chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute left ventricular failure, Anxiety, Asthenia, Bedridden, Cardiac failure
Clinical narrative: After arrival at select specialty he made slow but gradual recovery of renal function and was able to wean successfully from dialysis.  His oxygen requirements improved to the point of not requiring supplemental oxygen on a regular basis.  He remained quite weak in a bedbound state but had progressed to sitting on the side of the bed standing with assistance.  His course was complicated by urinary tract infection which responded appropriately to antibiotics.  He however had a acute decline in respiratory status and appeared to have developed worsened acute systolic heart failure repeat echocardiogram confirmed further deterioration of his low ejection fraction down to 10%.  He was dependent on noninvasive positive pressure ventilation.  His shortness of breath failed to improve with diuretics inotropic support.  After long discussion with the patient and his family they did not wish to pursue intubation or further ICU level support.  After an additional 24 hours with failure to improve with conservative management the patient requested transition to comfort care BiPAP and inotrope support was discontinued.  Medications were given for shortness of breath and anxiety he passed away with family at bedside on 6/22/2023 and was pronounced dead by on-call provider.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Condition aggravated, Death, Dialysis, Diuretic therapy, Dyspnoea
Clinical narrative: After arrival at select specialty he made slow but gradual recovery of renal function and was able to wean successfully from dialysis.  His oxygen requirements improved to the point of not requiring supplemental oxygen on a regular basis.  He remained quite weak in a bedbound state but had progressed to sitting on the side of the bed standing with assistance.  His course was complicated by urinary tract infection which responded appropriately to antibiotics.  He however had a acute decline in respiratory status and appeared to have developed worsened acute systolic heart failure repeat echocardiogram confirmed further deterioration of his low ejection fraction down to 10%.  He was dependent on noninvasive positive pressure ventilation.  His shortness of breath failed to improve with diuretics inotropic support.  After long discussion with the patient and his family they did not wish to pursue intubation or further ICU level support.  After an additional 24 hours with failure to improve with conservative management the patient requested transition to comfort care BiPAP and inotrope support was discontinued.  Medications were given for shortness of breath and anxiety he passed away with family at bedside on 6/22/2023 and was pronounced dead by on-call provider.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Mechanical ventilation, Positive airway pressure therapy, Renal impairment
Clinical narrative: After arrival at select specialty he made slow but gradual recovery of renal function and was able to wean successfully from dialysis.  His oxygen requirements improved to the point of not requiring supplemental oxygen on a regular basis.  He remained quite weak in a bedbound state but had progressed to sitting on the side of the bed standing with assistance.  His course was complicated by urinary tract infection which responded appropriately to antibiotics.  He however had a acute decline in respiratory status and appeared to have developed worsened acute systolic heart failure repeat echocardiogram confirmed further deterioration of his low ejection fraction down to 10%.  He was dependent on noninvasive positive pressure ventilation.  His shortness of breath failed to improve with diuretics inotropic support.  After long discussion with the patient and his family they did not wish to pursue intubation or further ICU level support.  After an additional 24 hours with failure to improve with conservative management the patient requested transition to comfort care BiPAP and inotrope support was discontinued.  Medications were given for shortness of breath and anxiety he passed away with family at bedside on 6/22/2023 and was pronounced dead by on-call provider.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory distress, Urinary tract infection
Clinical narrative: After arrival at select specialty he made slow but gradual recovery of renal function and was able to wean successfully from dialysis.  His oxygen requirements improved to the point of not requiring supplemental oxygen on a regular basis.  He remained quite weak in a bedbound state but had progressed to sitting on the side of the bed standing with assistance.  His course was complicated by urinary tract infection which responded appropriately to antibiotics.  He however had a acute decline in respiratory status and appeared to have developed worsened acute systolic heart failure repeat echocardiogram confirmed further deterioration of his low ejection fraction down to 10%.  He was dependent on noninvasive positive pressure ventilation.  His shortness of breath failed to improve with diuretics inotropic support.  After long discussion with the patient and his family they did not wish to pursue intubation or further ICU level support.  After an additional 24 hours with failure to improve with conservative management the patient requested transition to comfort care BiPAP and inotrope support was discontinued.  Medications were given for shortness of breath and anxiety he passed away with family at bedside on 6/22/2023 and was pronounced dead by on-call provider.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient received 3rd dose of COVID-19 vaccine (Pfizer. Lot #051B22A) on 08/03/2022. COVID-19 + on 11/29/2022, deceased 12/09/2022.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Angina unstable
Clinical narrative: UNSTABLE ANGINA ACUTE NON ST ELEVATION MI
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Wrong product administered
Clinical narrative: Intention was for patient to receive separate MMR and varicella vaccines. Clinic staff administered combination MMRV vaccine instead.  No harm to patient, but not intended vaccine.
