chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cervical vertebral fracture, Computerised tomogram spine, Condition aggravated, Fall
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 8/29/2022 Discharge Date: 9/9/2022  PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE:    90-year-old female with a history of paroxysmal atrial fibrillation on Coumadin, stage 2 chronic kidney disease, iron deficiency anemia, frequent falls of recent.  Patient states she has fallen multiple times in the last week, she attributes this to unsteady gait.  No loss of consciousness.  She presented to the emergency room today for evaluation after hitting her head.  On arrival she was mildly hypertensive, otherwise hemodynamically stable on room air oxygen.  Patient had a workup which included normal electrolytes with a BUN and creatinine of 24/1.1, white blood cell count normal at 7.85 hemoglobin 12.7.  Urinalysis showed greater than 180 white blood cells with positive leukocyte esterase and many bacteria.  She was also COVID-19 PCR positive.  Patient denies any respiratory complaints.  She denies any urinary complaints.  She states she has been eating and drinking okay, maybe not as much as usual.   Patient did have a CT cervical spine which demonstrated acute fractures of the inferior endplate of C6 and also nondisplaced fracture of C7.  The case was discussed with Trauma surgery/Orthopedic surgery and per ER they stated a Miami J collar is indicated, no recent to transfer downtown.   Patient patient also had a CT lumbar spine which showed no fracture but did demonstrate a new moderate right hydronephrosis and hydroureter, as well as a stable left hydronephrosis and hydroureter.   Patient currently has some mild discomfort in her neck at the fracture site per her report, she has however wearing a Miami J collar, and I did not removed for exam   When writer to cover case care management was looking for a rehab facility for patient and her husband was also admitted given that they are COVID positive.  During patient's admission she did well.  She did develop hematuria and required bladder irrigation which resolved.  Writer had several conversations with patient and her daughter regarding goals of care.  They did meet with palliative Care and will continue discussion as an outpatient.  We did discuss Coumadin and risk and benefits of stopping Coumadin and they were agreeable to stop Coumadin given patient's multiple falls resulting in significant injury as well as hematuria and anemia.  Patient was out of isolation and PT OT recommended home with home health.  On the day of discharge patient was stable and discharged in good condition.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Haematuria, Haemoglobin normal, Head injury, Hydronephrosis
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 8/29/2022 Discharge Date: 9/9/2022  PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE:    90-year-old female with a history of paroxysmal atrial fibrillation on Coumadin, stage 2 chronic kidney disease, iron deficiency anemia, frequent falls of recent.  Patient states she has fallen multiple times in the last week, she attributes this to unsteady gait.  No loss of consciousness.  She presented to the emergency room today for evaluation after hitting her head.  On arrival she was mildly hypertensive, otherwise hemodynamically stable on room air oxygen.  Patient had a workup which included normal electrolytes with a BUN and creatinine of 24/1.1, white blood cell count normal at 7.85 hemoglobin 12.7.  Urinalysis showed greater than 180 white blood cells with positive leukocyte esterase and many bacteria.  She was also COVID-19 PCR positive.  Patient denies any respiratory complaints.  She denies any urinary complaints.  She states she has been eating and drinking okay, maybe not as much as usual.   Patient did have a CT cervical spine which demonstrated acute fractures of the inferior endplate of C6 and also nondisplaced fracture of C7.  The case was discussed with Trauma surgery/Orthopedic surgery and per ER they stated a Miami J collar is indicated, no recent to transfer downtown.   Patient patient also had a CT lumbar spine which showed no fracture but did demonstrate a new moderate right hydronephrosis and hydroureter, as well as a stable left hydronephrosis and hydroureter.   Patient currently has some mild discomfort in her neck at the fracture site per her report, she has however wearing a Miami J collar, and I did not removed for exam   When writer to cover case care management was looking for a rehab facility for patient and her husband was also admitted given that they are COVID positive.  During patient's admission she did well.  She did develop hematuria and required bladder irrigation which resolved.  Writer had several conversations with patient and her daughter regarding goals of care.  They did meet with palliative Care and will continue discussion as an outpatient.  We did discuss Coumadin and risk and benefits of stopping Coumadin and they were agreeable to stop Coumadin given patient's multiple falls resulting in significant injury as well as hematuria and anemia.  Patient was out of isolation and PT OT recommended home with home health.  On the day of discharge patient was stable and discharged in good condition.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Hydroureter, Hypertension, Musculoskeletal discomfort, SARS-CoV-2 test positive, Urine analysis
