chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Decreased appetite, Hypophagia
Clinical narrative: Presented to the hospital for generalized weakness, intermittent confusion,decreased appetite last 2 weeks and found to have covid 19.  Patient does not have any respiratory symptoms do not think and he needs any treatment at present. Tx.  COVID-19 virus infection, may be contributing to weakness/decreased p.o. intake.  No respiratory failure, no steroid or disorder started, supportive care, keep him in airborne precautions.  DuoNebs as needed, supplemental oxygen if needed to keep SpO2 greater than 92%.  discharged home.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Anticoagulant therapy, Aspiration, COVID-19 pneumonia, Cough
Clinical narrative: Presents to the ED complaining of SOB.  Pt states she is vaccinated for COVID, but has not received booster.  Admitted for COVID pneumonia .  Associated symptoms include cough, lower abdominal pain and diarrhea. Encephalopathy due to 2019-nCoV. Aspirating after few days after hospitalization  Tx.  4 L nasal cannula,   intubated ,  Respiratory therapy treatments, Antibiotic therapy with Azithromycin, Continue with Dexamethasone , ZINC, magnesium, Pepcid, LOVENOX.  Patient expired comfort care measures were initiated.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Dyspnoea, Encephalopathy, Endotracheal intubation
Clinical narrative: Presents to the ED complaining of SOB.  Pt states she is vaccinated for COVID, but has not received booster.  Admitted for COVID pneumonia .  Associated symptoms include cough, lower abdominal pain and diarrhea. Encephalopathy due to 2019-nCoV. Aspirating after few days after hospitalization  Tx.  4 L nasal cannula,   intubated ,  Respiratory therapy treatments, Antibiotic therapy with Azithromycin, Continue with Dexamethasone , ZINC, magnesium, Pepcid, LOVENOX.  Patient expired comfort care measures were initiated.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Erythema, Inflammatory marker test, Peripheral swelling
Clinical narrative: Presents due to swelling of his legs bilateral and erythema and found to be covid positive and placed on 5L oxygen NC .TX Steroids, lovenox, oxygen, inflammatory markers. Disposition: home.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presents due to swelling of his legs bilateral and erythema and found to be covid positive and placed on 5L oxygen NC .TX Steroids, lovenox, oxygen, inflammatory markers. Disposition: home.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Chest pain, Dizziness, Pharyngeal swelling, Rash, Swelling
Clinical narrative: Approximately 20 minutes after receiving the injection patient noted chest pain, itchy throat, throat swelling, rash on left arm, rash/swelling left neck, dizziness. Patient was taken to ER for evaluation.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Throat irritation
Clinical narrative: Approximately 20 minutes after receiving the injection patient noted chest pain, itchy throat, throat swelling, rash on left arm, rash/swelling left neck, dizziness. Patient was taken to ER for evaluation.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Status epilepticus, Symptom recurrence
Clinical narrative: STATUS EPILEPTICUS 11/25/2022 &  2/21/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Product preparation error
Clinical narrative: The Hib vaccine needs to be reconstituted. However, after finding the hib powder vaccine in the box, we realized the saline was only given and the vaccine was never reconstituted.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Angina unstable
Clinical narrative: UNSTABLE ANGINA
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 1/21/2023 --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Crying, Enuresis, Gait disturbance, Headache, Immunisation reaction
Clinical narrative: At 9 p.m., pt. started screaming and crying sporadically throughout the night saying his head hurt and leg hurt. He refused pain medication. His legs twitched throughout the night. In the morning, he cried his leg was sore and was limping. According to the handout received at the Health Department, these reactions can be a normal response to this vaccine. I took him to my mother who watched him the following day (8/3/23) while I worked. When I picked him up at 4:15 p.m., his left upper leg was very hard and very swollen and had red patches all over. The vaccine site was hard. His skin was hot to the touch. He continued to limp. He also continuously cleared his throat. I took him (and his older brother) home and when we arrived, my neighbor was outside; she is a nurse. I showed it to her and she said we should go to the ER. I called the pediatrician's office who also advised he should be taken to the ER. We arrived at the ER about 5:12 p.m. He was given oral steroids and I was told he was having a reaction to the vaccine and should never receive it again. We were released that night and he had a follow up appointment with a pediatrician the following day who prescribed a different dosage of steroid. He took the steroids for 5 days as prescribed. He continues to clear his throat constantly, has not slept through the night since receiving the vaccine, cries much of the night, has wet the bed every night since receiving the vaccine, and still complains of sporadic headaches. The injection site is still hard.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Muscle twitching