Age: 25.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccination ? Tdap Adsorbed (Adacal) 0.5 mL IM injection mistakenly and initially administered in lieu of intended vaccine HPV Valent 9 (Gardasil 9) 0.5 mL IM injection. Patient involved, unit manager, and ordering MD immediately notified and correct vaccination/ Gardasil 9 subsequently administered in opposite arm s/p confirming no contraindication between simultaneous administration of each medication.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Admitted to Hospital 11/10/2022 for COVID-19 treatment, deceased 11/16/2022.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: HYPOXIA 12/20/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient came into clinic for Triage 6/26/2023  due to possible allergic reaction for vaccine TDap given 06/19/2023. Nurse observed site. Site was red, swollen and warm to touch. Nurse notified provider, visit was then escalated to a provider visit.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Food allergy, Gluten sensitivity, Immune system disorder, Pyrexia
Clinical narrative: After he had the vaccine he vomited a lot for a couple of days, then he started to have fever recurring until present time. Last fall he was sick less than his younger brother and was not having fever, he did have flu and RSV but no fever to my recollection but after his vaccine everything changed his immune seemed to kick into overdrive from every little germ like his immune system kickeed into overdrive.  So he is having recurring fevers without the rest of the family getting sick, we have had strep and flu this season but the fevers he has or more than those occasions.  His Doctor says it may be an immune response since the vaccine.  After he had the vaccine he now reacts to Gluten or is having a food sensitivity and has gonre a gluten free diet but it has not taken away the fevers but it has helped him with his energy levels.  In summary before the vaccine it was very normal and now his immune system seems ob=verly sensitive.  My theory is that the dose or last vacine was to high for him.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: After he had the vaccine he vomited a lot for a couple of days, then he started to have fever recurring until present time. Last fall he was sick less than his younger brother and was not having fever, he did have flu and RSV but no fever to my recollection but after his vaccine everything changed his immune seemed to kick into overdrive from every little germ like his immune system kickeed into overdrive.  So he is having recurring fevers without the rest of the family getting sick, we have had strep and flu this season but the fevers he has or more than those occasions.  His Doctor says it may be an immune response since the vaccine.  After he had the vaccine he now reacts to Gluten or is having a food sensitivity and has gonre a gluten free diet but it has not taken away the fevers but it has helped him with his energy levels.  In summary before the vaccine it was very normal and now his immune system seems ob=verly sensitive.  My theory is that the dose or last vacine was to high for him.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: COVID-19 + on 10/24/2022, deceased 11/19/2022
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Hypoxia
Clinical narrative: HYPOXIA ANGIOEDEMA, INIT ANGIOEDEMA, SUBSEQ
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Discomfort, Genital rash, Rash, Streptococcus test negative
Clinical narrative: Pt started to develop a rash on her stomach on 6/15/23. The rash spread to her right arm on 6/16/23. On 6/17/23 it spread rapidly over her face, both arms, full torso and back. By 6/18/23 it was covering her legs and genitals as well. She didn't appear to be itchy from the rash - the only noticeable symptom was that she was uncomfortable when in her carseat. She never got open blisters.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, UNK, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: 12mo old baby received 2 Moderna Monovalent doses in the past and was given their first Moderna  Bivalent 0.25ml (blue cap) instead of Moderna Bivalent 0.2ml (dark pink cap). Medical Assistant had patient wait 15 minutes after vaccines, no reactions reported.
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction patient tolerated well, dose given out of vial that was in the fridge after 30 days.
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angina pectoris, Symptom recurrence
Clinical narrative: ANGINA, UNSPECIFIED 11/20/2022,  3/3/2023,  2/9/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 20.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea, Visual impairment
Clinical narrative: Nausea for 3 days, dizziness, change in vision, sweaty & chills
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Cardiovascular symptom, Neurological symptom, Postural orthostatic tachycardia syndrome
Clinical narrative: neurological and cardiovascular symptoms following vaccination. diagnosed with POTS in october 2022
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Bexsero as second dose for Men B. Original dose was Trumenba. Patient will need second dose of either Bexero or Trumenba to complete the series
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: I did not have an adverse reaction to the vaccine. Two months after receiving the vaccine, I developed an itchy rash on my buttocks that moved down my thighs, then to my forearms, elbows and hands. When it is red it feels raised up and very itchy. As of today, I continue to have the breakouts. I have seen my primary care doctor and a dermatologist. I am currently under treatment.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction patient tolerated well, dose given from vial that was in the fridge longer than 30 days.