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 8/29/2022 Discharge Date: 9/9/2022  PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE:    90-year-old female with a history of paroxysmal atrial fibrillation on Coumadin, stage 2 chronic kidney disease, iron deficiency anemia, frequent falls of recent.  Patient states she has fallen multiple times in the last week, she attributes this to unsteady gait.  No loss of consciousness.  She presented to the emergency room today for evaluation after hitting her head.  On arrival she was mildly hypertensive, otherwise hemodynamically stable on room air oxygen.  Patient had a workup which included normal electrolytes with a BUN and creatinine of 24/1.1, white blood cell count normal at 7.85 hemoglobin 12.7.  Urinalysis showed greater than 180 white blood cells with positive leukocyte esterase and many bacteria.  She was also COVID-19 PCR positive.  Patient denies any respiratory complaints.  She denies any urinary complaints.  She states she has been eating and drinking okay, maybe not as much as usual.   Patient did have a CT cervical spine which demonstrated acute fractures of the inferior endplate of C6 and also nondisplaced fracture of C7.  The case was discussed with Trauma surgery/Orthopedic surgery and per ER they stated a Miami J collar is indicated, no recent to transfer downtown.   Patient patient also had a CT lumbar spine which showed no fracture but did demonstrate a new moderate right hydronephrosis and hydroureter, as well as a stable left hydronephrosis and hydroureter.   Patient currently has some mild discomfort in her neck at the fracture site per her report, she has however wearing a Miami J collar, and I did not removed for exam   When writer to cover case care management was looking for a rehab facility for patient and her husband was also admitted given that they are COVID positive.  During patient's admission she did well.  She did develop hematuria and required bladder irrigation which resolved.  Writer had several conversations with patient and her daughter regarding goals of care.  They did meet with palliative Care and will continue discussion as an outpatient.  We did discuss Coumadin and risk and benefits of stopping Coumadin and they were agreeable to stop Coumadin given patient's multiple falls resulting in significant injury as well as hematuria and anemia.  Patient was out of isolation and PT OT recommended home with home health.  On the day of discharge patient was stable and discharged in good condition.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase positive, White blood cell count normal, White blood cells urine positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 8/29/2022 Discharge Date: 9/9/2022  PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE:    90-year-old female with a history of paroxysmal atrial fibrillation on Coumadin, stage 2 chronic kidney disease, iron deficiency anemia, frequent falls of recent.  Patient states she has fallen multiple times in the last week, she attributes this to unsteady gait.  No loss of consciousness.  She presented to the emergency room today for evaluation after hitting her head.  On arrival she was mildly hypertensive, otherwise hemodynamically stable on room air oxygen.  Patient had a workup which included normal electrolytes with a BUN and creatinine of 24/1.1, white blood cell count normal at 7.85 hemoglobin 12.7.  Urinalysis showed greater than 180 white blood cells with positive leukocyte esterase and many bacteria.  She was also COVID-19 PCR positive.  Patient denies any respiratory complaints.  She denies any urinary complaints.  She states she has been eating and drinking okay, maybe not as much as usual.   Patient did have a CT cervical spine which demonstrated acute fractures of the inferior endplate of C6 and also nondisplaced fracture of C7.  The case was discussed with Trauma surgery/Orthopedic surgery and per ER they stated a Miami J collar is indicated, no recent to transfer downtown.   Patient patient also had a CT lumbar spine which showed no fracture but did demonstrate a new moderate right hydronephrosis and hydroureter, as well as a stable left hydronephrosis and hydroureter.   Patient currently has some mild discomfort in her neck at the fracture site per her report, she has however wearing a Miami J collar, and I did not removed for exam   When writer to cover case care management was looking for a rehab facility for patient and her husband was also admitted given that they are COVID positive.  During patient's admission she did well.  She did develop hematuria and required bladder irrigation which resolved.  Writer had several conversations with patient and her daughter regarding goals of care.  They did meet with palliative Care and will continue discussion as an outpatient.  We did discuss Coumadin and risk and benefits of stopping Coumadin and they were agreeable to stop Coumadin given patient's multiple falls resulting in significant injury as well as hematuria and anemia.  Patient was out of isolation and PT OT recommended home with home health.  On the day of discharge patient was stable and discharged in good condition.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product residue present, Rash
Clinical narrative: covered in white sticky powder and bumps
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, Incorrect product formulation administered
