chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No Adverse event; Recieved 0.5 ml of bivalent booster instead of primary series; This spontaneous case was reported by a pharmacist and describes the occurrence of WRONG PRODUCT ADMINISTERED (Recieved 0.5 ml of bivalent booster instead of primary series) and NO ADVERSE EVENT (No Adverse event) in a 27-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.     No Medical History information was reported.    On 06-Oct-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .5 milliliter. On 06-Oct-2022, the patient experienced WRONG PRODUCT ADMINISTERED (Recieved 0.5 ml of bivalent booster instead of primary series). On an unknown date, the patient experienced NO ADVERSE EVENT (No Adverse event). At the time of the report, WRONG PRODUCT ADMINISTERED (Recieved 0.5 ml of bivalent booster instead of primary series) and NO ADVERSE EVENT (No Adverse event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No Adverse event) to be not related. No further causality assessment was provided for WRONG PRODUCT ADMINISTERED (Recieved 0.5 ml of bivalent booster instead of primary series).    No concomitant medications were provided.  The patient did not have a history of COVID 19 vaccination. .  No treatment medication was provided.
Age: 9.0
Sex: F
Vaccine: IPV
Symptoms: Medication error, No adverse event, Poor quality product administered
Clinical narrative: IPOL being administered post excursion with no adverse event; Initial information regarding an unsolicited valid non-serious case received via nurse on 04-Oct-2022. GMI number: 01306677   This case involves a 9-year-old female patient to whom punctured vaccine IPV (VERO) [IPOL] being administered post excursion with no adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. This case is linked to case 2022SA409671.  Concomitant medications included Hepatitis B vaccine for Immunization.  On 23-Sep-2022, the patient received 3rd of suspect IPOL vaccine being administered post excursion at dose 0.5 ml once via intramuscular route in the left deltoid (lot: U1C571M, expiry: 17-Jun-2023) for prophylactic vaccination with no adverse event (poor quality product administered) same day latency.  Action taken: Not applicable.  At time of reporting, the outcome was Not Recovered.    This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Oral herpes, Oral soft tissue biopsy, Squamous cell carcinoma of the oral cavity, Surgery
Clinical narrative: Patient developed a cold sore in mouth that did not disappear. Sore was biopsied and found to be oral squamous cell carcinoma. Patient is otherwise healthy with no history of smoking or tobacco use and no family history of disease. Patient has undergone two surgeries with a third scheduled.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abnormal dreams, Discomfort, Fatigue, Feeling abnormal, Feeling of body temperature change
Clinical narrative: Day 1: sore at injection site Day 2: swollen armpit lymphnode, fatigue, headaches Day 3: lymphnode at peak discomfort, brain fog, fatigue, headaches, period spotting, vivid dreams, hot/cold flashes  Day 4: swollen lymphnode, fatigue, spotting, throat felt raw, spotting Day 5 (today): swollen lymphnode, spotting Note: fatigue and malaise came together in waves
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Injection site pain, Intermenstrual bleeding, Lymphadenopathy, Malaise
Clinical narrative: Day 1: sore at injection site Day 2: swollen armpit lymphnode, fatigue, headaches Day 3: lymphnode at peak discomfort, brain fog, fatigue, headaches, period spotting, vivid dreams, hot/cold flashes  Day 4: swollen lymphnode, fatigue, spotting, throat felt raw, spotting Day 5 (today): swollen lymphnode, spotting Note: fatigue and malaise came together in waves
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Throat irritation
Clinical narrative: Day 1: sore at injection site Day 2: swollen armpit lymphnode, fatigue, headaches Day 3: lymphnode at peak discomfort, brain fog, fatigue, headaches, period spotting, vivid dreams, hot/cold flashes  Day 4: swollen lymphnode, fatigue, spotting, throat felt raw, spotting Day 5 (today): swollen lymphnode, spotting Note: fatigue and malaise came together in waves
