chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Oropharyngeal pain, Productive cough, Pyrexia
Clinical narrative: After a 7 day (Oct 22-28) cruise, woke up to a fever 100.4F, cough, sore throat on the morning of Oct 31. Did covid test with a home kit and confirmed positive.  My LVN son also confirmed the result with a second test. Reported thru evisit to clinic and was offered an intravenous treatment or a new tab paxlovid which I both refused.  I took 2 doses of 2 tabs 1200mg tylenol 24 hours apart. As of this writing, 11/04/22, am feeling good except for residual cough with phlegm.  Still alive.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram normal, Culture urine, Facial pain, Fatigue, Headache
Clinical narrative: The evening of the vaccination I started experiencing severe pain in my forehead; headache; fatigue and tiredness and soreness at the injection site. I was diagnosed with a UTI in September was put on antibiotics for 7 weeks and am now on a course of antibiotics injections every day for 7 days. In addition, they have found some nodules in my lymph nodes that will need further testing.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Laboratory test normal, Lymphadenopathy, Urinary tract infection
Clinical narrative: The evening of the vaccination I started experiencing severe pain in my forehead; headache; fatigue and tiredness and soreness at the injection site. I was diagnosed with a UTI in September was put on antibiotics for 7 weeks and am now on a course of antibiotics injections every day for 7 days. In addition, they have found some nodules in my lymph nodes that will need further testing.
Age: 4.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse affect noted, patient and family were waiting in the observation area for the recommended time, Parents were recommended to give daughter Motrin or Tylenol later on this evening and to call for questions and emergency room if any adverse affects were observed. Parents verbalized understanding of after care education.
Age: 39.0
Sex: M
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: .01 mL JYNNEOS Intradermal was given via the wrong route: IM, right deltoid. Patient tolerated the IM injection well with no untoward response.  Administering nurse realized her error and called immunization Nurse Consultant, Nurse also informed  the patient of the error, as well as her colleague of the route error. Immunization Nurse Consultant conferred with another authority at the State level, who recommended that the dose be immediately given again in the intended site.  The recommended re-administration was explained to the patient, who consented to the re-administration of the dose intradermally. The patient tolerated the .01 mL intradermal injection in his RFA well, and stayed for 15 minutes after the injection for observation. He was also informed of all possible untoward responses that can occur with the vaccine.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Swollen tongue, Tongue discomfort
Clinical narrative: Patient stated that on 10/25/2022 at 1:30am he noticed that half of his tongue was swollen. It was on the same side as injection site. He stated that it was uncomfortable and he was concerned so he took 2 benadryl tablets. The swelling subsided completely by 9am on the same day.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Injected limb mobility decreased, Pain in extremity, Peripheral swelling, X-ray
Clinical narrative: Patient states they were unable to lift or raise arm after the vaccine with pain, swelling, and bruising of the arm. She went to her regular MD at facility, who she alleges stated the vaccine possibly hit a nerve or was given too high.
Age: 5.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event
Clinical narrative: The provider spoke with MOC  about the vaccine and gave mother all vaccine information and what she need to look out for. A few days after the incident provider called mother again to follow up on patient and mother stated patient is doing good. No reaction to vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Fatigue, Feeling abnormal, Fibrin D dimer increased, Insomnia
Clinical narrative: Intense coughing for a couple of days, difficulty sleeping due to coughing, some mild fatigue, mild brain fog, feeling fine after 6 days.  High D-Dimer score (1316 ng/ml) July 14th, which was back to normal by (<.19) by July 19th.   Fatigue reappeared about three weeks after onset of COVID,  and has steadily improved, but still have a small amount of exercise related fatigue.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Intense coughing for a couple of days, difficulty sleeping due to coughing, some mild fatigue, mild brain fog, feeling fine after 6 days.  High D-Dimer score (1316 ng/ml) July 14th, which was back to normal by (<.19) by July 19th.   Fatigue reappeared about three weeks after onset of COVID,  and has steadily improved, but still have a small amount of exercise related fatigue.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Catheterisation cardiac, Chest X-ray, Computerised tomogram abdomen, Computerised tomogram pelvis
Clinical narrative: I developed shortness of breath and fatigue on June 11, 2022. I had an EEG on the following Friday that showed that my Mitral Valve Regurgitation had worsened and was now severe. My symptoms caused me to be scheduled for surgery on August 23, 2022. While I was waiting for surgery, I had worsened symptoms that now included anemia and elevated inflammatory factors. During my surgery they determined I had endocarditis. I had a month of antibiotic to treat it. As of today, I have no symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Condition aggravated, Dyspnoea, Echocardiogram, Electroencephalogram abnormal
Clinical narrative: I developed shortness of breath and fatigue on June 11, 2022. I had an EEG on the following Friday that showed that my Mitral Valve Regurgitation had worsened and was now severe. My symptoms caused me to be scheduled for surgery on August 23, 2022. While I was waiting for surgery, I had worsened symptoms that now included anemia and elevated inflammatory factors. During my surgery they determined I had endocarditis. I had a month of antibiotic to treat it. As of today, I have no symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Endocarditis, Fatigue, Inflammatory marker increased, Mitral valve incompetence, Surgery
