chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECIEVED VACCINE AFTER THE BEYOND DUE DATE. THERE WAS NO REPORTED SIDE EFFECTS. PFIZER WAS CALLED ABOUT THIS.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Deep vein thrombosis
Clinical narrative: ACUTE DVT, UNSPECIFIED VEIN ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Covid Breakthrough Infection
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Injected limb mobility decreased, Injection site pain, Joint range of motion decreased, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Complains of a sore left arm since the injections on 7/5/23. She felt that the vaccines were given to high and hurt more going in and afterwards than usual. She has had pain the whole time since. It started to get better but has plateaued since. She cannot use full range of motion of her shoulder due to the pain. It isn't red, hot or swollen and there is no fever.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Angina unstable
Clinical narrative: UNSTABLE ANGINA
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Covid Breakthrough Infection
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: HYPOXIA 2/1/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: VACCINES GIVEN LEFT ARM  7/26/2023.  7/27/2023 IN THE EVENING, AREA WHERE THE VACCINES WERE GIVEN, WAS SWOLLEN.  OFFICE VISIT 7/28/2023 LEFT ARM, WHERE VACCINES WERE GIVEN WAS RED,  ITCHY, PAINFUL TO THE TOUCH AND THE CIRCLE SURROUNDING THE INJECTION SITE WAS LARGER THAN A TENNIS BALL.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered, Injection site pain
Clinical narrative: EXTRA DOSES OF DTAP-IPV AND MMRV GIVEN BY ERROR PATIENT COMPLAINED OF SORENESS TO LEFT THIGH NO SWELLING OR FEVER PER FATHER
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: HYPOXIA 2/28/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT WAS GIVEN SHOT AFTER THE BEYOND USE DATE. PFIZER WAS CALLED. THERE WAS NO REPORT  FROM PATIENT OF SIDE EFFECTS.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Pallor
Clinical narrative: Pt became lightheaded and pale. We had pt sit back down in a chair, gave pt some juice and monitored pt for 30 mins. Pt was released to his father once blood pressure was in normal rang and color returned to his face.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Covid Breakthrough Infection
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Polyneuropathy
Clinical narrative: DRUG INDUCED POLYNEUROPATHY
Age: 96.0
Sex: F
Vaccine: UNK
Symptoms: Cognitive disorder, Confusional state, General physical health deterioration
Clinical narrative: My mom had her vaccine booster and flu shot on the same day.   She was in great health and was very sharp.  She knew what was going on and got around on her own.  We went to see her 4 days later and she seemed very confused.    In less than a year, she has gone downhill.  She couldn't stay in her assisted living apartment, she doesn't recognize family, doesn't know where she sleeps at night, and has no idea what's going on.  I lost my mom the day she got those shots.  She lost herself that day, too.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Blood corticotrophin increased, Blood test abnormal, Cancer screening, Cognitive disorder
Clinical narrative: 5/21/21 I was incoherent and talking crazy, My son came to pick me up and I did not know who he was. My adrenal glands cortisol was so high that i was acting crazt. I passed out. I was in 2 different hospitals for 8 weeks and was told it was high blood pressure. My retired nurse family member said it was Cushings  and said I need to go to the hospital immediately. I was hospitalized and diagnosed with Cushings. My adrenal glands were over 2,000. I was either mean or cussing people out or buying people stuff. I don't remember hardly anything. I was on psychotic drugs and antidepressants. I saw phycologists and everything. The hospital told my husband to put me in a nursing home. My husband said no and took me home. It ruined my life. My blood work just came back and its not good. I dont want to have my adrenal glands out! I feel I have aged 20 years in 2 years. I lost my job and my whole life. I cant work or even play with my grandkids. ACTH is very high today 7/31/23. I met a man 2 years ago who came in to get his hair done. He had the same shot at the same time and we were both diagnosed with Cushings. It is such a rare disease that this cannot be a coincidence!