Clinical narrative: At 9 p.m., pt. started screaming and crying sporadically throughout the night saying his head hurt and leg hurt. He refused pain medication. His legs twitched throughout the night. In the morning, he cried his leg was sore and was limping. According to the handout received at the Health Department, these reactions can be a normal response to this vaccine. I took him to my mother who watched him the following day (8/3/23) while I worked. When I picked him up at 4:15 p.m., his left upper leg was very hard and very swollen and had red patches all over. The vaccine site was hard. His skin was hot to the touch. He continued to limp. He also continuously cleared his throat. I took him (and his older brother) home and when we arrived, my neighbor was outside; she is a nurse. I showed it to her and she said we should go to the ER. I called the pediatrician's office who also advised he should be taken to the ER. We arrived at the ER about 5:12 p.m. He was given oral steroids and I was told he was having a reaction to the vaccine and should never receive it again. We were released that night and he had a follow up appointment with a pediatrician the following day who prescribed a different dosage of steroid. He took the steroids for 5 days as prescribed. He continues to clear his throat constantly, has not slept through the night since receiving the vaccine, cries much of the night, has wet the bed every night since receiving the vaccine, and still complains of sporadic headaches. The injection site is still hard.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Pain in extremity, Screaming, Sleep disorder, Throat clearing, Vaccination site induration
Clinical narrative: At 9 p.m., pt. started screaming and crying sporadically throughout the night saying his head hurt and leg hurt. He refused pain medication. His legs twitched throughout the night. In the morning, he cried his leg was sore and was limping. According to the handout received at the Health Department, these reactions can be a normal response to this vaccine. I took him to my mother who watched him the following day (8/3/23) while I worked. When I picked him up at 4:15 p.m., his left upper leg was very hard and very swollen and had red patches all over. The vaccine site was hard. His skin was hot to the touch. He continued to limp. He also continuously cleared his throat. I took him (and his older brother) home and when we arrived, my neighbor was outside; she is a nurse. I showed it to her and she said we should go to the ER. I called the pediatrician's office who also advised he should be taken to the ER. We arrived at the ER about 5:12 p.m. He was given oral steroids and I was told he was having a reaction to the vaccine and should never receive it again. We were released that night and he had a follow up appointment with a pediatrician the following day who prescribed a different dosage of steroid. He took the steroids for 5 days as prescribed. He continues to clear his throat constantly, has not slept through the night since receiving the vaccine, cries much of the night, has wet the bed every night since receiving the vaccine, and still complains of sporadic headaches. The injection site is still hard.
Age: 0.67
Sex: F
Vaccine: DTPPVHBHPB, PNC13, RV5, DTPPVHBHPB, PNC13, RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient presented for 6 month WCC check, Patient is 8 months old. Provider reported only reflux issues.  Was given provided vaccinations, Vaxelis was administered for the first time and Rotateq was not age appropriate at this time.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 23.0
Sex: U
Vaccine: COVID19-2
Symptoms: No adverse event, Product container issue
Clinical narrative: No actual adverse event occurred, however we discovered a vial where part of the cap had been broken off. This was caught before given to any patient and the vial was disposed of. We looked for evidence of tampering and found none.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Symptom recurrence, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA 10/14/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: chills that night     Better by morning
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction.  Patient was given pediarix vaccine at 23.5 weeks making the Hep B not valid since the Hep B is not valid until 24 weeks of age.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: ACUTE MI
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Epilepsy
Clinical narrative: EPILEPSY, UNSPECIFIED
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA ACUTE NON ST ELEVATION MI 2/15/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 0.92
Sex: F
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: There has been no adverse events that we are aware of
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Ischaemic stroke
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE RESPIRATORY FAILURE 3/29/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient received Adult dose.
Age: 18.0
Sex: M
Vaccine: HPV9
Symptoms: Blood pressure decreased, Dizziness, Head injury, Hyperhidrosis, Hypotension
Clinical narrative: The patient had a 10 minute delayed reaction. He passed out and hit his head twice. His blood pressure dropped and was low for an hour. The patient became sweaty and dizzy.