Clinical narrative: I developed shortness of breath and fatigue on June 11, 2022. I had an EEG on the following Friday that showed that my Mitral Valve Regurgitation had worsened and was now severe. My symptoms caused me to be scheduled for surgery on August 23, 2022. While I was waiting for surgery, I had worsened symptoms that now included anemia and elevated inflammatory factors. During my surgery they determined I had endocarditis. I had a month of antibiotic to treat it. As of today, I have no symptoms.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect product formulation administered
Clinical narrative: Patient came into clinic for vaccine, upon chart review it was noticed he had received one Moderna prior. Patient was given a primary series Moderna 0.5 mL thinking this would complete his series.  I failed to see he had also received a Janseen vaccine the first time.  He would then have needed to have the Moderna Bivalent administered instead.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Syncope
Clinical narrative: Patient fainted twice
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: The patient received an undiluted orange cap pediatric pfizer does (0.3ml) instead of the appropriate 0.3ml dose of the gray cap 12+ pfizer shot
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer Monovalent Instead of Pfizer Bivalent.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Blindness transient, Deafness, Dizziness, Skin discolouration, Vomiting
Clinical narrative: 15yo was anxious prior to receiving flu shot. shortly after, patient turned white in color, felt dizzy, light headed. she sat down for a bit, gave her some water. some dum-dums. threw up in imz room, stated temp loss of hearing and vision. gave her some chocolate, she sat down for a little bit and felt better. she has had flu shots prior, but stated was really anxious.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arrhythmia, Electrocardiogram abnormal, Palpitations, Ventricular extrasystoles
Clinical narrative: Cardiac arrhythmias, multiple PVCs per minute, palpitations, and chest
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED COVID VACCINE WAS GIVEN. EXPIRED 10/29
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal
Clinical narrative: PATIENT STATED SHE FELT "VERY OFF AND JUST ALL AROUND BAD" FOR AN ENTIRE DAY THEN FELT FINE AGAIN THE NEXT DAY.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Muscle spasms, Nausea, Tremor
Clinical narrative: Patient states that last night she started having chills, shaking, nausea and a cramp under her ribs.  This morning she said that that was all better but she had a fever of 99.  Instructed patient to continue to monitor and to go in hospital if symptoms worsen or any chest pain or shortness of breath occur.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on bilateral legs and arms
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation error, Wrong product administered
Clinical narrative: Patient received an undiluted 0.3ml dose of the pediatric orange cap pfizer instead of the correct 0.3ml dose of the gray cap pfizer
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: NO Adverse effective reported.  fully vaccinated received a monovalent instead of bivalent pfizer  booster.  We notified the client today that she was vaccinated with the Pfizer Monovalent instead of the Pfizer Bivalent booster. We provided assurance that there are no safety issues with the vaccination she received today.    We informed her that the Pfizer monovalent vaccine is still used as a first and second COVID vaccine and was previously used as a booster.  We informed her that the monovalent dose she received yesterday would not give her the full range of coverage of the current bivalent dose.   We advised her in 2 months; she will be able to receive the Pfizer Bivalent Booster if she wishes.  We answered all her questions.    She verbalized her understanding of all information given.  She was grateful for the information we provided and assured us she will get the bivalent in two months.
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient described site of injection formed a bump that moved down to the back of the elbow. The area became warm, red, and warm to the touch.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: POST VACCINATION ONE HOUR LATER PARENT CALLED AND INDICATED THAT PATIENT HAS REDNESS AND SWELLING AT INJECTION SITE.
Age: 15.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Dizziness, Syncope
Clinical narrative: Pt felt light headed and fainted for few seconds then woke up. We called emergency services and then the paramedics came and assessed her and left Pt was free to go home.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Blood test, Chest pain, Computerised tomogram, Dyspnoea
Clinical narrative: Within hours of receiving my 5th COVID booster shot, I began to have severe breathing problems and severe pain in my chest,  I was admitted to the Hospital and after many test it was determined that I did not have a heart attack but instead I had pericarditis which is inflammation of the heart sac tissue.  I now take colchicine 6mg and I am beginning to feel better.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Echocardiogram, Electrocardiogram, Pericarditis
Clinical narrative: Within hours of receiving my 5th COVID booster shot, I began to have severe breathing problems and severe pain in my chest,  I was admitted to the Hospital and after many test it was determined that I did not have a heart attack but instead I had pericarditis which is inflammation of the heart sac tissue.  I now take colchicine 6mg and I am beginning to feel better.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered the Pfizer COVID vaccine instead of the Pfizer Bivalent COVID vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Pfizer COVID vaccine instead of the Pfizer Bivalent COVID vaccine.
