chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: HPV9
Symptoms: Pyrexia, Swelling face, Swollen tongue, Syncope, Throat tightness
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: 27 yo female arrived for vaccination appt for gardasil 9 ( dose 3) . Dose administered Im in left arm. Immediate redness to arms and face noted. Patient observed for allergic reaction potential. patient stated she felt dizzy but was ok. Administering pharmacist gave patient a grape dum dum lollipop. Patient felt said she felt dizzy but ok. Patient nodded and shook. EMS calledand said she couldnt breathe. patient given epi 1 dose. put on floor and as patient reovered given 5ml of diphen 12.5
Age: 29.0
Sex: F
Vaccine: HPV9
Symptoms: Unresponsive to stimuli
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: 27 yo female arrived for vaccination appt for gardasil 9 ( dose 3) . Dose administered Im in left arm. Immediate redness to arms and face noted. Patient observed for allergic reaction potential. patient stated she felt dizzy but was ok. Administering pharmacist gave patient a grape dum dum lollipop. Patient felt said she felt dizzy but ok. Patient nodded and shook. EMS calledand said she couldnt breathe. patient given epi 1 dose. put on floor and as patient reovered given 5ml of diphen 12.5
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Dyspnoea, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: She did not have an adverse reaction to the vaccine. She tested positive for COVID-19 on 04/28/2023. She was having trouble breathing and low oxygen level. She went to the hospital for eight days. She was discharged from the hospital to a residential facility for physical therapy due to Alzheimer's Disease.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, Medication error
Clinical narrative: Patient 60yr old Male. A&Ox3. Denied receiving Bivalent upon arrival to clinic during screening process. Stated the last time he was vaccinated was in May 2022. Pt showed his Docket app to both me and educator which showed last vaccine was received on May 9, 2022.  Pt stated, " i have received a vaccine in about one year" Screening process was completed and pt was vaccinated.  Pt received PFizer Bivalent as requested.  Upon inputting information into data it was noted that the pt was vaccinated in November 2022 with Bivalent. He had two charts in data-  -First name was different.  This was found to be a medication error. Pt is not approved to receive second bivalent vaccine r/t age and requirements.  Pt was in observation and informed of medication error.  He was educated and expressed understanding.    11/02/2022  GJ6739 PHARMACY   05/09/2022 FK9893 HEALTH CENTER
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Muscle twitching, Pain in extremity, X-ray
Clinical narrative: When I first had the shot I started to experience a twitching of my muscles strong and painful in the bottom of my feet and other places. A burning sensation as well and ain different places of my body, as time has continued the twitching has gotten stronger then it would go away after a while. In the last month to six weeks  it has been gradually getting more consistent daily and in the last week daily and starting at my feet up to my waist.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Blood test normal, Cardiac monitoring normal, Condition aggravated, Echocardiogram abnormal
Clinical narrative: I had a significant uptake in fainting spells. When I stand up my blood pressure and heartrate plummets. This started happening a lot after my third dose. I am still dealing with this at this time. No medications have been prescribed.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram normal, Heart rate decreased, Syncope, Tilt table test positive
Clinical narrative: I had a significant uptake in fainting spells. When I stand up my blood pressure and heartrate plummets. This started happening a lot after my third dose. I am still dealing with this at this time. No medications have been prescribed.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cardiac stress test normal, Chest X-ray normal, Cough, Echocardiogram normal, Full blood count normal
Clinical narrative: I have been having headaches that been coming and going, they have funny patterns to them. They will last from ten days to fourteen days, I have a really bad cough that comes on at times, that is dry and very severe, it will cause the headaches to come on and I cannot stop the headaches from coming on. I went to my doctor to try and find out what is causing the coughing and headaches. He ordered an echocardiogram, stress test, bloodwork, MRI, chest x-ray. All tests came back normal, he did give me a prescription for an additional blood pressure medication to help keep my blood pressure normal as the coughing was raising my blood pressure.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Headache, Magnetic resonance imaging head normal
Clinical narrative: I have been having headaches that been coming and going, they have funny patterns to them. They will last from ten days to fourteen days, I have a really bad cough that comes on at times, that is dry and very severe, it will cause the headaches to come on and I cannot stop the headaches from coming on. I went to my doctor to try and find out what is causing the coughing and headaches. He ordered an echocardiogram, stress test, bloodwork, MRI, chest x-ray. All tests came back normal, he did give me a prescription for an additional blood pressure medication to help keep my blood pressure normal as the coughing was raising my blood pressure.