Age: 18.0
Sex: M
Vaccine: HPV9
Symptoms: Loss of consciousness
Clinical narrative: The patient had a 10 minute delayed reaction. He passed out and hit his head twice. His blood pressure dropped and was low for an hour. The patient became sweaty and dizzy.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Headache, Vomiting
Clinical narrative: vomiting and headache
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Deep vein thrombosis, Myocardial ischaemia, Pulmonary embolism
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 4/16/2023 ACUTE NON ST ELEVATION MI I21.A1 TYPE 2 MI 4/16/2023 ACUTE NON ST ELEVATION MI I24.8 DEMAND ISCHEMIA 4/16/2023 ACUTE NON ST ELEVATION MI I26.99 ACUTE PULMONARY EMBOLISM 4/16/2023 ACUTE NON ST ELEVATION MI I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 4/20/2023 ACUTE NON ST ELEVATION MI I82.412 ACUTE DVT OF LEFT FEMORAL VEIN 4/16/2023 ACUTE NON ST ELEVATION MI I21.4 ACUTE NON ST ELEVATION MI 4/16/2023 ACUTE NON ST ELEVATION MI I21.A1 TYPE 2 MI 4/16/2023 ACUTE NON ST ELEVATION MI I24.8 DEMAND ISCHEMIA 4/16/2023 ACUTE NON ST ELEVATION MI I26.99 ACUTE PULMONARY EMBOLISM 4/16/2023 ACUTE NON ST ELEVATION MI I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 4/20/2023 ACUTE NON ST ELEVATION MI I82.412 ACUTE DVT OF LEFT FEMORAL VEIN 4/16/2023 ACUTE NON ST ELEVATION MI
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Anaemia of chronic disease, Coagulopathy
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE 4/6/2023 ANEMIA COAGULOPATHY, UNSPECIFIED TYPE 4/6/2023 ANEMIA OF CHRONIC DISEASE COAGULOPATHY, UNSPECIFIED TYPE 4/6/2023 ANEMIA
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 5/20/2022  -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Neuropathy peripheral, Pulmonary embolism
Clinical narrative: PERIPHERAL NEUROPATHY 3/30/2023 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE ACUTE PULMONARY EMBOLISM 3/30/2023 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Lacunar stroke
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Idiopathic generalised epilepsy
Clinical narrative: EPILEPSY, GENERALIZED IDIOPATHIC
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect product administration duration
Clinical narrative: Patient received vaccine after BUD
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Obstructive sleep apnoea syndrome, Sleep apnoea syndrome
Clinical narrative: INSOMNIA W SLEEP APNEA ADULT OBSTRUCTIVE SLEEP APNEA, MILD
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: ALLERGIC REACTION, INIT
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccin after BUD
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccin after BUD
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE ST ELEVATION MI, UNSPECIFIED ACUTE NON ST ELEVATION MI ACUTE ST ELEVATION MI, LEFT CORONARY ARTERY
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product administration duration
Clinical narrative: Patient received vaccine after BUD
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated against and then tested positive for COVID-19
Age: 1.25
Sex: F
Vaccine: COVID19-2
Symptoms: Interchange of vaccine products
Clinical narrative: Member received her 1st 2 doses of Covid 19 vaccine as Moderna Monovalent. Pfizer was administered and is not part of the approved formulary.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 59.0
Sex: M
Vaccine: PNC20
Symptoms: Arthralgia, Pain
Clinical narrative: Severe pain in shoulder radiating down
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Bacteraemia, Hypoxia, Prostate cancer
Clinical narrative: HYPOXIA 4/1/2023 PROSTATE CANCER HYPOXIA 4/1/2023 BACTEREMIA
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, Death
Clinical narrative: Breakthrough Covid Death
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Hypoxia, Pericarditis, Pleural effusion
Clinical narrative: ACUTE PERICARDITIS, UNSPECIFIED 3/22/2023 BILAT PLEURAL EFFUSION HYPOXIA 4/12/2023 BILAT PLEURAL EFFUSION ALLERGIC REACTION, INIT 8/9/2022 BILAT PLEURAL EFFUSION ACUTE PERICARDITIS, UNSPECIFIED 3/22/2023 PERICARDIAL EFFUSION HYPOXIA 4/12/2023 PERICARDIAL EFFUSION ALLERGIC REACTION, INIT 8/9/2022 PERICARDIAL EFFUSION
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Pneumonia
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/26/2023 PNEUMONIA
Age: 21.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: pt got 2nd bivalent shot in less than 2 months and they shouldn't get more than 1
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Presyncope
Clinical narrative: Near fainting episode
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Lacunar stroke, Petit mal epilepsy, Reversible ischaemic neurological deficit
Clinical narrative: ABSENCE EPILEPSY 4/16/2023 HTN (HYPERTENSION)  TYPE 2 MI 4/16/2023 HTN (HYPERTENSION)  ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 4/16/2023 HTN (HYPERTENSION)  REVERSIBLE ISCHEMIC NEUROLOGIC DEFICIT SYNDROME 4/19/2023 HTN (HYPERTENSION)
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Pain in extremity
Clinical narrative: The patient stated to Dr. that her arm has been hurting since the vaccination. The patient came to the ED with complaints of left arm pain on 10/11/2021 and 12/28/2021.
