chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Back pain, Feeling abnormal, Injection site pain, Insomnia, Joint range of motion decreased
Clinical narrative: "ee noticed a weird sensation when the vaccine was given. ee felt like the vaccine was given lower than it normally is.  ee felt pain down the right arm later that day. pain eased up over a few days - the pain would come and go in the days following.  This went on for a couple months before it spread more into the shoulder, this gradually increased to be felt more consistently throughout the arm. Around the first of January it started to ache into the backside of the right neck and a achy feeling like getting ready to have a headache. Down toward the elbo it feels achy. Over the last month, it is difficult to sleep, the pain starts to wake him up. Has started to affect the ROM, like pulling pants up, reach across to get the seatbelt. Use of tylenol. Tylenol usually helps the pain. "
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Neck pain, Pain, Pain in extremity, Sleep disorder
Clinical narrative: "ee noticed a weird sensation when the vaccine was given. ee felt like the vaccine was given lower than it normally is.  ee felt pain down the right arm later that day. pain eased up over a few days - the pain would come and go in the days following.  This went on for a couple months before it spread more into the shoulder, this gradually increased to be felt more consistently throughout the arm. Around the first of January it started to ache into the backside of the right neck and a achy feeling like getting ready to have a headache. Down toward the elbo it feels achy. Over the last month, it is difficult to sleep, the pain starts to wake him up. Has started to affect the ROM, like pulling pants up, reach across to get the seatbelt. Use of tylenol. Tylenol usually helps the pain. "
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: pain and swelling at injection site. Pain throughout lumbar, hips, and down legs
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: given after expiration date
Age: 66.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event reported by the patient. Patient notified on the day of vaccination of incorrect doses. Followed up with pt three days later and no adverse reactions reported.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Moderna Covid Bivalent vaccine received 5 weeks after primary series, instead of the recommended 2 months.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, Back pain, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "59-year-old female with past medical history of GERD, sleep disorder, depression, hypothyroid, OSA and former tobacco use.  She presents for chief complaint of shortness of breath.  Patient states she has had upper respiratory infection type symptoms for roughly 9-10 days ago she is uncertain on exact onset.  She notes shortness of breath, productive cough but is unsure of sputum quality.  She states she had fevers up to 104.8 earlier in the week.  Notes associated back pain, chest pain with coughing, headaches and myalgias.  Patient presented to the emergency department 2 days ago and was tested positive for COVID-19.  At the time she was noted to have transient hypoxia while sleeping patient opted for discharge home.  She received symptomatic management with steroids, albuterol, Toradol.  Patient statin states her shortness of breath continued to worsen.  She feels she is able to take a full breath secondary to the pain in her back.  Upon repeat presentation patient was satting 84% on room air per emergency department reporting.  Labs are notable for hypokalemia, hypo magnesemia and lymphopenia.  An x-ray was obtained showing mild patchiness, bilateral lower atelectasis and questionable effusions bilaterally.  Dimer is negative, BNP was elevated in the 200s, troponins were negative patient received steroids, p.r.n. pain medications, and was placed on oxygen.  She received electrolyte replacement has been transferred to hospital for admission."
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Electrolyte substitution therapy, Fibrin D dimer normal, Headache
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "59-year-old female with past medical history of GERD, sleep disorder, depression, hypothyroid, OSA and former tobacco use.  She presents for chief complaint of shortness of breath.  Patient states she has had upper respiratory infection type symptoms for roughly 9-10 days ago she is uncertain on exact onset.  She notes shortness of breath, productive cough but is unsure of sputum quality.  She states she had fevers up to 104.8 earlier in the week.  Notes associated back pain, chest pain with coughing, headaches and myalgias.  Patient presented to the emergency department 2 days ago and was tested positive for COVID-19.  At the time she was noted to have transient hypoxia while sleeping patient opted for discharge home.  She received symptomatic management with steroids, albuterol, Toradol.  Patient statin states her shortness of breath continued to worsen.  She feels she is able to take a full breath secondary to the pain in her back.  Upon repeat presentation patient was satting 84% on room air per emergency department reporting.  Labs are notable for hypokalemia, hypo magnesemia and lymphopenia.  An x-ray was obtained showing mild patchiness, bilateral lower atelectasis and questionable effusions bilaterally.  Dimer is negative, BNP was elevated in the 200s, troponins were negative patient received steroids, p.r.n. pain medications, and was placed on oxygen.  She received electrolyte replacement has been transferred to hospital for admission."