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Culture negative, Feeling hot, Induration, Peripheral swelling, Tenderness
Clinical narrative: A bump on my right arm formed.  At first I thought it might be a pimple.  I don?t recall exactly when I first noticed but by 10/17 I thought perhaps it was a bug bite that I was having a reaction to, however topically applied hydrocortisone did not eliminate the issue.  Over a week the bump grew marginally.  A week later the bump began to widen with a stiff edge and squishy center that became more tender as more time passed and I suspected an infection.  After a week of topical antibiotic ointment and heat compress, no improvement.  I felt hot but did not have a fever and decided to have a physician look at it on 10/30 to decide if it was an abscess that needed to be relieved.  Physician confirmed condition..
Age: 35.0
Sex: M
Vaccine: COVID19-2
Symptoms: Burning sensation, Dizziness, Feeling abnormal, Feeling hot, Hyperhidrosis
Clinical narrative: About 1 min after injection, started feelinh strange. Lymphnode in armpit felt like fire.   Around minute 2, felt as if on the verge of vomiting. Tingles all over body.    Quickly after, felt hot and started sweating as if ran for miles. Incredibly dizzy and on the verge of passing out.  After around 5 minutes of head between knees, symptoms began to subside.  Around 15 to 20 minutes after injection, tounge felt large and almost felt like something was stuck in throat. Took benadryl. After 15 more minutes, tounge and throat issue subsided. 5.5 hours after injection, arm is heavy and painful to move. Feel nauseated.
Age: 35.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Limb discomfort, Lymph node pain, Nausea, Pain
Clinical narrative: About 1 min after injection, started feelinh strange. Lymphnode in armpit felt like fire.   Around minute 2, felt as if on the verge of vomiting. Tingles all over body.    Quickly after, felt hot and started sweating as if ran for miles. Incredibly dizzy and on the verge of passing out.  After around 5 minutes of head between knees, symptoms began to subside.  Around 15 to 20 minutes after injection, tounge felt large and almost felt like something was stuck in throat. Took benadryl. After 15 more minutes, tounge and throat issue subsided. 5.5 hours after injection, arm is heavy and painful to move. Feel nauseated.
Age: 35.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity, Paraesthesia, Presyncope, Sensation of foreign body, Swollen tongue
Clinical narrative: About 1 min after injection, started feelinh strange. Lymphnode in armpit felt like fire.   Around minute 2, felt as if on the verge of vomiting. Tingles all over body.    Quickly after, felt hot and started sweating as if ran for miles. Incredibly dizzy and on the verge of passing out.  After around 5 minutes of head between knees, symptoms began to subside.  Around 15 to 20 minutes after injection, tounge felt large and almost felt like something was stuck in throat. Took benadryl. After 15 more minutes, tounge and throat issue subsided. 5.5 hours after injection, arm is heavy and painful to move. Feel nauseated.
Age: 59.0
Sex: M
Vaccine: COVID19, FLUR4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Pfizer COVID vaccine instead of the Pfizer Bivalent COVID vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Mental status changes
Clinical narrative: Patient experienced weakness and mental status changes approximately 15-30 minutes after administration to the point where ems needed to be summoned, Never lost consciousness.   Patient transported to emergency room. Status unknown at time of report .
Age: 10.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5 mL (50 ?g) dose instead of 0.25 mL (25 ?g) dose that is authorized by the EUA for ages 6-11.