Clinical narrative: After administering Pfizer Bivalent 0.3mcgs. RN realized last dose of monovalent vaccine was administered on 08/11/2022. #rd dose administered too early. Asymptomatic at time of vaccination. Pt. was notified immediately.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Received a Moderna Pediatric Covid Vaccine, dosage 0.5 ml/IM instead of Moderna Bi-Valent Booster. No adverse events occurred. Advised to reschedule Moderna Bi-Valent Booster in 4 weeks.  Patient agreed to this plan.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: The day after the injection I developed a bruise and tenderness at the site of the injection.  On 9/11  the pain had spread to the top of my shoulder to my elbow.  That area of my skin had become hard, red and splotchy and hot to the touch as well as itching.  I saw the doctor on 9/12 and was prescribed triamcinolone and was told to take Benadryl and allergy medication.  I noticed a little improvement by 9/13 and arm is still warm to the touch, itchy and swollen
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: The day after the injection I developed a bruise and tenderness at the site of the injection.  On 9/11  the pain had spread to the top of my shoulder to my elbow.  That area of my skin had become hard, red and splotchy and hot to the touch as well as itching.  I saw the doctor on 9/12 and was prescribed triamcinolone and was told to take Benadryl and allergy medication.  I noticed a little improvement by 9/13 and arm is still warm to the touch, itchy and swollen
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Fully vaccinated and boosted twice
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Dose administered beyond-use date
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Neuralgia, Skin lesion
Clinical narrative: Developement of a shingles outbreak. Treated with a 10 day course of Valcyclovir and Lidocaine %5 cream topically. Lesions on trunk, right side, front to back. Lesions dried by August 8 but lingering significant nerve pain to date.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect dose administered, Injection site discharge, No adverse event
Clinical narrative: After receiving the vaccine the patient applied pressure to the injection site and the vaccine expelled from the wheel. The dose was repeated and was successful. No physical adverse events occurred.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Magnetic resonance imaging abnormal, Tinnitus
Clinical narrative: Tinnitus hearing loss
Age: 8.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Cellulitis, Lymphadenitis
Clinical narrative: Left submandibular lymphadenitis and left mandibular facial cellulitis.    Started on oral penicillin in the ED for presumes tooth abscess.  No tooth abscess noted in office and was started on clindamycin three times a day for 10 days.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Received a Moderna pediatric covid vaccine instead of Moderna Bi-Valent booster. No adverse reaction occured. Rescheduled in 4 weeks to receive a Moderna Bi-Valent Booster.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Vomiting
Clinical narrative: temperature, throwing up
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Nausea
Clinical narrative: 3 days post vaccination-nausea, severe diarrhea that lasted 48 hours even with treatment with Immodium
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dyspnoea, Headache
Clinical narrative: Difficulty taking deep breath, excruciating headache
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Neurological symptom
Clinical narrative: Patient came in on 2/22/21 with stroke like symptoms.  It states patient has had lots of old strokes but nothing acute at this time.  Patient's husband concerned that the vaccine may have caused patient to have stroke
Age: 53.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Fatigue, Injection site swelling, Myalgia, Pruritus, Skin mass
Clinical narrative: Severe fatigue, muscle aches, joint aches, injection site swelling, severe itchiness, large hard lump under the skin
Age: 0.08
Sex: M
Vaccine: HEPA
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient was given the Hepatitis A vaccine in error. A hepatitis B vaccine had been ordered by the provider.  No signs or symptoms of adverse reaction noted. The  medical assistant was given remedial training and will have vaccines checked prior to administration. The ordering provider was informed and discussed with the mother. She addressed any concerns/questions and possible side effects with the mother.
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: After vaccination, a temperature excursion was discovered in the fridge where the vaccine was kept. Per manufacturer, the vaccine was no longer viable. Spoke with patient who reports no side effects. Advised to repeat the dose based on CDC recommendations.
Age: 23.0
Sex: M
Vaccine: COVID19-2
Symptoms: Amnesia, Blood glucose normal, Fall, Head injury, Hyperhidrosis
Clinical narrative: Was given Vaccine by RN BSN. Client states he does not like needles. He went to sit in a chair. One of the workers states he made contact with the chair and was sitting but client does not remember, He fell to the side and his head hit the ground. He was diaphoretic and pale when I got to him. Thready pulse 62 O2Sat 96% BP 98/42 Blood sugar checked by EMT was 83 at 3:05. At 3:18 pulse was 67 BP 112/68 O2sat 100% Resp 16. He was given an icepack and put in recovery position at beginning. After a couple of minutes he was no longer diaphoretic. Color was back to normal. Talkative. Alert and oriented. Mother informed of signs of head injury and instructed to seek care if he exhibits any signs. Given cell number to call for any questions.