Age: 0.75
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was given a lower than authorized dose.  No adverse events observed.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Blood test, Electrocardiogram, Heart rate increased, Palpitations
Clinical narrative: Elevated heart rate heart was racing it was diagnosed as Afib and I was then placed on a blood thinner.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given a third bivalent vaccine, despite only two being approved for immunocompetent seniors. Patient had already received a second bivalent vaccine in error in early January. Staff checked to ensure the requirement for a 4 month interval since the last dose was met but did not realize she had previously received a bivalent vaccine in October. No immediate adverse reaction and patient was immediately informed of error once noticed.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, IPV, RV5
Symptoms: No adverse event
Clinical narrative: MD ordered Pentacel and Ipol vaccines and both were given.  Child has not had any adverse reactions.
Age: 28.0
Sex: F
Vaccine: FLUC4, TDAP
Symptoms: Asthenia, CSF culture, Fall, Immune system disorder, Immunoglobulin therapy
Clinical narrative: Guillain-Barre-like syndrome with progressive weakness/multiple falls for 3 weeks. Recent vaccine history shows that pt received their influenza and tetanus together. Suspicion that it might be one or both vaccines causing the reaction. Pt also stated that she is a recovering alcoholic and has PMH significant for childhood Hodgkin lymphoma.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness neurosensory, Deafness unilateral, Ear pain, Headache
Clinical narrative: Wednesday 5/5/2021  I had the worst headache and ear ache , I have ever experienced up to that point.  I was able to make an appointment  for late that afternoon with my primary care doctor. He examined me, didnt think i had a sinus or ear infection, he did put me on an antibiotic and told me to get to my ENT as soon as possible.   I saw my ENT Dr on Friday 5/7/2021.  it was he who identified my Sudden Idiopathic Sensorineural Hearing Loss ( right side). He was able to rapidly diagnose this by using an in office test followed by a hearing test.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Sudden hearing loss
Clinical narrative: Wednesday 5/5/2021  I had the worst headache and ear ache , I have ever experienced up to that point.  I was able to make an appointment  for late that afternoon with my primary care doctor. He examined me, didnt think i had a sinus or ear infection, he did put me on an antibiotic and told me to get to my ENT as soon as possible.   I saw my ENT Dr on Friday 5/7/2021.  it was he who identified my Sudden Idiopathic Sensorineural Hearing Loss ( right side). He was able to rapidly diagnose this by using an in office test followed by a hearing test.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Coagulopathy, Deep vein thrombosis, Hypotension, Uterine mass
Clinical narrative: D68.9 COAGULOPATHY, UNSPECIFIED TYPE 11/30/2022 UTERINE MASS I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 12/5/2022 UTERINE MASS I95.9 HYPOTENSION 12/5/2022 UTERINE MASS J96.00 ACUTE RESPIRATORY FAILURE 12/5/2022 UTERINE MASS
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anxiety disorder, Cardiac failure acute, Cardiac failure congestive, Chronic kidney disease
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CKD STAGE 3B (GFR 30-44) J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 UNSPECIFIED ANXIETY DISORDER J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CHF EXACERBATION, UNSPECIFIED
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Glomerular filtration rate, Left ventricular failure
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CKD STAGE 3B (GFR 30-44) J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 UNSPECIFIED ANXIETY DISORDER J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 5/15/2022 CHF EXACERBATION, UNSPECIFIED
Age: 14.0
Sex: F
Vaccine: HEP, MNQ, TDAP, VARCEL
Symptoms: Balance disorder, Blindness, Dizziness, Nausea
Clinical narrative: Approx. 10 mins after vxs administration patient reports feeling dizzy, nausea, "cant see" and began to sway. Patient guided to floor but remained alert and responds to commands. Patient BP 101/76 P 96 O2 98%  denies SOB, itchy or trouble breathing.   Patient given water and reports "feeling better" & able to stand and walk. Patient has hx of psychological fright to vaccines.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 04/05/23 presents to ED for "shortness of breath". PMHx of "ESRD sp renal transplant (2018), HTN, T2DM"
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Fatigue, Pyrexia
Clinical narrative: On April 10, 2023, I started having a light fever of 101F, chills, I was very tired. I took a home COVID-19 test the next day that came back positive. I called, spoke to my doctor's office about my positive test result. We decided that I should take the Paxlovid, I was able to finally get the medication and start it on Thursday. I developed a cough that did lingered for three weeks.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On April 10, 2023, I started having a light fever of 101F, chills, I was very tired. I took a home COVID-19 test the next day that came back positive. I called, spoke to my doctor's office about my positive test result. We decided that I should take the Paxlovid, I was able to finally get the medication and start it on Thursday. I developed a cough that did lingered for three weeks.