Age: 9.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cerebrovascular accident, Lacunar stroke, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 8/7/2022 &  10/20/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Rash
Clinical narrative: Rash on chest, gave patient 10 mL of Benadryl, rash went away after given benadryl
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI ACUTE CORONARY SYNDROME, UNSPECIFIED 3/12/2023  &   3/1/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 33.0
Sex: M
Vaccine: HEP
Symptoms: Hepatitis B antibody positive, Underdose
Clinical narrative: Patient due for 3rd and final dose of Engerix in the Hep B 3-Dose Series.  Had received one single Peds Dose as a child 2003, a second Adult Dose as an adult in 2023 and was in clinic to finish up series with 3rd (Adult) Dose of Engerix B. Patient inadvertently immunized with Pedictric Dose of Hep B which is half the strength/concentration of the adult dose. RN immediately notified patient and contacted in patient Pharmacist for advice on how to proceed. With advice of Pharmacists and patient consent, a second dose of Pediatric Engerix was administered in deltoid muscle on alternate arm. With these two doses, patient was immunized with appropriate concentration of vaccine for Adult age.
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid on binax rapid antigen test 8/10/2023- is up to date with covid vax having received 4 doses of Moderna plus a 5th dose of bivalent
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Blood glucose normal, Unresponsive to stimuli
Clinical narrative: TDAP BOOSTRIX (0.5mL PFS)  : 0.5 mL (dose no:1) given by APRN on Right Deltoid    Chicken Pox Varivax Vaccine  : 0.5 mL (dose no:1) given by APRN on Left Arm    Meningococcal MCV4O (MENVEO)  : 0.5 mL (dose no:1) given by APRN on Right Deltoid At ~ 11:12 am, ~ 2 minutes after vaccines administered, writing NP was scanning vaccine forms and heard & then observed pt's limbs bumping up against the exam table, and heading slowly toward the ground. Pt was assisted to the floor, positioned on his left side. He was unresponsive for ~15 seconds. Writing NP did not observe pt hitting his head. An individual called EMS. After ~ 20 seconds, pt opened eyes and said he was "ok". Breathing spontaneously, color unchanged, skin warm & dry. Answered questions correctly to orientation, moved all extremities. Denies that he hurts anywhere. Moist paper towel applied to pt's forehead and pt able to move all extremities. Pt denies eating breakfast. Denies ever having passed out in the past with vaccines. Pt remained in supine position on the floor for several minutes as a precaution. EMS arrived at 11:22am. Pt assisted to chair without difficulty. Writing NP took VS BP 104/62, HR 79, O2 sat 100%. Water given. Pt sipping on water. EMS checked BG-86. Pt denies wanting to go to hospital when asked by EMS. Pt observed for an additional 30". Pt reported feeling fine. Ambulating without difficulty. Brother is accompanying pt home.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Pruritus, Skin discolouration, Skin warm, Swelling
Clinical narrative: Patient developed swelling, redness with warmth to the touch. and itchiness.  Mom gave oral Benadryl. Most symptoms resolved except for arm continued to be discolored looking reddish-purple.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired MMR vaccine was inadvertently administered to the patient. No symptoms or adverse effect observed.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 82.0
Sex: F
Vaccine: TDAP
Symptoms: Expired product administered
Clinical narrative: Injection expired 7/29/23 (12 days ago) and was administered on 8/10/23.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Death
Clinical narrative: Resident expired 08/04/2023 at 03:50am
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood bicarbonate decreased, Blood chloride increased, Blood gases abnormal, Blood glucose increased, Blood lactic acid
Clinical narrative: Had diarrhea, vomiting, chills and generalized malaise x2 days following  Covid vaccine on 4/25/23, symptoms resolved by 4/28/2023.  On 4/30/2023 husband paged on-call transplant coordinator to notify team that patient had passed out at home and EMS was called. Per EMS, the patient was observed to have syncope from the commode after which EMS was immediately called.  EMS arrived within 4 minutes and initiated CPR.  Prior to arrival in the emergency department EMS administered 11 rounds of epinephrine with continuous CPR, ROSC achieved and then rearrested.  Code had been ongoing  for 45 min on arrival.  Pulse checks demonstrated PEA.  CPR was resumed and epinephrine was readministered upon arrival to ED.  4/30/23 1813 Code started 4/30/23 1816 epi administered 4/30/23 1820 epi administered 4/30/23 1824 epi administered 4/30/23 1828 epi administered 4/30/23 1831 time of death
