.  The patch is approximately 1" by 2.5 inches.  I was told that reddening at the injection site is normal for a few days and that was expected.  This discoloration has not disappeared in 24 days which I do not believe is normal.  The discoloration appears to be slowly fading.  The site also itched for approximately 2 weeks after the injection.
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Dizziness, Immediate post-injection reaction, Malaise, Pallor, Vomiting
Clinical narrative: Immediately after the vaccine client became lightheaded and pale.  Leaned back in chair. Vomited a small amount. Client did not feel well for 1/2 hour
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Skin tightness
Clinical narrative: right thigh-taunt skin, red and warm
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: Left arm sore after shot, pain never went away. affecting mobility, very concerned. possibly contracted sirva(patient recognizes symptoms while looking it up online). pain on job site, just came from ER. Took tramadol and cyclobenzaprine this AM 01-02-2024.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Emotional distress
Clinical narrative: Mother states patient is "inconsolable"
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Drug hypersensitivity, Feeling cold, Malaise, Nasal congestion
Clinical narrative: General malaise, subjective fevers/chills, congestion, rhinorrhea, cough x2 days.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: General malaise, subjective fevers/chills, congestion, rhinorrhea, cough x2 days.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Contusion
Clinical narrative: Spontaneous bruising noted to bil UEs on 12/31/23.  Bruising worsened today.  When resident was asked about it he stated he was unaware how they occurred.  Did state that nothing had happened like bumping anything.  Bruising is inconsistent and scattered.
Age: 4.0
Sex: M
Vaccine: FLUC4, FLUC4
Symptoms: Focal dyscognitive seizures, Postictal state, Streptococcus test negative
Clinical narrative: Patient has an appointment for Flu shot after 10 minutes of vaccine administered, with  a focal onset impared awareness seizure, we were informed by the caretakers when the seizure started, and with the patient on postictal we began to monitor him without further new onset of seizure.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hypophagia, Mobility decreased, Myalgia
Clinical narrative: She got her vaccine, it didn't hurt getting it, but she has had reactions whenever she had her first COVID vaccine and everyone she has had from it but nothing like this one.  The others were tolerable.  This was very painful, her muscles just ached.  She had been going to PT to strengthen her hip muscles, and those muscles were so painful after the injection that she could not move when she was in bed as when she moved she would hurt all over.  It was so scary as she felt she would get some reaction but did not know it would be so hurtful.  Her temperature was 100 degrees, and she felt a little bit on the dizzy side and very tired, which she had not had the reaction with the other vaccines.  Instead of lasted 2 day it lasted 4 days before it left her body.  She did not take anything for her symptoms as she just wanted to see how it played out without taking anything.  She stayed in bed for the first day and a half and did not eat much other than some liquid and some small pieces of fruit, and then started slowly and then by the 4th day she was cooking.  She is now feeling much better.  She felt it was unusual for her to get this as she had not had this reaction before.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: She got her vaccine, it didn't hurt getting it, but she has had reactions whenever she had her first COVID vaccine and everyone she has had from it but nothing like this one.  The others were tolerable.  This was very painful, her muscles just ached.  She had been going to PT to strengthen her hip muscles, and those muscles were so painful after the injection that she could not move when she was in bed as when she moved she would hurt all over.  It was so scary as she felt she would get some reaction but did not know it would be so hurtful.  Her temperature was 100 degrees, and she felt a little bit on the dizzy side and very tired, which she had not had the reaction with the other vaccines.  Instead of lasted 2 day it lasted 4 days before it left her body.  She did not take anything for her symptoms as she just wanted to see how it played out without taking anything.  She stayed in bed for the first day and a half and did not eat much other than some liquid and some small pieces of fruit, and then started slowly and then by the 4th day she was cooking.  She is now feeling much better.  She felt it was unusual for her to get this as she had not had this reaction before.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past 10 week beyond use date. BUD of 12/11/2023. Patient denies any adverse effects.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past 10 week beyond use date. BUD of 12/11/2023.