Age: 0.42
Sex: M
Vaccine: HEP, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient received the adult formulation of the Hepatitis B vaccine. The patient was monitored for almost an hour following his vaccines and he experienced no adverse effects. The patient's Mother was advised to keep an eye out for any of the adverse effects listed in the vaccine information sheets that she was given. She was advised that the most common adverse effects for Hepatitis B were redness, swelling or soreness of the injection site, fever, headache or fatigue. She was advised to keep the patient hydrated and that if he does experience any fevers that she can give him Tylenol and should he experience any redness or swelling at the injection site that she can apply a cold compress or covered ice pack to the injection site. Mother further advised that should the patient's Mother should contact the patient's Pediatrician for any additional concerns. The patient's Mother verbalized understanding.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 04/08/23 presents to ED for "fatigue". PMHx of "HTN, COPD, OSA, CAD, CHF, addison's disease"
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Decubitus ulcer, Hypotension
Clinical narrative: I95.9 HYPOTENSION 11/5/2022 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE I95.9 HYPOTENSION 11/5/2022 PRESSURE ULCER OF SACRUM, UNSPECIFIED STAGE
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling
Clinical narrative: Patient experienced itching and swelling following COVID-19 vaccination. Noted 5/12/2023
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mental status changes
Clinical narrative: 04/08/23 presents to EC ED for "altered mental status, fatigue". PMHx of "hypertension, Alzheimer's, A-fib on Xarelto"
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Atrioventricular block, COVID-19, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Breakthrough COVID: 71-year-old female admitted on July 1st to the ED with a chief c/o abdominal pain, nausea/vomiting and cough with fever. CT of her chest demonstrated a dense right upper lobe pneumonia, pleural effusion and possible worsening of the right upper lobe pneumonia.  The patient is COVID positive. Pt has a hx of COVID positive and fully vaccinated. She has not been on remdesivir or Decadron.   She is also noted to have a history of breast cancer and mild dysplastic syndrome and is neutropenic. She has been on cefepime and vancomycin since admission.he was transferred to ICU due to respiratory distress on 7/4/22 on non-rebreather mask and was orally intubated MV.Pt expired 7/6/22.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram, Endotracheal intubation
Clinical narrative: Breakthrough COVID: 71-year-old female admitted on July 1st to the ED with a chief c/o abdominal pain, nausea/vomiting and cough with fever. CT of her chest demonstrated a dense right upper lobe pneumonia, pleural effusion and possible worsening of the right upper lobe pneumonia.  The patient is COVID positive. Pt has a hx of COVID positive and fully vaccinated. She has not been on remdesivir or Decadron.   She is also noted to have a history of breast cancer and mild dysplastic syndrome and is neutropenic. She has been on cefepime and vancomycin since admission.he was transferred to ICU due to respiratory distress on 7/4/22 on non-rebreather mask and was orally intubated MV.Pt expired 7/6/22.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Intensive care, Nausea, Neutropenia, Pleural effusion, Pneumonia
Clinical narrative: Breakthrough COVID: 71-year-old female admitted on July 1st to the ED with a chief c/o abdominal pain, nausea/vomiting and cough with fever. CT of her chest demonstrated a dense right upper lobe pneumonia, pleural effusion and possible worsening of the right upper lobe pneumonia.  The patient is COVID positive. Pt has a hx of COVID positive and fully vaccinated. She has not been on remdesivir or Decadron.   She is also noted to have a history of breast cancer and mild dysplastic syndrome and is neutropenic. She has been on cefepime and vancomycin since admission.he was transferred to ICU due to respiratory distress on 7/4/22 on non-rebreather mask and was orally intubated MV.Pt expired 7/6/22.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Respiratory distress, SARS-CoV-2 test positive, Septic shock, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID: 71-year-old female admitted on July 1st to the ED with a chief c/o abdominal pain, nausea/vomiting and cough with fever. CT of her chest demonstrated a dense right upper lobe pneumonia, pleural effusion and possible worsening of the right upper lobe pneumonia.  The patient is COVID positive. Pt has a hx of COVID positive and fully vaccinated. She has not been on remdesivir or Decadron.   She is also noted to have a history of breast cancer and mild dysplastic syndrome and is neutropenic. She has been on cefepime and vancomycin since admission.he was transferred to ICU due to respiratory distress on 7/4/22 on non-rebreather mask and was orally intubated MV.Pt expired 7/6/22.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Breakthrough COVID: 71-year-old female admitted on July 1st to the ED with a chief c/o abdominal pain, nausea/vomiting and cough with fever. CT of her chest demonstrated a dense right upper lobe pneumonia, pleural effusion and possible worsening of the right upper lobe pneumonia.  The patient is COVID positive. Pt has a hx of COVID positive and fully vaccinated. She has not been on remdesivir or Decadron.   She is also noted to have a history of breast cancer and mild dysplastic syndrome and is neutropenic. She has been on cefepime and vancomycin since admission.he was transferred to ICU due to respiratory distress on 7/4/22 on non-rebreather mask and was orally intubated MV.Pt expired 7/6/22.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Asthenia, COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note: "Patient is a 75 year old man who presented to the emergency department with two day history of weakness, found to have COVID 19 infection with one episode of hypoxia noted. He was treated with 5 days of remdesivir and decadron. His diabetes was controlled with insulin use. He was evaluated by  physical therapy who assessed him to be appropriate for home therapy with PT/OT and a home health aid and he was discharged in stable condition on 5/15/2023"
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine that was administered had improper storage upon arrival to the facility.