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: I unknowingly administered a 3 rd dose to this patient. He completed the series in 2018.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dialysis, Dyspnoea, End stage renal disease
Clinical narrative: Presents for SOB & generalized weakness x3 days. O2 90% on RA. Admit for COVID & dialysis (unable to go in to dialysis center due to feeling poorly). Tx: abx, O2, dialysis, steroids; remdesivir deferred due to ESRD. DC home.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: Presents for SOB & generalized weakness x3 days. O2 90% on RA. Admit for COVID & dialysis (unable to go in to dialysis center due to feeling poorly). Tx: abx, O2, dialysis, steroids; remdesivir deferred due to ESRD. DC home.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Acute respiratory failure, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI ACUTE RESPIRATORY FAILURE 12/17/2022 &  2/19/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Decreased appetite, Dyspnoea, Mental status changes
Clinical narrative: Presents from memory care center with SOB, loss of appetite, & AMS;  dx with COVID 3 days PTA at same ED & DC'd at that time. Admit for COVID & AKI. Tx: zinc, dexamethasone, vit D, remdesivir. DC back to memory care center.
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction patient tolerated will, dose given out of vial that was in the fridge longer than 30 days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cough, Hypoxia, Sepsis
Clinical narrative: Presented to ED w/cough & hypoxia; admitted for COVID-19 pna,acute resp failure w/ hypoxia & sepsis; tx w/remdesivir, steroids, protonix, zinc
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Hypoxia
Clinical narrative: Presented to ED w/ chief c/o COVID-19; admitted for COVID-19 pna and  hypoxemia; tx w/abx, remdesivir, O2, steroids, Vit-C, zinc. Weaned to RA. DC to SNF d/t hx TBI and needing more supportive care.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic arteriosclerosis, Epilepsy
Clinical narrative: EPILEPSY, UNSPECIFIED 3/23/2023 ATHEROSCLEROSIS OF AORTA
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Syncope, Weight decreased
Clinical narrative: Exertional intolerance  Syncopal Episodes Weight loss
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Hypertension
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 4/20/2023 HTN (HYPERTENSION) I21.4 ACUTE NON ST ELEVATION MI 4/20/2023 HTN (HYPERTENSION)
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Ultrasound scan
Clinical narrative: DVT, eliquis, current treatment
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pneumonia, Pulmonary embolism
Clinical narrative: I26.99 ACUTE PULMONARY EMBOLISM 4/27/2023 PNEUMONIA I82.442 ACUTE DVT OF LEFT TIBIAL VEIN 4/27/2023 PNEUMONIA
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction, patient tolerated well. Dose given out of vial that was in fridge longer than 30 days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 12/3/2022,  11/2/2022,  11/14/2022,  1/4/2023,  2/14/2023,  1/5/2023  --  RECURRENCE OF                                                                                                             HOSPITALIZATION WITH SAME SYMPTOMS
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction patient tolerated well, dose given out of vial that was in the fridge longer than 30 days.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cataract, Cerebrovascular accident, Facial paresis, Hemiparesis, Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 4/3/2023 BILAT AGE RELATED CATARACT RIGHT FACIAL MUSCLE WEAKNESS 4/3/2023 BILAT AGE RELATED CATARACT ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 4/3/2023 ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY RIGHT FACIAL MUSCLE WEAKNESS 4/3/2023 ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Neuropathy peripheral, Pulmonary embolism, Symptom recurrence
Clinical narrative: PERIPHERAL NEUROPATHY ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE PULMONARY EMBOLISM HYPOXIA 1/3/2023 &  03/12/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Knee arthroplasty, Sleep apnoea syndrome, Surgical failure
Clinical narrative: SLEEP APNEA 4/11/2023 LEFT KNEE ARTHROPLASTY FAILURE, SUBSEQ
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Carotid artery stenosis, Hypotension
Clinical narrative: I95.9 HYPOTENSION 3/20/2023 BILAT CAROTID ARTERY STENOSIS
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Anxiety disorder, Confusional state, Disorientation, Laboratory test
