chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, Death, General physical health deterioration
Clinical narrative: 3RD DOSE OF PFIZER COVID VACCINE GIVEN 11/22/21, LOT #FF8839;  pt admitted to hospital on 7/25/22 and dx with COVID, acute on chronic respiratory failure, pneumonia; tx with Remdesivir, ABX, O2 supplementation; eventually dc'd to home; 8/3/22 admitted to hospital with AMS and signs of respiratory distress; positive COVID test; O2  and steroids given; CTA showed lymphadenopathy, left upper lobe of lung with collapse and airway compression; ICU; ABX given; pt required BiPAP; condition deteriorated; family chose to transition pt to DNR, comfort care; pt passed away in the hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Lymphadenopathy, Mental status changes, Obstructive airways disorder, Pneumonia
Clinical narrative: 3RD DOSE OF PFIZER COVID VACCINE GIVEN 11/22/21, LOT #FF8839;  pt admitted to hospital on 7/25/22 and dx with COVID, acute on chronic respiratory failure, pneumonia; tx with Remdesivir, ABX, O2 supplementation; eventually dc'd to home; 8/3/22 admitted to hospital with AMS and signs of respiratory distress; positive COVID test; O2  and steroids given; CTA showed lymphadenopathy, left upper lobe of lung with collapse and airway compression; ICU; ABX given; pt required BiPAP; condition deteriorated; family chose to transition pt to DNR, comfort care; pt passed away in the hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumothorax, Positive airway pressure therapy, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE OF PFIZER COVID VACCINE GIVEN 11/22/21, LOT #FF8839;  pt admitted to hospital on 7/25/22 and dx with COVID, acute on chronic respiratory failure, pneumonia; tx with Remdesivir, ABX, O2 supplementation; eventually dc'd to home; 8/3/22 admitted to hospital with AMS and signs of respiratory distress; positive COVID test; O2  and steroids given; CTA showed lymphadenopathy, left upper lobe of lung with collapse and airway compression; ICU; ABX given; pt required BiPAP; condition deteriorated; family chose to transition pt to DNR, comfort care; pt passed away in the hospital
Age: 45.0
Sex: M
Vaccine: COVID19-2, HEP
Symptoms: Expired product administered
Clinical narrative: Patient received a Covid booster vaccine 5 days after vial thaw expiration date. Pfizer was contacted for guidance.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray abnormal, Chills, Chronic obstructive pulmonary disease, Cough, Hot flush
Clinical narrative: I tested positive for Flu on 12/21/22. I had a bad cough, body aches, chills, and hot flashes. I went to urgent care and was prescribed azithromycin, TESSALON PERLES, and an antibiotic but I can't recall the name of it. My primary care physician called to check on me a few days later and she prescribed prednisone, albuterol, TESSALON PERLES, and an antibiotic but I do not recall the name of it.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test positive, Pain, SARS-CoV-2 test negative
Clinical narrative: I tested positive for Flu on 12/21/22. I had a bad cough, body aches, chills, and hot flashes. I went to urgent care and was prescribed azithromycin, TESSALON PERLES, and an antibiotic but I can't recall the name of it. My primary care physician called to check on me a few days later and she prescribed prednisone, albuterol, TESSALON PERLES, and an antibiotic but I do not recall the name of it.
Age: 85.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, Blood creatinine normal, COVID-19, Condition aggravated, Cough
Clinical narrative: COVID+ 1/17/2023.  Vaccination status - Moderna x4 + Moderna BIVALENT booster Discharge Summary MD (Physician) ? ? General Medicine  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/17/2023 Discharge Date: 01/19/2023      Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of right midfoot associated with type 2 diabetes mellitus, with fat layer exposed  01/18/2023 Yes ? COVID 01/17/2023 Yes ? Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin     Active Issues Requiring Follow-up:  T2DM Diabetes Discharge Planning: ? The patient's wife is receiving OmniPod some time this week and will transition from V-Go which should make controlling his blood sugars easier.  Should follow with outpatient provider to have this set up and pt/wife be trained in its use ? Transition back to V-GO not advised, as the patient's wife informed provider that pt has multiple episodes of hypoglycemia at home if he does not eat before bed + early in morning.    Discharge Plan: ? Safe for discharge to home with ordered medication doses.  Do not resume Vgo.  Pt to start Omnipod when able/trained. ? Metformin use questionable in this pt due to age and declining renal function.  However his dosage is within the perimeters of his reduced GFR (500mg twice daily), will need close monitoring by PCP. ? SGLT2 would be indicated due to CKD.  This can cause fluctuations in glucose levels and would likely need insulin regimen adjustments Chronic Wounds ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID   HOSPITAL COURSE: Patient is a 85 y.o. male who presented with weakness, nausea, vomiting, diarrhea, lightheadedness x 2 days duration. He developed a cough so wife administered a COVID-19 test which was positive. He reported ongoing symptoms on adm. They are concerned about him going home with these symptoms, as his primary caregiver / spouse is also sick with COVID-19 and feeling unwell. Hemodynamically stable in the ED, desaturation on room air. Mild metabolic acidosis on CMP with creatinine at baseline. No leukocytosis. One hypoglycemic reading with three other normal readings. +covid-19 pcr. No cxr. Given 500cc NS once and dextrose in ED.  He was weaned off supplemental o2 and evaluated by pulm rehab/pt/ot who stated patient would need home with pt but no oxygen on discharge. His course was complicated by hypoglycemic episodes after patient refused to remove his insulin pump on admission. Once pump removed from patient, consulted for labile glucose levels. He had adjustments made in his diabetes medications and had improvement in glu levels. He was discharged home in stable conditions with plans for close follow up and teaching of upcoming diabetes medication changes.