Age: 51.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: COVID-19, Headache, Lethargy, Malaise, Pain
Clinical narrative: 11/21/22 I was not feeling well. I was congested and lethargic. I then got a headache and body aches. I tested positive with an at home COVID test on 11/23/22. I called my doctor's office and they said I did not qualify for Paxlovid. I rested, drank fluids and did not start to feel better until 11/29/22.
Age: 51.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 11/21/22 I was not feeling well. I was congested and lethargic. I then got a headache and body aches. I tested positive with an at home COVID test on 11/23/22. I called my doctor's office and they said I did not qualify for Paxlovid. I rested, drank fluids and did not start to feel better until 11/29/22.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 04/10/23 presents to EC ED for "chest pain, nausea, vomiting". PMHx of "GERD, hypothyroidism, and migraines"
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram
Clinical narrative: developed paroxysmal afib and now on metoprolol awaiting ablation or medication treatment
Age: 1.5
Sex: M
Vaccine: DTAP, HEPAB
Symptoms: Erythema, Induration
Clinical narrative: started out with a 3x2 red spot with a hard center on 16 may, 17 may expanded into a 5x4 red spot with a hard center. no treatment at this time/
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling hot, Hyperhidrosis, Nausea, Tremor
Clinical narrative: Received Pfizer Bivalent Booster dose at 1:18pm and at 1:27pm she complained of feeling hot and sweaty, had her sit in front of fan with ice pack on back of neck, laid down for 15 minutes and observed with RN , gave bottled water also complained of nausea and shakiness. Sat up for 10 minutes had 2 candies stated she felt much better, stood up and talked with us for another 5 minutes before leavening the office.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dysuria, Pain in extremity, Urinary tract infection, Urinary tract obstruction
Clinical narrative: I had a sore arm after receiving the vaccine for about a day. On 03/04/2023, I was diagnosed with a urinary tract infection. I went to the hospital for one day due to not being able to pee. I had a blockage too. I was put on a foley catheter for about two months. I am scheduled for a procedure on Friday with a laser procedure.
Age: 51.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Oropharyngeal pain
Clinical narrative: I woke up with a sore throat, throughout the day I just wasn't feeling right, I started feeling really tired. I took a home COVID-19 test, that came back positive. The next day I woke up feeling even worse, I started getting a fever. I called my doctor to the Paxlovid. I was able to get the antiviral medication and start it that day. Although I have recovered, I have a lingering cough.
Age: 51.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I woke up with a sore throat, throughout the day I just wasn't feeling right, I started feeling really tired. I took a home COVID-19 test, that came back positive. The next day I woke up feeling even worse, I started getting a fever. I called my doctor to the Paxlovid. I was able to get the antiviral medication and start it that day. Although I have recovered, I have a lingering cough.
Age: 57.0
Sex: M
Vaccine: VARZOS, PNC20, VARZOS
Symptoms: Rash, Rash vesicular
Clinical narrative: patient is reporting rash. Sent in pictures. Patient has small vesicular bumps on leg and back.
Age: 57.0
Sex: M
Vaccine: VARZOS, PNC20, VARZOS
Symptoms: Chills, Dysstasia, Gait disturbance, Muscle spasms, Orthosis user
Clinical narrative: patient is reporting rash. Sent in pictures. Patient has small vesicular bumps on leg and back.