Clinical narrative: 6/26/2023 10:28 am Received call from this patient's mother, stating that she is reporting a reaction the COVID vaccines her son received. Mother stated that patient began showing signs of anxiety 2 week after his first vaccination for COVID-19 and the anxiety was worse after the 2nd vaccine, after the 3rd dose of COVID-19 vaccine he disappeared and was found disoriented and confused 7 hours from home. Patient has since been diagnosed with anxiety disorder, pychosis, and neuroleptic malignant syndrome. He is seeing Dr. Mother stated that patient has had testing to rule out tumors and cerebrovascular accindents. Immunizations Received since the initial COVID-19 vaccine: County Health Department Mass Vax Clinic... Pfizer-BioNTech COVID-19 Vaccine, Lot # ER8733 on  4/02/2021; Pfizer-BioNTech COVID-19 Vaccine, Lot #FF2593 on 11/04/2021 Pharmacy... Fluzone Lot # UJ686AA on 8/22/2021; Flucelvax Lot # 942395 on 8/25/2022 Pharmacy.... Boostrix Lot # 7HS93 on 8/5/2022. No vaccines given on same dates as COVID-19 vaccines and none one month prior.  No written information found for prior reactions from any of the vaccines listed.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Neuroleptic malignant syndrome, Patient elopement, Psychotic disorder
Clinical narrative: 6/26/2023 10:28 am Received call from this patient's mother, stating that she is reporting a reaction the COVID vaccines her son received. Mother stated that patient began showing signs of anxiety 2 week after his first vaccination for COVID-19 and the anxiety was worse after the 2nd vaccine, after the 3rd dose of COVID-19 vaccine he disappeared and was found disoriented and confused 7 hours from home. Patient has since been diagnosed with anxiety disorder, pychosis, and neuroleptic malignant syndrome. He is seeing Dr. Mother stated that patient has had testing to rule out tumors and cerebrovascular accindents. Immunizations Received since the initial COVID-19 vaccine: County Health Department Mass Vax Clinic... Pfizer-BioNTech COVID-19 Vaccine, Lot # ER8733 on  4/02/2021; Pfizer-BioNTech COVID-19 Vaccine, Lot #FF2593 on 11/04/2021 Pharmacy... Fluzone Lot # UJ686AA on 8/22/2021; Flucelvax Lot # 942395 on 8/25/2022 Pharmacy.... Boostrix Lot # 7HS93 on 8/5/2022. No vaccines given on same dates as COVID-19 vaccines and none one month prior.  No written information found for prior reactions from any of the vaccines listed.
Age: 1.5
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Electrocardiogram normal, Feeling hot, Laboratory test normal, Seizure
Clinical narrative: PATIENT WOKE FROM A NAP AROUND 4:30PM AND FELT VERY HOT PER MOM. MOM GAVE HER A DOSE OF ACETAMINOPHEN AND WAS HOLDING HER ON THE COUCH WHEN PATIENT STARTED SEIZING. MOM CALLED EMS AND WAS TAKEN TO ER FOR EVALUATION.;
Age: 13.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Vaccine given to patient after it had been expired for approx 6 weeks. Error noticed during request for vaccine records by patient's father this June 2023. Dr notified. Staff contacted patient's father. Notified him patient needs additional Hep A vaccine to complete series. Father verbalized understanding.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Notalgia paraesthetica
Clinical narrative: Moderna vaccine was administered outside of source - reported by patient ? NO LOT NUMBER WERE SUPPLIED ------------------------------------------------------------------------------------------------------------------------------ G60.8 NOTALGIA PARESTHETICA 2/8/2023 ATRIAL FIBRILLATION, UNSPECIFIED
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: New Hire-Hep B SAB titer showed non-immune to Hepatitis B (despite having history of 4 total doses of Hep B), presented to Occ Health for booster, administered Heplisav B (20mcg) by RN-Clinic nurse. Heplisav B approved for 18yrs and older. No adverse  reaction to vaccine, but should have been administered Engerix 10mcg based on age.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 21.0
Sex: M
Vaccine: TDAP
Symptoms: Rash
Clinical narrative: Patient came to receive updated Tdap. Patient called an hour later to describe a few bumps that were itching on arm and chest area. No other s/s described. Patient stated that he took 50 mg of Benadryl. Patient recommended to contact PCP for further follow up.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction, patient tolerated well. Dose given from vial that was in the fridge longer than 30 days.