Age: 55.0
Sex: M
Vaccine: COVID19-2, PNC20
Symptoms: Blood creatine phosphokinase, Blood thyroid stimulating hormone, C-reactive protein, Electrocardiogram normal, Hypoaesthesia
Clinical narrative: Location-  locatized where he had shots, elbows and both thumbs.    Duration- acording to what he dose Characteristics -feels like his arm feel asleep.   started when he had COVID 19 and pneu shot.   If he streches his arms out it hurt, he has been having arm  Aggravating Factors- lifting, when he lays on it. Cold bothers the most, stretching out straight  Treatment- tiger balm helps, warm helps cold makes it worse
Age: 55.0
Sex: M
Vaccine: COVID19-2, PNC20
Symptoms: Local reaction, Metabolic function test, Pain, Red blood cell sedimentation rate, Vitamin B12
Clinical narrative: Location-  locatized where he had shots, elbows and both thumbs.    Duration- acording to what he dose Characteristics -feels like his arm feel asleep.   started when he had COVID 19 and pneu shot.   If he streches his arms out it hurt, he has been having arm  Aggravating Factors- lifting, when he lays on it. Cold bothers the most, stretching out straight  Treatment- tiger balm helps, warm helps cold makes it worse
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered past 10 week BUD. BUD of 12/11/2023. Attempted to reach patient but unable to reach. Unknown if patient has experienced any adverse effects.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse reactions.  Individual is 9 years old and was given dose for 12yrs and above.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: pt sates has swelling and rash 4 days after vaccination in area of vaccination site
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Pain, Swelling
Clinical narrative: According to the patient, she noticed pain and swelling 7 days after the vaccination which prompted her to seek her physician who prescribed her an antibiotic.
Age: 42.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: After Hep B vaccine patient got light-headed and began to feel nauseated. Closed eyed with possible brief episode of syncope while laying back in chair.  Reopened eye and said she was going to vomit. Did vomit in trash can. Said she was feeling better.  Vital signs checked afterwards and were stable.
Age: 80.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Administration Error: According to RA, the pt had already received one dose of RSV vaccine on 9/19/23 at the same time as his covid vaccination. He did not report to us that he had gotten an RSV vaccine on that date, only covid. We discovered the previous dose of RSV when we went to report the vaccine into RA.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Skin erosion
Clinical narrative: He got his vaccine, he didn't notice anything at first, but about 6 months after that he started to feel some bones in his right arm.  He looked at his shoulder and his shoulder was on bone.  His flesh and muscle has all eroded from his right arm.  It is moving to his right leg and to his left side.  He has been to numerous physicians who told him that he has had no problems.  He has been going to the doctor nonstop and taking steps for about 10 months, and he says that it is slowly taking away his flesh.  The best way to describe it is his body is slowly eating itself asymmetrical from right to left.  He has been to a neurologist, Rheumatologist, Oncologist, Nephrologist who have not found anything in regard to  what is going on.  Has been to 30+ doctors, and has had blood work, MRI's and muscle tests and they cannot find anything wrong with him.  They do not recognize it as they have not seen him in the past, but he is loosing strength in his right side and is right handed dominent and his left arm is now stronger than his right now.  He has had his eyes on it for the last 10 months and has slowly seen his body eat itself.  He had a nerve conduction study done the other day that did not show any problems with his muscles.  He feels that there is something is going on, and he can see the radius in his arm and veins in his arm that he could not see a year ago and feels that his body is slowly dying.  He is a healthy 50 year old guy and feels that in a year or so he will be noticed and then it will be too late to do anything for him.  The doctors have not given any diagnosis or any answers to his problem.    He noticed it first with his wrist and then he felt his bones and then felt his shoulder and said it's just like bone, muscle and tendon's.  Tomorrow he is having a CAT scan of his pancreas to see if there is something to do with that.  The worst spot is his right shoulder, right arm and felt that he may have had ALS and they tell him that his muscles are fine, but he said that if he had to lift weights that he would not be able to and his strength is slowly eroding in his entire body.  He says that the connective flesh is gone.  He was informed that they felt that he has anxiety, but all the doctors are making him feel like he is making up things.  He never went to the doctor in the past as he was healthy and he feels that they feel he is making things up.    If he goes to the ER they tell him that there is no emergency.  He has been sent away from the ER a  couple of times as they send him away.  His blood work is all OK.  Says that his arm looks like somebody took a chunk out of his arm.  His left arm is now doing the same thing but slower.   He is starting to get pain in his right shoulder and right wrist area as the connecting flesh is eroding away and has not experienced this pain before.  These are the two weakest areas on his body.    By the time he had the 4th vaccine his symptoms were full blown and he says that his arm is slowly deconstructing itself, and his arm is literally caving in.  LIke his flesh is melting off of the bone and it's terrifying.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Blood pressure decreased, Placental disorder
Clinical narrative: mom states patient can get anxious when getting vaccines. offer for patient to lay down before vaccine but mother decline, mother states only have milk  this morning.  per mom apple juice was  given to patient to drink before given vaccine. patient was sitting  while hpv was given to left deltoid, Less then 10 second patient  was about to fall off chair. Mom and RN caught patient and lay her down on the recliner chair, vitals taken , blood pressure was low, patient was pale. patient primary MD dr notify, patient was brought to holding room  for observation. and more vitals and juice was given. @0953 am patient blood pressure is now normal and patient feel good now and wanting to go home. per dr patient discharge via wheelchair.
Age: 21.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No reactions noted to patient at time of injection. After receiving the flu vaccine patient stated that he had already received the flu vaccine. The first flu vaccine was given 8/23/23 according to the RA.