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pH decreased, Blood potassium normal, Blood sodium decreased, Calcium ionised, Cardio-respiratory arrest
Clinical narrative: Had diarrhea, vomiting, chills and generalized malaise x2 days following  Covid vaccine on 4/25/23, symptoms resolved by 4/28/2023.  On 4/30/2023 husband paged on-call transplant coordinator to notify team that patient had passed out at home and EMS was called. Per EMS, the patient was observed to have syncope from the commode after which EMS was immediately called.  EMS arrived within 4 minutes and initiated CPR.  Prior to arrival in the emergency department EMS administered 11 rounds of epinephrine with continuous CPR, ROSC achieved and then rearrested.  Code had been ongoing  for 45 min on arrival.  Pulse checks demonstrated PEA.  CPR was resumed and epinephrine was readministered upon arrival to ED.  4/30/23 1813 Code started 4/30/23 1816 epi administered 4/30/23 1820 epi administered 4/30/23 1824 epi administered 4/30/23 1828 epi administered 4/30/23 1831 time of death
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Death, Diarrhoea, Loss of consciousness, Malaise
Clinical narrative: Had diarrhea, vomiting, chills and generalized malaise x2 days following  Covid vaccine on 4/25/23, symptoms resolved by 4/28/2023.  On 4/30/2023 husband paged on-call transplant coordinator to notify team that patient had passed out at home and EMS was called. Per EMS, the patient was observed to have syncope from the commode after which EMS was immediately called.  EMS arrived within 4 minutes and initiated CPR.  Prior to arrival in the emergency department EMS administered 11 rounds of epinephrine with continuous CPR, ROSC achieved and then rearrested.  Code had been ongoing  for 45 min on arrival.  Pulse checks demonstrated PEA.  CPR was resumed and epinephrine was readministered upon arrival to ED.  4/30/23 1813 Code started 4/30/23 1816 epi administered 4/30/23 1820 epi administered 4/30/23 1824 epi administered 4/30/23 1828 epi administered 4/30/23 1831 time of death
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: PCO2 normal, PO2 increased, Pulseless electrical activity, Resuscitation, Syncope
Clinical narrative: Had diarrhea, vomiting, chills and generalized malaise x2 days following  Covid vaccine on 4/25/23, symptoms resolved by 4/28/2023.  On 4/30/2023 husband paged on-call transplant coordinator to notify team that patient had passed out at home and EMS was called. Per EMS, the patient was observed to have syncope from the commode after which EMS was immediately called.  EMS arrived within 4 minutes and initiated CPR.  Prior to arrival in the emergency department EMS administered 11 rounds of epinephrine with continuous CPR, ROSC achieved and then rearrested.  Code had been ongoing  for 45 min on arrival.  Pulse checks demonstrated PEA.  CPR was resumed and epinephrine was readministered upon arrival to ED.  4/30/23 1813 Code started 4/30/23 1816 epi administered 4/30/23 1820 epi administered 4/30/23 1824 epi administered 4/30/23 1828 epi administered 4/30/23 1831 time of death
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: Had diarrhea, vomiting, chills and generalized malaise x2 days following  Covid vaccine on 4/25/23, symptoms resolved by 4/28/2023.  On 4/30/2023 husband paged on-call transplant coordinator to notify team that patient had passed out at home and EMS was called. Per EMS, the patient was observed to have syncope from the commode after which EMS was immediately called.  EMS arrived within 4 minutes and initiated CPR.  Prior to arrival in the emergency department EMS administered 11 rounds of epinephrine with continuous CPR, ROSC achieved and then rearrested.  Code had been ongoing  for 45 min on arrival.  Pulse checks demonstrated PEA.  CPR was resumed and epinephrine was readministered upon arrival to ED.  4/30/23 1813 Code started 4/30/23 1816 epi administered 4/30/23 1820 epi administered 4/30/23 1824 epi administered 4/30/23 1828 epi administered 4/30/23 1831 time of death
Age: 12.0
Sex: M
Vaccine: HPV9, MENB, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Meningoccal B was inadvertently administered to under age 16 in a healthly child.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Adult Hep A dose instead of Pediatric Hep A dose. Provider notified and due to patient's weight, it was determined that dose should not adverse effects for patient. Patient made aware.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE ST ELEVATION MI, LEFT ANTERIOR DESCENDING CORONARY ARTERY ACUTE ST ELEVATION MI, UNSPECIFIED ACUTE HYPOXEMIC RESPIRATORY FAILURE 2/28/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine lot number 022J21A for Moderna was expired on 04/24/2022. The vaccine was injected to the patient on 05/13/2022. We were notified on 07/03/2023.