Age: 85.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Diabetic foot, Diarrhoea, Dizziness, Glomerular filtration rate, Hyperglycaemia
Clinical narrative: COVID+ 1/17/2023.  Vaccination status - Moderna x4 + Moderna BIVALENT booster Discharge Summary MD (Physician) ? ? General Medicine  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/17/2023 Discharge Date: 01/19/2023      Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of right midfoot associated with type 2 diabetes mellitus, with fat layer exposed  01/18/2023 Yes ? COVID 01/17/2023 Yes ? Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin     Active Issues Requiring Follow-up:  T2DM Diabetes Discharge Planning: ? The patient's wife is receiving OmniPod some time this week and will transition from V-Go which should make controlling his blood sugars easier.  Should follow with outpatient provider to have this set up and pt/wife be trained in its use ? Transition back to V-GO not advised, as the patient's wife informed provider that pt has multiple episodes of hypoglycemia at home if he does not eat before bed + early in morning.    Discharge Plan: ? Safe for discharge to home with ordered medication doses.  Do not resume Vgo.  Pt to start Omnipod when able/trained. ? Metformin use questionable in this pt due to age and declining renal function.  However his dosage is within the perimeters of his reduced GFR (500mg twice daily), will need close monitoring by PCP. ? SGLT2 would be indicated due to CKD.  This can cause fluctuations in glucose levels and would likely need insulin regimen adjustments Chronic Wounds ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID   HOSPITAL COURSE: Patient is a 85 y.o. male who presented with weakness, nausea, vomiting, diarrhea, lightheadedness x 2 days duration. He developed a cough so wife administered a COVID-19 test which was positive. He reported ongoing symptoms on adm. They are concerned about him going home with these symptoms, as his primary caregiver / spouse is also sick with COVID-19 and feeling unwell. Hemodynamically stable in the ED, desaturation on room air. Mild metabolic acidosis on CMP with creatinine at baseline. No leukocytosis. One hypoglycemic reading with three other normal readings. +covid-19 pcr. No cxr. Given 500cc NS once and dextrose in ED.  He was weaned off supplemental o2 and evaluated by pulm rehab/pt/ot who stated patient would need home with pt but no oxygen on discharge. His course was complicated by hypoglycemic episodes after patient refused to remove his insulin pump on admission. Once pump removed from patient, consulted for labile glucose levels. He had adjustments made in his diabetes medications and had improvement in glu levels. He was discharged home in stable conditions with plans for close follow up and teaching of upcoming diabetes medication changes.