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Peripheral swelling
Clinical narrative: Mother reported several hours after injection redness and swelling just lateral to locations of injections (ie 1-2 cm from where the injection was given), that progressed in size and swelling. Right was particularly swollen. Given its progression, they went to ED where diagnosed with cellulitis for which given oral Keflex and topical hydrocortisone, with resolution within 1-2 days of starting this.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Hypotension, Skin lesion
Clinical narrative: I95.89 CHRONIC HYPOTENSION 4/20/2023 SKIN LESION I95.89 CHRONIC HYPOTENSION 4/20/2023 ANEMIA
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Breast conserving surgery, COVID-19, Chills, Cough, Fatigue
Clinical narrative: On 7/25/2022, I was doing errands and felt fine. Later that afternoon, I felt tired, so I took a nap. When I woke up, I was shivering, so I figured I had a fever. I took my temperature, which confirmed that I had a low-grade fever. I took a home antigen test and immediately tested positive.  During my illness, I had a fever that only lasted for about 2 1/2 days. I also had runny nose, cough, and fatigue. It lasted seven days at the most. I may have taken Tylenol, but I don't remember for sure.  My blood oxygen levels remained in the normal range, but I kept coughing, so I had a telehealth visit with my PCP. She offered me Paxlovid, but I declined, because so much time had elapsed. She prescribed me a generic version of Tessalon Perles, which I took for about two days at the most. I was then fine afterwards. I followed the CDC protocols for isolation and masking, and I continued to mask afterwards.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 7/25/2022, I was doing errands and felt fine. Later that afternoon, I felt tired, so I took a nap. When I woke up, I was shivering, so I figured I had a fever. I took my temperature, which confirmed that I had a low-grade fever. I took a home antigen test and immediately tested positive.  During my illness, I had a fever that only lasted for about 2 1/2 days. I also had runny nose, cough, and fatigue. It lasted seven days at the most. I may have taken Tylenol, but I don't remember for sure.  My blood oxygen levels remained in the normal range, but I kept coughing, so I had a telehealth visit with my PCP. She offered me Paxlovid, but I declined, because so much time had elapsed. She prescribed me a generic version of Tessalon Perles, which I took for about two days at the most. I was then fine afterwards. I followed the CDC protocols for isolation and masking, and I continued to mask afterwards.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Thalamic stroke
Clinical narrative: ACUTE STROKE OF THALAMUS, UNSPECIFIED TYPE AND ARTERY
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cervical radiculopathy, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, MILD 4/14/2023 ADULT OBSTRUCTIVE SLEEP APNEA, MILD CERVICAL RADICULOPATHY
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke, Symptom recurrence
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 3/17/2023 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Chronic respiratory failure, Obstructive sleep apnoea syndrome, Respiratory failure
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 4/4/2023 ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/4/2023 ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE I21.4 ACUTE NON ST ELEVATION MI 4/4/2023 ACUTE NON ST ELEVATION MI J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/4/2023 ACUTE NON ST ELEVATION MI
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: HYPOXIA 12/12/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Intensive care, Magnetic resonance imaging
Clinical narrative: About one week after I took my 2nd Pfizer booster I suffered a stroke. I think the COVID Booster caused the stroke.  I had my Pfizer COVID Vaccines on  5/7/2021, 5/28/2021 and 11/29/2021. The last booster triggered my stroke.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Computerised tomogram thorax abnormal, HIV test positive, Hypertension, Hypoxia
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 4/28/2023 HIV POSITIVE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/18/2023 HIV POSITIVE R09.02 HYPOXEMIA 4/17/2023 HIV POSITIVE J96.00 ACUTE RESPIRATORY FAILURE 4/28/2023 ABNL CHEST CT SCAN J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/18/2023 ABNL CHEST CT SCAN R09.02 HYPOXEMIA 4/17/2023 ABNL CHEST CT SCAN J96.00 ACUTE RESPIRATORY FAILURE 4/28/2023 HTN (HYPERTENSION) J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/18/2023 HTN (HYPERTENSION) R09.02 HYPOXEMIA 4/17/2023 HTN (HYPERTENSION)
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Hypoxia, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI HYPOXIA 11/20/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: I verified patient's DOB, phone number, address and vaccines VIA databases. I gave patient her vaccine consent so I started preparing vaccine. I prepared vaccine and verified patients name and symptoms. I spoke to patient and advice her with possible side effect. I did not checked for Expiration Date on vial because my supervisor picked up vaccines this morning from clinic and I though he had already checked this morning. Pt's left clinic after 15 min of observation. I was trying to document vaccine, and I added the vaccine but when I selected the correct lot number via data I then saw vaccines as ACTIVE and with the same lot # and it said we had 19 doses left in clinic. As I checked on data exp date was expired with a date of expiration of 6/12/2023. I right away called my supervisor to his work phone and asked him for expiration date and he saw that it was expired as well. He immediately spoke to his supervisor for further steps. My supervisor called patient as well to let her know of this situation.