Age: 75.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site rash, Injection site swelling, Wrong product administered
Clinical narrative: The patient was given Fluzone HD and he has an egg allergy.  He experienced swelling and rash at the injection site which resolved over 6 days by taking diphenhydramine.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Injection site pain, Pain in extremity, Paraesthesia
Clinical narrative: Patient called to report soreness and pressure along her entire arm. She stated that her deltoid was sore from the vaccine right after the shot, but about 2 hours later her entire arm was starting to feel like it was "falling asleep." She noted that she was still able to feel her fingers.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Pfizer COVID vaccine instead of the Pfizer Bivalent COVID vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Palpitations
Clinical narrative: Continual heart palpitations
Age: 52.0
Sex: M
Vaccine: COVID19, FLUR4, VARZOS
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Pfizer COVID vaccine instead of the Pfizer Bivalent COVID vaccine.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Pfizer COVID vaccine instead of the Pfizer Bivalent COVID vaccine.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Intentional removal of drug delivery system by patient
Clinical narrative: Minor patient accompanied by her mother on 11/4/2022 and vaccinated by, RN.  Per, RN written report to Charge Nurse, RN as follows:  [Begin Report]  Child moved while injecting dose and unable to vaccinate as the needle once inserted came out following patient movement. Needle remained intact, zero vaccine was injected, and patient right thigh injection site appeared within defined limits upon assessment. Nursing staff, RN stayed with patient and Charge Nurse while vaccinating nurse sought assistance, RN and Site Supervisor, RN then made aware and they responded immediately. Needle assessed as intact by Site Supervisor, RN. Site Supervisor then spoke with the patient's mother about clinic policy of injecting in the opposite thigh for a second vaccination attempt. Patient mother verbally refused and stated that she only wanted her child vaccinated in the right thigh again for the second attempt. This vaccinating nurse able to successfully vaccinate child in right thigh. Family safely escorted to the post-vaccination area by Site Supervisor.   [End Report]  Per Charge Nurse, RN observation child had calm and playful appearance once seated with mom in the post-vaccination waiting area and began walking around the area safely. Patient safely walked out of the clinic drinking her juice with mom at 5:55pm. Mom thanked staff for their assistance in vaccinating her child upon clinic exit.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Decreased appetite, Headache, Pain, Pyrexia
Clinical narrative: fever, chills, body aches, headache, loss of appetite. lasted for 30 hours
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood magnesium, Blood test normal, Chest pain, Dizziness, Dyspnoea
Clinical narrative: I was driving to work on Friday Oct 21st and I had a sudden strong pain in my left chest, immediately followed by dizziness and shortness of breath.  I pulled over and got out of my vehicle to catch my breath.  My fit bit had a heart rate reading of 150 bpm.  After gaining control, I drove to the nearest Emergency Room.  They did an EKG and drew blood to ensure I had no heart damage or blood clot.  Everything came back fine.  I went home by 1:00 that afternoon and rested the rest of the day.  I felt fine by that evening.  I had minor palpitations the rest of the weekend and focused on mindfulness to get through the episodes.  Overall I was fine the following week.  Note that before heading to work, I did a quick workout that brought my heart rate to around 125, but showers and got ready and my heart rate went down below 100 bpm.  The next weekend on Saturday Oct 29 I went hiking and had a max heart rate of 125 bpm.  After the hike, I went home to shower before meeting a friend for dinner.  While getting ready, my heart rate spiked to 145 bpm.  Again, I tried to focus on breathing, but the heart rate would not go below 125 bpm while resting.  I went to bed early but woke from a pounding heart.  By morning, my heart rate had leveled out near 100 bpm.  The following days were up and down with heart palpitations on and off, but no sudden pain like I experienced during the initial incident that occurred on Friday Oct 21.  For the first time since the Saturday Oct 29th incident, today, Nov 4th, my heart rate has been fairly consistent around 74 bpm while resting.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram normal, Fibrin D dimer, Heart rate increased, Impaired driving ability, Palpitations
Clinical narrative: I was driving to work on Friday Oct 21st and I had a sudden strong pain in my left chest, immediately followed by dizziness and shortness of breath.  I pulled over and got out of my vehicle to catch my breath.  My fit bit had a heart rate reading of 150 bpm.  After gaining control, I drove to the nearest Emergency Room.  They did an EKG and drew blood to ensure I had no heart damage or blood clot.  Everything came back fine.  I went home by 1:00 that afternoon and rested the rest of the day.  I felt fine by that evening.  I had minor palpitations the rest of the weekend and focused on mindfulness to get through the episodes.  Overall I was fine the following week.  Note that before heading to work, I did a quick workout that brought my heart rate to around 125, but showers and got ready and my heart rate went down below 100 bpm.  The next weekend on Saturday Oct 29 I went hiking and had a max heart rate of 125 bpm.  After the hike, I went home to shower before meeting a friend for dinner.  While getting ready, my heart rate spiked to 145 bpm.  Again, I tried to focus on breathing, but the heart rate would not go below 125 bpm while resting.  I went to bed early but woke from a pounding heart.  By morning, my heart rate had leveled out near 100 bpm.  The following days were up and down with heart palpitations on and off, but no sudden pain like I experienced during the initial incident that occurred on Friday Oct 21.  For the first time since the Saturday Oct 29th incident, today, Nov 4th, my heart rate has been fairly consistent around 74 bpm while resting.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Sinus tachycardia, Sleep disorder, Troponin