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cortisol increased, Cushing's syndrome, Delirium, Feeling abnormal, Hypertension
Clinical narrative: 5/21/21 I was incoherent and talking crazy, My son came to pick me up and I did not know who he was. My adrenal glands cortisol was so high that i was acting crazt. I passed out. I was in 2 different hospitals for 8 weeks and was told it was high blood pressure. My retired nurse family member said it was Cushings  and said I need to go to the hospital immediately. I was hospitalized and diagnosed with Cushings. My adrenal glands were over 2,000. I was either mean or cussing people out or buying people stuff. I don't remember hardly anything. I was on psychotic drugs and antidepressants. I saw phycologists and everything. The hospital told my husband to put me in a nursing home. My husband said no and took me home. It ruined my life. My blood work just came back and its not good. I dont want to have my adrenal glands out! I feel I have aged 20 years in 2 years. I lost my job and my whole life. I cant work or even play with my grandkids. ACTH is very high today 7/31/23. I met a man 2 years ago who came in to get his hair done. He had the same shot at the same time and we were both diagnosed with Cushings. It is such a rare disease that this cannot be a coincidence!
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired quality of life, Impaired work ability, Incoherent, Laboratory test, Loss of consciousness
Clinical narrative: 5/21/21 I was incoherent and talking crazy, My son came to pick me up and I did not know who he was. My adrenal glands cortisol was so high that i was acting crazt. I passed out. I was in 2 different hospitals for 8 weeks and was told it was high blood pressure. My retired nurse family member said it was Cushings  and said I need to go to the hospital immediately. I was hospitalized and diagnosed with Cushings. My adrenal glands were over 2,000. I was either mean or cussing people out or buying people stuff. I don't remember hardly anything. I was on psychotic drugs and antidepressants. I saw phycologists and everything. The hospital told my husband to put me in a nursing home. My husband said no and took me home. It ruined my life. My blood work just came back and its not good. I dont want to have my adrenal glands out! I feel I have aged 20 years in 2 years. I lost my job and my whole life. I cant work or even play with my grandkids. ACTH is very high today 7/31/23. I met a man 2 years ago who came in to get his hair done. He had the same shot at the same time and we were both diagnosed with Cushings. It is such a rare disease that this cannot be a coincidence!
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of employment, Loss of personal independence in daily activities, Magnetic resonance imaging, Memory impairment, Personality disorder
Clinical narrative: 5/21/21 I was incoherent and talking crazy, My son came to pick me up and I did not know who he was. My adrenal glands cortisol was so high that i was acting crazt. I passed out. I was in 2 different hospitals for 8 weeks and was told it was high blood pressure. My retired nurse family member said it was Cushings  and said I need to go to the hospital immediately. I was hospitalized and diagnosed with Cushings. My adrenal glands were over 2,000. I was either mean or cussing people out or buying people stuff. I don't remember hardly anything. I was on psychotic drugs and antidepressants. I saw phycologists and everything. The hospital told my husband to put me in a nursing home. My husband said no and took me home. It ruined my life. My blood work just came back and its not good. I dont want to have my adrenal glands out! I feel I have aged 20 years in 2 years. I lost my job and my whole life. I cant work or even play with my grandkids. ACTH is very high today 7/31/23. I met a man 2 years ago who came in to get his hair done. He had the same shot at the same time and we were both diagnosed with Cushings. It is such a rare disease that this cannot be a coincidence!
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Positron emission tomogram
Clinical narrative: 5/21/21 I was incoherent and talking crazy, My son came to pick me up and I did not know who he was. My adrenal glands cortisol was so high that i was acting crazt. I passed out. I was in 2 different hospitals for 8 weeks and was told it was high blood pressure. My retired nurse family member said it was Cushings  and said I need to go to the hospital immediately. I was hospitalized and diagnosed with Cushings. My adrenal glands were over 2,000. I was either mean or cussing people out or buying people stuff. I don't remember hardly anything. I was on psychotic drugs and antidepressants. I saw phycologists and everything. The hospital told my husband to put me in a nursing home. My husband said no and took me home. It ruined my life. My blood work just came back and its not good. I dont want to have my adrenal glands out! I feel I have aged 20 years in 2 years. I lost my job and my whole life. I cant work or even play with my grandkids. ACTH is very high today 7/31/23. I met a man 2 years ago who came in to get his hair done. He had the same shot at the same time and we were both diagnosed with Cushings. It is such a rare disease that this cannot be a coincidence!