Age: 67.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Arthralgia, C-reactive protein increased, Laboratory test normal, Loss of personal independence in daily activities, Musculoskeletal chest pain
Clinical narrative: After several days of usual bilateral arm soreness, I began to develop bilateral severe muscle aches in my pelvis, bilateral hips, upper arms, shoulders and along my lower posterior rib cage.  I went to the doctor on 10/04/2022 after not being able to dress myself.  It was very painful to walk.  I was started on a three week course of Prednisone for probable Polymyalgia Rheumatica.  The CRP was 29.4.  The steroid relieved the pain.  At my next Doctor appointment  it will be decided how long I will remain on Prednisone
Age: 67.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Myalgia, Pain, Pain in extremity, Pelvic pain, Polymyalgia rheumatica
Clinical narrative: After several days of usual bilateral arm soreness, I began to develop bilateral severe muscle aches in my pelvis, bilateral hips, upper arms, shoulders and along my lower posterior rib cage.  I went to the doctor on 10/04/2022 after not being able to dress myself.  It was very painful to walk.  I was started on a three week course of Prednisone for probable Polymyalgia Rheumatica.  The CRP was 29.4.  The steroid relieved the pain.  At my next Doctor appointment  it will be decided how long I will remain on Prednisone
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Vomiting
Clinical narrative: Almost 24 hours post vaccine, 103 fever, brought down with medicine but recurrent for over 24 hours.  1.5 days after vaccine, vomiting started.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Wrong product administered
Clinical narrative: No adverse event; The patient was supposed to received the new bivalent vaccine, there was a switch up and the patient received the monovalent vaccine as booster; patient received 0.5 ml of monovalent vaccine as booster; This spontaneous case was reported by a pharmacist and describes the occurrence of WRONG PRODUCT ADMINISTERED (The patient was supposed to received the new bivalent vaccine, there was a switch up and the patient received the monovalent vaccine as booster), INCORRECT DOSE ADMINISTERED (patient received 0.5 ml of monovalent vaccine as booster) and NO ADVERSE EVENT (No adverse event) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 053B22A, 076C21A, 010M20A and 010M20A) for COVID-19 vaccination.     Patient had no allergies to (medications, food and other products). It was unknown that patient has ever had COVID + test or diagnosis. It was unknown that patient received other vaccines given within 1 month prior to Moderna COVID-19 vaccine (type, brand, lot, route, dose #).  Concurrent medical conditions included Immunocompromised.   On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .5 milliliter. On 03-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 23-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 06-Oct-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On 06-Oct-2022, the patient experienced WRONG PRODUCT ADMINISTERED (The patient was supposed to received the new bivalent vaccine, there was a switch up and the patient received the monovalent vaccine as booster) and INCORRECT DOSE ADMINISTERED (patient received 0.5 ml of monovalent vaccine as booster). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, WRONG PRODUCT ADMINISTERED (The patient was supposed to received the new bivalent vaccine, there was a switch up and the patient received the monovalent vaccine as booster), INCORRECT DOSE ADMINISTERED (patient received 0.5 ml of monovalent vaccine as booster) and NO ADVERSE EVENT (No adverse event) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessments were provided for WRONG PRODUCT ADMINISTERED (The patient was supposed to received the new bivalent vaccine, there was a switch up and the patient received the monovalent vaccine as booster) and INCORRECT DOSE ADMINISTERED (patient received 0.5 ml of monovalent vaccine as booster).    No concomitant medications was reported.  Patient was taking other medication. Patient's HCP was aware of the incident.  No treatment medication was reported.   This case was linked to MOD-2022-655840 (Patient Link).