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, COVID-19, Condition aggravated, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On about 6/27/2022 or 6/28/2022, I experienced head congestion and a scratchy throat. I took a home antigen test and got a positive result on 6/30/2022. On 7/1/2022, I went to an urgent care clinic to be retested for confirmation, and I tested positive on the PCR test they gave me. I was visiting a relative at this point, and I self-isolated from the rest of my family until I tested negative on 7/5/2022. On the flight back home afterwards, I made it a point to mask; I had also worn a mask during the flight to my relative's home city. In October 2022, I began experiencing a buzzing noise in both ears. I didn't really pay attention until November 2022, though. I went to my PCP, who suggested that I undergo a hearing test and see a specialist. On 12/16/2022, I saw an otolaryngologist, who administered a hearing test. I had previously undergone a hearing test in September 2019, and it was then found that I had had some hearing loss. After the 12/16/2022 hearing test, the otolaryngologist concluded that my hearing had not deteriorated considerably since September 2019. The doctor confirmed that I had tinnitus. He couldn't offer a cure or a treatment, but he did tell me that another patient of his had tried taking lipo-flavonoid, and they had had decreased buzzing in the ears. I took lipo-flavonoid for three months, and there was no change. I've recently begun undergoing acupuncture therapy, because I have heard that it can sometimes help. However, in the six weeks I have received the treatments, I have noticed no change.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation, Tinnitus
Clinical narrative: On about 6/27/2022 or 6/28/2022, I experienced head congestion and a scratchy throat. I took a home antigen test and got a positive result on 6/30/2022. On 7/1/2022, I went to an urgent care clinic to be retested for confirmation, and I tested positive on the PCR test they gave me. I was visiting a relative at this point, and I self-isolated from the rest of my family until I tested negative on 7/5/2022. On the flight back home afterwards, I made it a point to mask; I had also worn a mask during the flight to my relative's home city. In October 2022, I began experiencing a buzzing noise in both ears. I didn't really pay attention until November 2022, though. I went to my PCP, who suggested that I undergo a hearing test and see a specialist. On 12/16/2022, I saw an otolaryngologist, who administered a hearing test. I had previously undergone a hearing test in September 2019, and it was then found that I had had some hearing loss. After the 12/16/2022 hearing test, the otolaryngologist concluded that my hearing had not deteriorated considerably since September 2019. The doctor confirmed that I had tinnitus. He couldn't offer a cure or a treatment, but he did tell me that another patient of his had tried taking lipo-flavonoid, and they had had decreased buzzing in the ears. I took lipo-flavonoid for three months, and there was no change. I've recently begun undergoing acupuncture therapy, because I have heard that it can sometimes help. However, in the six weeks I have received the treatments, I have noticed no change.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 1st shot left patient with big swelling redness and warm to touch reaction at injection site. patient counseled on using cold compress and tylenol and zyrtec to reduce reaction and told her it is okay to come back for 2nd shot (this is part of the risks of getting shingrix)
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure congestive, Condition aggravated, Hypoxia
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 3/26/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/30/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R09.02 HYPOXIA 3/26/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.00 ACUTE RESPIRATORY FAILURE 3/26/2023 CHF EXACERBATION, UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/30/2023 CHF EXACERBATION, UNSPECIFIED R09.02 HYPOXIA 3/26/2023 CHF EXACERBATION, UNSPECIFIED
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain, redness, swelling, and warmth at the injection site.  Recommended OTC pain releivers (APAP and ibuprofen), cool compress for immediate treatment and referred to PCP for follow up for concerns of cellulitis
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Meningioma
Clinical narrative: I63.9 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 4/26/2023 MENINGIOMA
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: CSF oligoclonal band present, CSF test abnormal, Cerebral disorder, Demyelination, Diplopia
Clinical narrative: Acute CNS demyelinating disease affecting brain and spinal cord with diplopia and left hemiparesis.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Flow cytometry, Hemiparesis, Pleocytosis, Spinal cord disorder
Clinical narrative: Acute CNS demyelinating disease affecting brain and spinal cord with diplopia and left hemiparesis.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: pt's arm is painful since vaccine administration - has not stopped being painful
