chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Anorectal disorder, Monkeypox, Orthopoxvirus test positive, Pyrexia
Clinical narrative: Developed Monkeypox symptoms 11/5/2022; including fever then anal lesion. He sought care and tested PCR positive for Monkeypox 11/11/2022. On interview, he reported also receiving a Monkeypox vaccine in early August.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: no adverse events . patient was given 0.3 ml instead of 0.2 ml of the right product
Age: 12.0
Sex: M
Vaccine: MMR
Symptoms: Rash, Rash erythematous
Clinical narrative: Mother report rash on face, shoulders, torso, back -arms-legs- sporadic red bumps
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: I had the vaccination on 11/18/2021. On 08/28/2022 I had a cough at night. During the day of 08/29/2022 the cough continued and the following days. I tested COVID-19 positive on 08/28/2022. I was prescribed an antibiotic for 5 days. I presently feel fine on 11/23/2022.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Blood test, Ear pain, Electromyogram, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Patient received MenQuadfi booster vaccine administered on 09/20/2022.  Patient developed fever and ear pain on 10/05/2022, a PCP visit was completed, and patient diagnosed with left otitis media, acute pharyngitis, and prescribed Amoxicillin  875 mg to be taken twice per day for 7 days. A few weeks later, around 10/21/2022, patient began noticing tingling sensation in toes. This progressed to numbness, which then progressed to the hands as well. About 1 week later motor deficit symptoms began to develop. Presented to ED on 11/6/22, notes indicate diminished sensations along hands, arms, feet and legs. Most of the labs were unremarkable and no other symptoms present. Patient did have an elevated rheumatoid factor. Patient Discharged home  with Gabapentin 100 mg prescribed orally to be taken three times per day. Over the next few weeks symptoms were persistent with no improvement on medication. Patient was direct admitted from an outpatient neurology follow up appointment. Patient admitted to Hospital on 11/10/2022 and discharged home on 11/18/2022 with a diagnosis of Guillain Barre Syndrome.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Laboratory test abnormal, Magnetic resonance imaging, Motor dysfunction, Nerve conduction studies, Otitis media
Clinical narrative: Patient received MenQuadfi booster vaccine administered on 09/20/2022.  Patient developed fever and ear pain on 10/05/2022, a PCP visit was completed, and patient diagnosed with left otitis media, acute pharyngitis, and prescribed Amoxicillin  875 mg to be taken twice per day for 7 days. A few weeks later, around 10/21/2022, patient began noticing tingling sensation in toes. This progressed to numbness, which then progressed to the hands as well. About 1 week later motor deficit symptoms began to develop. Presented to ED on 11/6/22, notes indicate diminished sensations along hands, arms, feet and legs. Most of the labs were unremarkable and no other symptoms present. Patient did have an elevated rheumatoid factor. Patient Discharged home  with Gabapentin 100 mg prescribed orally to be taken three times per day. Over the next few weeks symptoms were persistent with no improvement on medication. Patient was direct admitted from an outpatient neurology follow up appointment. Patient admitted to Hospital on 11/10/2022 and discharged home on 11/18/2022 with a diagnosis of Guillain Barre Syndrome.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Paraesthesia, Pharyngitis, Pyrexia, Rheumatoid factor increased, Sensory loss
Clinical narrative: Patient received MenQuadfi booster vaccine administered on 09/20/2022.  Patient developed fever and ear pain on 10/05/2022, a PCP visit was completed, and patient diagnosed with left otitis media, acute pharyngitis, and prescribed Amoxicillin  875 mg to be taken twice per day for 7 days. A few weeks later, around 10/21/2022, patient began noticing tingling sensation in toes. This progressed to numbness, which then progressed to the hands as well. About 1 week later motor deficit symptoms began to develop. Presented to ED on 11/6/22, notes indicate diminished sensations along hands, arms, feet and legs. Most of the labs were unremarkable and no other symptoms present. Patient did have an elevated rheumatoid factor. Patient Discharged home  with Gabapentin 100 mg prescribed orally to be taken three times per day. Over the next few weeks symptoms were persistent with no improvement on medication. Patient was direct admitted from an outpatient neurology follow up appointment. Patient admitted to Hospital on 11/10/2022 and discharged home on 11/18/2022 with a diagnosis of Guillain Barre Syndrome.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received a dose of Rotovirus that was not due. He had never received any vaccinations and was having to catch up. He was not eligible to receive the Rotovirus because he was over 14 weeks old. He did not have any signs and symptoms of any reactions.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Chest X-ray normal, Cough, Dyspnoea