Age: 85.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Hypoglycaemia, Insulin therapy, Metabolic acidosis, Metabolic function test abnormal, Nausea
Clinical narrative: COVID+ 1/17/2023.  Vaccination status - Moderna x4 + Moderna BIVALENT booster Discharge Summary MD (Physician) ? ? General Medicine  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/17/2023 Discharge Date: 01/19/2023      Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of right midfoot associated with type 2 diabetes mellitus, with fat layer exposed  01/18/2023 Yes ? COVID 01/17/2023 Yes ? Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin     Active Issues Requiring Follow-up:  T2DM Diabetes Discharge Planning: ? The patient's wife is receiving OmniPod some time this week and will transition from V-Go which should make controlling his blood sugars easier.  Should follow with outpatient provider to have this set up and pt/wife be trained in its use ? Transition back to V-GO not advised, as the patient's wife informed provider that pt has multiple episodes of hypoglycemia at home if he does not eat before bed + early in morning.    Discharge Plan: ? Safe for discharge to home with ordered medication doses.  Do not resume Vgo.  Pt to start Omnipod when able/trained. ? Metformin use questionable in this pt due to age and declining renal function.  However his dosage is within the perimeters of his reduced GFR (500mg twice daily), will need close monitoring by PCP. ? SGLT2 would be indicated due to CKD.  This can cause fluctuations in glucose levels and would likely need insulin regimen adjustments Chronic Wounds ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID   HOSPITAL COURSE: Patient is a 85 y.o. male who presented with weakness, nausea, vomiting, diarrhea, lightheadedness x 2 days duration. He developed a cough so wife administered a COVID-19 test which was positive. He reported ongoing symptoms on adm. They are concerned about him going home with these symptoms, as his primary caregiver / spouse is also sick with COVID-19 and feeling unwell. Hemodynamically stable in the ED, desaturation on room air. Mild metabolic acidosis on CMP with creatinine at baseline. No leukocytosis. One hypoglycemic reading with three other normal readings. +covid-19 pcr. No cxr. Given 500cc NS once and dextrose in ED.  He was weaned off supplemental o2 and evaluated by pulm rehab/pt/ot who stated patient would need home with pt but no oxygen on discharge. His course was complicated by hypoglycemic episodes after patient refused to remove his insulin pump on admission. Once pump removed from patient, consulted for labile glucose levels. He had adjustments made in his diabetes medications and had improvement in glu levels. He was discharged home in stable conditions with plans for close follow up and teaching of upcoming diabetes medication changes.
Age: 85.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Oxygen saturation decreased, Renal impairment, SARS-CoV-2 test positive, Type 2 diabetes mellitus, Vomiting
Clinical narrative: COVID+ 1/17/2023.  Vaccination status - Moderna x4 + Moderna BIVALENT booster Discharge Summary MD (Physician) ? ? General Medicine  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/17/2023 Discharge Date: 01/19/2023      Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of right midfoot associated with type 2 diabetes mellitus, with fat layer exposed  01/18/2023 Yes ? COVID 01/17/2023 Yes ? Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin     Active Issues Requiring Follow-up:  T2DM Diabetes Discharge Planning: ? The patient's wife is receiving OmniPod some time this week and will transition from V-Go which should make controlling his blood sugars easier.  Should follow with outpatient provider to have this set up and pt/wife be trained in its use ? Transition back to V-GO not advised, as the patient's wife informed provider that pt has multiple episodes of hypoglycemia at home if he does not eat before bed + early in morning.    Discharge Plan: ? Safe for discharge to home with ordered medication doses.  Do not resume Vgo.  Pt to start Omnipod when able/trained. ? Metformin use questionable in this pt due to age and declining renal function.  However his dosage is within the perimeters of his reduced GFR (500mg twice daily), will need close monitoring by PCP. ? SGLT2 would be indicated due to CKD.  This can cause fluctuations in glucose levels and would likely need insulin regimen adjustments Chronic Wounds ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID   HOSPITAL COURSE: Patient is a 85 y.o. male who presented with weakness, nausea, vomiting, diarrhea, lightheadedness x 2 days duration. He developed a cough so wife administered a COVID-19 test which was positive. He reported ongoing symptoms on adm. They are concerned about him going home with these symptoms, as his primary caregiver / spouse is also sick with COVID-19 and feeling unwell. Hemodynamically stable in the ED, desaturation on room air. Mild metabolic acidosis on CMP with creatinine at baseline. No leukocytosis. One hypoglycemic reading with three other normal readings. +covid-19 pcr. No cxr. Given 500cc NS once and dextrose in ED.  He was weaned off supplemental o2 and evaluated by pulm rehab/pt/ot who stated patient would need home with pt but no oxygen on discharge. His course was complicated by hypoglycemic episodes after patient refused to remove his insulin pump on admission. Once pump removed from patient, consulted for labile glucose levels. He had adjustments made in his diabetes medications and had improvement in glu levels. He was discharged home in stable conditions with plans for close follow up and teaching of upcoming diabetes medication changes.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Incorrect vaccine administered.  Should have been age 5-11 dose and was given 12+ dose.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Post-acute COVID-19 syndrome, Pruritus
Clinical narrative: Pinkish red areas about the size of a nickel to a quarter that were very itchy going up my neck down to my chest within about a four inch area. The steroid cream the doctor gave me went helped them go away in about two weeks but now they are over my right and inside both elbows and every now and then will pop back up on my neck. I did also have long haul COVID-19 symptoms from getting COVID-19 in January 26th, 2021 but the vaccine was not available to me until March 2021. I may now have auto-immune disease and will begin testing.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Pain
Clinical narrative: I had my vaccination on 07/25/2022. I started to experience severe headache, fatigue, achy on 10/31/2022. I tested COVID-19 positive on 11/01/2022. I am still having sinus issues, cough, and headache on 01/24/2023. I initially had COVID-19 positive 12/2020.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: I had my vaccination on 07/25/2022. I started to experience severe headache, fatigue, achy on 10/31/2022. I tested COVID-19 positive on 11/01/2022. I am still having sinus issues, cough, and headache on 01/24/2023. I initially had COVID-19 positive 12/2020.