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: IDIOPATHIC PERIPHERAL NEUROPATHY
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Paraesthesia, Peripheral swelling
Clinical narrative: Redness, swelling and tingling  in hands and feet bilaterally. Referred to PCP or urgent care.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Partial seizures
Clinical narrative: COMPLEX PARTIAL EPILEPSY
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Skin mass, Skin swelling, Tenderness
Clinical narrative: Pt had vaccine administered 06/13/2023. After pt received her vaccine, her skin was remarkably raised for about 2 weeks. For the last 4 weeks, small lump is palpable when skin is pushed down/touched and is tender according to pt and mother. Pt's mother stated that they have only applied ice to it once, no further treatment was taken.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 1/6/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep apnoea syndrome, Symptom recurrence
Clinical narrative: MIXED SLEEP APNEA 12/8/2022 &  12/18/2022 --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: ACUTE HYPERCAPNIC RESPIRATORY FAILURE
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, Chills, Dyspnoea, Epistaxis
Clinical narrative: The patient was seen in the ED on 5/27/23 for shortness of breath. During this visit, she reported testing positive for COVID-19 the week prior and has since had worsening shortness of breath, along with chills, productive cough, and bloody nose.  A repeat COVID-19 PCR test performed in the ED resulted positive. She was admitted 5/27/23 - 5/29/23 with severe COVID-19, acute hypoxemic respiratory failure, and right lower lung bacterial pneumonia, among other diagnoses. During admission, the patient had resting room air SPO2 87%, which improved above 90% after being placed on 2-4L nasal cannula. The patient did not receive systemic steroids during admission. Of note, the patient has received the primary COVID vaccine series and three boosters, including the Bivalent vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pneumonia bacterial, Productive cough, SARS-CoV-2 test positive
Clinical narrative: The patient was seen in the ED on 5/27/23 for shortness of breath. During this visit, she reported testing positive for COVID-19 the week prior and has since had worsening shortness of breath, along with chills, productive cough, and bloody nose.  A repeat COVID-19 PCR test performed in the ED resulted positive. She was admitted 5/27/23 - 5/29/23 with severe COVID-19, acute hypoxemic respiratory failure, and right lower lung bacterial pneumonia, among other diagnoses. During admission, the patient had resting room air SPO2 87%, which improved above 90% after being placed on 2-4L nasal cannula. The patient did not receive systemic steroids during admission. Of note, the patient has received the primary COVID vaccine series and three boosters, including the Bivalent vaccine.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: patient received wrong vaccine - wanted ACWY Menactra but received BEXSERO
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Hives and redness at the sight for the second dose. Hives for the first dose on 4/3/2023
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypotension, Hypoxia
Clinical narrative: HYPOTENSION ACUTE RESPIRATORY FAILURE HYPOXIA
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Extra dose administered
Clinical narrative: she was recieved her HEP A on 1st dose 7/19/22, 2nd dose on 2/14/23, then recieved a 3rd dose by mistake on 7/20/23
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is being submitted by the guidance of the DOH. 61 patients were affected by storage and handling excursions.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: redness and itchiness at site; recommended to put ice and apply hydrocortisone cream and go to dr if worsens
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is being submitted by the guidance of the DOH. 12 patients were affected by storage and handling excursions.
Sex: U
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: This report is being submitted by the guidance of the Agency. 1 patient was affected by storage and handling excursions.
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is being submitted by the guidance of the DOH. 1 patient was affected by storage and handling excursions.