Age: 23.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pallor, Pulse abnormal
Clinical narrative: Was given Vaccine by RN BSN. Client states he does not like needles. He went to sit in a chair. One of the workers states he made contact with the chair and was sitting but client does not remember, He fell to the side and his head hit the ground. He was diaphoretic and pale when I got to him. Thready pulse 62 O2Sat 96% BP 98/42 Blood sugar checked by EMT was 83 at 3:05. At 3:18 pulse was 67 BP 112/68 O2sat 100% Resp 16. He was given an icepack and put in recovery position at beginning. After a couple of minutes he was no longer diaphoretic. Color was back to normal. Talkative. Alert and oriented. Mother informed of signs of head injury and instructed to seek care if he exhibits any signs. Given cell number to call for any questions.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: After vaccination, a temperature excursion was discovered in the fridge where the vaccine was kept. Per manufacturer, the vaccine was no longer viable. Spoke with patient who reports no side effects. Advised to repeat the dose based on CDC recommendations.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: COVID breakthrough. Patient presented to the emergency dept on 8/30/22 with shortness of breath, cough, wheezing, runny nose, and sore throat for several days. Tested positive for COVID on 8/30/22
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection, Wheezing
Clinical narrative: COVID breakthrough. Patient presented to the emergency dept on 8/30/22 with shortness of breath, cough, wheezing, runny nose, and sore throat for several days. Tested positive for COVID on 8/30/22
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: After vaccination, a temperature excursion was discovered in the fridge where the vaccine was kept. Per manufacturer, the vaccine was no longer viable. Spoke with patient who reports no side effects. Advised to repeat the dose based on CDC recommendations.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Immunodeficiency
Clinical narrative: Patient received additional full dose of Moderna vaccine after reporting only having completed initial series of Moderna COVID vaccine series. Immunocompromised status confirmed. Verified number of doses with patient and on immunization website (2 submitted). Patient then returned to clinic later with vaccine card that showed 3 total doses.
Age: 0.42
Sex: F
Vaccine: COVID19, DTAPHEPBIP, PNC13
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: this baby was scheduled for a 6 month Well visit  10 days too soon (10 days before actually turning 6 months). The nurse administering the vaccine did not notice that the patient was not quite 6 months yet as the Intake form was marked "6 months". This situation was not discovered until the patient returned to the office 2 months and 4 days later to receive the second dose. Mom was informed of the mistake and reported that baby had no side effects from Dose 1. The patient's doctor  was informed of the situation.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Rash, Rash erythematous, Rash macular, Respiratory tract congestion
Clinical narrative: Patient developed a diffuse, erythematous, confluent macular rash on the face, chest, abdomen, arms, and legs 12 days after vaccine administration. Rash was not pruritic. No pustules or vesicles. Associated mild congestion. No cough, vomiting, diarrhea, fever. No treatment at home. Recommended topical emollients for comfort and the use of benadryl if itching developed.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization with covid; fully vaccinated with booster
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Dysphagia, Electrocardiogram normal, Lip swelling, Oropharyngeal discomfort
Clinical narrative: Because the patient had prior history of reaction to vaccines, the patient was pre treated with  with Benadryl 25mg oral.  The vaccine was administered around 1:20 PM on 9/12/2022.  At 9:pm in the evening and after eating few bites of cheese and crackers, she developed swollen lips and tongue and scratchy sensation.  The patient took 2 benadryl tablet.  She had difficulty swallowing due to swollen throat. The patient went to the ER, she was treated with steroids, pepcid, and benadryl and observed for 5 hours.  She was later released from the hospital.  The patient still has discomfort in the throat. The ER physician indicated that this might last for few days.  Each time the patient eats, the same symptoms come back
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pharyngeal swelling, Sensory disturbance, Swollen tongue
Clinical narrative: Because the patient had prior history of reaction to vaccines, the patient was pre treated with  with Benadryl 25mg oral.  The vaccine was administered around 1:20 PM on 9/12/2022.  At 9:pm in the evening and after eating few bites of cheese and crackers, she developed swollen lips and tongue and scratchy sensation.  The patient took 2 benadryl tablet.  She had difficulty swallowing due to swollen throat. The patient went to the ER, she was treated with steroids, pepcid, and benadryl and observed for 5 hours.  She was later released from the hospital.  The patient still has discomfort in the throat. The ER physician indicated that this might last for few days.  Each time the patient eats, the same symptoms come back
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Afternoon of the shot: mild body aches, fatigue, headache. Next day - 9/13: body aches gone. Still fatigue, worse headache. Went to bed 4:30pm. Woke up nearly every hour. Got up at 7:30am the next morning (9/14).  Feeling back to normal.