Age: 3.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered In Patients  LVL, Vaccine inadvertently  administered at age three and not between required age range of 4-6years of age, Pt legal guardians have not reported any ASE to health center regarding the Vaccine, LPN attempted to call Legal guardians to inform them of inadvertent administration and to ask about any possible ASE's related to Vaccine administration. Pt's legal guardians unavailable LPN left brief Voice mail requesting a return call. LPN informed Company medical director of inadvertent administration.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Immediate post-injection reaction, Oropharyngeal pain, Vomiting
Clinical narrative: Patients mother called the oncall of physician noted to inquire about symptoms that arose immediatly after vaccination (while under observation. The parent did not report this to the vaccinating facility.) Patient told mother that his throat was sore, and he felt hot. Patient then went home and vomited all within an hour of vaccination.
Age: 45.0
Sex: M
Vaccine: COVID19-2, HPV9
Symptoms: Haemorrhage, Joint swelling, Limb discomfort, Mobility decreased, Skin discolouration
Clinical narrative: Hemorrhage right index finger, middle joint, swelling, discoloration, tightness, lack of mobility.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory distress syndrome, COVID-19, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: Pt to ED and found to be positive for COVID; COVID pneumonia and went into ARDS; later dx with Morganella pneumonia with acute exacerbation of CHF and a type 2 NSTEMI; ICU; BiPAP; left sided pleural effusion; developed left pneumothorax and required a chest tube; after procedure, pt remained unresponsive; GCS 3; transitioned to comfort care and he passed away in the hospital
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chest tube insertion, Condition aggravated, Death, Intensive care, Morganella test positive
Clinical narrative: Pt to ED and found to be positive for COVID; COVID pneumonia and went into ARDS; later dx with Morganella pneumonia with acute exacerbation of CHF and a type 2 NSTEMI; ICU; BiPAP; left sided pleural effusion; developed left pneumothorax and required a chest tube; after procedure, pt remained unresponsive; GCS 3; transitioned to comfort care and he passed away in the hospital
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia bacterial, Pneumothorax, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Pt to ED and found to be positive for COVID; COVID pneumonia and went into ARDS; later dx with Morganella pneumonia with acute exacerbation of CHF and a type 2 NSTEMI; ICU; BiPAP; left sided pleural effusion; developed left pneumothorax and required a chest tube; after procedure, pt remained unresponsive; GCS 3; transitioned to comfort care and he passed away in the hospital
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt to ED and found to be positive for COVID; COVID pneumonia and went into ARDS; later dx with Morganella pneumonia with acute exacerbation of CHF and a type 2 NSTEMI; ICU; BiPAP; left sided pleural effusion; developed left pneumothorax and required a chest tube; after procedure, pt remained unresponsive; GCS 3; transitioned to comfort care and he passed away in the hospital
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: This was pts first dose and should not have been bivalent
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was admitted to the hospital despite Moderna vaccine 14 and the a BV vaccine.
Age: 1.58
Sex: F
Vaccine: COVID19, HEPA
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Discrepency on dilution and dosage amount noted on 1/23/2023 for COVID-19 monovalent, Dose #1. Provider notified, manufacturer contacted for advisement, patient parent contacted.  Child exhibits no adverse reactions and remains asymptomatic. Per manufacturer patient will need to repeat Dose #1 for COVID-19 monovalent vaccination. Parent aware and verbalizes understanding.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral disorder, Death, Fall, Head injury, Intensive care
Clinical narrative: I think that is the lot number.   My husband was a dentist and the staff got the shots together.  That is the lot they had.  I have not found his card yet but will keep looking.  My husband was a dentist and still working, he was very active and got the shots as soon as possible to keep his office open as much as possible.  127 days after the second shot with no warning at all he went out side after eating lunch to work in the garage like every Sunday .  He was restoring a car with my brother in law.   He had got it started for the first time and he called for me to come out and join him for the first ride.  My brother in law filmed our maiden ride.  We were laughing and joking and I got out while he pulled the car back in the gargae.  I went back in the house but hardly sat down when my brother in law screamed for me to come out that patient was down and could not get up.  When I got there he was hitting his head and I looked at him and just knew it was really serious.  My neighbor had already called 911.  He was rushed to the ER and by the time we got there he was really bad.  Theey gave him the "stroke" shot but they told me at that time that half his brain was gone.  He died 7 days later.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Mobility decreased
Clinical narrative: I think that is the lot number.   My husband was a dentist and the staff got the shots together.  That is the lot they had.  I have not found his card yet but will keep looking.  My husband was a dentist and still working, he was very active and got the shots as soon as possible to keep his office open as much as possible.  127 days after the second shot with no warning at all he went out side after eating lunch to work in the garage like every Sunday .  He was restoring a car with my brother in law.   He had got it started for the first time and he called for me to come out and join him for the first ride.  My brother in law filmed our maiden ride.  We were laughing and joking and I got out while he pulled the car back in the gargae.  I went back in the house but hardly sat down when my brother in law screamed for me to come out that patient was down and could not get up.  When I got there he was hitting his head and I looked at him and just knew it was really serious.  My neighbor had already called 911.  He was rushed to the ER and by the time we got there he was really bad.  Theey gave him the "stroke" shot but they told me at that time that half his brain was gone.  He died 7 days later.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Rash