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Feeling abnormal, Musculoskeletal discomfort, X-ray
Clinical narrative: When I lay down I feel it dully; Pain in back; Felt like a stab in my back; This spontaneous case was reported by a patient and describes the occurrence of FEELING ABNORMAL (When I lay down I feel it dully), BACK PAIN (Pain in back) and MUSCULOSKELETAL DISCOMFORT (Felt like a stab in my back) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis.     The patient's past medical history included Pleural infection (The patient felt like a stab in back once in her 30s, and that was a pleural infection).    On an unknown date, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (When I lay down I feel it dully), BACK PAIN (Pain in back) and MUSCULOSKELETAL DISCOMFORT (Felt like a stab in my back). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] at an unspecified dose and frequency. At the time of the report, FEELING ABNORMAL (When I lay down I feel it dully), BACK PAIN (Pain in back) and MUSCULOSKELETAL DISCOMFORT (Felt like a stab in my back) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, X-ray: Normal.         No concomitant medications were provided.  The patient had 2 primary series doses and 2 boosters. After the second booster patient had pain in back. She had a heart monitor. It felt like a stab in her back. Patient had that once in her 30s, and that was a pleural infection. She took aspirin the next couple days. When she laid down she felt it dully. It had never gone away. Mentioned it to her heart doctor and primary doctor. Asked for an Xray, but they said the Xray was normal. They were not able to tell her the cause of her symtpoms.   Reporter did not allow further contact
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Illness, Myalgia
Clinical narrative: I was sick for 3 days; Achy back; I had chills; This spontaneous case was reported by a patient and describes the occurrence of ILLNESS (I was sick for 3 days), MYALGIA (Achy back) and CHILLS (I had chills) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025B21A) for COVID-19 prophylaxis.     No Medical History information was reported.    On 31-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Mar-2021, the patient experienced ILLNESS (I was sick for 3 days), MYALGIA (Achy back) and CHILLS (I had chills). On 02-Apr-2021, ILLNESS (I was sick for 3 days) had resolved. At the time of the report, MYALGIA (Achy back) and CHILLS (I had chills) outcome was unknown.            Concomitant medication was not provided.  Treatment information was not provided.   This case was linked to MOD-2022-655853, MOD-2022-655858 (Patient Link).
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Accidental underdose, No adverse event
Clinical narrative: No adverse event; Inadvertently administered the bivalent booster dose at 0.25 ml; This spontaneous case was reported by a nurse and describes the occurrence of ACCIDENTAL UNDERDOSE (Inadvertently administered the bivalent booster dose at 0.25 ml) and NO ADVERSE EVENT (No adverse event) in a 39-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 vaccination.     No Medical History information was reported.    On 30-Sep-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .25 milliliter. On 30-Sep-2022, the patient experienced ACCIDENTAL UNDERDOSE (Inadvertently administered the bivalent booster dose at 0.25 ml). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, ACCIDENTAL UNDERDOSE (Inadvertently administered the bivalent booster dose at 0.25 ml) and NO ADVERSE EVENT (No adverse event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessment was provided for ACCIDENTAL UNDERDOSE (Inadvertently administered the bivalent booster dose at 0.25 ml).    The concomitant medication was not reported by reporter. The treatment medication was not reported by reporter. This report was for the 2nd patient.   This case was linked to MODERNATX, INC.-MOD-2022-655893 (E2B Linked Report).; Sender's Comments:  MODERNATX, INC.-MOD-2022-655893: Crosslink case with same reporter
Age: 22.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No Adverse event; received bivalent booster instead of primary dose one; This spontaneous case was reported by a pharmacist and describes the occurrence of WRONG PRODUCT ADMINISTERED (received bivalent booster instead of primary dose one) and NO ADVERSE EVENT (No Adverse event) in a 22-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7164B) for COVID-19 vaccination.     No Medical History information was reported.    On 06-Oct-2022, the patient received first dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 06-Oct-2022, the patient experienced WRONG PRODUCT ADMINISTERED (received bivalent booster instead of primary dose one). On an unknown date, the patient experienced NO ADVERSE EVENT (No Adverse event). At the time of the report, WRONG PRODUCT ADMINISTERED (received bivalent booster instead of primary dose one) and NO ADVERSE EVENT (No Adverse event) outcome was unknown.        The action taken with mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown) was unknown.   For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No Adverse event) to be not related. No further causality assessment was provided for WRONG PRODUCT ADMINISTERED (received bivalent booster instead of primary dose one).    No concomitant medications were reported. No treatment medications were reported.   Most recent FOLLOW-UP information incorporated above includes: On 06-Oct-2022: Live Significant information received- Narrative updated, Reporter Additional mail id added.