Age: 57.0
Sex: M
Vaccine: VARZOS, PNC20, VARZOS
Symptoms: Pyrexia, Rash macular, Rash pruritic, Skin lesion, Varicella
Clinical narrative: patient is reporting rash. Sent in pictures. Patient has small vesicular bumps on leg and back.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: MEDICATION PREPARATION ERROR.  PATIENT GIVEN UNDILUTED DOSE OF PFIZER 5-11 ORANGE CAP BIVALENT VACCINE.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Patient with history of CKD and type II diabetes. She was brought to the ED by EMS on 2/4/23 for evaluation of a fall. She had an unwitnessed fall at her apartment earlier that night and fell to her knees. In the ED, she reported weakness and dizziness, and also reported a cough, shortness of breath, and nausea that had been going on for the past few days. She was found to have a fever of 101.1, and required supplemental oxygen for hypoxia with O2 sats in the high 80s. A COVID PCR test performed in the ED returned positive. Patient was admitted 2/4/23 - 2/9/23. Discharge diagnoses included sepsis and acute hypoxic respiratory failure due to COVID-19 pneumonia and possible community-acquired pneumonia. She required supplemental O2 during admission but was able to be weaned off completely by discharge. Of note, she has received the primary COVID vaccine series and one booster dose.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fall, Hypoxia, Nausea
Clinical narrative: Patient with history of CKD and type II diabetes. She was brought to the ED by EMS on 2/4/23 for evaluation of a fall. She had an unwitnessed fall at her apartment earlier that night and fell to her knees. In the ED, she reported weakness and dizziness, and also reported a cough, shortness of breath, and nausea that had been going on for the past few days. She was found to have a fever of 101.1, and required supplemental oxygen for hypoxia with O2 sats in the high 80s. A COVID PCR test performed in the ED returned positive. Patient was admitted 2/4/23 - 2/9/23. Discharge diagnoses included sepsis and acute hypoxic respiratory failure due to COVID-19 pneumonia and possible community-acquired pneumonia. She required supplemental O2 during admission but was able to be weaned off completely by discharge. Of note, she has received the primary COVID vaccine series and one booster dose.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient with history of CKD and type II diabetes. She was brought to the ED by EMS on 2/4/23 for evaluation of a fall. She had an unwitnessed fall at her apartment earlier that night and fell to her knees. In the ED, she reported weakness and dizziness, and also reported a cough, shortness of breath, and nausea that had been going on for the past few days. She was found to have a fever of 101.1, and required supplemental oxygen for hypoxia with O2 sats in the high 80s. A COVID PCR test performed in the ED returned positive. Patient was admitted 2/4/23 - 2/9/23. Discharge diagnoses included sepsis and acute hypoxic respiratory failure due to COVID-19 pneumonia and possible community-acquired pneumonia. She required supplemental O2 during admission but was able to be weaned off completely by discharge. Of note, she has received the primary COVID vaccine series and one booster dose.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was improperly stored once it arrived to the facility.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site pain, Pain, Pain in extremity
Clinical narrative: LEFT ARM/SHOULDER PAIN AND STIFFNESS WITH GENERALIZED JOINT PAIN AND BODY ACHES STARTED SAME DAY AS VACCINE
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Streptococcus test negative
Clinical narrative: I had a persistent sore throat that did not progress to any other cold symptoms. I made an appointment to see my doctor to see if I had strep throat, the test came back negative. I was advised to go home, ride out the symptoms, if they got worse to contact her again. The symptoms eventually did go away.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Joint instability, Joint range of motion decreased, Pain
Clinical narrative: I had severe pain as soon as the needle was inserted. The individual administering the vaccine was not watching while she was administering it. She was talking to another site worker. Since that day, I have had severe, chronic pain, decreased range of motion, and intermittent joint instability. I am a surgeon, and I am now unable to do my job without pain. I am currently seeking medical attention since this has not been a self limiting injury. I have no pre-existing injuries associated with my left shoulder. Appropriate landmarks for a deltoid injection were not used.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: I had severe pain as soon as the needle was inserted. The individual administering the vaccine was not watching while she was administering it. She was talking to another site worker. Since that day, I have had severe, chronic pain, decreased range of motion, and intermittent joint instability. I am a surgeon, and I am now unable to do my job without pain. I am currently seeking medical attention since this has not been a self limiting injury. I have no pre-existing injuries associated with my left shoulder. Appropriate landmarks for a deltoid injection were not used.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Oxygen saturation decreased, SARS-CoV-2 test negative, Wheezing