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Hypomagnesaemia, Hypoxia, Laboratory test abnormal, Lymphopenia
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "59-year-old female with past medical history of GERD, sleep disorder, depression, hypothyroid, OSA and former tobacco use.  She presents for chief complaint of shortness of breath.  Patient states she has had upper respiratory infection type symptoms for roughly 9-10 days ago she is uncertain on exact onset.  She notes shortness of breath, productive cough but is unsure of sputum quality.  She states she had fevers up to 104.8 earlier in the week.  Notes associated back pain, chest pain with coughing, headaches and myalgias.  Patient presented to the emergency department 2 days ago and was tested positive for COVID-19.  At the time she was noted to have transient hypoxia while sleeping patient opted for discharge home.  She received symptomatic management with steroids, albuterol, Toradol.  Patient statin states her shortness of breath continued to worsen.  She feels she is able to take a full breath secondary to the pain in her back.  Upon repeat presentation patient was satting 84% on room air per emergency department reporting.  Labs are notable for hypokalemia, hypo magnesemia and lymphopenia.  An x-ray was obtained showing mild patchiness, bilateral lower atelectasis and questionable effusions bilaterally.  Dimer is negative, BNP was elevated in the 200s, troponins were negative patient received steroids, p.r.n. pain medications, and was placed on oxygen.  She received electrolyte replacement has been transferred to hospital for admission."
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Productive cough, Pyrexia, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "59-year-old female with past medical history of GERD, sleep disorder, depression, hypothyroid, OSA and former tobacco use.  She presents for chief complaint of shortness of breath.  Patient states she has had upper respiratory infection type symptoms for roughly 9-10 days ago she is uncertain on exact onset.  She notes shortness of breath, productive cough but is unsure of sputum quality.  She states she had fevers up to 104.8 earlier in the week.  Notes associated back pain, chest pain with coughing, headaches and myalgias.  Patient presented to the emergency department 2 days ago and was tested positive for COVID-19.  At the time she was noted to have transient hypoxia while sleeping patient opted for discharge home.  She received symptomatic management with steroids, albuterol, Toradol.  Patient statin states her shortness of breath continued to worsen.  She feels she is able to take a full breath secondary to the pain in her back.  Upon repeat presentation patient was satting 84% on room air per emergency department reporting.  Labs are notable for hypokalemia, hypo magnesemia and lymphopenia.  An x-ray was obtained showing mild patchiness, bilateral lower atelectasis and questionable effusions bilaterally.  Dimer is negative, BNP was elevated in the 200s, troponins were negative patient received steroids, p.r.n. pain medications, and was placed on oxygen.  She received electrolyte replacement has been transferred to hospital for admission."
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin normal
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "59-year-old female with past medical history of GERD, sleep disorder, depression, hypothyroid, OSA and former tobacco use.  She presents for chief complaint of shortness of breath.  Patient states she has had upper respiratory infection type symptoms for roughly 9-10 days ago she is uncertain on exact onset.  She notes shortness of breath, productive cough but is unsure of sputum quality.  She states she had fevers up to 104.8 earlier in the week.  Notes associated back pain, chest pain with coughing, headaches and myalgias.  Patient presented to the emergency department 2 days ago and was tested positive for COVID-19.  At the time she was noted to have transient hypoxia while sleeping patient opted for discharge home.  She received symptomatic management with steroids, albuterol, Toradol.  Patient statin states her shortness of breath continued to worsen.  She feels she is able to take a full breath secondary to the pain in her back.  Upon repeat presentation patient was satting 84% on room air per emergency department reporting.  Labs are notable for hypokalemia, hypo magnesemia and lymphopenia.  An x-ray was obtained showing mild patchiness, bilateral lower atelectasis and questionable effusions bilaterally.  Dimer is negative, BNP was elevated in the 200s, troponins were negative patient received steroids, p.r.n. pain medications, and was placed on oxygen.  She received electrolyte replacement has been transferred to hospital for admission."