Clinical narrative: Patient is a 85 y.o. female patient of MD .   Patient states that last week she became ill with a cough.  She did a telemedicine appointment with PCP and was prescribed antibiotics and prednisone.  Patient has had increased worsening of shortness of breath over the past few days as well as coughing.  Patient was positive for COVID and reports she has had her vaccine.   Hospital course as below.  Patient improved with medical treatment.  Patient will complete 10-day course of Decadron outpatient.  Patient instructed to follow-up with primary care provider within 1 week of discharge.  Home health care services arranged on discharge.   1. COVID, +10/17, symptoms 10/8, vaccinated: -CXR non-acute -crp elevated, start decadron -decadron  -no indication for remdesivir at this time, out of window -lovenox DVT prophylaxis    2. Intermittent hypoxia: -2/2 above -wean oxygen as able -overnight pulse ox test with desaturation   3. Hx SVT: -cont home meds   4. Seizure disorder: -cont home meds   5. Other chronic medical conditions: Arthritis, asthma, history of DVT, thalassemia trait, history of thyroid cancer, anemia
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Malaise, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Patient is a 85 y.o. female patient of MD .   Patient states that last week she became ill with a cough.  She did a telemedicine appointment with PCP and was prescribed antibiotics and prednisone.  Patient has had increased worsening of shortness of breath over the past few days as well as coughing.  Patient was positive for COVID and reports she has had her vaccine.   Hospital course as below.  Patient improved with medical treatment.  Patient will complete 10-day course of Decadron outpatient.  Patient instructed to follow-up with primary care provider within 1 week of discharge.  Home health care services arranged on discharge.   1. COVID, +10/17, symptoms 10/8, vaccinated: -CXR non-acute -crp elevated, start decadron -decadron  -no indication for remdesivir at this time, out of window -lovenox DVT prophylaxis    2. Intermittent hypoxia: -2/2 above -wean oxygen as able -overnight pulse ox test with desaturation   3. Hx SVT: -cont home meds   4. Seizure disorder: -cont home meds   5. Other chronic medical conditions: Arthritis, asthma, history of DVT, thalassemia trait, history of thyroid cancer, anemia
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: Generalized itching and hives developed 1-2 days after vaccination with Shingrix. 7 days after itching/hives began occured, pt went to ER for examination. ER physician diagnosed with hives. Given parenteral antihistamines and instructed to continue PO antihistamines at home and topical steroid cream. At day 8 since symptoms began, hives are beginning to diminish, though itching remains present.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt inadvertently received pediatric Pfizer instead of Pfizer 6 months-4 years of age for first dose as a communication error.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Pt received an expired vaccine by error. Vaccine expired on 11/08/2022.  Pt was contacted to come and repeat the dose.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Monkeypox, Orthopoxvirus test positive
Clinical narrative: Patient also received a 2nd dose of Jynneos on 9/7/22. Symptoms of Monkeypox started on 11/8 and he was tested on 11/10 with a result of +Monkeypox.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Atelectasis, C-reactive protein increased, COVID-19
Clinical narrative: Patient is a 79 y.o. male patient of MD with history of pulmonary embolism, stroke, traumatic brain injury, aspiration risk presented with COVID-19 infection     Acute hypoxic respiratory failure Viral sepsis due to Covid-19 Virus infection Date of onset of symptoms: 10/18/2022 Symptoms present on admission: Fever, cough, weakness Date of covid positive test: 10/20/2022 Vaccination status: vaccinated. Patient is unsure if had booster Imaging: Chest x-ray shows left basilar atelectasis/scarring  Oxygen requirements on admission: 2 L Current oxygen requirements: room air Medical therapy: Remdesivir and Steroids (10 days total of therapy) Consultants following: None Anticipated special isolation end date: 10/28/22 CRP 40, ESR 18 SIRS (+) Albuterol, Tessalon Perles, Robitussin PRN IS Home O2 eval today. Does not qualify for home oxygen Discharge on Decadron x7 more days, and Tessalon Perles PRN  History of pulmonary embolism Continue Apixaban   Traumatic brain injury At baseline able to walk with help of walker Continue Baclofen 10mg TID PRN, Donepezil 5mg, Lexapro 20mg, Remeron 7.5mg HS Continue aspiration precautions PT/OT/CM consulted. 2-3 days per week of therapy. HHC at discharge   Obesity BMI 30.9 Recommend lifestyle changes