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is being submitted by the guidance of the DOH. 3 patients were affected by storage and handling excursions.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE PERIPHERAL NEUROPATHY 11/4/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: This report is being submitted by the guidance of the DOH. 13 patients were affected by storage and handling excursions.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: The patient has a history of Parkinson's. He was seen in the ED on 6/5/23 after increasing cough, lethargy, weakness, and fever of 101 at home for the past few days. A COVID PCR test performed in the ED resulted positive. Ultimately, the patient was admitted 6/5/23 - 6/13/23. Discharge diagnosis include sepsis secondary to acute bacterial superimposed pneumonia and acute hypoxemic respiratory failure secondary to COVID-19 pneumonitis, among other diagnoses. During admission, he was started on dexamethasone and did require several liters of nasal cannula which was eventually weaned to room air. Of note, the patient has received the primary COVID-19 vaccine series and three boosters.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lethargy, Pneumonia bacterial, Pyrexia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: The patient has a history of Parkinson's. He was seen in the ED on 6/5/23 after increasing cough, lethargy, weakness, and fever of 101 at home for the past few days. A COVID PCR test performed in the ED resulted positive. Ultimately, the patient was admitted 6/5/23 - 6/13/23. Discharge diagnosis include sepsis secondary to acute bacterial superimposed pneumonia and acute hypoxemic respiratory failure secondary to COVID-19 pneumonitis, among other diagnoses. During admission, he was started on dexamethasone and did require several liters of nasal cannula which was eventually weaned to room air. Of note, the patient has received the primary COVID-19 vaccine series and three boosters.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Superinfection
Clinical narrative: The patient has a history of Parkinson's. He was seen in the ED on 6/5/23 after increasing cough, lethargy, weakness, and fever of 101 at home for the past few days. A COVID PCR test performed in the ED resulted positive. Ultimately, the patient was admitted 6/5/23 - 6/13/23. Discharge diagnosis include sepsis secondary to acute bacterial superimposed pneumonia and acute hypoxemic respiratory failure secondary to COVID-19 pneumonitis, among other diagnoses. During admission, he was started on dexamethasone and did require several liters of nasal cannula which was eventually weaned to room air. Of note, the patient has received the primary COVID-19 vaccine series and three boosters.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered
Clinical narrative: Patient had already received his vaccines on 3/27/23.  Then received an additional dose on 7/24/23.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bone marrow transplant, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough
Clinical narrative: The patient is a bone marrow transplant patient. She was seen in the ED on 6/14/23, and reported she was away a few weeks ago when she contracted COVID (diagnosed two weeks ago). Her symptoms have been since worsening, and on that day she reported feeling really lethargic and tired. She additionally reported cough, diarrhea, nausea, and shortness of breath with exertion. Her husband noted the patient had a five-day Remdesivir infusion done at an outside clinic; this was completed three days ago. Ultimately, she was admitted 6/14/23 - 6/20/23. During her admission, she was started on 2L O2 with CT showing peripheral groundglass opacities consistent with COVID-19 pneumonia. Repeat COVID testing by PCR on 6/16 remained positive, and she was started on a second course of remdesivir on that day. During admission, she had increasing O2 needs, with O2 up to 15 L via high flow nasal cannula. Due to her increasing O2 needs and severe immunocompromise status, the patient was transferred to a Clinic - local Hospital. Of note, she has received the primary COVID-19 vaccine series and three boosters.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Dyspnoea exertional, Fatigue, Immunodeficiency, Lethargy
Clinical narrative: The patient is a bone marrow transplant patient. She was seen in the ED on 6/14/23, and reported she was away a few weeks ago when she contracted COVID (diagnosed two weeks ago). Her symptoms have been since worsening, and on that day she reported feeling really lethargic and tired. She additionally reported cough, diarrhea, nausea, and shortness of breath with exertion. Her husband noted the patient had a five-day Remdesivir infusion done at an outside clinic; this was completed three days ago. Ultimately, she was admitted 6/14/23 - 6/20/23. During her admission, she was started on 2L O2 with CT showing peripheral groundglass opacities consistent with COVID-19 pneumonia. Repeat COVID testing by PCR on 6/16 remained positive, and she was started on a second course of remdesivir on that day. During admission, she had increasing O2 needs, with O2 up to 15 L via high flow nasal cannula. Due to her increasing O2 needs and severe immunocompromise status, the patient was transferred to a Clinic - local Hospital. Of note, she has received the primary COVID-19 vaccine series and three boosters.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lung opacity, Nausea, SARS-CoV-2 test positive