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: given after expiration date
Age: 17.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Headache, Pain, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: The next morning patient woke up with pain and swelling in the right arm. The swelling was all the way down to her hand and she had tingling in that hand as well. She was unable to move the arm without having extreme pain. Also reported a headache. She was advised to use cold compresses to decrease swelling. She could take up to 600 mg Ibuprofen every 6 hours.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, spoke with client, no concerns will come in for a repeat dose
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, LM to call to let them know that they need to revaccinate
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood potassium increased, COVID-19, Fall, Haemodialysis
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "56 YO female with h/o ESRD, CHF, DM2, OSA, HTN, admitted with generalized weakness and multiple falls due to COVID-19 infection and missed HD. She was found to have COVID without significant respiratory symptoms and potassium of 6.5 on arrival. Nephrology was consulted and she underwent HD on arrival. Potassium remained somewhat elevated following initial dialysis session and she was treated with lokelma with improvement. A second HD session was performed prior to discharge.    She was treated with symptomatic management for COVID with improvement in symptoms. Therapy evaluated and she was appropriate for home with assist, or considered SNF placement. Patient adamantly refused SNF, but was willing to accept home health PT. Discharged home in good condition with home health PT."
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "56 YO female with h/o ESRD, CHF, DM2, OSA, HTN, admitted with generalized weakness and multiple falls due to COVID-19 infection and missed HD. She was found to have COVID without significant respiratory symptoms and potassium of 6.5 on arrival. Nephrology was consulted and she underwent HD on arrival. Potassium remained somewhat elevated following initial dialysis session and she was treated with lokelma with improvement. A second HD session was performed prior to discharge.    She was treated with symptomatic management for COVID with improvement in symptoms. Therapy evaluated and she was appropriate for home with assist, or considered SNF placement. Patient adamantly refused SNF, but was willing to accept home health PT. Discharged home in good condition with home health PT."
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, will call to let them know will need to revaccinate
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiation date, will call to explain and let them know they need to revaccinate
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Influenza like illness
Clinical narrative: This was my second dose of shingrix vaccine. Mild numbness in two smallest digits on my left hand started a few days after I got the 2nd dose of the vaccine. This was the same arm that the vaccine was administered. The numbness started to go away after about 17 days and the fingers seems to be going back to normal now at about 19 days. Not a serious event but I wanted to report it for the record.  Note, I did have expected flulike symptoms the day after the 2nd vaccine dose but nothing serious. Almost no symptoms after the first dose.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lithotripsy, Thrombosis
Clinical narrative: Patient developed a blood cloth in his bladder. As a consecuence a lithotripsy was performed and the patient is still in the hospital.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal injury, Atrial fibrillation, Bronchitis, Cough, Diarrhoea
Clinical narrative: Hospitalized 7/6/22-7/12/22 Foot pain,  cough, bronchitis, afib, diarrhea, tachycardia, UTI, abdominal wound
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tachycardia, Urinary tract infection
Clinical narrative: Hospitalized 7/6/22-7/12/22 Foot pain,  cough, bronchitis, afib, diarrhea, tachycardia, UTI, abdominal wound
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Endotracheal intubation, Myoclonus, Respiratory arrest
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 9/16/21, LOT # NOT AVAILABLE; 4TH DOSE MODERNA COVID VACCINE GIVEN 11/17/21, #069F21A; 5TH DOSE MODERNA COVID VACCINE GIVEN 7/26/22, #038A22A; pt down and home and unresponsive, not breathing; EMS called; CPR x15 mins before ROSC; taken to ED; (pt diagnosed with COVID 4 days earlier); intubated; poor prognosis; myoclonic jerking; family decided to withdraw care and pursue comfort measures; pt passed away in the hospital ED
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Resuscitation, Unresponsive to stimuli
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 9/16/21, LOT # NOT AVAILABLE; 4TH DOSE MODERNA COVID VACCINE GIVEN 11/17/21, #069F21A; 5TH DOSE MODERNA COVID VACCINE GIVEN 7/26/22, #038A22A; pt down and home and unresponsive, not breathing; EMS called; CPR x15 mins before ROSC; taken to ED; (pt diagnosed with COVID 4 days earlier); intubated; poor prognosis; myoclonic jerking; family decided to withdraw care and pursue comfort measures; pt passed away in the hospital ED
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Condition aggravated, Cough, Dizziness postural
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "74-year-old male with a history of Parkinson's, dementia without behavioral disturbances, status post left nephrectomy for renal cell cancer, status post neuroendocrine tumor of the large bowel.  He presented with weakness and cough for 2-3 days duration, the wife also noted she had been sick also.  Patient found to have positive COVID testing, was admitted for workup and management.  Appears his underlying Parkinson's had worsened due to the COVID virus   Physical and occupational therapy work with him and initially were unclear about whether he would need rehab afterwards or be able to go home.  However he continued to improve and was deemed safe for discharge home.  Discussed with wife who was also ill with COVID and was unable to care for him, therapy teams had recommended 24 hour assistance and she was unable to provide this initially.  However they both continue to improve and patient was walking around the day prior to discharge with no difficulty.  Both husband and wife felt confident that today he could go home and she would be able to help care for him as his needs had decreased and she was feeling better.   Patient did not have respiratory distress during his hospital stay.  He did not require supplemental oxygen.  His main symptom was weakness and fatigue, which improved prior to discharge but was still not back at baseline   Patient with a history of orthostatic hypotension who takes Florinef for this.  He is mostly asymptomatic but did have 1 episode of dizziness when getting up going to the bathroom, orthostatic vitals done at the time were positive.  Florinef continued during hospital stay.   Patient had several episodes of hypertension during his hospital stay, he required p.r.n. labetalol.  However sometimes on repeat checks or while checking a different arm his blood pressure was in the normal range.  Most likely explanation is that his Parkinson's was causing some muscle spasms and falsely elevating his blood pressure.  He denies needing any antihypertensive medications while at home.  Will message PCP for close follow-up on this issue."