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Obesity, Pulmonary fibrosis, Pyrexia
Clinical narrative: Patient is a 79 y.o. male patient of MD with history of pulmonary embolism, stroke, traumatic brain injury, aspiration risk presented with COVID-19 infection     Acute hypoxic respiratory failure Viral sepsis due to Covid-19 Virus infection Date of onset of symptoms: 10/18/2022 Symptoms present on admission: Fever, cough, weakness Date of covid positive test: 10/20/2022 Vaccination status: vaccinated. Patient is unsure if had booster Imaging: Chest x-ray shows left basilar atelectasis/scarring  Oxygen requirements on admission: 2 L Current oxygen requirements: room air Medical therapy: Remdesivir and Steroids (10 days total of therapy) Consultants following: None Anticipated special isolation end date: 10/28/22 CRP 40, ESR 18 SIRS (+) Albuterol, Tessalon Perles, Robitussin PRN IS Home O2 eval today. Does not qualify for home oxygen Discharge on Decadron x7 more days, and Tessalon Perles PRN  History of pulmonary embolism Continue Apixaban   Traumatic brain injury At baseline able to walk with help of walker Continue Baclofen 10mg TID PRN, Donepezil 5mg, Lexapro 20mg, Remeron 7.5mg HS Continue aspiration precautions PT/OT/CM consulted. 2-3 days per week of therapy. HHC at discharge   Obesity BMI 30.9 Recommend lifestyle changes
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 test positive, Systemic inflammatory response syndrome, Viral sepsis
Clinical narrative: Patient is a 79 y.o. male patient of MD with history of pulmonary embolism, stroke, traumatic brain injury, aspiration risk presented with COVID-19 infection     Acute hypoxic respiratory failure Viral sepsis due to Covid-19 Virus infection Date of onset of symptoms: 10/18/2022 Symptoms present on admission: Fever, cough, weakness Date of covid positive test: 10/20/2022 Vaccination status: vaccinated. Patient is unsure if had booster Imaging: Chest x-ray shows left basilar atelectasis/scarring  Oxygen requirements on admission: 2 L Current oxygen requirements: room air Medical therapy: Remdesivir and Steroids (10 days total of therapy) Consultants following: None Anticipated special isolation end date: 10/28/22 CRP 40, ESR 18 SIRS (+) Albuterol, Tessalon Perles, Robitussin PRN IS Home O2 eval today. Does not qualify for home oxygen Discharge on Decadron x7 more days, and Tessalon Perles PRN  History of pulmonary embolism Continue Apixaban   Traumatic brain injury At baseline able to walk with help of walker Continue Baclofen 10mg TID PRN, Donepezil 5mg, Lexapro 20mg, Remeron 7.5mg HS Continue aspiration precautions PT/OT/CM consulted. 2-3 days per week of therapy. HHC at discharge   Obesity BMI 30.9 Recommend lifestyle changes
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Limb mass, Pain
Clinical narrative: Patient reported pain after vaccine was administered on the right arm. The vaccine was given 2.5 inches below shoulder bone. She reports going home and continuing to experience pain and noticing a lump in her inner below. She has set up an appointment to be seen with her provider.
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Emotional distress, Fear of injection, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Patient rec?d Adult Hepatitis A vaccination. Appropriate questions asked and patient declined issues. Went to front desk to pay, started trembling and appeared in distress. Someone called for a nurse and she with the help of significant other assisted patient to chair with legs up. No fall or further injury occurred at this time. Wheelchair grabbed as patient was diaphoretic, pale, and syncopal, and patient assisted to patient exam table significant other in room.  Vital Signs 0136: BP 98/70, P70. Legs up, ice pack applied, sucker given. Patient declined advanced medical attention at this time  Vital Signs 0150: BP 118/78 P82, O2 99% on Room Air. Patient?s significant other states she has fainted several times in the past, as much as 5+ times in the last few years.  Patient stated further she has a lot of anxiety about shots and that she did not eat today. HIGHLY encouraged patient to have let her medical team know PRIOR to vaccination that she is prone to fainting to protect herself from injury.  Water given. Legs still up.  Vital Signs 0155: Sitting: BP 110/80 P78 O2 99% RA. All color returned to face, patient feeling better.  Vital Signs Approx 0158: Standing BP 112/80. Feeling well, patient wants to leave. Declined advanced care.  Patient left 0200pm with ambulation with significant other to private vehicle. Reinforced need to eat and hydrate, and to let medical staff know prior to vaccinations know she is prone to fainting. Patient declined further workup or any residual adverse symptoms.