Age: 13.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given to a 13 year old.    No adverse reaction, parents present no concerns all questions answered
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough. Patient came to the emergency department on 8/30/22 for a fall after testing positive for COVID and starting on paxlovid on 8/29/22.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Given incorrect vaccine formulation (Pfizer 5-11 yr old vaccine)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Given incorrect vaccine formulation (Pfizer 5-11 yr old vaccine).
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond use date.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Immediate post-injection reaction, Injection site pain, Limb injury, Pain in extremity, Shoulder operation
Clinical narrative: Pt reports he had an "immediate dead arm" after the vaccination which lasted 2 days, followed by 5 days of aching deep pain in the left shoulder/arm. He states the vaccine felt high and had a sharp pinching pain at the time of injection. Mild relief with 600mg ibuprofen taken once. Recent surgery on shoulder.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Given incorrect formulation of vaccine (Pfizer 5-11 yr old vaccine)
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient given 0.25ml (half) of required 0.5ml dose
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: PATIENT EXPERIENCED SWELLING UNDER THE ARM AND ON THE LEFT CHEST
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was scheduled to receive her second Pfizer primary series vaccine. She received the Pfizer Bivalent instead. No adverse reaction occurred. No treatment was needed.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Second Booster dose accidentally ordered and administered
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Needle issue, Syringe issue
Clinical narrative: As I was administering the vaccine in her arm, the syringe and needle separated causing the vaccine not to be administered completely. Vaccine was re-administered.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Dyspnoea, Flushing, Hyperhidrosis, Tremor
Clinical narrative: Pt had reaction to vaccine within 10 minutes of receiving vaccine. She reported tightness in chest, trouble breathing, shakiness, and feeling flushed and sweaty. At this point, she was given 50 mg of diphenhydramine and a bottle of water. We continued to sit with her and monitor symptoms periodically over the course of 45 minutes. As time went on, her symptoms reduced visibly until she deemed herself fit to go home. She refused a ride home, stating that "she only lives 8 minutes away." She stated that she will call as soon as she gets home to ensure her safe return. She stated understanding that she would be sleepy after a high dose of diphenhydramine, and was counseled to call emergency services if symptoms arose again.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Intracranial pressure increased, Sexual dysfunction
Clinical narrative: 1. Loss of Appetite 09-09-22, subsided 09-11-22 2. Severe headache during sex starting 09-09-22 3. Residual headache 09-10 through 09-12 4. Intracranial Pressure (started 09-13, subsided 09-14) - head felt like my skull was too small for my brain and my eyes were being pushed against. Very minor headache all day, no loss or blurring of vision. Called nurse hotline-planned to go to Emergency room if pressure got worse or caused vision blurring.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pt. had soreness and limited range of motion in the arm where vaccine was given. She has treated round the clock with ibuprofen and had noted some improvement by 5 days post vaccine. On further investigation, it appears the vaccine was given too high in the arm.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Contusion, Electrocardiogram normal, Full blood count normal, International normalised ratio normal
Clinical narrative: Large bruising extending to L upper chest; lasting for 3 days following immunization. Patient report of chest pain
Age: 47.0
Sex: M
Vaccine: HEP
Symptoms: Wrong product administered
Clinical narrative: Patient was administered the pediatric engerix B instead of adult one.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Malaise, Nausea, Pain
Clinical narrative: March 2020 I had covid.  I've had 4 vaccines, each time I've been sick unable to do anything for 36 hours.  Fever, 101-103, extreme body aches, minor nausea, minor headache.  I'm healthy and energetic, always busy.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Throat clearing
Clinical narrative: 652 pm-scene safety, 911 call initiated by staff(ER) Vital signs and Oxygen Saturation 130/90,114,22,02 96% 654 pm- Epinephrine 0.3mg IM via auto injection administered by staff (RA) , Benadryl 25mg tablet by mouth. (RA) 655 pm- vital signs: 140/92,108,20,O2sat 96% Benadryl 25 mg tablet by mouth administered (RA) 656pm-lung assessment by staff (RA) : clear bilaterally, breath sounds present O2sat 96% . 700 pm- patient self reports throat doesn't feel scratchy and clearing throat cough is subsiding. Pt states he does not want to be transported to hospital but will accept Medic evaluation. Pt states has long history of allergy to penicillin with throat raspiness and always takes Benadryl as needed. Vital signs 148/90,104,16,O2sat 96% Pt is speaking in full sentences without cough. 705pm- Fire Department Medics arrive, course of events/treatment report given to Medics by staff (RA). Care assumed by Medics. 710 pm- Vital signs per medics are stable, pt states he is feeling better and departs vaccination observation area.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Extra dose administered, Pustule, Rash, Rash erythematous
Clinical narrative: Itchy red rash on L & R legs and feet. About a dozen large pustules, five of which turned into blisters the morning following the day of vaccination.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Itchy red rash on L & R legs and feet. About a dozen large pustules, five of which turned into blisters the morning following the day of vaccination.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: expired vaccine administered. Pfizer consulted, advised to revaccinate immediately with no interval time.