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypertension, Muscle spasms, Parkinson's disease, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "74-year-old male with a history of Parkinson's, dementia without behavioral disturbances, status post left nephrectomy for renal cell cancer, status post neuroendocrine tumor of the large bowel.  He presented with weakness and cough for 2-3 days duration, the wife also noted she had been sick also.  Patient found to have positive COVID testing, was admitted for workup and management.  Appears his underlying Parkinson's had worsened due to the COVID virus   Physical and occupational therapy work with him and initially were unclear about whether he would need rehab afterwards or be able to go home.  However he continued to improve and was deemed safe for discharge home.  Discussed with wife who was also ill with COVID and was unable to care for him, therapy teams had recommended 24 hour assistance and she was unable to provide this initially.  However they both continue to improve and patient was walking around the day prior to discharge with no difficulty.  Both husband and wife felt confident that today he could go home and she would be able to help care for him as his needs had decreased and she was feeling better.   Patient did not have respiratory distress during his hospital stay.  He did not require supplemental oxygen.  His main symptom was weakness and fatigue, which improved prior to discharge but was still not back at baseline   Patient with a history of orthostatic hypotension who takes Florinef for this.  He is mostly asymptomatic but did have 1 episode of dizziness when getting up going to the bathroom, orthostatic vitals done at the time were positive.  Florinef continued during hospital stay.   Patient had several episodes of hypertension during his hospital stay, he required p.r.n. labetalol.  However sometimes on repeat checks or while checking a different arm his blood pressure was in the normal range.  Most likely explanation is that his Parkinson's was causing some muscle spasms and falsely elevating his blood pressure.  He denies needing any antihypertensive medications while at home.  Will message PCP for close follow-up on this issue."
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, will call to inform them and let know they need to revaccinate
Age: 9.0
Sex: F
Vaccine: DTAPHEPBIP, DTAPHEPBIP
Symptoms: Pallor, Vomiting
Clinical narrative: Patient became pale and had one episode of emesis in the office. Gave her juice and crackers and within 10min patient had improved and started feeling better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, will call and inform and let the know will need to revaccinate
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: The patient was administered the vaccine in the left deltoid. The vaccinator documented that it was placed in the left bicep. After speaking to the vaccinator, they described the correct administration location and that they had completed a documentation error.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast abnormal, Breast cancer female
Clinical narrative: Diagnosed with breast cancer 12/22/2022.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, called and informed pt she will come back in to get revaccinate
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Dyspnoea, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "82-year-old  male PMH DM2, HTN, HLD, GERD, who was previously vaccinated for COVID but not boosted.  His wife tested positive for COVID-19 approximate 1 week prior to his presentation. He reported that symptoms start roughly 7 days prior to presentation with shortness of breath on fatigue. He was noted to have oxygen saturation in the 80's on day of admission both at home and in the emergency department.    On admission he responded well to 2 L NC requiring it for roughly 24 hours and since then has bee maintaining oxygen saturation in the 90's. His chest x-ray showed no acute process and his WBC normalized during his admission. He received decadron for 2 days until discharge. PT/OT evaluated and recommended home independently. While I did encourage him to stay for one more day he was adamant that he is ready to go home. Given he is likely around the 10th day of illness and is improving I think that is reasonable. He was noted to have a mild microcytic anemia which was stable, but should be followed up as an outpatient. "