Clinical narrative: Patient developed rash to face and generalized redness to torso a day after Pfizer booster bivalent was administered
Age: 1.08
Sex: F
Vaccine: HEPA, FLUX, HEPA, MMR, PNC13, VARCEL
Symptoms: Expired product administered
Clinical narrative: The vaccine was VAQTA from Merck. Lot number is W007375 with expiration date of 01/16/2023- the patient was given the correct vaccine however it expired on 1/16/23 and it was administered on 01/20/23. The parents were notified of the incident and nurse reported that they also had a telephone check in yesterday with the parents as follow-up.
Age: 1.08
Sex: F
Vaccine: HEPA, FLUX, HEPA, MMR, PNC13, VARCEL
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The vaccine was VAQTA from Merck. Lot number is W007375 with expiration date of 01/16/2023- the patient was given the correct vaccine however it expired on 1/16/23 and it was administered on 01/20/23. The parents were notified of the incident and nurse reported that they also had a telephone check in yesterday with the parents as follow-up.
Age: 41.0
Sex: U
Vaccine: UNK
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient was given a Pfizer bivalent booster and did not need it.  She had a J&J on 3/6/21, Moderna 1/7/22, and pfizer bivalent booster on 12/8/22.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Antinuclear antibody negative, Blood test, Borrelia test, Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness/tingling in fingers
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rheumatoid factor
Clinical narrative: Numbness/tingling in fingers
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Increased upper airway secretion, Pain, SARS-CoV-2 test positive
Clinical narrative: I received my Covid -19 vaccine on 10/21/2022. On 12/26/2022 I started feeling drainage down my throat.  I woke up the next day with body aches and chills. I tested positive that day for Covid -19. After contacting my doctor, I took over the counter medications. Symptoms lasted about a week.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: 12/26/22 presents to ED for "breathing problem". PMHx of "afib, DM, HLD"
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: PATIENT EXPERIENCED DIZZINESS AND LIGHTHEADEDNESS AND BECAME UNCONCIOUS FOR A FEW MOMENTS
Age: 44.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Cellulitis, Contusion, Skin induration, Skin mass
Clinical narrative: Patient was vaccinated on 8/19/2022. He  reported to the MPX clinic on 8/31/22 to inform the staff that he had been diagnosed with Cellulitis by his PCP. The patient reports he developed a hard knot with bruising on his right arm, that eventually spread through out the entire arm. The patient further reports he was prescribed antibiotics for treatment.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear discomfort, Ear infection, Headache, Increased upper airway secretion, Malaise
Clinical narrative: I had a sore arm for a couple of days and that was it. I started not feeling well on 12/11/2022 I had a runny nose and sore throat. It was progressed to fullness in the ears, headache and runny nose. I went to an urgent care and was diagnosed with a sinus infection and double ear infection.  I was prescribed prednisone for my symptoms. I tolerated the medication. As of today, I still have drainage in the back of throat.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pain in extremity, Rhinorrhoea, Sinusitis
Clinical narrative: I had a sore arm for a couple of days and that was it. I started not feeling well on 12/11/2022 I had a runny nose and sore throat. It was progressed to fullness in the ears, headache and runny nose. I went to an urgent care and was diagnosed with a sinus infection and double ear infection.  I was prescribed prednisone for my symptoms. I tolerated the medication. As of today, I still have drainage in the back of throat.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/26/22 presents to ED for "SOB". PMHx of "invasive squamous cell carcinoma, ESRD on HD MWF, DVT, Hepatitis C, CAD s/p cath, lung nodules, depression/anxiety, hypothyroidism, paroxysmal Afib on amiodorone"
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: He tested positive for COVID-19 on January 8, 2023. High fever up to 104 began on January 7, 2023 and was followed with cough slight runny nose. His fever was gone by the 13th of January. We alternated MOTRIN and TYLENOL for fever. He also had two bouts of vomiting on two separate occasions.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: He tested positive for COVID-19 on January 8, 2023. High fever up to 104 began on January 7, 2023 and was followed with cough slight runny nose. His fever was gone by the 13th of January. We alternated MOTRIN and TYLENOL for fever. He also had two bouts of vomiting on two separate occasions.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear discomfort, Fatigue, Respiratory tract congestion
Clinical narrative: I had my vaccination on 07/25/2022. I started to experience symptoms on 01/03/2023 to include extreme fatigue, cough, congestion. I tested COVID-19 positive on 01/03/2023. I was prescribed LAGEVRIO. I am feeling fine presently on 01/24/2023 with residual cough and ear clogged.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 07/25/2022. I started to experience symptoms on 01/03/2023 to include extreme fatigue, cough, congestion. I tested COVID-19 positive on 01/03/2023. I was prescribed LAGEVRIO. I am feeling fine presently on 01/24/2023 with residual cough and ear clogged.