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Death
Clinical narrative: death
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered. Pfizer consulted and advised to revaccinate immediately with no interval.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Eye movement disorder, Hypotonia
Clinical narrative: Client received Tdap and MCV and approximately one minute later stood up and then sat back down. Client rolled his eyes back and went limp. Client was layed down flat on the ground.  Client would shrug shoulders in response to questions. Client drank water. Supervisor notified and evaluated client. BP was 78/52.  Mom states he passes out all the time and has not consumed food or liquid this day. Client repositioned and BP 98/52.  Legs elevated and lollipop given.  11:00  bp 106/66 laying down.  Client assisted to sitting position. Zero complaints of vertigo noted. BP sitting at 11:05 110/72. Client left the building with family member at 11:05 ambulating independently.
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oedema peripheral
Clinical narrative: Swelling under left armpit
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect product formulation administered
Clinical narrative: As of 09/03/2022 Monovalent MRNA vaccines was not authorized as booster doses for individuals 12 years and older. Need to use the Bivalent for booster.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse event, was administered on 8/31/2022 and was advised to submit VAERS event.  " It was brought to our attention from Agency that we must submit a VAERS report for any patient that received a monovalent booster dose as of Wednesday, 8/31. The rationale is due to FDA pulling the authorization for Covid-19 Vaccine monovalent boosters (1st booster and 2nd booster) on 8/31/22 so according to Agency any doses administered on or after 8/31 are considered "administration errors" This is despite the fact that Agency failed to inform the providers to stop administering the Monovalent Booster doses until much later in the day.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered. Pfizer was consulted and advise to revaccinate immediately with no timing interval. Parents contacted.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Hives developed from head to toe
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: 4 YEAR OLD WAS GIVEN BIVALENT BOOSTER INSTEAD OF THIRD DOSE OF MONOVALENT
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired on 8/31/22,  vaccine administered on 9/1/22. Mother was contacted by provider, mother wants to think about revaccination before going ahead.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pruritus
Clinical narrative: A few days after receiving the Shingrix vaccine I started having pain in the area of my right shoulder. At first I thought it was a muscle problem. The pain continued and the site became itchy. I then realized that this was the site where I had shingles about 5 years ago.  It has been very painful and I continue to have problems only in that area. I am taking acetominophen  around the clock  and  a CBD cream for the itch.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives and itching on chest
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain of skin, Paraesthesia, Rash
Clinical narrative: Felt tingling on my left side of my scalp Saturday afternoon about 3pm, painful to touch.  By Monday the headache was persistent and never quite goes away. Feels like a low-grade persistent headache that is never going away. Occasionally feel a sharp pain on my scalp as well.  Tuesday noticed rashes had broken out on my left cheek, and above my left eye underneath the left brow.  Rash has now spread to the left side of my forehead too as of Wednesday
Age: 1.58
Sex: F
Vaccine: DTAPIPVHIB, HEPA, VARCEL
Symptoms: Circumstance or information capable of leading to medication error, Expired product administered
Clinical narrative: Pentacel  Vaccine Lot # UJ571AAA Exp. date 09112011 was give by RN.  He scanned Pentacel vaccine in system, administered vaccine, and attempted to put administration documentation and it would not pull vaccine with lot # and he realized he did not check expiration prior to administration and had administered an expired vaccine. LPN who manages vaccine inventory had Pentacel written on Monthly Expiration Date calendar and also on calendar at desk with other vaccine that was due to expire 09092022. She checks this calendar daily for vaccines that are due to expire and removes them. She removed other vaccine from vaccine refrigerator on 09092022 but failed to remove the Pentacel vaccine on 09092011 that expired 09112022.  She put a check mark by vaccines on Monthly Expiration Date calendar and desk calendar  indicating both had been removed. They immediately came to Nursing Supervisor and notified her of error.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis, Dyspnoea, Pain in extremity, Pulmonary embolism
Clinical narrative: Patient presented with shortness of breath and left leg pain on 9/11/11. He was diagnosed with a saddle PE and left leg DVT. Treated with BID Lovenox (1mg/kg/dose). His Moderna Bivalent vaccine was administered on 9/9/22
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event. Patient was given the 3rd dose of  baby COVID vaccine 1 week early.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Arm swollen from injection site to elbow.  Red, hot, painful, at same time, itchy.  Tried benadryl 2 days after didn't help.  took3+ days until it resolved.  Didn't happen with any of the other injections, although I had some usual pain at injection site previously.  Ist booster sent me to bed with chills, fever and aching legs.  Gone by next day.  (probably should have reported that one!)