Sex: U
Vaccine: COVID19-2
Symptoms: Accidental underdose, No adverse event
Clinical narrative: Accidentally administered a dose of 0.25mL of the Modern Covid 19 bivalent instead of 0.5mL; No adverse event; This spontaneous case was reported by a pharmacist and describes the occurrence of ACCIDENTAL UNDERDOSE (Accidentally administered a dose of 0.25mL of the Modern Covid 19 bivalent instead of 0.5mL) and NO ADVERSE EVENT (No adverse event) in a  patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .25 milliliter. On an unknown date, the patient experienced ACCIDENTAL UNDERDOSE (Accidentally administered a dose of 0.25mL of the Modern Covid 19 bivalent instead of 0.5mL) and NO ADVERSE EVENT (No adverse event). At the time of the report, ACCIDENTAL UNDERDOSE (Accidentally administered a dose of 0.25mL of the Modern Covid 19 bivalent instead of 0.5mL) and NO ADVERSE EVENT (No adverse event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessment was provided for ACCIDENTAL UNDERDOSE (Accidentally administered a dose of 0.25mL of the Modern Covid 19 bivalent instead of 0.5mL).    No concomitant products were reported.  This case was regarding one patient.  No treatment drugs were reported.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pruritus
Clinical narrative: Nausea, major itchiness on palms of both hands.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: persistent generalized uticaria starting 24 hours following  vaccine. Requiring steroids and antihistamines to suppress or comes back
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Throat tightness
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe
Age: 1.58
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong patient
Clinical narrative: Error: Wrong Patient-
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Breast tenderness, Injection site erythema, Lymphadenopathy
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: TENDER BREAST, SWALLON LYMPH NODE-Mild, Systemic: Lymph Node Swelling-Mild, Additional Details: TENDER BREAST, SWALLON LYMPH NODE
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Chills, Dizziness, Flushing, Headache
Clinical narrative: Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Medium, Systemic: Weakness-Mild
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hyperhidrosis, Nausea, Pain
Clinical narrative: Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Medium, Systemic: Weakness-Mild
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site discharge
Clinical narrative: Error: Leaking from Injection Site-
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect route of product administration
Clinical narrative: Error: Wrong Route (SC, IM, etc.)-
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Palpitations
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: patient said she began to feel her heart racing and chest tightness during her 15minue observation. paramedics were called to evaluate patient. could be anxiety related but said she did not experience this with first dose.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Injection site pain, Limb injury, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: Selective loss of taste and smell noticed 10 days after first covid vaccine.  I can no longer taste certain foods.  Tastes that are present are diminished.  No improvement after 18 months.    One week after the fourth shot, I lost the taste of more foods.  This additional loss continues after 2 months.  To my knowledge, I have never had Covid-19
Age: 61.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Diarrhoea, Dyspepsia, Erythema, Injection site pruritus, Sinus congestion
Clinical narrative: CLIENT CALLED THE HEALTH DEPARTMENT ON 10/6/2022 AT 10:57AM TO REPORT REACTION TO THE SECOND JYNNEOS VACCINE GIVEN ON 10/4/2022.  CLIENT STATES ON THE DAY OF THE VACCINE HE HAD LOCAL MINOR ITCHING AT THE INJECTION SITE.  ON 10/5/2022 HE HAD NO PROBLEMS OR SYMPTOMS.  CLIENT STATES ON 10/6/2022 AT 9:00AM HE HAD DIARRHEA, THEN HEART BURN. HE TOOK TWO TUMS, THEN RAN TO THE SINK AND VOMITED.  AFTER WARDS HE HAD HIVES/RED SKIN OVER HIS BODY.  CLIENT TOOK EXPIRED BENADRYL ABOUT 40 MINUTES BEFORE CALLING THE HEALTH DEPARTMENT.  CLIENT STATED HIS (UNRELATED) HEAD CONGESTION DRIED UP, BUT HIS HUSBAND IS AT THE DRUG STORE OBTAINING MORE ANTIHISTAMINE.  NURSE CONFIRMED THE CLIENT DOES NOT HAVE SWELLING OF FACE, TOUNGUE OR THROAT AND DOES NOT HAVE ANY DIFFICULTY BREATHING AND THE CLIENT DOES FEEL OKAY NOW, EXCEPT THE HIVES.  NURSE RECOMMENDED CLIENT REPORT TO AN EMERGENCY ROOM IF HIVES DOES NOT RESOLVE SOON.