Clinical narrative: He started wheezing and was unable to breath normal. We took him to the doctor, and they told us his oxygen level was low. They gave him a nebulizer with steroids. They asked us to come back the next day and his oxygen level was better, but he was still breathing heavy. Then they put him on two antibiotics, azithromycin and amoxicillin for 7 days. This kept going on, so we made an appointment with his PCP. He just had us continue the same treatment. He got better around 5/6/23.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Dyspnoea, Fall
Clinical narrative: The patient was brought to the ED by EMS on 2/6/23. Two days prior (2/4), she reported onset of generalized weakness and had a fall that day. She additionally reports nausea, vomiting, and shortness of breath that prompted her to come to the ED. EMS found the patient's O2 sats at 70% and so she was placed on 2L O2, and she had an O2 sat of 88% in ED triage. A COVID PCR done performed in the ED returned positive. She was admitted 2/6/23 - 2/11/23. Discharge diagnoses included severe sepsis, left lower lung bacterial pneumonia, severe COVID-19, and acute hypoxic respiratory failure. She was started on dexamethasone during admission. There was also concern for bacterial coinfection so she was started on treatment for community-acquired bacterial pneumonia. During her admission, she required up to 3L supplemental O2, but was able to be weaned off prior to discharge. Of note, she has received the primary COVID vaccine series and three boosters. Her most recent booster was administered 12/16/22.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pneumonia, Pneumonia bacterial, SARS-CoV-2 test positive, Sepsis
Clinical narrative: The patient was brought to the ED by EMS on 2/6/23. Two days prior (2/4), she reported onset of generalized weakness and had a fall that day. She additionally reports nausea, vomiting, and shortness of breath that prompted her to come to the ED. EMS found the patient's O2 sats at 70% and so she was placed on 2L O2, and she had an O2 sat of 88% in ED triage. A COVID PCR done performed in the ED returned positive. She was admitted 2/6/23 - 2/11/23. Discharge diagnoses included severe sepsis, left lower lung bacterial pneumonia, severe COVID-19, and acute hypoxic respiratory failure. She was started on dexamethasone during admission. There was also concern for bacterial coinfection so she was started on treatment for community-acquired bacterial pneumonia. During her admission, she required up to 3L supplemental O2, but was able to be weaned off prior to discharge. Of note, she has received the primary COVID vaccine series and three boosters. Her most recent booster was administered 12/16/22.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: The patient was brought to the ED by EMS on 2/6/23. Two days prior (2/4), she reported onset of generalized weakness and had a fall that day. She additionally reports nausea, vomiting, and shortness of breath that prompted her to come to the ED. EMS found the patient's O2 sats at 70% and so she was placed on 2L O2, and she had an O2 sat of 88% in ED triage. A COVID PCR done performed in the ED returned positive. She was admitted 2/6/23 - 2/11/23. Discharge diagnoses included severe sepsis, left lower lung bacterial pneumonia, severe COVID-19, and acute hypoxic respiratory failure. She was started on dexamethasone during admission. There was also concern for bacterial coinfection so she was started on treatment for community-acquired bacterial pneumonia. During her admission, she required up to 3L supplemental O2, but was able to be weaned off prior to discharge. Of note, she has received the primary COVID vaccine series and three boosters. Her most recent booster was administered 12/16/22.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Atypical pneumonia, Chest X-ray, Chills, Cough, Feeling hot
Clinical narrative: Beginning early to mid April 2023 began experiencing allergy symptoms with a lingering cough attributed to allergies.  Treated with allergy prescriptions.  Early-to-mid May began experiencing sinus congestion.  Over the counter medications had no affect.  Additional symptoms began May 7 of mix of chills / feeling hot, sore muscles, and sore throat.  Doctor diagnosed as walking pneumonia.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Full blood count, Hypersensitivity, Myalgia, Oropharyngeal pain, Sinus congestion
Clinical narrative: Beginning early to mid April 2023 began experiencing allergy symptoms with a lingering cough attributed to allergies.  Treated with allergy prescriptions.  Early-to-mid May began experiencing sinus congestion.  Over the counter medications had no affect.  Additional symptoms began May 7 of mix of chills / feeling hot, sore muscles, and sore throat.  Doctor diagnosed as walking pneumonia.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Medication error, Product preparation issue
Clinical narrative: Patient presented to COVID clinic with father, vaccine drawn, RN double checked the vaccine name and dose (0.2ml), vaccine administered per fathers consent. At the end of the clinic received call from pharmacist and she asked if pfizer-peds vaccine was diluted, because she found the normal saline vial in the vaccine clinic unused. Confirmed with her this RN did not dilute the vaccine and asked the other RN she also stated she did not dilute the vial either. This RN assumed the vial was already prepared and drew up and gave vaccine as is. The pediatrician, immediate supervisor and vaccine coordinator (pharmacist) were all notified of the medication error. Parent was called and notified of incident.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Peripheral swelling, Product administered at inappropriate site, Skin warm
Clinical narrative: Pt states that her vaccine was placed to low on the arm. A day or 2 after vaccine the arm swelled was arm to touch and painful. Since has resovled.