Clinical narrative: The patient is a bone marrow transplant patient. She was seen in the ED on 6/14/23, and reported she was away a few weeks ago when she contracted COVID (diagnosed two weeks ago). Her symptoms have been since worsening, and on that day she reported feeling really lethargic and tired. She additionally reported cough, diarrhea, nausea, and shortness of breath with exertion. Her husband noted the patient had a five-day Remdesivir infusion done at an outside clinic; this was completed three days ago. Ultimately, she was admitted 6/14/23 - 6/20/23. During her admission, she was started on 2L O2 with CT showing peripheral groundglass opacities consistent with COVID-19 pneumonia. Repeat COVID testing by PCR on 6/16 remained positive, and she was started on a second course of remdesivir on that day. During admission, she had increasing O2 needs, with O2 up to 15 L via high flow nasal cannula. Due to her increasing O2 needs and severe immunocompromise status, the patient was transferred to a Clinic - local Hospital. Of note, she has received the primary COVID-19 vaccine series and three boosters.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Angina unstable
Clinical narrative: UNSTABLE ANGINA ANGINA, UNSPECIFIED
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Breathing-related sleep disorder
Clinical narrative: BREATHING RELATED SLEEP DISORDER
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 51.0
Sex: F
Vaccine: MMRV, UNK
Symptoms: Unevaluable event
Clinical narrative: Advised Medical Assistant Supervisor and Medical Director and Patient's PCP,
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 12.0
Sex: F
Vaccine: HPV9, VARCEL
Symptoms: No adverse event, Vaccination error, Wrong product administered
Clinical narrative: Parent requested Varicella and Hepatitis A vaccines.  Patient was inadvertently given HPV9 instead of Hepatitis A vaccine.  The patient also received Varicella vaccine.  This was a vaccine administration error.  There was no adverse event reported.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Covid Breakthrough Infection
Age: 19.0
Sex: M
Vaccine: JEV1, JEV1, TYP, TYP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Staff administered 2 doses of JEV vaccine and 2 doses of Typhoid vaccine to same patient during appointment.  Patient was monitored for 1 hour post vaccine, without any adverse reaction.   Discharged from clinic with strict return precautions.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Symptom recurrence, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA 1/5/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site pain
Clinical narrative: Client presented to clinic with mother on 6/20/23 for COVID-19 Moderna Bivalent vaccine. Client at the time was 5y and 11mo. Counseling, education and VIS was offered to MOC. This RN vaccinated the child with a COVID-19 Moderna Bivalent vaccine. Due to EHR auto-populating 0.5mL dosage, unknown if 0.25ml or 0.5ml dose was given. This RN left a message for the MOC on 7/31/23 when the error was noted. MOC returned call on 7/31/23, RN explained the situation and provided further counseling/education. MOC expressed understanding and stated child did not have any adverse reaction after vaccination, only reported injection site tenderness that was a similar reaction to his first COVID-19 vaccine. At this time, a repeat dose is not required as per CDC recommendations.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Headache
Clinical narrative: SEVERE HEADACHE
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: The patient has a history of COPD. She was seen in the ED and brought in by EMS on 6/27/23 with confusion and "talking nonsense", as reported by her family. Her family notes this has happened in the past when the patient gets sick. A COVID PCR test done in the ED resulted positive. Ultimately, she was admitted 6/27/23 - 6/29/23, with discharge diagnoses including acute metabolic encephalopathy due to COVID pneumonia, generalized weakness due to previously listed, and COPD exacerbation, among other diagnoses. Of note, she was received the primary COVID vaccine series and three boosters.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Confusional state, Encephalopathy, Incoherent, Metabolic encephalopathy, SARS-CoV-2 test positive
Clinical narrative: The patient has a history of COPD. She was seen in the ED and brought in by EMS on 6/27/23 with confusion and "talking nonsense", as reported by her family. Her family notes this has happened in the past when the patient gets sick. A COVID PCR test done in the ED resulted positive. Ultimately, she was admitted 6/27/23 - 6/29/23, with discharge diagnoses including acute metabolic encephalopathy due to COVID pneumonia, generalized weakness due to previously listed, and COPD exacerbation, among other diagnoses. Of note, she was received the primary COVID vaccine series and three boosters.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Covid Breakthrough infection
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Blood pressure decreased, Dizziness postural, Fatigue, Heart rate decreased, Loss of personal independence in daily activities
Clinical narrative: Have been diagnosed with POTS due to dizziness, drops in blood pressure and head rate when standing or laying down, fatigue problems, room fading and more. It affects my daily life and what I can do.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Postural orthostatic tachycardia syndrome, Visual impairment
Clinical narrative: Have been diagnosed with POTS due to dizziness, drops in blood pressure and head rate when standing or laying down, fatigue problems, room fading and more. It affects my daily life and what I can do.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Vertigo
Clinical narrative: Sudden onset of Vertigo.  First event within seven days of first vaccination.  Five additional episodes since.  No history of vertigo prior to COVID vaccing
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM ALLERGIC REACTION, INIT