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site abscess, Injection site pain, Injection site swelling
Clinical narrative: Large swollen, golf ball sized abscess or reaction left upper deltoid.  Sore and tender, started 2 days after vaccine
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Malaise, Nausea, Pain
Clinical narrative: Patient came into pharmacy on Friday, January 20th asking for the second dose of the Shingrix vaccine; her first shot was given on 9/30/22 by a pharmacist here at pharmacy. She asked for second vaccine to Pharmacist; Pharmacist asked her "do you have any plans for tomorrow? It is very likely that you might not feel well the day after your second shot." She told RPh, "I don't have a caregiver on the weekends; thank you for telling me. I will come on Monday when you are here." Monday, January 23rd, she came back to the store. Pharmacist went out to talk to her around 2PM and told her "Before I mix this up, I wanted to let you know that you might have a fever, flu-like symptoms, and pain." They then discussed Tylenol usage for fever and pain and voltaren gel for joint pain. Patient informed RPh that she used to take "voltaren back when it was a pill a long time ago". RPh talked with patient for 10 minute after the vaccine to make sure she was fine. Patient reported no symptoms at the time.   Patient called pharmacy the next morning (1/24/23) and spoke with RPh. She reported that she was shivering, started feeling sick last night. Patient reports pain all over, joints, legs, and she feels sick to her stomach and drank ginger ale. Patient has notified her physician.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient came into pharmacy on Friday, January 20th asking for the second dose of the Shingrix vaccine; her first shot was given on 9/30/22 by a pharmacist here at pharmacy. She asked for second vaccine to Pharmacist; Pharmacist asked her "do you have any plans for tomorrow? It is very likely that you might not feel well the day after your second shot." She told RPh, "I don't have a caregiver on the weekends; thank you for telling me. I will come on Monday when you are here." Monday, January 23rd, she came back to the store. Pharmacist went out to talk to her around 2PM and told her "Before I mix this up, I wanted to let you know that you might have a fever, flu-like symptoms, and pain." They then discussed Tylenol usage for fever and pain and voltaren gel for joint pain. Patient informed RPh that she used to take "voltaren back when it was a pill a long time ago". RPh talked with patient for 10 minute after the vaccine to make sure she was fine. Patient reported no symptoms at the time.   Patient called pharmacy the next morning (1/24/23) and spoke with RPh. She reported that she was shivering, started feeling sick last night. Patient reports pain all over, joints, legs, and she feels sick to her stomach and drank ginger ale. Patient has notified her physician.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient scheduled her Shingrix vaccine over the phone and spoke to RPh the morning of on 1/24/23 to confirm her 12:20pm appointment same day. After administering Shingrix, patient stated this was her second dose in the series. Rph asked when she received her first dose and patient replied a year ago. Rph asked where she received the vaccine and she replied here at Pharmacy.  After the patient left, Rph was looking in her file and upon further inspection (search initially did not show records past 2022) showed the patient received both Shingrix doses on 3/17/2021 and 5/25/2021.