Age: 61.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Urticaria, Vomiting
Clinical narrative: CLIENT CALLED THE HEALTH DEPARTMENT ON 10/6/2022 AT 10:57AM TO REPORT REACTION TO THE SECOND JYNNEOS VACCINE GIVEN ON 10/4/2022.  CLIENT STATES ON THE DAY OF THE VACCINE HE HAD LOCAL MINOR ITCHING AT THE INJECTION SITE.  ON 10/5/2022 HE HAD NO PROBLEMS OR SYMPTOMS.  CLIENT STATES ON 10/6/2022 AT 9:00AM HE HAD DIARRHEA, THEN HEART BURN. HE TOOK TWO TUMS, THEN RAN TO THE SINK AND VOMITED.  AFTER WARDS HE HAD HIVES/RED SKIN OVER HIS BODY.  CLIENT TOOK EXPIRED BENADRYL ABOUT 40 MINUTES BEFORE CALLING THE HEALTH DEPARTMENT.  CLIENT STATED HIS (UNRELATED) HEAD CONGESTION DRIED UP, BUT HIS HUSBAND IS AT THE DRUG STORE OBTAINING MORE ANTIHISTAMINE.  NURSE CONFIRMED THE CLIENT DOES NOT HAVE SWELLING OF FACE, TOUNGUE OR THROAT AND DOES NOT HAVE ANY DIFFICULTY BREATHING AND THE CLIENT DOES FEEL OKAY NOW, EXCEPT THE HIVES.  NURSE RECOMMENDED CLIENT REPORT TO AN EMERGENCY ROOM IF HIVES DOES NOT RESOLVE SOON.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: syncope
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Back pain, Dizziness, Fatigue, Feeling hot
Clinical narrative: within minutes warm sensation from head to toes - 163/100 was BP - felt like she was going to faint went to urgent care - NP saw her and said recommended to go home and take Benadryl and drink lots of fluids - the next day had low grade fever and HA, felt exhausted, alternated Tylenol and Advil. for aching pain in arm and neck.  felt slightly better on Sunday the second day after vaccine.  Monday still wasn't feeling much better, and had stomach and back pain.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: within minutes warm sensation from head to toes - 163/100 was BP - felt like she was going to faint went to urgent care - NP saw her and said recommended to go home and take Benadryl and drink lots of fluids - the next day had low grade fever and HA, felt exhausted, alternated Tylenol and Advil. for aching pain in arm and neck.  felt slightly better on Sunday the second day after vaccine.  Monday still wasn't feeling much better, and had stomach and back pain.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Arthralgia, Back pain, Hypotension, Immunisation reaction
Clinical narrative: Narrative: 67 year-old male patient with PMH HTN presented to ER with severe shoulder pain radiating to the back on 6/15/2021. He was diagnosed with NSTEMI and treated. Patient's diagnosis was within 6 weeks of his COVID-19 Janssen vaccine. Information is limited as patient was hospitalized outside of our health system. Per PCP profes notes, patient developed hypotension and MI from COVID-19-VACCINE
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Narrative: 67 year-old male patient with PMH HTN presented to ER with severe shoulder pain radiating to the back on 6/15/2021. He was diagnosed with NSTEMI and treated. Patient's diagnosis was within 6 weeks of his COVID-19 Janssen vaccine. Information is limited as patient was hospitalized outside of our health system. Per PCP profes notes, patient developed hypotension and MI from COVID-19-VACCINE
Age: 68.0
Sex: M
Vaccine: PNC13
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 60.0
Sex: M
Vaccine: PNC13
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 0.5
Sex: F
Vaccine: PNC13
Symptoms: Syringe issue, Underdose
Clinical narrative: VACCINE SPRAYED OUT THE SIDE OF THE SYRINGE AND PT ONLY GOT HALF OF DOSE
Age: 64.0
Sex: F
Vaccine: PNC13
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 40.0
Sex: F
Vaccine: HEPAB
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of acceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, Interchange of vaccine products, SARS-CoV-2 test positive
Clinical narrative: Pfizer 11/15/21, Moderna 2/23/21, 3/26/21. Pfizer 4/19/22. Positive on 10/9/22
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 4/19/21, 5/10/21. Positive on 10/9/22
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 4/13/21, 5/4/21. Positive on 10/9/22
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 73.0
Sex: F
Vaccine: PNC20
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 70.0
Sex: M
Vaccine: PNC13