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Microcytic anaemia, SARS-CoV-2 test positive, White blood cell disorder
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "82-year-old  male PMH DM2, HTN, HLD, GERD, who was previously vaccinated for COVID but not boosted.  His wife tested positive for COVID-19 approximate 1 week prior to his presentation. He reported that symptoms start roughly 7 days prior to presentation with shortness of breath on fatigue. He was noted to have oxygen saturation in the 80's on day of admission both at home and in the emergency department.    On admission he responded well to 2 L NC requiring it for roughly 24 hours and since then has bee maintaining oxygen saturation in the 90's. His chest x-ray showed no acute process and his WBC normalized during his admission. He received decadron for 2 days until discharge. PT/OT evaluated and recommended home independently. While I did encourage him to stay for one more day he was adamant that he is ready to go home. Given he is likely around the 10th day of illness and is improving I think that is reasonable. He was noted to have a mild microcytic anemia which was stable, but should be followed up as an outpatient. "
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle atrophy, Skin atrophy
Clinical narrative: muscle atrophy atrophic condition of skin
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, called and to inform and let them know they will need revaccinated
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, will call and inform client and let them know will need to revaccinate
Age: 31.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Administration site erythema, Administration site induration, Administration site nodule, Administration site swelling
Clinical narrative: Area where the Jynneos vaccine was administered was very red, swollen about 4 inches wide, with a hart knot under the skin. Very tiny red dots everywhere around it.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given after expiration date, called and inform client, he will come back in and revaccinated
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: The patient was administered the vaccine in the left deltoid. The vaccinator documented that it was placed in the left bicep. After speaking to the vaccinator, they described the correct administration location and that they had completed a documentation error.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Nasopharyngitis, Pain, Pyrexia
Clinical narrative: On 26FEB2023 I tested positive for COVID 19, I felt like I had a cold. Fever of 101 I did wake this morning feeling normal. I also feel tired but not too tired, as well as minor body aches nothing major.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On 26FEB2023 I tested positive for COVID 19, I felt like I had a cold. Fever of 101 I did wake this morning feeling normal. I also feel tired but not too tired, as well as minor body aches nothing major.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: patient reports several days of high fever
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Mild low grade fever.  Muscle soreness
Age: 57.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Immunisation reaction, Peripheral swelling
Clinical narrative: Left arm redness and swelling worsening still after 7 days. With well defined margins suggestive of vaccine reaction vs cellulitis
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient requested Moderna Bivalent vaccine. Patient was in the same room as sons, who were also getting their COVID boosters. Patient was accidentally given the Pfizer Bivalent dose that was meant for her son, instead of the Moderna vaccine that had been drawn up for her.
Age: 41.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event experienced by patient. Reporting due to improper spacing between dose 1 and dose 2. Dose 1 was administered on 2/6/2023. Dose 2 was administered on 2/23/2023. This was a spacing of 17 days. Patient has been informed and rescheduled to receive 2nd dose in 28 days from 2/23/2023.