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: End stage renal disease, Glomerular filtration rate, Obstructive sleep apnoea syndrome
Clinical narrative: Pfizer vaccine was administered outside of clinic- reported by patient- ? NO LOT NUMBER WERE SUPPLIED -------------------------------------------------------------------------------------------------------------------------------- ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 4/25/2023 CKD STAGE 5 (GFR <15) ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 4/25/2023 CKD STAGE 5 (GFR <15)
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Depression, Hypertension, Hypotension
Clinical narrative: Moderna vaccine was administered outside of source - reported by patient ? NO LOT NUMBER WERE SUPPLIED ------------------------------------------------------------------------------------------------------------------------------- I95.9 HYPOTENSION 4/6/2023 DEPRESSION, UNSPECIFIED I95.9 HYPOTENSION 4/6/2023 HTN (HYPERTENSION)
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Hypercholesterolaemia, Hypoxia
Clinical narrative: HYPOXIA 4/1/2023 HYPERCHOLESTEROLEMIA
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aortic arteriosclerosis
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 4/15/2023 ATHEROSCLEROSIS OF AORTA J96.00 ACUTE RESPIRATORY FAILURE 4/15/2023 ATHEROSCLEROSIS OF AORTA
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Arrhythmia, Cardiac monitoring abnormal, Cardiac stress test, Depressed level of consciousness
Clinical narrative: First dose, light headed immediately and for 48 hours or more. Mild flu symptoms for about 5 days. Heartbeat felt higher than normal. Second dose, light headed immediately and higher heartbeat than normal. By the next day after the second dose, severe heart pains. Then, heart rhythm felt elevated and heavy breathing at least at night before bed. Trouble sleeping and fatigue and cloudiness. Cardiologist states, "Sinus rhythm, ST & T abnormality, consider recent inferior myocardial or pericardial damage." Possible sleep apnea and study pending. All after second Moderna dose.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram ST-T segment abnormal, Fatigue, Heart rate increased
Clinical narrative: First dose, light headed immediately and for 48 hours or more. Mild flu symptoms for about 5 days. Heartbeat felt higher than normal. Second dose, light headed immediately and higher heartbeat than normal. By the next day after the second dose, severe heart pains. Then, heart rhythm felt elevated and heavy breathing at least at night before bed. Trouble sleeping and fatigue and cloudiness. Cardiologist states, "Sinus rhythm, ST & T abnormality, consider recent inferior myocardial or pericardial damage." Possible sleep apnea and study pending. All after second Moderna dose.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Influenza, Insomnia, Sinus rhythm
Clinical narrative: First dose, light headed immediately and for 48 hours or more. Mild flu symptoms for about 5 days. Heartbeat felt higher than normal. Second dose, light headed immediately and higher heartbeat than normal. By the next day after the second dose, severe heart pains. Then, heart rhythm felt elevated and heavy breathing at least at night before bed. Trouble sleeping and fatigue and cloudiness. Cardiologist states, "Sinus rhythm, ST & T abnormality, consider recent inferior myocardial or pericardial damage." Possible sleep apnea and study pending. All after second Moderna dose.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Wrong patient received product, Wrong product administered
Clinical narrative: Wrong patient was checked in by front desk (same first name as correct patient). RN giving the immunizations did not double check patient birthdate and gave the wrong vaccine to the wrong patient. Patient was not pregnant.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Encephalitis, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Magnetic resonance imaging normal, Muscle twitching
Clinical narrative: fever, twitching, flashing visual lights, vibratory sense in body.  17 months later still having neuro symptoms.  3 neurologists believe possible encephalitis related to vaccine, according to the patient.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Neurological symptom, Photopsia, Pyrexia, Vibratory sense increased
Clinical narrative: fever, twitching, flashing visual lights, vibratory sense in body.  17 months later still having neuro symptoms.  3 neurologists believe possible encephalitis related to vaccine, according to the patient.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, No adverse event
Clinical narrative: VACCINE WAS ADMINSTERED WITHOUT CORRECT VERIFCATION OF PREVIOUS DOSES.  IT WAS DISCOVERED ON 6/26/2023 WHEN PATIENT WAS TO RECIEVE ANOTHER DOSE THAT SHE HAD  RECEIVED 2 DOSES AT PHARMACY ON 07/22/19 AND 09/20/19.  UPON FURTHER REVIEW THERE WERE ALSO 2 OTHER INVALID VACCINES RECIEVED AT A MEDICAL CLINIC ON 8/1/2019 AND 10/1/2019.    PATIENT WAS INFORMED AND NO OTHER DOSES ADMINISTERED.  NO ADVERSE AFFECTS REPORTED.
Age: 73.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Crying, Diarrhoea, Dyspnoea, Lymph node pain
Clinical narrative: Patient states after 12 hours of administration the patient was crying with painful lymph nodes, difficulty breathing, pain down left arm. The patient contacted urgent care and they had her come in to rule out hear concern. Patient states has been 3 weeks since shot and still has pain in lymph nodes and shortness of breath. The patient also states pain in left knee and has had diarrhea.