Age: 11.0
Sex: M
Vaccine: MENB, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Meningococcal B vaccine was inadvertently administered to age under 16 in a healthy child.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine after BUD
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine after BUD
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Ataxia, Chills, Dry mouth, Dysarthria, Laboratory test normal
Clinical narrative: 6 HOURS AFTER INJECTION BEGAN EXPERIENCING SLURRED SPEECH, ATAXIA AND DRY MOUTH, WIFE CALLED 911 AND PATIENT WAS TRANSPORTED TO HOSPITAL EMERGENCY ROOM. IN ROUTE PATIENT WAS GIVEN 1 LITER OF IV FLUIDS, TESTS PERFORMED WERE ALL NEGATIVE AND PATIENT WAS RELEASED AT 4 AM ON SATURDAY 07/22/23
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Malaise, Pyrexia
Clinical narrative: 6 HOURS AFTER INJECTION BEGAN EXPERIENCING SLURRED SPEECH, ATAXIA AND DRY MOUTH, WIFE CALLED 911 AND PATIENT WAS TRANSPORTED TO HOSPITAL EMERGENCY ROOM. IN ROUTE PATIENT WAS GIVEN 1 LITER OF IV FLUIDS, TESTS PERFORMED WERE ALL NEGATIVE AND PATIENT WAS RELEASED AT 4 AM ON SATURDAY 07/22/23
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product administration duration
Clinical narrative: Patient received vaccine after BUD
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 11.0
Sex: F
Vaccine: HPV9, MENB, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Meningococcal B vaccine was inadvertently administered to under age 16 in a healthy child.
Age: 27.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus
Clinical narrative: Patient reported arm feeling itchy within 5 minutes of receiving injection.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immunisation reaction
Clinical narrative: covid arm
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: no adverse effect merely vaccine is beyond use date
Age: 12.0
Sex: M
Vaccine: HPV9, MENB, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Meningococcal B vaccine inadvertently administered to age younger than 16 in a healthy child
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Hypoaesthesia, Myalgia, Pain in extremity
Clinical narrative: Fever, chills, vomiting, extreme weakness, muscle aches, sore arm within 12 hours and resolved within 2 days.   Numbness and tingling of face, arms, and legs. onset about 24 hours after the vaccine. Numbness ongoing. Right side of face, right calf, left calf.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Pyrexia, Vomiting
Clinical narrative: Fever, chills, vomiting, extreme weakness, muscle aches, sore arm within 12 hours and resolved within 2 days.   Numbness and tingling of face, arms, and legs. onset about 24 hours after the vaccine. Numbness ongoing. Right side of face, right calf, left calf.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ischaemic stroke, Lacunar stroke
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY
Age: 14.0
Sex: M
Vaccine: HPV9, MENB
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Meningococcal B vaccine inadvertently administered to age younger than 16 in a  healthy child
Age: 11.0
Sex: F
Vaccine: HPV9, MENB, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Meningococcal B vaccine inadvertently administered to age younger than 16 in a healthy child
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Obstructive sleep apnoea syndrome, Respiratory failure, Symptom recurrence
Clinical narrative: OBSTRUCTIVE SLEEP APNEA ACUTE HYPERCAPNIC RESPIRATORY FAILURE HYPERCAPNIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 1/22/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered inadvertently after temperature excursion. Vaccine given after vial punctured and sitting at room temperature for 28 hours. Vial was first punctured on 6/26/23 at 1040. Vaccine was administered on 6/27/23 at 1500. Vial had been stored at room temperature post puncture and prior to vaccination. Patient was notified on 6/28/23 and reported no adverse effects from the vaccine administration. She again reported no adverse effects at her appointment with her PCP on 7/14/23.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Brain stem stroke, Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA ACUTE STROKE OF BRAINSTEM, UNSPECIFIED TYPE AND ARTERY
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: Extra dose administered
Clinical narrative: Patient received 2 doses of dtap + ipv (kinrix) vaccine on the same day.