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Temp excursion  occurred on 9/14 . Data logger report reviewed and temp was negative  -1.1 degree below recommended refrigerated temp of  2c to 8 c  from 8/3 through 9/14 .  Manufactured notified  that temperature range exceeded 72 hour parameter of exceptable excursion . Patient notified and recommended to repeat vaccination.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Lethargy, Myalgia, Nausea
Clinical narrative: High fever, chills, headache, nausea, vomiting, lethargy, muscle aches
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Vomiting
Clinical narrative: High fever, chills, headache, nausea, vomiting, lethargy, muscle aches
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive pt, vaccinated X3, admitted to hospital
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood test normal, COVID-19, Chest X-ray normal
Clinical narrative: Patient presents to the emergency department with complaint of worsening cough and shortness of breath since Tuesday.  Patient was found to be hypoxic upon EMS arrival with pulse ox is 7 0% on room air, patient does not require oxygen at baseline.  Patient complains of generalized weakness, nausea, fever, cough, and shortness of breath.  Patient complains of generalized body aches, rates it 2 out of 10, nonradiating, no aggravating or relieving symptoms.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Hypoxia, International normalised ratio increased, Laboratory test
Clinical narrative: Patient presents to the emergency department with complaint of worsening cough and shortness of breath since Tuesday.  Patient was found to be hypoxic upon EMS arrival with pulse ox is 7 0% on room air, patient does not require oxygen at baseline.  Patient complains of generalized weakness, nausea, fever, cough, and shortness of breath.  Patient complains of generalized body aches, rates it 2 out of 10, nonradiating, no aggravating or relieving symptoms.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Pain, Pyrexia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient presents to the emergency department with complaint of worsening cough and shortness of breath since Tuesday.  Patient was found to be hypoxic upon EMS arrival with pulse ox is 7 0% on room air, patient does not require oxygen at baseline.  Patient complains of generalized weakness, nausea, fever, cough, and shortness of breath.  Patient complains of generalized body aches, rates it 2 out of 10, nonradiating, no aggravating or relieving symptoms.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue
Clinical narrative: Diarrhea for 7 days..  Day and night.  Very tired.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Urticaria
Clinical narrative: On 10/7 had a few hives, by 10/8 went to ER covered with hives and itching, was treated with 60mg oral Prednisone, and oral Pepcid Was told to take 40 mg of Prednisone for the next 3 days alone with OTC Benadryl and Pepcid. No relief, the welts are large and itching. Some on my face around the eyes, both arms, back, chest, buttocks and thighs, back of head, ears.  Doing oatmeal soaks, hydrocortisone cream, gold bond powder, ice with no relief
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: vaccine given after storage below recommended temperature
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pyrexia
Clinical narrative: fever, cough
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Full blood count, Heart rate increased, Lipids, Oedema peripheral
Clinical narrative: My iWatch was showing that my heart rate was over the suggested number.  I was experiencing edema in the leg and ankle right afterward.  I thought this might be due to my Femara as it can do it.  I stopped the Femara for a couple weeks but did not see a difference in the edema.  Then my iWatch started to set off alarms of elevated heart rates, starting 8/1/2022 on a daily basis.  I then purchased a blood pressure cuff.  With my first reading I was 200/120.   I then set up a virtual appointment with my doctor on 8/16/2022.  She then placed me on HCTZ to see if that would help.   It did help to some extent but have changed the medicine to Lisinopril/HCTZ and now seems to help keep under control.