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site warmth
Clinical narrative: Arm swollen from injection site to elbow.  Red, hot, painful, at same time, itchy.  Tried benadryl 2 days after didn't help.  took3+ days until it resolved.  Didn't happen with any of the other injections, although I had some usual pain at injection site previously.  Ist booster sent me to bed with chills, fever and aching legs.  Gone by next day.  (probably should have reported that one!)
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein, Feeling abnormal, Full blood count, Metabolic function test
Clinical narrative: 3rd booster of vaccine received ( Moderna)  Rash developed approximately 9 days later.  It was predominantly around face and neck but presented everywhere.  Rash developed around joints ( knees and wrists) and associated with joint pain.  Also had strange feeling of a bubble in the upper abdomen, lower esophagus.  Went to Urgent Care and received a Medrol dosepak.  Took Covid test at this appointment and it was negative.  Rash did improve slightly with Medrol dospak.  After finishing dosepak,  rash returned worse so went to ER since it involved throat, lips and tongue.  ER physician ruled out other causes of rash, suspected Covid vaccine.  Repeated steroids.  Went to allergist who ordered high dose Zyrtec ( 1 tablet four times a day) and as needed oral steroids ( up to 60 mg prednisone /day) Rash has dermatographia, appears worse in areas that are scratched or touched.   Currently, rash returns when Zyrtec doses are missed.  Consideration of adding Xolair injections.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test negative
Clinical narrative: 3rd booster of vaccine received ( Moderna)  Rash developed approximately 9 days later.  It was predominantly around face and neck but presented everywhere.  Rash developed around joints ( knees and wrists) and associated with joint pain.  Also had strange feeling of a bubble in the upper abdomen, lower esophagus.  Went to Urgent Care and received a Medrol dosepak.  Took Covid test at this appointment and it was negative.  Rash did improve slightly with Medrol dospak.  After finishing dosepak,  rash returned worse so went to ER since it involved throat, lips and tongue.  ER physician ruled out other causes of rash, suspected Covid vaccine.  Repeated steroids.  Went to allergist who ordered high dose Zyrtec ( 1 tablet four times a day) and as needed oral steroids ( up to 60 mg prednisone /day) Rash has dermatographia, appears worse in areas that are scratched or touched.   Currently, rash returns when Zyrtec doses are missed.  Consideration of adding Xolair injections.
Age: 11.0
Sex: M
Vaccine: FLU4, IPV
Symptoms: Blood pressure decreased, Heart rate decreased, Immediate post-injection reaction, Seizure like phenomena, Tremor
Clinical narrative: immediately post-vaccine, client had episode of seizure-like activity to upper/lower extremities and became non-responsive with eyes open; shaking lasted approx 10-15 seconds; awake but unresponsive lasted approx 2-3 minutes; systolic BP dropped from baseline 104/67 mm Hg to 86/46  with HR drop from 71 at baseline to 56/minute; shaking activity resolved spontaneously & became responsive within approx 2 minutes; rested supine x approx 45 minutes with return of BP/HR to baseline and mental return to baseline; left clinic in good condition; advised to seek ER eval today
Age: 11.0
Sex: M
Vaccine: FLU4, IPV
Symptoms: Unresponsive to stimuli
Clinical narrative: immediately post-vaccine, client had episode of seizure-like activity to upper/lower extremities and became non-responsive with eyes open; shaking lasted approx 10-15 seconds; awake but unresponsive lasted approx 2-3 minutes; systolic BP dropped from baseline 104/67 mm Hg to 86/46  with HR drop from 71 at baseline to 56/minute; shaking activity resolved spontaneously & became responsive within approx 2 minutes; rested supine x approx 45 minutes with return of BP/HR to baseline and mental return to baseline; left clinic in good condition; advised to seek ER eval today
Age: 67.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Abdominal pain upper, Back pain, Chills, Pain, Rash
Clinical narrative: Pt stated she recieved the vaccine on the 30th of AUG 2022.  The next day 31 AUG 2022 she stated she was experincing bumpls that look like a rash on her neck and chest area with severe back pain , that radiated to her stomach and chills. Pt. stated the pain lasted about a day or so and has subsided along with the rash and chills.  Pt. stated she is currently experiencing very mild chills every now and then (according to the pt.)  Pt stated she does not take her prescibed medicatoions as directed because she stated feels better when she doesnt take them. Pt. has an appointment on 29 SEPT 2022 for dose #2.  The Pt. was told that a member from health department will reach out to her with further instructions in regards to her case.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain in extremity, Pyrexia, Rash, Rash erythematous
Clinical narrative: Abnormal reaction to vaccine which included a swollen area that went past injection site. painful red rash which covered most of arm area. Rash did have heat. Patient stated she had a fever for three days after injection. Patient stated her arm was sore and painful to the touch for 7 days after injection.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tenderness
Clinical narrative: Abnormal reaction to vaccine which included a swollen area that went past injection site. painful red rash which covered most of arm area. Rash did have heat. Patient stated she had a fever for three days after injection. Patient stated her arm was sore and painful to the touch for 7 days after injection.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Bloody Nose--ER used Quikclot twice to stop bleeding.