Age: 7.0
Sex: F
Vaccine: DTAP, HEP, VARCEL
Symptoms: No adverse event, Product administered to patient of inappropriate age, Product label issue, Wrong product administered
Clinical narrative: Patient age 7 years was given DTaP instead of Tdap. The Tdap box had an orange box warning stating "For 10 years of age and older". According to agency catch up schedule Tdap is to be given to children over 7 years of age. At the time of the clinic, the orange box on the Tdap was followed. 1/24/23: Contacted parent. Child is not having any adverse symptoms. An additional Tdap will be required before 7th grade entry.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Headache
Clinical narrative: I had a really painful headache. I normally don't have headaches. I took TYLENOL. The next day I had an appointment and on my way home I noticed my eyes sensitive to light. The next morning I started feeling stuffiness. I did a COVID-19 at home test and it was negative. I stayed home. The next day I started getting a slight fever of about 99.5 degrees. No sore throat though. I had a dry non-productive cough. Everyday I tested negative until December the 5th, 2022, I test positive. I was still feeling feverish, coughing and stuffy. I lost my sense of taste and smell for about a week and a half but slowly came back and now seems to have returned completely.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasal congestion, Photophobia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a really painful headache. I normally don't have headaches. I took TYLENOL. The next day I had an appointment and on my way home I noticed my eyes sensitive to light. The next morning I started feeling stuffiness. I did a COVID-19 at home test and it was negative. I stayed home. The next day I started getting a slight fever of about 99.5 degrees. No sore throat though. I had a dry non-productive cough. Everyday I tested negative until December the 5th, 2022, I test positive. I was still feeling feverish, coughing and stuffy. I lost my sense of taste and smell for about a week and a half but slowly came back and now seems to have returned completely.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Bacterial infection, Body temperature increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient with past medical history of diabetes, ESRD, obesity.   Per chart review, she tested positive for COVID-19 on 11/1. Patient was brought to the ED on 11/8 after exhibiting an altered mental status at her nursing home. En route to the ED, her temperature was 102 F, O2 sats 75-80%. Patient had another COVID PCR test done in the ED which was positive. She was admitted 11/8, eventually diagnosed with secondary bacterial infection and COVID pneumonitis. She did need to be intubated for acute respiratory failure. During admission she was found to have suffered bilateral embolic strokes. This was thought to be secondary to hypercoagulable state from COVID as well as pre-existing atrial fibrillation. Ultimately, patient was discussed with the family and the decision was made to proceed with compassionate extubation. This occurred on 12/7 and the patient passed away shortly after.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Embolic stroke, Endotracheal intubation, Hypercoagulation, Mental status changes
Clinical narrative: Patient with past medical history of diabetes, ESRD, obesity.   Per chart review, she tested positive for COVID-19 on 11/1. Patient was brought to the ED on 11/8 after exhibiting an altered mental status at her nursing home. En route to the ED, her temperature was 102 F, O2 sats 75-80%. Patient had another COVID PCR test done in the ED which was positive. She was admitted 11/8, eventually diagnosed with secondary bacterial infection and COVID pneumonitis. She did need to be intubated for acute respiratory failure. During admission she was found to have suffered bilateral embolic strokes. This was thought to be secondary to hypercoagulable state from COVID as well as pre-existing atrial fibrillation. Ultimately, patient was discussed with the family and the decision was made to proceed with compassionate extubation. This occurred on 12/7 and the patient passed away shortly after.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with past medical history of diabetes, ESRD, obesity.   Per chart review, she tested positive for COVID-19 on 11/1. Patient was brought to the ED on 11/8 after exhibiting an altered mental status at her nursing home. En route to the ED, her temperature was 102 F, O2 sats 75-80%. Patient had another COVID PCR test done in the ED which was positive. She was admitted 11/8, eventually diagnosed with secondary bacterial infection and COVID pneumonitis. She did need to be intubated for acute respiratory failure. During admission she was found to have suffered bilateral embolic strokes. This was thought to be secondary to hypercoagulable state from COVID as well as pre-existing atrial fibrillation. Ultimately, patient was discussed with the family and the decision was made to proceed with compassionate extubation. This occurred on 12/7 and the patient passed away shortly after.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 RNA
Clinical narrative: HOSPITALIZATION AND DEATH RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 82.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, Back pain, Blood creatinine increased, Blood culture, COVID-19
Clinical narrative: Discharge Provider:  DO Primary Care Provider:  MD Admission Date: 1/16/2023 Discharge Date: Jan 19, 2023 COVID positive date: 1/16/2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 82 y.o. female with past medical history of hypertension, hyperlipidemia, Parkinson's disease, non-insulin-dependent diabetes with peripheral neuropathy, CKD 3 and benign essential tremor, presented to ED due to generalized weakness and inability to get out of her recliner. She sustained a fall hitting her head and was unable to get up. EMS was summoned and she declined to present to ED. Spent day resting in her recliner and when she attempted to get up was unable to, so EMS was again summoned and brought her to ED. She reported 2-3 days of nonproductive cough, had fever per EMS.  Patient has chronic fatigue.  Patient reported intermittent weakness due to Parkinson's disease but was able to get around in her house with help of walker. Patient has fallen twice in past 6 months per her husband. Patient has chronic back pain which is unchanged from baseline. Patient also noted lower extremity swelling which is chronic and unchanged.   In ED she was febrile to 38.5. Remainder of VSS on RA. Labs with creatinine 1.11, WBC 11.74, LA 1.0. COVID+. Blood cultures were drawn. CT head and CXR unremarkable. She was given 500ml IVF and Tylenol. Patient was admitted with generalized weakness secondary to COVID19.  Patient started complaining of acute back pain.  X-rays of the spine were done which showed no acute abnormalities.  Patient was given 1 time dose of IV Dilaudid which resulted in hallucinations.  IV Dilaudid was discontinued and patient was given oral oxycodone for better pain control.  Patient was also given Flexeril and provided with heat packs.  Physical therapy and occupational therapy were consulted and recommended patient return home with home health care. Pt. will continue with her home tramadol and lidocaine patches for her back pain. Pt. to follow up with her PCP outpatient. She is discharging in improved and stable condition.