Age: 12.0
Sex: M
Vaccine: HPV9, MENB, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Meningococcal B vaccine inadvertently administered to age younger than 16 in a healthy child
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Myelitis transverse
Clinical narrative: ACUTE TRANSVERSE MYELITIS GUILLAIN BARRE SYNDROME
Age: 46.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: Patient was given the wrong tetanus. Patient was given a DTaP instead of a Td.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral artery occlusion, Cerebrovascular accident, Facial paresis, Symptom recurrence
Clinical narrative: ACUTE STROKE DUE TO OCCLUSION OF RIGHT MIDDLE CEREBRAL ARTERY LEFT FACIAL MUSCLE WEAKNESS 5/2/2022  &   11/18/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac arrest, Cardiac failure, Dyspnoea, Endotracheal intubation, Gastrointestinal tube insertion
Clinical narrative: After shot, later in the evening started experiencing shortness of breath. Due to pharmacy side effects warnings that was one of them so I thought it'd go away after awhile. Unfortunately for me it began to progress so on May 11, 2023 I went to ER where I was admitted immediately for respiratory failure, two days later on May 13, 2023 I went into cardiac arrest with multiple organ failures. When the doctors brought me back to life I was intubated and placed in ICU until May 22, 2023. My breathing and feeding tubes were removed once my organs woke up and began functioning again and was moved to the PCU (progressive critical unit). On May 24, 2023 I went home to Home Healthcare Services and continue receiving physical therapy, Registered nurse care, and on oxygen. My lungs failed, my heart failed, my kidneys failed, and do not remember anything.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Gastrointestinal tube removal, Intensive care, Laboratory test, Memory impairment, Multiple organ dysfunction syndrome
Clinical narrative: After shot, later in the evening started experiencing shortness of breath. Due to pharmacy side effects warnings that was one of them so I thought it'd go away after awhile. Unfortunately for me it began to progress so on May 11, 2023 I went to ER where I was admitted immediately for respiratory failure, two days later on May 13, 2023 I went into cardiac arrest with multiple organ failures. When the doctors brought me back to life I was intubated and placed in ICU until May 22, 2023. My breathing and feeding tubes were removed once my organs woke up and began functioning again and was moved to the PCU (progressive critical unit). On May 24, 2023 I went home to Home Healthcare Services and continue receiving physical therapy, Registered nurse care, and on oxygen. My lungs failed, my heart failed, my kidneys failed, and do not remember anything.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Renal failure, Respiratory failure
Clinical narrative: After shot, later in the evening started experiencing shortness of breath. Due to pharmacy side effects warnings that was one of them so I thought it'd go away after awhile. Unfortunately for me it began to progress so on May 11, 2023 I went to ER where I was admitted immediately for respiratory failure, two days later on May 13, 2023 I went into cardiac arrest with multiple organ failures. When the doctors brought me back to life I was intubated and placed in ICU until May 22, 2023. My breathing and feeding tubes were removed once my organs woke up and began functioning again and was moved to the PCU (progressive critical unit). On May 24, 2023 I went home to Home Healthcare Services and continue receiving physical therapy, Registered nurse care, and on oxygen. My lungs failed, my heart failed, my kidneys failed, and do not remember anything.
Age: 8.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Fall, Pallor, Peripheral coldness
Clinical narrative: At 1040 after vaccinating patient with Hepatitis A and Hepatitis B vaccines, patient sat down on one of the chairs and did not report any issues. At 1043, staff heard a thud sound and saw that the patient was lying with his back on the floor. Fall was unwitnessed by the staff. PHN assisted patient to sitting position and noted patient's skin was cold to the touch, pale and no bleeding, swelling nor discoloration were noted on the patient's head. Patient's father reported that the patient only had "root" to eat for breakfast. LVN and PHN assisted patient to the gravity chair. At 1044, PHN called for Interpretation service for language translation. PHN contacted Emergency Medical Services at 1047. PHN took vital signs at 1047 and were BP: 76/47, HR: 71 and RR: 20. Patient reported that he felt "better". LVN notifed Manager. Emergency Medical Services arrived on scene and assumed care at 1049. Paramedics provided patient's father with education. At 1101, patient's father signed AMA and Emergency Medical Services left the scene. Patient denied symptoms. At 1105 patient left the facility with steady gait accompanied by his family.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Angioedema, Erythema, Pruritus
Clinical narrative: Patient woke up in the morning with angioedema of the left ear.  (Red swollen, itchy)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angioedema, Hypoxia, Pulmonary embolism, Pulmonary infarction
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE PULMONARY EMBOLISM W INFARCTION, UNSPECIFIED HYPOXIA ANGIOEDEMA, INIT
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: incorrect age group, child is 5 years  old and given the 6months to 4 year dose.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Partial seizures
Clinical narrative: FOCAL MOTOR SEIZURE
Age: 15.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Expired product administered
Clinical narrative: Patient was administered expired Kinrix  vaccine lot c5916AA exp 07/06/2023
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: No adverse event
Clinical narrative: No adverse reaction reported yet.