Age: 21.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Heart rate irregular, Palpitations, Paraesthesia, Paraesthesia oral
Clinical narrative: About 30-45 minutes after the injection, my lips and front/top tongue started to tingle.  Since then, my lips /tongue have a prickly, tingly, sometimes burning sensation.    This has been constant. Additionally, the following day (Saturday) I started experiencing palpitations.   Every day since then, I experience palpitations at some point during the day, and even in the middle of the night.  During those times, my heart is not racing.  My heartbeat remains in the 70-72 range, but beats hard at those times.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Computerised tomogram head, Electrocardiogram, Electrocardiogram ambulatory, Ophthalmological examination, Scan with contrast
Clinical narrative: My right eye suddenly became blurry, lasting about 1.5 hours.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Ultrasound Doppler, Ultrasound head, Vision blurred
Clinical narrative: My right eye suddenly became blurry, lasting about 1.5 hours.
Age: 57.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Chills, Decreased appetite, Diarrhoea, Immunisation reaction, Malaise
Clinical narrative: severe diarrhea for first week,  moderate diarrhea for second week, chills for two days, malaise for first week, lack of appetite. Urgent Care and Primary Care doctor visits suggested adverse vaccine effect most likely.  Complete recovery
Age: 42.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: While reviewing with the Department of Health, we determined that the vaccine had a brief excursion outside of the recommended temperature storage conditions prior to vaccination.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient came in for bivalent Pfizer vaccine and received the original Pfizer vaccine instead.
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID19
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient receive the original Pfizer vaccine instead of the bivalent vaccine. No adverse events were reported.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID19
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthropod sting, Limb discomfort, Peripheral swelling
Clinical narrative: There was no immediate reaction to the vaccine.  I received the bivalent Pfizer booster shot and the stronger dose (over 65 years old) flu vaccine in my left arm on Thursday September 8.  On Tuesday, September 13, I was stung by a yellow jacket on the inside wrist of my left arm.  My forearm swelled up dramatically such that I could not wear a watch and it was extremely uncomfortable.  I have never had such a severe reaction to a bee sting.  I went to urgent care on Thursday, September 15 and got prednisone oral treatment.  I described the situation to the practitioner and she said yes its possible your body had a more severe reaction due to vaccination but she really did not know.
Age: 29.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: patient had a rash and itchiness around site of injection. Patient is allergic to egg but gotten flu vaccine before and for the last 5 years with no reactions.  Patient said symptoms got worse on Friday (10/7) and Saturday (10/8) and that she almost went to the ER. She took some Benadryl for the itchiness and also topical Benadryl for the rash.
Age: 34.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Client presented to clinic for the Moderna bivalent booster. This nurse administered the Moderna 6-11 years vaccine inadvertently. Client was notified while in clinic, when this nurse realized the error. Advised client that this nurse had called Dept. of Health and Environment to find out next steps. Later notified client he could receive the Moderna bivalent booster in 2 months, per CDC guidelines. Verbalized understanding.
Age: 73.0
Sex: M
Vaccine: UNK
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 67.0
Sex: F
Vaccine: HEPAB
Symptoms: Computerised tomogram head normal, Computerised tomogram neck, Seizure
Clinical narrative: Seizure within 48 hours of vaccination, witnessed by daughter.  Patient has never had a seizure before. Head/neck CT in ED noted not acute problems. At 72 hours no repeat of convulsions.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chromaturia, Extra dose administered, Feeling cold, Haematuria, Myalgia
Clinical narrative: That evening severe myalgia and very cold followed by severe feverishness all night (did not take temperature). ON 10/10 AM  dark brown and red urine probably hematuria (call doctor to get seen)
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: That evening severe myalgia and very cold followed by severe feverishness all night (did not take temperature). ON 10/10 AM  dark brown and red urine probably hematuria (call doctor to get seen)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea
Clinical narrative: RUNNY NOSE, ACHES
Age: 29.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received original pfizer vaccine instead of the bivalent pfizer booster.  No adverse events reported.