Age: 82.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chest X-ray normal, Computerised tomogram head normal, Cough, Fall, Fatigue
Clinical narrative: Discharge Provider:  DO Primary Care Provider:  MD Admission Date: 1/16/2023 Discharge Date: Jan 19, 2023 COVID positive date: 1/16/2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 82 y.o. female with past medical history of hypertension, hyperlipidemia, Parkinson's disease, non-insulin-dependent diabetes with peripheral neuropathy, CKD 3 and benign essential tremor, presented to ED due to generalized weakness and inability to get out of her recliner. She sustained a fall hitting her head and was unable to get up. EMS was summoned and she declined to present to ED. Spent day resting in her recliner and when she attempted to get up was unable to, so EMS was again summoned and brought her to ED. She reported 2-3 days of nonproductive cough, had fever per EMS.  Patient has chronic fatigue.  Patient reported intermittent weakness due to Parkinson's disease but was able to get around in her house with help of walker. Patient has fallen twice in past 6 months per her husband. Patient has chronic back pain which is unchanged from baseline. Patient also noted lower extremity swelling which is chronic and unchanged.   In ED she was febrile to 38.5. Remainder of VSS on RA. Labs with creatinine 1.11, WBC 11.74, LA 1.0. COVID+. Blood cultures were drawn. CT head and CXR unremarkable. She was given 500ml IVF and Tylenol. Patient was admitted with generalized weakness secondary to COVID19.  Patient started complaining of acute back pain.  X-rays of the spine were done which showed no acute abnormalities.  Patient was given 1 time dose of IV Dilaudid which resulted in hallucinations.  IV Dilaudid was discontinued and patient was given oral oxycodone for better pain control.  Patient was also given Flexeril and provided with heat packs.  Physical therapy and occupational therapy were consulted and recommended patient return home with home health care. Pt. will continue with her home tramadol and lidocaine patches for her back pain. Pt. to follow up with her PCP outpatient. She is discharging in improved and stable condition.
Age: 82.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Head injury, Laboratory test, Mobility decreased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider:  DO Primary Care Provider:  MD Admission Date: 1/16/2023 Discharge Date: Jan 19, 2023 COVID positive date: 1/16/2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 82 y.o. female with past medical history of hypertension, hyperlipidemia, Parkinson's disease, non-insulin-dependent diabetes with peripheral neuropathy, CKD 3 and benign essential tremor, presented to ED due to generalized weakness and inability to get out of her recliner. She sustained a fall hitting her head and was unable to get up. EMS was summoned and she declined to present to ED. Spent day resting in her recliner and when she attempted to get up was unable to, so EMS was again summoned and brought her to ED. She reported 2-3 days of nonproductive cough, had fever per EMS.  Patient has chronic fatigue.  Patient reported intermittent weakness due to Parkinson's disease but was able to get around in her house with help of walker. Patient has fallen twice in past 6 months per her husband. Patient has chronic back pain which is unchanged from baseline. Patient also noted lower extremity swelling which is chronic and unchanged.   In ED she was febrile to 38.5. Remainder of VSS on RA. Labs with creatinine 1.11, WBC 11.74, LA 1.0. COVID+. Blood cultures were drawn. CT head and CXR unremarkable. She was given 500ml IVF and Tylenol. Patient was admitted with generalized weakness secondary to COVID19.  Patient started complaining of acute back pain.  X-rays of the spine were done which showed no acute abnormalities.  Patient was given 1 time dose of IV Dilaudid which resulted in hallucinations.  IV Dilaudid was discontinued and patient was given oral oxycodone for better pain control.  Patient was also given Flexeril and provided with heat packs.  Physical therapy and occupational therapy were consulted and recommended patient return home with home health care. Pt. will continue with her home tramadol and lidocaine patches for her back pain. Pt. to follow up with her PCP outpatient. She is discharging in improved and stable condition.