Clinical narrative: I was driving to work on Friday Oct 21st and I had a sudden strong pain in my left chest, immediately followed by dizziness and shortness of breath.  I pulled over and got out of my vehicle to catch my breath.  My fit bit had a heart rate reading of 150 bpm.  After gaining control, I drove to the nearest Emergency Room.  They did an EKG and drew blood to ensure I had no heart damage or blood clot.  Everything came back fine.  I went home by 1:00 that afternoon and rested the rest of the day.  I felt fine by that evening.  I had minor palpitations the rest of the weekend and focused on mindfulness to get through the episodes.  Overall I was fine the following week.  Note that before heading to work, I did a quick workout that brought my heart rate to around 125, but showers and got ready and my heart rate went down below 100 bpm.  The next weekend on Saturday Oct 29 I went hiking and had a max heart rate of 125 bpm.  After the hike, I went home to shower before meeting a friend for dinner.  While getting ready, my heart rate spiked to 145 bpm.  Again, I tried to focus on breathing, but the heart rate would not go below 125 bpm while resting.  I went to bed early but woke from a pounding heart.  By morning, my heart rate had leveled out near 100 bpm.  The following days were up and down with heart palpitations on and off, but no sudden pain like I experienced during the initial incident that occurred on Friday Oct 21.  For the first time since the Saturday Oct 29th incident, today, Nov 4th, my heart rate has been fairly consistent around 74 bpm while resting.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Chills, Dyspnoea
Clinical narrative: PATIENT EXPERIENCED SORTNESS OF BREATH, CHILLS AND CHEST PAIN.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No Adverse effect, vaccine was given post expiry date which is 9/30/22, but per communication from Pfizer, per stability data vaccine is stable until 10/19/2022
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse effect, the vaccine was administered after the expiry which was 9/30/22. but per Pfizer the vaccine is stable until 10/19/22
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: C-reactive protein, Computerised tomogram, Facial paralysis, Full blood count, Herpes zoster oticus
Clinical narrative: Developed Ramsey Hunt Syndrome  Severe left facial nerve paralysis, decrease hearing left side and  severe vertigo with nausea vomiting requiring hospitalization
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoacusis, Metabolic function test, Nausea, Vertigo, Vomiting
Clinical narrative: Developed Ramsey Hunt Syndrome  Severe left facial nerve paralysis, decrease hearing left side and  severe vertigo with nausea vomiting requiring hospitalization
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse effect, vaccine was administered after expiry which was 9/30/22. but per Pfizer vaccine is stable until 10/19/22
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pruritus, Rash erythematous, Rash papular
Clinical narrative: VACCINE ADMINISTERED AROUND 10:30 AM 11/2/22. PATIENT STATES AROUND 8PM THAT NIGHT HE HAD EXTREME ITCHING AND NOTICED RED, RAISED RASH FROM CHIN DOWN. PATIENT STATES 11/3/22  RASH WAS DEVELOPING IN MORE AREAS AND EXTREME ITCHING. PATIENT REPORTS 11/4/22 IS CONSIDERABLY BETTER FOR ITCH BUT RASH REMAINS.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest X-ray, Echocardiogram, Electrocardiogram, Heart rate increased
Clinical narrative: Had elevated heart rate shortly after receiving booster with no prior experiences.  BPM of 160 when walking from sleep.  Multiple trips to ER. Doctor follow ups.  Have not had anything to help.   Had two prior vaccinations with minimal side effects.  2 years later,  and I still experience periodic elevated heart rate.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Lipids
Clinical narrative: Had elevated heart rate shortly after receiving booster with no prior experiences.  BPM of 160 when walking from sleep.  Multiple trips to ER. Doctor follow ups.  Have not had anything to help.   Had two prior vaccinations with minimal side effects.  2 years later,  and I still experience periodic elevated heart rate.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: After administering the vaccine to the patient, I realized that I gave her an expired vaccine dose. (over 24 hours old). The pt did not experience or complain of any adverse side effect or reactions during the 15 minute waiting period after giving her the vaccine. Pt was discharged home in good condition. This event was reported to my supervisor and a report was made.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: Rest
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: None reported, when asked on 11/3/22 patient stated she was fine.
Age: 13.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Discovered upon processing paperwork into system that patient was given Pfizer Bivalent as their 1st and 2nd dose (primary series)
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Pyrexia, Vomiting
Clinical narrative: Fever, headache, vomiting, fatigue
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Injection site pain, Pain
Clinical narrative: Severe pain at injection site, arm pit, and radiating down to the wrist.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site nodule, Injection site swelling, Injection site urticaria
Clinical narrative: Fever, body aches, fatigue on day 1 Swollen injection site area noted with hives on day 2 Swollen injection site with hives and a hard knot at the injection sight as well as a severe headache with nausea, vomiting, and visual disturbances on day 3
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Visual impairment, Vomiting
Clinical narrative: Fever, body aches, fatigue on day 1 Swollen injection site area noted with hives on day 2 Swollen injection site with hives and a hard knot at the injection sight as well as a severe headache with nausea, vomiting, and visual disturbances on day 3
Age: 16.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dizziness, Loss of consciousness, Pallor, Vision blurred
Clinical narrative: Patient started feeling dizzy, and had blurry vision right after covid 19 updated booster bivalent, and had a minute of black out then came back to herself afterwards even though she looked pale
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, Incorrect product formulation administered
Clinical narrative: The patient's primary covid-19 vaccine series had not been confirmed prior to administering the moderna bivalent booster dose. After administering the bivalent booster dose, the patient asked me to update his vaccine card. It was then that I discovered he only had the first dose of pfizer in his primary series.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: admister monovalent instead of bivalent
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: administer monovalent instead of bivalent
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: The pharmacist accidentally administered 2 doses of the Covid Pfizer Bivalent booster to the patient. Patient did not receive the flu shot. Pharmacy will call the patient daily to check on his condition.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: admister monovalent instead of bivalent
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness
Clinical narrative: that day she began feeling dizzy. She stated the dizziness got worse and she felt like she was going to pass out so she stayed home. Patient stated by Monday she was feeling fine, but read over the paper she received when she got her flu shot and it said to call and report if adverse reactions were experienced.