Age: 14.0
Sex: F
Vaccine: COVID19, HPV9
Symptoms: Dyspnoea, Headache, Loss of personal independence in daily activities, Myalgia, Scoliosis
Clinical narrative: In August 2022, after dose 3, she began to experiencing pain from Scoliosis in the muscles, headache, short of breath. She was diagnosed with Scoliosis in September 2022. She has not been able to attend school due to her symptoms. On February 10, 2023 she went to the emergency department due to a severe headache. They gave her intravenous fluids.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: The patient was administered the vaccine in the left deltoid. The vaccinator documented that it was placed in the left bicep. After speaking to the vaccinator, they described the correct administration location and that they had completed a documentation error.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, COVID-19, Cough, Dizziness, Fatigue
Clinical narrative: I had the shot and about four days later I was so sick. I had a fever and my bones hurt, I was achy, I was coughing. I took a COVID-19 home test because my daughter was concerned, and it was positive. I reached out to my doctor, and they gave me something to help with the cough. Now I am struggling with being fatigued and tired. I have to stop and take breaks and because I get tired. Sometimes if I overdo it, I will get dizzy and then I will lay down and rest.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had the shot and about four days later I was so sick. I had a fever and my bones hurt, I was achy, I was coughing. I took a COVID-19 home test because my daughter was concerned, and it was positive. I reached out to my doctor, and they gave me something to help with the cough. Now I am struggling with being fatigued and tired. I have to stop and take breaks and because I get tired. Sometimes if I overdo it, I will get dizzy and then I will lay down and rest.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration
Age: 65.0
Sex: F
Vaccine: RAB
Symptoms: Back pain, Confusional state, Dysphagia, Fear, Feeling abnormal
Clinical narrative: 01/21 - numbness in face approx. 45min after injection 01/24 - numbness in face / muzzle area twice.  Less than 1/2 hr while in hospital observation room and approx. 45 min after injection 01/28 - numbness in muzzle area and back upper location sinus entry to throat.  Difficulty swa - llowing 02/04 -  Given diphenhydrAMINE (Benadryl) before vaccination.  Very slight numbness in face.  May or may not be vaccine related: 02/07/2023 High blood pressure / confusion / could not accurately describe symptoms / listed as fear (early symptom not related to this visit) / severe brain fog / got lost getting to hospital / no medications vision/fog cleared after approx. 45 min - ER Visit no diagnosis, however told it was related to the vaccine 02/14 - Primary DR High Blood Pressure / Brain Fog told it was vaccine related 02/21 - Primary Dr / Follow up to vaccine reaction 02/23 - Back pain and now recall neck stiffness undetermined date
Age: 65.0
Sex: F
Vaccine: RAB
Symptoms: Hypertension, Hypoaesthesia, Hypoaesthesia oral, Immunisation reaction, Musculoskeletal stiffness
Clinical narrative: 01/21 - numbness in face approx. 45min after injection 01/24 - numbness in face / muzzle area twice.  Less than 1/2 hr while in hospital observation room and approx. 45 min after injection 01/28 - numbness in muzzle area and back upper location sinus entry to throat.  Difficulty swa - llowing 02/04 -  Given diphenhydrAMINE (Benadryl) before vaccination.  Very slight numbness in face.  May or may not be vaccine related: 02/07/2023 High blood pressure / confusion / could not accurately describe symptoms / listed as fear (early symptom not related to this visit) / severe brain fog / got lost getting to hospital / no medications vision/fog cleared after approx. 45 min - ER Visit no diagnosis, however told it was related to the vaccine 02/14 - Primary DR High Blood Pressure / Brain Fog told it was vaccine related 02/21 - Primary Dr / Follow up to vaccine reaction 02/23 - Back pain and now recall neck stiffness undetermined date
Age: 65.0
Sex: F
Vaccine: RAB
Symptoms: Visual impairment
Clinical narrative: 01/21 - numbness in face approx. 45min after injection 01/24 - numbness in face / muzzle area twice.  Less than 1/2 hr while in hospital observation room and approx. 45 min after injection 01/28 - numbness in muzzle area and back upper location sinus entry to throat.  Difficulty swa - llowing 02/04 -  Given diphenhydrAMINE (Benadryl) before vaccination.  Very slight numbness in face.  May or may not be vaccine related: 02/07/2023 High blood pressure / confusion / could not accurately describe symptoms / listed as fear (early symptom not related to this visit) / severe brain fog / got lost getting to hospital / no medications vision/fog cleared after approx. 45 min - ER Visit no diagnosis, however told it was related to the vaccine 02/14 - Primary DR High Blood Pressure / Brain Fog told it was vaccine related 02/21 - Primary Dr / Follow up to vaccine reaction 02/23 - Back pain and now recall neck stiffness undetermined date
Age: 1.67
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Erythema and edema of most of right thigh starting a little over 24 hours after injection. Went to urgent care about 48 hours after injection was given oral prednisone. Having improvement. mild edema of right thigh present to day. Minimal erythema
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Back pain, Blood test, COVID-19, Dehydration