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram, Anticoagulant therapy, Aphasia, Blood pressure abnormal, Carotid artery dissection
Clinical narrative: 9/19/2022  I have chronic migraines and thought this was one of those on my flight. I took Ubrelvy and sumatriptan and it did not help my migraine, it became worse.  After you arrived, I started having Right-handed numbness and weakness. Medical personnel at the airport took me to a medical facility within the airport. They checked me out and said I was fine. I got on the train. Later that day, I had right leg numbness and weakness.  I was confused and had aphasia during all this.  Eventually, the symptoms abated. The next morning, I had right-handed numbness again, so I went to the hospital. I was in the hospital for 8 days.  MRI, CT, NGO and Doppler tests were performed. I was on aspirin then switched me to LMWH. I began having Blood pressure issues. They gave me LMWH, gave me compression hose and IV hydration. At discharge, I was doing okay.  I still have some minor deficits in my speech and an occlusion in my right carotid artery which should resolve on its own. Diagnosis: an ischemic stroke in the superficial territory in the left middle cerebral artery revealed by recurrent TIA?s involving the right hemi body and due to an inclusive dissection  of the left internal carotid artery.
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Carotid artery occlusion, Cerebrovascular accident, Compression garment application, Computerised tomogram, Condition aggravated
Clinical narrative: 9/19/2022  I have chronic migraines and thought this was one of those on my flight. I took Ubrelvy and sumatriptan and it did not help my migraine, it became worse.  After you arrived, I started having Right-handed numbness and weakness. Medical personnel at the airport took me to a medical facility within the airport. They checked me out and said I was fine. I got on the train. Later that day, I had right leg numbness and weakness.  I was confused and had aphasia during all this.  Eventually, the symptoms abated. The next morning, I had right-handed numbness again, so I went to the hospital. I was in the hospital for 8 days.  MRI, CT, NGO and Doppler tests were performed. I was on aspirin then switched me to LMWH. I began having Blood pressure issues. They gave me LMWH, gave me compression hose and IV hydration. At discharge, I was doing okay.  I still have some minor deficits in my speech and an occlusion in my right carotid artery which should resolve on its own. Diagnosis: an ischemic stroke in the superficial territory in the left middle cerebral artery revealed by recurrent TIA?s involving the right hemi body and due to an inclusive dissection  of the left internal carotid artery.
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Confusional state, Echocardiogram, Electrocardiogram, Hypoaesthesia, Ischaemic stroke
Clinical narrative: 9/19/2022  I have chronic migraines and thought this was one of those on my flight. I took Ubrelvy and sumatriptan and it did not help my migraine, it became worse.  After you arrived, I started having Right-handed numbness and weakness. Medical personnel at the airport took me to a medical facility within the airport. They checked me out and said I was fine. I got on the train. Later that day, I had right leg numbness and weakness.  I was confused and had aphasia during all this.  Eventually, the symptoms abated. The next morning, I had right-handed numbness again, so I went to the hospital. I was in the hospital for 8 days.  MRI, CT, NGO and Doppler tests were performed. I was on aspirin then switched me to LMWH. I began having Blood pressure issues. They gave me LMWH, gave me compression hose and IV hydration. At discharge, I was doing okay.  I still have some minor deficits in my speech and an occlusion in my right carotid artery which should resolve on its own. Diagnosis: an ischemic stroke in the superficial territory in the left middle cerebral artery revealed by recurrent TIA?s involving the right hemi body and due to an inclusive dissection  of the left internal carotid artery.