Sex: U
Vaccine: COVID19-2, COVID19-2, FLUX(H1N1)
Symptoms: Unevaluable event
Clinical narrative: We have received a shipment of the new bivalent COVID boosters. We have to stock these in the same machines as the monovalent vaccines. I can anticipate this will be a great source of mix-up for our staff as they look identical except for the small wording on the front. Do you have any suggestions for proactively combating this issues? Thank you so much. Contributing Factors Similar labels/packaging. Severity Circumstances or events have capacity to cause error
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Acute kidney injury, Asthenia, Brain natriuretic peptide increased, C-reactive protein increased
Clinical narrative: Bivalent COVID vaccine given on 9/27/22. 10/28/22 - 56-year-old female history of hypertension presents with flulike symptoms. Patient has had symptoms for 2 weeks (starting 10/14/22). Was seen at an urgent care and tested negative for COVID. Was treated supportively. Several days later was seen by primary care and treated with Mucinex and prednisone. Has continued to have cough myalgias fatigue and body aches. Has used over-the-counter medications with some relief. Denies any central chest pain but does note a left upper quadrant/left lower chest. With cough and shortness of breath. Cough is intermittently productive. She arrives EMS and was febrile in route. Is feeling faint and weak. She has not a smoker and has no cardiac history Patient presenting with fever palpitations and dyspnea. Concerning for myocarditis. No alternative source for infectious pathology given her elevated white blood cell count, fever, elevated CRP. Also with an elevated troponin and BNP with global ischemic changes on EKG that are also suggestive of cardiac pathology. Initially hypotensive and tachycardic which has improved with IV fluids. Her fever has resolved. Broadly cultured and provided IV antibiotic's to treat for empiric sepsis. No evidence of fulminant heart failure requiring vasopressors or respiratory support at this time. Cardiology consulted and will evaluate this morning for potential initiation of steroids for myocarditis. We will continue to treat supportively and monitor blood pressure and ensure no arrhythmias develop. Cardiology Note 10/29/22 PLAN/RECOMMENDATIONS: 1. Likely infective endocarditis of the aortic valve; 1 bottle thus far is positive for Streptococcus as transthoracic echo shows evidence of moderate size vegetation on the aortic valve 2. Acute kidney injury, resolved 3. Transient hypotension, resolved 4. Morbid obesity 5. Troponin elevation that have down trended with mild but flat elevation this a.m. Reviewed results with patient and overall plan of care and she understands that she is better served with transfer over to Medical Center for further evaluation to include further assessment with infectious disease service. Also potentially if patient requires CT surgery that is available. We will not perform transesophageal in our hospital as it will likely be performed at Medical Center. No further recommendations at this time
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac valve vegetation, Chest pain, Cough, Culture positive, Dizziness
Clinical narrative: Bivalent COVID vaccine given on 9/27/22. 10/28/22 - 56-year-old female history of hypertension presents with flulike symptoms. Patient has had symptoms for 2 weeks (starting 10/14/22). Was seen at an urgent care and tested negative for COVID. Was treated supportively. Several days later was seen by primary care and treated with Mucinex and prednisone. Has continued to have cough myalgias fatigue and body aches. Has used over-the-counter medications with some relief. Denies any central chest pain but does note a left upper quadrant/left lower chest. With cough and shortness of breath. Cough is intermittently productive. She arrives EMS and was febrile in route. Is feeling faint and weak. She has not a smoker and has no cardiac history Patient presenting with fever palpitations and dyspnea. Concerning for myocarditis. No alternative source for infectious pathology given her elevated white blood cell count, fever, elevated CRP. Also with an elevated troponin and BNP with global ischemic changes on EKG that are also suggestive of cardiac pathology. Initially hypotensive and tachycardic which has improved with IV fluids. Her fever has resolved. Broadly cultured and provided IV antibiotic's to treat for empiric sepsis. No evidence of fulminant heart failure requiring vasopressors or respiratory support at this time. Cardiology consulted and will evaluate this morning for potential initiation of steroids for myocarditis. We will continue to treat supportively and monitor blood pressure and ensure no arrhythmias develop. Cardiology Note 10/29/22 PLAN/RECOMMENDATIONS: 1. Likely infective endocarditis of the aortic valve; 1 bottle thus far is positive for Streptococcus as transthoracic echo shows evidence of moderate size vegetation on the aortic valve 2. Acute kidney injury, resolved 3. Transient hypotension, resolved 4. Morbid obesity 5. Troponin elevation that have down trended with mild but flat elevation this a.m. Reviewed results with patient and overall plan of care and she understands that she is better served with transfer over to Medical Center for further evaluation to include further assessment with infectious disease service. Also potentially if patient requires CT surgery that is available. We will not perform transesophageal in our hospital as it will likely be performed at Medical Center. No further recommendations at this time