Clinical narrative: After the 4th of July I developed COVID-19 and was mildly sick, and did run a 101-103 degree fever for about a day or so. About 6 months later I started throwing up and developed a fever. I went to the ER and tested positive for both Flu A and Flu B, and they also informed me I was diabetic at that time. They could not rule out that I may have had a heart attack or stroke, and I was also very dehydrated. They gave me two different IV bags and possibly some probiotics. I feel like because of the vaccination and getting COVID-19 so close together it decreased my defenses against disease. I do remember having a pain in my arm on the same side as the vaccination that seemed to last a little longer than previous vaccines. I'm very weak, I just feel different. My back hurts for the last six months, and I just feel weak and tired all the time.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diabetes mellitus, Fatigue, Feeling abnormal, Influenza, Influenza A virus test positive
Clinical narrative: After the 4th of July I developed COVID-19 and was mildly sick, and did run a 101-103 degree fever for about a day or so. About 6 months later I started throwing up and developed a fever. I went to the ER and tested positive for both Flu A and Flu B, and they also informed me I was diabetic at that time. They could not rule out that I may have had a heart attack or stroke, and I was also very dehydrated. They gave me two different IV bags and possibly some probiotics. I feel like because of the vaccination and getting COVID-19 so close together it decreased my defenses against disease. I do remember having a pain in my arm on the same side as the vaccination that seemed to last a little longer than previous vaccines. I'm very weak, I just feel different. My back hurts for the last six months, and I just feel weak and tired all the time.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza B virus test positive, Laboratory test, Malaise, Pain in extremity, Pyrexia
Clinical narrative: After the 4th of July I developed COVID-19 and was mildly sick, and did run a 101-103 degree fever for about a day or so. About 6 months later I started throwing up and developed a fever. I went to the ER and tested positive for both Flu A and Flu B, and they also informed me I was diabetic at that time. They could not rule out that I may have had a heart attack or stroke, and I was also very dehydrated. They gave me two different IV bags and possibly some probiotics. I feel like because of the vaccination and getting COVID-19 so close together it decreased my defenses against disease. I do remember having a pain in my arm on the same side as the vaccination that seemed to last a little longer than previous vaccines. I'm very weak, I just feel different. My back hurts for the last six months, and I just feel weak and tired all the time.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Vomiting, X-ray
Clinical narrative: After the 4th of July I developed COVID-19 and was mildly sick, and did run a 101-103 degree fever for about a day or so. About 6 months later I started throwing up and developed a fever. I went to the ER and tested positive for both Flu A and Flu B, and they also informed me I was diabetic at that time. They could not rule out that I may have had a heart attack or stroke, and I was also very dehydrated. They gave me two different IV bags and possibly some probiotics. I feel like because of the vaccination and getting COVID-19 so close together it decreased my defenses against disease. I do remember having a pain in my arm on the same side as the vaccination that seemed to last a little longer than previous vaccines. I'm very weak, I just feel different. My back hurts for the last six months, and I just feel weak and tired all the time.
Age: 48.0
Sex: F
Vaccine: TYP
Symptoms: Discomfort, Feeling abnormal, Genital lesion, Genital rash, Herpes virus test
Clinical narrative: Rash with sores on her genitalia started 2 days after starting oral typhoid. Said the vaccine made her feel "awful" when she took it. She put on coconut oil and used some other essential oils and "natural" products. She still completed the series and went on her trip. She was very uncomfortable after getting back and called me. I talked with my doctor and we discussed need for STD testing. Sent her to her OB. Was very insistent that "she hadn't been with anyone but her husband and that he hadn't been with anyone but her" OB told her it looked like herpes and tested her for it. Gave her a course of acyclovir. She started the Acyclovir and said lesions/rash got better after 3-4 days. MD called and told her herpes test was negative. She called me back to report she though it was the vaccine.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Rash, Rash macular, Rash pruritic, Rash vesicular
Clinical narrative: 2nd Dose of Shingrix was received at pharmacy, had a headache for 10 days and had a minor outbreak of itchy chickenlike spots on about day 4 or 5 following injection. Started with just 3 on back and then more on chest and torso and upper thighs within next 2 days...never sought medical treatment, used cortisone cream and oral Benadryl.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lichen planus, Onychomadesis
Clinical narrative: I have been diagnosed with Lichen Planus.  This has resulted in loss of all nails in my hands and feet.  I am now undergoing painful monthly steroid injections (20 jabs in my hands).  If this works, same will be applied to my feet.  The damage may be irreversible.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Limb mass, Tenderness
Clinical narrative: Mom call into the clinic regarding a lump on the patient left leg painful to touch, with no redness, no fever.  patient receives the vaccine on 2/20/23.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Cardiac arrest, Chest pain, Coronary artery disease