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Tremor
Clinical narrative: Patient rec?d Adult Hepatitis A vaccination. Appropriate questions asked and patient declined issues. Went to front desk to pay, started trembling and appeared in distress. Someone called for a nurse and she with the help of significant other assisted patient to chair with legs up. No fall or further injury occurred at this time. Wheelchair grabbed as patient was diaphoretic, pale, and syncopal, and patient assisted to patient exam table significant other in room.  Vital Signs 0136: BP 98/70, P70. Legs up, ice pack applied, sucker given. Patient declined advanced medical attention at this time  Vital Signs 0150: BP 118/78 P82, O2 99% on Room Air. Patient?s significant other states she has fainted several times in the past, as much as 5+ times in the last few years.  Patient stated further she has a lot of anxiety about shots and that she did not eat today. HIGHLY encouraged patient to have let her medical team know PRIOR to vaccination that she is prone to fainting to protect herself from injury.  Water given. Legs still up.  Vital Signs 0155: Sitting: BP 110/80 P78 O2 99% RA. All color returned to face, patient feeling better.  Vital Signs Approx 0158: Standing BP 112/80. Feeling well, patient wants to leave. Declined advanced care.  Patient left 0200pm with ambulation with significant other to private vehicle. Reinforced need to eat and hydrate, and to let medical staff know prior to vaccinations know she is prone to fainting. Patient declined further workup or any residual adverse symptoms.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient first received Pfizer Bivalent booster on 09/10/2022 and scheduled an appointment and received a 2nd dose of Pfizer Bivalent on 11/22/2022. Spoke to patient today no adverse events to report.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient recieved fist dose of Pfizer Bivalent on 09/10/2022 then scheduled and recived a 2nd dose of Pfizer Bivalent on 11/22/2022. No adverse events per patient to report
Age: 3.0
Sex: F
Vaccine: FLUC4
Symptoms: Inappropriate schedule of product administration, Product administration error
Clinical narrative: Patient was administered Flucelvax on 11/05/2022. Patient was overdosed on Flucelvax 11/21/2022, 12 days before she was eligible for a second dose of Flucelvax. Father called on 11/22/2022 to confirm timing was correct and the error was caught. The child is asymptomatic currently.
Age: 68.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Dizziness, Fear of falling, Headache, Loss of personal independence in daily activities, Lymphadenopathy
Clinical narrative: Received vaccines on 11/8 and woke up on 11/9 feeling dizzy and nauseated with a severe headache. Her neck lymph nodes are also swollen. These symptoms have persisted since 11/9 without resolution making it difficult for her to do daily activities for fear of falling.
Age: 68.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Nausea
Clinical narrative: Received vaccines on 11/8 and woke up on 11/9 feeling dizzy and nauseated with a severe headache. Her neck lymph nodes are also swollen. These symptoms have persisted since 11/9 without resolution making it difficult for her to do daily activities for fear of falling.