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Endocarditis, Fatigue
Clinical narrative: Bivalent COVID vaccine given on 9/27/22. 10/28/22 - 56-year-old female history of hypertension presents with flulike symptoms. Patient has had symptoms for 2 weeks (starting 10/14/22). Was seen at an urgent care and tested negative for COVID. Was treated supportively. Several days later was seen by primary care and treated with Mucinex and prednisone. Has continued to have cough myalgias fatigue and body aches. Has used over-the-counter medications with some relief. Denies any central chest pain but does note a left upper quadrant/left lower chest. With cough and shortness of breath. Cough is intermittently productive. She arrives EMS and was febrile in route. Is feeling faint and weak. She has not a smoker and has no cardiac history Patient presenting with fever palpitations and dyspnea. Concerning for myocarditis. No alternative source for infectious pathology given her elevated white blood cell count, fever, elevated CRP. Also with an elevated troponin and BNP with global ischemic changes on EKG that are also suggestive of cardiac pathology. Initially hypotensive and tachycardic which has improved with IV fluids. Her fever has resolved. Broadly cultured and provided IV antibiotic's to treat for empiric sepsis. No evidence of fulminant heart failure requiring vasopressors or respiratory support at this time. Cardiology consulted and will evaluate this morning for potential initiation of steroids for myocarditis. We will continue to treat supportively and monitor blood pressure and ensure no arrhythmias develop. Cardiology Note 10/29/22 PLAN/RECOMMENDATIONS: 1. Likely infective endocarditis of the aortic valve; 1 bottle thus far is positive for Streptococcus as transthoracic echo shows evidence of moderate size vegetation on the aortic valve 2. Acute kidney injury, resolved 3. Transient hypotension, resolved 4. Morbid obesity 5. Troponin elevation that have down trended with mild but flat elevation this a.m. Reviewed results with patient and overall plan of care and she understands that she is better served with transfer over to Medical Center for further evaluation to include further assessment with infectious disease service. Also potentially if patient requires CT surgery that is available. We will not perform transesophageal in our hospital as it will likely be performed at Medical Center. No further recommendations at this time
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension, Influenza like illness, Myalgia, Myocardial ischaemia, Myocarditis
Clinical narrative: Bivalent COVID vaccine given on 9/27/22. 10/28/22 - 56-year-old female history of hypertension presents with flulike symptoms. Patient has had symptoms for 2 weeks (starting 10/14/22). Was seen at an urgent care and tested negative for COVID. Was treated supportively. Several days later was seen by primary care and treated with Mucinex and prednisone. Has continued to have cough myalgias fatigue and body aches. Has used over-the-counter medications with some relief. Denies any central chest pain but does note a left upper quadrant/left lower chest. With cough and shortness of breath. Cough is intermittently productive. She arrives EMS and was febrile in route. Is feeling faint and weak. She has not a smoker and has no cardiac history Patient presenting with fever palpitations and dyspnea. Concerning for myocarditis. No alternative source for infectious pathology given her elevated white blood cell count, fever, elevated CRP. Also with an elevated troponin and BNP with global ischemic changes on EKG that are also suggestive of cardiac pathology. Initially hypotensive and tachycardic which has improved with IV fluids. Her fever has resolved. Broadly cultured and provided IV antibiotic's to treat for empiric sepsis. No evidence of fulminant heart failure requiring vasopressors or respiratory support at this time. Cardiology consulted and will evaluate this morning for potential initiation of steroids for myocarditis. We will continue to treat supportively and monitor blood pressure and ensure no arrhythmias develop. Cardiology Note 10/29/22 PLAN/RECOMMENDATIONS: 1. Likely infective endocarditis of the aortic valve; 1 bottle thus far is positive for Streptococcus as transthoracic echo shows evidence of moderate size vegetation on the aortic valve 2. Acute kidney injury, resolved 3. Transient hypotension, resolved 4. Morbid obesity 5. Troponin elevation that have down trended with mild but flat elevation this a.m. Reviewed results with patient and overall plan of care and she understands that she is better served with transfer over to Medical Center for further evaluation to include further assessment with infectious disease service. Also potentially if patient requires CT surgery that is available. We will not perform transesophageal in our hospital as it will likely be performed at Medical Center. No further recommendations at this time