Age: 73.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Patient states after 12 hours of administration the patient was crying with painful lymph nodes, difficulty breathing, pain down left arm. The patient contacted urgent care and they had her come in to rule out hear concern. Patient states has been 3 weeks since shot and still has pain in lymph nodes and shortness of breath. The patient also states pain in left knee and has had diarrhea.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Prostate cancer
Clinical narrative: HYPOXIA 3/27/2023 PROSTATE CANCER
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Culture, Fatigue, Hypoalbuminaemia, Hypokalaemia, Hyponatraemia
Clinical narrative: DEVELOPED FEVER NEXT DAY, THEN PROFOUND FATIGUE FOR PAST 8-9 DAYS, LEADING TO FALLING ASLEEP AT THE WHEEL OF CAR TODAY DESPITE SLEEPING 11 HOURS LAST NIGHT.   LABS SHOW SUSPECTED BACTEREMIA, STARTING PT ON ANTIBIOTICS FOR 10 DAYS, CULTURES PENDING.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Laboratory test abnormal, Neutrophilia, Pyrexia
Clinical narrative: DEVELOPED FEVER NEXT DAY, THEN PROFOUND FATIGUE FOR PAST 8-9 DAYS, LEADING TO FALLING ASLEEP AT THE WHEEL OF CAR TODAY DESPITE SLEEPING 11 HOURS LAST NIGHT.   LABS SHOW SUSPECTED BACTEREMIA, STARTING PT ON ANTIBIOTICS FOR 10 DAYS, CULTURES PENDING.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure congestive, Coagulopathy, Syncope
Clinical narrative: D68.9 COAGULOPATHY, UNSPECIFIED TYPE 4/7/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.00 ACUTE RESPIRATORY FAILURE 4/8/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED D68.9 COAGULOPATHY, UNSPECIFIED TYPE 4/7/2023 SYNCOPE J96.00 ACUTE RESPIRATORY FAILURE 4/8/2023 SYNCOPE
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Immediate post-injection reaction, Pyrexia, Rash, Swelling
Clinical narrative: 6/12- reports swelling redness with rash imediately after vaccine injections, fever 101 4 days later. Now with persistent redness, ttp, rash for 8 days now.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, MNQ, PNC15, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Menveo was given to 6 month old, no reaction to injection at time of injection
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebellar syndrome, Hypertensive emergency, Ischaemic stroke
Clinical narrative: Jannsen vaccine was administered outside of Facility- reported by patient ? NO LOT NUMBER WERE SUPPLIED ------------------------------------------------------------------------------------------------------------------------------- I63.89 SUPERIOR CEREBELLAR ARTERY SYNDROME 4/12/2023 HYPERTENSIVE EMERGENCY I63.9 ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 3/25/2023 HYPERTENSIVE EMERGENCY
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Acute chest syndrome, Hypersensitivity, Hypoxia, Sickle cell anaemia
Clinical narrative: Pfizer vaccine was administered outside of Facility- reported by patient- ? NO LOT NUMBER WERE SUPPLIED ------------------------------------------------------------------------------------------------------------------------------- R09.02 HYPOXIA 4/16/2023 SICKLE CELL ANEMIA W ACUTE CHEST SYNDROME T78.40XA ALLERGIC REACTION, INIT 9/16/2022 SICKLE CELL ANEMIA W ACUTE CHEST SYNDROME R09.02 HYPOXIA 4/16/2023 SICKLE CELL ANEMIA T78.40XA ALLERGIC REACTION, INIT 9/16/2022 SICKLE CELL ANEMIA
Sex: M
Vaccine: MENB, PNC15, PPV, UNK
Symptoms: Fatigue, Immunisation reaction, Injection site erythema, Injection site swelling
Clinical narrative: Tiredness/slight vaccine reaction; Vaccination site injection redness; Swelling/slight reaction to the vaccines; This spontaneous report was received from a health care professional, via Corporation referring to a 40-years-old male patient.  The patient's concurrent conditions and medical history were not reported. Concomitant therapies included paracetamol (TYLENOL), ciprofloxacin (CIPRO), clonazepam, folic acid, cefalexin (KEFLEX), lamotrigine, methylphenidate, ondansetron, pyridostigmine, oseltamivir phosphate (TAMIFLU), valproic acid, lacosamide (VIMPAT), and pyridoxine.  On 24-JAN-2022, the patient started pegcetacoplan (EMPAVELI) solution for injection 1800 mg, twice weekly, subcutaneously (SC), lot #1949770 (expiration date: 30-SEP-2023) (strength and anatomical location were not reported) for the treatment of paroxysmal nocturnal hemoglobinuria (PNH). On 14-APR-2023, he was vaccinated with meningococcal vaccine B rfHbp/NadA/NHBA OMV (BEXSERO) (strength, formulation, route of administration, anatomical location, dose, lot #, and expiration date were not reported). On 16-APR-2023, he was vaccinated with pneumococcal vaccine (manufacturer unknown) injection (strength, route of administration, dose, anatomical location, lot #, and expiration date were not reported).  On an unspecified date in 2023, the patient had a slight reaction to the vaccines, consisting of tiredness (Fatigue), site injection redness (Vaccination site erythema), and swelling (Vaccination site swelling). He was feeling better, thus, at the time of this report, the patient recovered from all the events on an unknown date in 2023.  Causality assessment between the events and pneumococcal vaccine (manufacturer unknown) injection was considered to be related; causality assessment between the suspect vaccine pegcetacoplan (EMPAVELI) and the events was not related, and regarding meningococcal vaccine B rfHbp/NadA/NHBA OMV (BEXSERO) and the events was not provided.