Age: 1.33
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event Patient was given the 3rd baby COVID dose 1 week early.
Age: 80.0
Sex: M
Vaccine: UNK, UNK, UNK, UNK, UNK
Symptoms: Death
Clinical narrative: My Father In Law died two days after the vaccination, and was completely healthy before
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Limb discomfort, Pain in extremity, Superficial vein thrombosis
Clinical narrative: Approx. Aug.9,2022 I began feeling tenderness in my left calf.  I was aware of the tenderness but thought I had bumped my leg or otherwise caused a superficial bruise.  Over the course of 10 days... discomfort increased and the tender area increased in size... moving from about 2" above my ankle to just below the back of my knee.  By this time, it began to hurt when I stepped on that leg.  I tried to get in to see my PCP but there were no available appointments for 10-14 days.  On Aug. 23, I went to urgent care.   The physician who treated me at this facility ordered an Ultrasound to confirm or rule out a blood clot.  Results were positive and showed I had a  superficial blood clot that was 17 cm long in my calf, extending from above my ankle to the back of my knee.  I was put on a 45 day course of Pradaxa 110 mg 2 caps /day.  I saw my PCP on 9/12 for a follow up visit.  Dr. wants me to have a second US to confirm that the clot is being absorbed.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Ultrasound Doppler abnormal
Clinical narrative: Approx. Aug.9,2022 I began feeling tenderness in my left calf.  I was aware of the tenderness but thought I had bumped my leg or otherwise caused a superficial bruise.  Over the course of 10 days... discomfort increased and the tender area increased in size... moving from about 2" above my ankle to just below the back of my knee.  By this time, it began to hurt when I stepped on that leg.  I tried to get in to see my PCP but there were no available appointments for 10-14 days.  On Aug. 23, I went to urgent care.   The physician who treated me at this facility ordered an Ultrasound to confirm or rule out a blood clot.  Results were positive and showed I had a  superficial blood clot that was 17 cm long in my calf, extending from above my ankle to the back of my knee.  I was put on a 45 day course of Pradaxa 110 mg 2 caps /day.  I saw my PCP on 9/12 for a follow up visit.  Dr. wants me to have a second US to confirm that the clot is being absorbed.
Age: 21.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Chest discomfort
Clinical narrative: Patient stated while sitting in the observation area being observed , "My chest feels tight." Nurse Manager who was present was notified.  Patient had been observed 15 minutes and an additional 10 minutes. Patient denied any pain , breathing difficulties, respirations  recorded at 20 , breathing even and unlabored, oriented x's 4,  Nurse re-assessed patient  after the 15 minutes and the additional 10 minutes and patient was stable.
Age: 43.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna Bivalent booster at time of visit as booster was required but was given incorrect one as it's only for 18+
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Arthralgia, Burning sensation, COVID-19
Clinical narrative: Felt absolutely horrible! No appetite - lost 12 lbs in 14 days. Flat on my back for 2 weeks. Could only drink GatorAid & water. Drive myself to the doctor each week & had to lay down when I got there. Had to call 911 - my vitals were good so they wouldn't do anything for me. Being in the medical field, I knew I needed oxy & fluids. I was sick for another week. This vaccine was a joke! It was a money maker for the drug companies and could have bankrupt our county! It goes to prove that our government can not be trusted, now the CDC! The shut down of our county has affected people in negative ways, as had the vaccine. People have died because of it and others have long lasting affects! I wish I had NEVER taken it. I can't stand to even begin to get hot - I feel like my insides are on fire. I have headaches & can't smell or taste anymore. I thought I was going to die the 2 weeks I had covid, after receiving the vaccine 5 days before onset. Still couldn't take a deep for 4 more weeks, and had longhaulers exhaustion for 6 months. I still can't work like I use to, especially outside. I get tired easily and my joints ache all the time.