Age: 16.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Exposure during pregnancy, No adverse event, Pregnancy test positive
Clinical narrative: Patient was unaware of pregnancy and presented to clinic for back to school immunizations on 8/4/2023. Screening questionnaire completed by patient's father and no was marked to the question regarding any concern or risk for pregnancy now or within the next month. Patient returned to the clinic 6 days later on 8/10/2023 requesting pregnancy test and it was confirmed patient is indeed pregnant and is estimated to be 8 1/2 weeks gestation, which indicates she was pregnant at time of administration of MenQuadfi and Gardasil vaccines on 8/4/2023 visit.  Patient states she hasn't had any reactions to vaccines and is just concerned about receiving them since she is pregnant.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered Moderna Peds 6mo-5 yrs Bivalent Booster Pink Cap as first dose in series.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism
Clinical narrative: ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN ACUTE DVT OF LEFT POPLITEAL VEIN ACUTE PULMONARY EMBOLISM
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired medication given to patient. One day past Use-By Date. No adverse effects.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/6/2022,  11/28/2022,  11/26/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 17.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out while sitting in chair, rolled to floor and immediately regained consciousness. No injuries noted. Monitored for 30 minutes with vital signs after episode. History of "passing out" during blood draw.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Injected limb mobility decreased, Musculoskeletal stiffness
Clinical narrative: 8/8/23 4:02pm: Mother states patient has mild L arm stiffness after the vaccine in L deltoid. Advised to move the arm a bit, give it 5 mins, see if she feels better after that. 8/8/23 4:10pm: Mother states pt still has L shoulder pain, feeling of fullness, in the L shoulder, would like to see a dr. Advised Dr, he will look in on her. Pt breathing normally, no visible signs of acute pain or allergic reaction. Provider saw pt. today, she was then released home with mom. 8/9/23 3:06pm Nurse called patient mom to discuss labwork results and mother mentioned that patient  still has pain in the left shoulder and neck. She has limited range of motion in her left shoulder. Mom continuing to give motrin and apply ice to the area. It has been about 24 hours since she got her vaccine.  8/10/23 12:09 pm Dr. called and talked with mother, pt. is still having shoulder pain but is getting relief from ibuprofen and ice, now heat. I advised mother that I think it is best I send a VAERS report; I offered to schedule an appointment with neurology, mother would prefer to wait and is thinking since it is shoulder pain maybe a referral to PT is more appropriate. I advised her maybe ortho but will hold all referrals for now, pt. has a visit with Dr. next week and the plan is to follow up then. Mother will call sooner if pt. has worsening symptoms. I will report again the need to review with nursing staff proper vaccine administration protocol. [08/10/23 12:09pm]
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness, Malaise, Retching
Clinical narrative: Patient standing up in hallway during checkout and stated that she didn't feel good. She leaned over on her mother and passed out, she was assisted by her mother and the nurse to the floor. She immediately regained consciousness and was assisted into a chair for monitoring. She reported nausea and began dry heaving. She had not eaten anything prior to coming into clinic. Vitals signs assessed for 30 minutes, felt better and released home with mom.
Age: 1.58
Sex: M
Vaccine: COVID19-2
Symptoms: Interchange of vaccine products
Clinical narrative: 19 month old child had received 1ST Moderna Monovalent dose 7/6/2022 and 2nd dose 8/3/2022. On 8/2/2023, child presented for a well care visit at which time parents requested 3rd dose of Covid Vaccine. Child was administered Pfizer Bivalent 3mcg/0.2 ml dose at time of visit. Unauthorized mix and match for his age group.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Lymphadenopathy
Clinical narrative: Patient developed a supraclavicular lymph node enlargement..
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol normal, Blood thyroid stimulating hormone, Glycosylated haemoglobin increased, Low density lipoprotein normal, Retinal vascular occlusion
Clinical narrative: possible central arterial retinal vascular occlusion
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain, Bladder disorder, Chills, Discomfort, Fatigue
Clinical narrative: 8/3 started feeling severe fatigue- rest and given pain medication 8/6 noticed fatigue and spots on chest and back- bath, rest, pain medication 8/8 More spots on chest and abdomen and back and pain in shoulder and back that ran down the back to hip. Restless/sleepless night with severe abdominal pain, nausea, and chills- pain and fever medication, bath, rest 8/9 Doctor visit with fatigue and trunk pain, sore muscles- legs, chest and hurt to take deep breaths. Shifted to bladder and discomfort sleeping
Age: 18.0
Sex: M
Vaccine: VARCEL
Symptoms: Myalgia, Nausea, Pain, Painful respiration, Rash
Clinical narrative: 8/3 started feeling severe fatigue- rest and given pain medication 8/6 noticed fatigue and spots on chest and back- bath, rest, pain medication 8/8 More spots on chest and abdomen and back and pain in shoulder and back that ran down the back to hip. Restless/sleepless night with severe abdominal pain, nausea, and chills- pain and fever medication, bath, rest 8/9 Doctor visit with fatigue and trunk pain, sore muscles- legs, chest and hurt to take deep breaths. Shifted to bladder and discomfort sleeping