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Medication error, Product preparation issue
Clinical narrative: Patient presented to COVID clinic accompanied by mother and sibling, vaccine drawn, RN double checked the vaccine name and dose (0.2ml), vaccine administered per mothers consent. At the end of the clinic received call from pharmacist and she asked if pfizer-peds vaccine was diluted, because she found the normal saline vial in the vaccine clinic unused. Confirmed with her this RN did not dilute the vaccine and verified the other RN  also stated she did not dilute the vial either. This RN assumed the vial was already prepared and drew up and gave vaccine as is. The pediatrician, immediate supervisor and vaccine coordinator (pharmacist) were all notified of the medication error, adminstration of undiluted COVID dose. Parent was called and notified of incident.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, COVID-19, Chills, Diarrhoea, Headache
Clinical narrative: On 29APR2023 I developed fever, chills, body aches, nausea. diarrhea, joint pain, headache. I had all the CDC symptoms of COVID-19 ecxept I did not loose taste or smell. My fever was one hundred and two point four (102.4) for eight hours.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On 29APR2023 I developed fever, chills, body aches, nausea. diarrhea, joint pain, headache. I had all the CDC symptoms of COVID-19 ecxept I did not loose taste or smell. My fever was one hundred and two point four (102.4) for eight hours.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Joint stiffness
Clinical narrative: on the evening of the second day after receiving vaccination Pt noticed his right shoulder feeling tight and swelling in the shoulder area.  On 3rd day in the morning Pt noticed redness and swelling in the Right Shoulder worsening.  Pt reported to clinic and was diagnosed with suspected Cellulitis.  Pt will receive treatment with Primary Care.
Age: 4.0
Sex: F
Vaccine: DTAP, DTAP, HIBV, HIBV, IPV, IPV, MMR, MMR
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave a HIB vaccine to a 4 year old who had completed her primary series.  No adverse reactions.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Discomfort, Dyspnoea, Fatigue
Clinical narrative: On the morning of 3/21/2023, I noticed that I had a sore throat. The sore throat lasted for a couple of days, and on 3/22/2023, I started to also feel tired. In the early hours of 3/23/2023, I woke up with an extremely sore throat. At 2:30 AM, I took a lateral flow COVID-19 test and got a positive result. On 3/23/2023, I had a telehealth visit with my doctor, who prescribed me Paxlovid. She also told me that I could take OTC medicines like Advil and Tylenol to manage discomfort. I began taking the Paxlovid on 3/24/2023. I soon started to feel better afterwards, though I continued to test positive. On 3/28/2023, I finished the Paxlovid. On 3/29/2023, I tested negative for COVID-19. After all of that, I continued to have issues with breathing and coughing for about three weeks afterwards. I ended up using my inhaler about two or three times during this period.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: On the morning of 3/21/2023, I noticed that I had a sore throat. The sore throat lasted for a couple of days, and on 3/22/2023, I started to also feel tired. In the early hours of 3/23/2023, I woke up with an extremely sore throat. At 2:30 AM, I took a lateral flow COVID-19 test and got a positive result. On 3/23/2023, I had a telehealth visit with my doctor, who prescribed me Paxlovid. She also told me that I could take OTC medicines like Advil and Tylenol to manage discomfort. I began taking the Paxlovid on 3/24/2023. I soon started to feel better afterwards, though I continued to test positive. On 3/28/2023, I finished the Paxlovid. On 3/29/2023, I tested negative for COVID-19. After all of that, I continued to have issues with breathing and coughing for about three weeks afterwards. I ended up using my inhaler about two or three times during this period.
Age: 12.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: Not a reaction. Patient should have received Tdap, but received Quadracel instead. Patient has had no symptoms.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal distension, Diarrhoea, Nausea, Vomiting
Clinical narrative: Extreme nausea and stomach bloating resulting in both vomiting and liquid stool over the next 18 hours.