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Complication associated with device, Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA 4/20/2023 IUD MALPOSITION, SUBSEQ
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood pressure increased, COVID-19, Death, Dyspnoea
Clinical narrative: The patient was brought to the ED from his assisted living facility on 7/8/23 with report of oxygen levels in the 70's and elevated blood pressure. Notably, he was recently treated for pneumonia and started on antibiotics 6/11/23. The patient additionally reported productive cough, shortness of breath, and fatigue. A COVID PCR test done in the ED on 7/8/23 resulted positive. Ultimately, the patient was admitted 7/8/23 - 7/14/23.  He did require some supplemental O2 during admission. Of note, during admission, he was found to have dark stools concerning for potential upper GI bleed. GI was consulted but patient declined EGD and his hemoglobin remained stable. Discharge diagnoses included COVID-19 infection and likely upper GI bleed, among other diagnoses. During admission, patient deferred steroids since he was not hypoxic. He was discharged back to his living facility with plan for home hospice on 7/14, however returned later that afternoon back to the hospital as the patient's respiratory status worsened and the living facility did not have oxygen for the patient. He was again admitted with acute hypoxic respiratory failure due to COVID-19 infection and possible aspiration pneumonia. He was placed on comfort cares and passed away on 7/15. Of note, the patient has received the primary COVID-19 vaccine series and one booster.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Faeces discoloured, Fatigue, Haemoglobin normal, Pneumonia, Productive cough
Clinical narrative: The patient was brought to the ED from his assisted living facility on 7/8/23 with report of oxygen levels in the 70's and elevated blood pressure. Notably, he was recently treated for pneumonia and started on antibiotics 6/11/23. The patient additionally reported productive cough, shortness of breath, and fatigue. A COVID PCR test done in the ED on 7/8/23 resulted positive. Ultimately, the patient was admitted 7/8/23 - 7/14/23.  He did require some supplemental O2 during admission. Of note, during admission, he was found to have dark stools concerning for potential upper GI bleed. GI was consulted but patient declined EGD and his hemoglobin remained stable. Discharge diagnoses included COVID-19 infection and likely upper GI bleed, among other diagnoses. During admission, patient deferred steroids since he was not hypoxic. He was discharged back to his living facility with plan for home hospice on 7/14, however returned later that afternoon back to the hospital as the patient's respiratory status worsened and the living facility did not have oxygen for the patient. He was again admitted with acute hypoxic respiratory failure due to COVID-19 infection and possible aspiration pneumonia. He was placed on comfort cares and passed away on 7/15. Of note, the patient has received the primary COVID-19 vaccine series and one booster.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive, Upper gastrointestinal haemorrhage
Clinical narrative: The patient was brought to the ED from his assisted living facility on 7/8/23 with report of oxygen levels in the 70's and elevated blood pressure. Notably, he was recently treated for pneumonia and started on antibiotics 6/11/23. The patient additionally reported productive cough, shortness of breath, and fatigue. A COVID PCR test done in the ED on 7/8/23 resulted positive. Ultimately, the patient was admitted 7/8/23 - 7/14/23.  He did require some supplemental O2 during admission. Of note, during admission, he was found to have dark stools concerning for potential upper GI bleed. GI was consulted but patient declined EGD and his hemoglobin remained stable. Discharge diagnoses included COVID-19 infection and likely upper GI bleed, among other diagnoses. During admission, patient deferred steroids since he was not hypoxic. He was discharged back to his living facility with plan for home hospice on 7/14, however returned later that afternoon back to the hospital as the patient's respiratory status worsened and the living facility did not have oxygen for the patient. He was again admitted with acute hypoxic respiratory failure due to COVID-19 infection and possible aspiration pneumonia. He was placed on comfort cares and passed away on 7/15. Of note, the patient has received the primary COVID-19 vaccine series and one booster.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 2/14/2023 UNSPECIFIED ATRIAL FLUTTER
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 27.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect product formulation administered, Product administered to patient of inappropriate age, Underdose
Clinical narrative: I gave her the children's dose. I should have given the adult formulation.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid Infection
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Computerised tomogram head, Electrocardiogram, Head injury, Laboratory test, Loss of consciousness
Clinical narrative: Patient was given the VIS for HPV, the provider talked with her for 30 minutes,  CMA asked her the VIS related questions at 10:14am and injected her #1 HPV (Gardasil) at 10:16am. She stated she felt find and okay to get up and walk around 10:18am. She was walked to the lobby to check in for labs. As she went to check in for labs at the front desk, she fainted and hit her head. EMS was called, she was evaluated by providers and RN in clinic until EMS arrived.  She was discharged then passed out again i the car and was taken for second Evalutation.