Sex: F
Vaccine: COVID19-2
Symptoms: Obesity, Pain, Palpitations, Productive cough, Pyrexia
Clinical narrative: Bivalent COVID vaccine given on 9/27/22. 10/28/22 - 56-year-old female history of hypertension presents with flulike symptoms. Patient has had symptoms for 2 weeks (starting 10/14/22). Was seen at an urgent care and tested negative for COVID. Was treated supportively. Several days later was seen by primary care and treated with Mucinex and prednisone. Has continued to have cough myalgias fatigue and body aches. Has used over-the-counter medications with some relief. Denies any central chest pain but does note a left upper quadrant/left lower chest. With cough and shortness of breath. Cough is intermittently productive. She arrives EMS and was febrile in route. Is feeling faint and weak. She has not a smoker and has no cardiac history Patient presenting with fever palpitations and dyspnea. Concerning for myocarditis. No alternative source for infectious pathology given her elevated white blood cell count, fever, elevated CRP. Also with an elevated troponin and BNP with global ischemic changes on EKG that are also suggestive of cardiac pathology. Initially hypotensive and tachycardic which has improved with IV fluids. Her fever has resolved. Broadly cultured and provided IV antibiotic's to treat for empiric sepsis. No evidence of fulminant heart failure requiring vasopressors or respiratory support at this time. Cardiology consulted and will evaluate this morning for potential initiation of steroids for myocarditis. We will continue to treat supportively and monitor blood pressure and ensure no arrhythmias develop. Cardiology Note 10/29/22 PLAN/RECOMMENDATIONS: 1. Likely infective endocarditis of the aortic valve; 1 bottle thus far is positive for Streptococcus as transthoracic echo shows evidence of moderate size vegetation on the aortic valve 2. Acute kidney injury, resolved 3. Transient hypotension, resolved 4. Morbid obesity 5. Troponin elevation that have down trended with mild but flat elevation this a.m. Reviewed results with patient and overall plan of care and she understands that she is better served with transfer over to Medical Center for further evaluation to include further assessment with infectious disease service. Also potentially if patient requires CT surgery that is available. We will not perform transesophageal in our hospital as it will likely be performed at Medical Center. No further recommendations at this time
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Sepsis, Streptococcus test positive, Tachycardia, Troponin increased
Clinical narrative: Bivalent COVID vaccine given on 9/27/22. 10/28/22 - 56-year-old female history of hypertension presents with flulike symptoms. Patient has had symptoms for 2 weeks (starting 10/14/22). Was seen at an urgent care and tested negative for COVID. Was treated supportively. Several days later was seen by primary care and treated with Mucinex and prednisone. Has continued to have cough myalgias fatigue and body aches. Has used over-the-counter medications with some relief. Denies any central chest pain but does note a left upper quadrant/left lower chest. With cough and shortness of breath. Cough is intermittently productive. She arrives EMS and was febrile in route. Is feeling faint and weak. She has not a smoker and has no cardiac history Patient presenting with fever palpitations and dyspnea. Concerning for myocarditis. No alternative source for infectious pathology given her elevated white blood cell count, fever, elevated CRP. Also with an elevated troponin and BNP with global ischemic changes on EKG that are also suggestive of cardiac pathology. Initially hypotensive and tachycardic which has improved with IV fluids. Her fever has resolved. Broadly cultured and provided IV antibiotic's to treat for empiric sepsis. No evidence of fulminant heart failure requiring vasopressors or respiratory support at this time. Cardiology consulted and will evaluate this morning for potential initiation of steroids for myocarditis. We will continue to treat supportively and monitor blood pressure and ensure no arrhythmias develop. Cardiology Note 10/29/22 PLAN/RECOMMENDATIONS: 1. Likely infective endocarditis of the aortic valve; 1 bottle thus far is positive for Streptococcus as transthoracic echo shows evidence of moderate size vegetation on the aortic valve 2. Acute kidney injury, resolved 3. Transient hypotension, resolved 4. Morbid obesity 5. Troponin elevation that have down trended with mild but flat elevation this a.m. Reviewed results with patient and overall plan of care and she understands that she is better served with transfer over to Medical Center for further evaluation to include further assessment with infectious disease service. Also potentially if patient requires CT surgery that is available. We will not perform transesophageal in our hospital as it will likely be performed at Medical Center. No further recommendations at this time