Clinical narrative: 9/5/22 pt brought to hospital with CP; found to have severe two-vessel CAD; recommended surgical revascularization; taken to cath lab; developed hypoxia; O2 supplementation; respiratory status worsened; pt developed fever; 9/10/22 found to be positive for COVID; ICU; intubated; suffered PEA arrest; ECG showed possible distal apical septal free wall rupture; taken to OR; became bradycardic; asystole; ACLS with success
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Endotracheal intubation, Hypoxia, Intensive care, Life support
Clinical narrative: 9/5/22 pt brought to hospital with CP; found to have severe two-vessel CAD; recommended surgical revascularization; taken to cath lab; developed hypoxia; O2 supplementation; respiratory status worsened; pt developed fever; 9/10/22 found to be positive for COVID; ICU; intubated; suffered PEA arrest; ECG showed possible distal apical septal free wall rupture; taken to OR; became bradycardic; asystole; ACLS with success
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pulseless electrical activity, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 9/5/22 pt brought to hospital with CP; found to have severe two-vessel CAD; recommended surgical revascularization; taken to cath lab; developed hypoxia; O2 supplementation; respiratory status worsened; pt developed fever; 9/10/22 found to be positive for COVID; ICU; intubated; suffered PEA arrest; ECG showed possible distal apical septal free wall rupture; taken to OR; became bradycardic; asystole; ACLS with success
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Bladder catheterisation, Bladder scan, COVID-19
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "80 YO female with PMH of drug induced parkinsons, depression, hypertension, breast cancer who presented to the ED for chief complaint of "cant swallow." Reports this started "a few days ago", was progressive but rapidly so. Cannot state if she has had similar prior. She answers my questions in vague ways including "a while ago...you could say that...perhaps."    Patient was septic and positive for acute respiratory failure with hypoxia likely secondary to aspiration gram negative pneumonia and COVID leading to admission.  Given oxygen support, fluid resuscitation, and Rocephin leading to improvement of both progressing to normal oxygen saturation on room air and completing full course Rocephin.  Concern for stroke according to speech delay found on exam.  MRI head negative.  Speech therapy cleared patient for thick nectar, which improved to general diet.  Significant rise in troponins also found leading to diagnosis of NSTEMI.  Cardiology was referred recommending medical management with aspirin, atorvastatin 40, metoprolol tartrate 25 mg twice daily and lisinopril 40 mg daily.   Patient showed decreased appetite and flat affect consistent with major depressive disorder.  Patient had decreased appetite and body mass index of 15.  Patient and husband spoke with medicine team, stating patient would tolerate oral intake well and does not need a G-tube placed.  PT/OT met with patient recommending skilled nursing facility treatment.  Patient states she is willing to work with them.  Case Management secured placement for ongoing treatment.   Patient also reported acute near urinary retention with bladder scan greater than 300 x 2 requiring straight catheterization.  Foley catheter placed.  Flomax started.  Patient instructed to continue Foley care while at SNF and to have a voiding trial 5 days s/p discharge"
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Decreased appetite, Dysphagia, Flat affect, Magnetic resonance imaging head normal
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "80 YO female with PMH of drug induced parkinsons, depression, hypertension, breast cancer who presented to the ED for chief complaint of "cant swallow." Reports this started "a few days ago", was progressive but rapidly so. Cannot state if she has had similar prior. She answers my questions in vague ways including "a while ago...you could say that...perhaps."    Patient was septic and positive for acute respiratory failure with hypoxia likely secondary to aspiration gram negative pneumonia and COVID leading to admission.  Given oxygen support, fluid resuscitation, and Rocephin leading to improvement of both progressing to normal oxygen saturation on room air and completing full course Rocephin.  Concern for stroke according to speech delay found on exam.  MRI head negative.  Speech therapy cleared patient for thick nectar, which improved to general diet.  Significant rise in troponins also found leading to diagnosis of NSTEMI.  Cardiology was referred recommending medical management with aspirin, atorvastatin 40, metoprolol tartrate 25 mg twice daily and lisinopril 40 mg daily.   Patient showed decreased appetite and flat affect consistent with major depressive disorder.  Patient had decreased appetite and body mass index of 15.  Patient and husband spoke with medicine team, stating patient would tolerate oral intake well and does not need a G-tube placed.  PT/OT met with patient recommending skilled nursing facility treatment.  Patient states she is willing to work with them.  Case Management secured placement for ongoing treatment.   Patient also reported acute near urinary retention with bladder scan greater than 300 x 2 requiring straight catheterization.  Foley catheter placed.  Flomax started.  Patient instructed to continue Foley care while at SNF and to have a voiding trial 5 days s/p discharge"