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: Patient was given the VIS for HPV, the provider talked with her for 30 minutes,  CMA asked her the VIS related questions at 10:14am and injected her #1 HPV (Gardasil) at 10:16am. She stated she felt find and okay to get up and walk around 10:18am. She was walked to the lobby to check in for labs. As she went to check in for labs at the front desk, she fainted and hit her head. EMS was called, she was evaluated by providers and RN in clinic until EMS arrived.  She was discharged then passed out again i the car and was taken for second Evalutation.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Rectal cancer
Clinical narrative: PERIPHERAL NEUROPATHY 3/30/2023 RECTAL CANCER
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Postmenopausal haemorrhage
Clinical narrative: J96.10 CHRONIC RESPIRATORY FAILURE 4/3/2023 POSTMENOPAUSAL BLEEDING
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Communication disorder, Escherichia urinary tract infection, Ill-defined disorder, Mental status changes
Clinical narrative: The patient has a history of dementia. She was seen int he ED on 7/20/23 for evaluation of altered mental status. The patient's memory care facility reported the patient has not been able to communicate or answer questions appropriately. In the ED, the patient was found to have O2 sats at 90% on room air, so was placed on supplemental O2 via nasal cannula. A COVID PCR test done in the ED result positive. Ultimately, the patient was admitted 7/20/23 - 7/24/23. On admission, she was febrile with a temperature of 102.3. As she was on supplemental oxygen, she was started on IV Decadron. Her O2 improved and she was able to be weaned to room air prior to discharge. Discharge diagnoses included SIRS due to viral COVID-19 infection and sepsis due to acute E.coli UTI, among other diagnoses. Of note, the patient has received the primary COVID vaccine series and two boosters.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Systemic inflammatory response syndrome, Viral infection
Clinical narrative: The patient has a history of dementia. She was seen int he ED on 7/20/23 for evaluation of altered mental status. The patient's memory care facility reported the patient has not been able to communicate or answer questions appropriately. In the ED, the patient was found to have O2 sats at 90% on room air, so was placed on supplemental O2 via nasal cannula. A COVID PCR test done in the ED result positive. Ultimately, the patient was admitted 7/20/23 - 7/24/23. On admission, she was febrile with a temperature of 102.3. As she was on supplemental oxygen, she was started on IV Decadron. Her O2 improved and she was able to be weaned to room air prior to discharge. Discharge diagnoses included SIRS due to viral COVID-19 infection and sepsis due to acute E.coli UTI, among other diagnoses. Of note, the patient has received the primary COVID vaccine series and two boosters.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: PT was given wrong dosage. PT is 3 years old and was given Pfizer vaccine from 5-11 age group instead of the 6 months to 4 years of age group.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Drooling, Erythema, Nasal congestion, Nausea, Rash
Clinical narrative: Rash, hives to body, reddened nose and ears, stuffy nose, drooling. Given Benadryl 25 mg orally at 3:45 pm. Became nauseous but no vomiting. Pt fell asleep 20 minutes after dosing. Nose no longer red. Ears remain red. No wheezing.  Provider ordered Prednisone to take for 3 days. Will follow up in 24 hours in office.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Urticaria
Clinical narrative: Rash, hives to body, reddened nose and ears, stuffy nose, drooling. Given Benadryl 25 mg orally at 3:45 pm. Became nauseous but no vomiting. Pt fell asleep 20 minutes after dosing. Nose no longer red. Ears remain red. No wheezing.  Provider ordered Prednisone to take for 3 days. Will follow up in 24 hours in office.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Received vaccine past BUD
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Received vaccine past BUD
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, Cold sweat, Feeling abnormal, Hypotension, Labile blood pressure
Clinical narrative: POST administration of COVID vaccine pt began to c/o nausea and not feeling well. Writer went to assess pt and noted to be a bit anxious and fidgeting, pt breathing heavily but unlabored, no wheezing audible, skin warm and stating "I have never felt this way."  Initial BP check - 80/45, HR 85, Pulse ox 100%. MD notified and arrived immediately to asses pt. Upon assessment requested NS bolus and EPI pen.   Epi pen and Benadryl were administered, BP and HR labile while waiting for code assist. 22G IV placed to R ac patent and intact. NS initiated.  Pt left w/code assist team and at that time skin was moist to touch, still hypotensive SBP 80?s, pt still alert and responsive and able to provide nurse w/ phone # of family member