Age: 37.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was improperly storaged upon arrival.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine was improperly stored upon arrival to facility. Patient had no adverse events due to the improper storage of the vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid increased, COVID-19, COVID-19 pneumonia, Chills, Dyspnoea
Clinical narrative: Patient presents emergency department 3-day history of progressive worsening shortness of breath.  Patient reports significant exercise intolerance and inability to ambulate around his house due to severe shortness of breath.  Patient reports fevers chills body aches as well as a productive cough bringing up yellow-greenish sputum.  Patient denies any chest pain or abdominal pain.  Patient states he has been tolerating p.o. food and fluids normally no change in bowel or bladder habits.  Patient denies any falls or other types of trauma.  Patient has no additional medical or trauma complaint.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Gait inability, Hypoxia, Laboratory test, Pain
Clinical narrative: Patient presents emergency department 3-day history of progressive worsening shortness of breath.  Patient reports significant exercise intolerance and inability to ambulate around his house due to severe shortness of breath.  Patient reports fevers chills body aches as well as a productive cough bringing up yellow-greenish sputum.  Patient denies any chest pain or abdominal pain.  Patient states he has been tolerating p.o. food and fluids normally no change in bowel or bladder habits.  Patient denies any falls or other types of trauma.  Patient has no additional medical or trauma complaint.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, Respiratory failure, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient presents emergency department 3-day history of progressive worsening shortness of breath.  Patient reports significant exercise intolerance and inability to ambulate around his house due to severe shortness of breath.  Patient reports fevers chills body aches as well as a productive cough bringing up yellow-greenish sputum.  Patient denies any chest pain or abdominal pain.  Patient states he has been tolerating p.o. food and fluids normally no change in bowel or bladder habits.  Patient denies any falls or other types of trauma.  Patient has no additional medical or trauma complaint.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: Patient presents emergency department 3-day history of progressive worsening shortness of breath.  Patient reports significant exercise intolerance and inability to ambulate around his house due to severe shortness of breath.  Patient reports fevers chills body aches as well as a productive cough bringing up yellow-greenish sputum.  Patient denies any chest pain or abdominal pain.  Patient states he has been tolerating p.o. food and fluids normally no change in bowel or bladder habits.  Patient denies any falls or other types of trauma.  Patient has no additional medical or trauma complaint.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine was improperly stored upon arrival to facility. Patient had no adverse events due to the improper storage of the vaccine.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: The liquid MenCWY component was inadvertently administered alone without the lyophilized MenA component.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Exposure to SARS-CoV-2, Nasopharyngitis, No adverse event, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccination. I felt like I had bad cold on 02/15/2023. I believe I was exposed to COVID-19 from my dentist office. I tested positive for COVID-19 on 02/15/2023. I contacted my doctor and got a prescription for Paxlovid. I tolerated the medication without any complications. As of today, I do not have any lingering symptoms.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Varicella vaccine was given prior to the 28 day interval mark after the MMR vaccine was administered.
Age: 23.0
Sex: M
Vaccine: MENB
Symptoms: Injection site erythema, Injection site mass, Swelling face
Clinical narrative: Patient complained of redness and a lump at the injection site. Patient stated his face swelled the morning after receiving vaccine, which he treated with Benadryl. Facial swelling resolved after one dose of Benadryl. No other complaints.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acne, Biopsy skin abnormal, Blastomycosis, COVID-19, Chest X-ray abnormal
Clinical narrative: In early February 2023, I had a couple of pimples on my chin and then became lesions with oozing. They did a biopsy and determined it was a fungal infection, blastomycosis. I had a chest X-Ray and found inflammation. They believe I breathed in a spore, and it moved from my chest to my chin. I have been taking antibiotics for a week and it didn't help. The infectious disease doctor gave me itraconazole and it seems to be helping. I have to get blood work every two weeks. The lesions have reduced in size. Also, in early January I tested positive for COVID-19 while we were on a cruise. My symptoms were just a slight runny nose.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fungal infection, Inflammation, Rhinorrhoea, SARS-CoV-2 test positive, Skin lesion
Clinical narrative: In early February 2023, I had a couple of pimples on my chin and then became lesions with oozing. They did a biopsy and determined it was a fungal infection, blastomycosis. I had a chest X-Ray and found inflammation. They believe I breathed in a spore, and it moved from my chest to my chin. I have been taking antibiotics for a week and it didn't help. The infectious disease doctor gave me itraconazole and it seems to be helping. I have to get blood work every two weeks. The lesions have reduced in size. Also, in early January I tested positive for COVID-19 while we were on a cruise. My symptoms were just a slight runny nose.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Skin weeping
Clinical narrative: In early February 2023, I had a couple of pimples on my chin and then became lesions with oozing. They did a biopsy and determined it was a fungal infection, blastomycosis. I had a chest X-Ray and found inflammation. They believe I breathed in a spore, and it moved from my chest to my chin. I have been taking antibiotics for a week and it didn't help. The infectious disease doctor gave me itraconazole and it seems to be helping. I have to get blood work every two weeks. The lesions have reduced in size. Also, in early January I tested positive for COVID-19 while we were on a cruise. My symptoms were just a slight runny nose.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Disturbance in attention, Erythema, Eyelid function disorder, Fatigue, Fluid intake reduced
Clinical narrative: Symptoms began a few hours after vaccination: pain at injection site, soreness, redness, child complains of difficulty walking, trouble keeping eyes open/focusing. 5 hours after injection: trouble sleeping, fever of over 101 to 102.5. 12 hours after injection: nausea, vomiting, not eating or drinking water, not wanting to walk, trembling/body shaking, overtired/sleepy and difficulty staying awake. Fever continues.