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anosmia, Diarrhoea, Feeling abnormal, Malaise, Nausea
Clinical narrative: I generally very lousy, sick, nauseated, diarrhea and I lost my smell a few days later.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I generally very lousy, sick, nauseated, diarrhea and I lost my smell a few days later.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Pain, Pain in extremity
Clinical narrative: patient said shot caused immediate pain, radiating down arm.  hasn't gotten better. got medical atttention to noted to get a MRI
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product administration error, Product preparation error
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient got the pediatric dose
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse event noted, but primary vaccine given in place of the eligible bivalent booster.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis
Clinical narrative: patient developed cellulitis the day after the vACCINE
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product administration error, Product preparation error
Clinical narrative: Error occurred when administering a dose of Pediatric Pfizer Bivalent vaccine. Clinic staff did not dilute vaccine vial prior to administration and so patient received concentrated vaccine. Estimated dose administered ~28 mcg rather than intended 10 mcg.  Patient/caregiver did not report any adverse event.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dehydration, Dyspnoea
Clinical narrative: VACCINE BREAKTHROUGH COVID INFECTION - Symptoms lasted for several days, required consultation with physicians and extra care at home, but did not necessitate in-person medical care. (Prior to receiving vaccine, patient was high risk for severe disease due to neurological disease and history of complications with colds) 9/29/2022 (Day of positive test): Congestion, fatigue 9/29 - 10/2/2022: Vomiting increased from baseline, a bit dehydrated, a 100.2 fever, elevated heart rate (at one point it was 170s/180s but got better in time for us to avoid the ER), upper and lower congestion, slightly more labored than usual breathing, and coughing a fair amount, especially at night. Parents kept in touch with pt.'s pulmonologist for recommendations, and so he was able to be cared for at home. He was mostly recovered by 10/2/22. At-home care slightly more than typically needed for colds (history of emergent care needed during colds for respiratory issues, dehydration, etc). At-home care included: monitoring of oxygen and heart rate via medical-grade Covidien pulse oximeter, increased chest physiotherapy, medical-grade nasal suction, substitute pedialyte for 1/2 of g-tube feeds, acetaminophen/ibuprofen, saline nasal spray, saline mist inhaler, mucinex at night, albuterol inhaler every 4 hours.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Lower respiratory tract congestion, Malaise, Respiratory tract congestion
Clinical narrative: VACCINE BREAKTHROUGH COVID INFECTION - Symptoms lasted for several days, required consultation with physicians and extra care at home, but did not necessitate in-person medical care. (Prior to receiving vaccine, patient was high risk for severe disease due to neurological disease and history of complications with colds) 9/29/2022 (Day of positive test): Congestion, fatigue 9/29 - 10/2/2022: Vomiting increased from baseline, a bit dehydrated, a 100.2 fever, elevated heart rate (at one point it was 170s/180s but got better in time for us to avoid the ER), upper and lower congestion, slightly more labored than usual breathing, and coughing a fair amount, especially at night. Parents kept in touch with pt.'s pulmonologist for recommendations, and so he was able to be cared for at home. He was mostly recovered by 10/2/22. At-home care slightly more than typically needed for colds (history of emergent care needed during colds for respiratory issues, dehydration, etc). At-home care included: monitoring of oxygen and heart rate via medical-grade Covidien pulse oximeter, increased chest physiotherapy, medical-grade nasal suction, substitute pedialyte for 1/2 of g-tube feeds, acetaminophen/ibuprofen, saline nasal spray, saline mist inhaler, mucinex at night, albuterol inhaler every 4 hours.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Upper respiratory tract congestion, Vaccine breakthrough infection, Vomiting
Clinical narrative: VACCINE BREAKTHROUGH COVID INFECTION - Symptoms lasted for several days, required consultation with physicians and extra care at home, but did not necessitate in-person medical care. (Prior to receiving vaccine, patient was high risk for severe disease due to neurological disease and history of complications with colds) 9/29/2022 (Day of positive test): Congestion, fatigue 9/29 - 10/2/2022: Vomiting increased from baseline, a bit dehydrated, a 100.2 fever, elevated heart rate (at one point it was 170s/180s but got better in time for us to avoid the ER), upper and lower congestion, slightly more labored than usual breathing, and coughing a fair amount, especially at night. Parents kept in touch with pt.'s pulmonologist for recommendations, and so he was able to be cared for at home. He was mostly recovered by 10/2/22. At-home care slightly more than typically needed for colds (history of emergent care needed during colds for respiratory issues, dehydration, etc). At-home care included: monitoring of oxygen and heart rate via medical-grade Covidien pulse oximeter, increased chest physiotherapy, medical-grade nasal suction, substitute pedialyte for 1/2 of g-tube feeds, acetaminophen/ibuprofen, saline nasal spray, saline mist inhaler, mucinex at night, albuterol inhaler every 4 hours.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received the Pfizer - Orange cap for the primary series.  He received the incorrect product for his age., as the orange cap is for children 5-11 years old.  No adverse reactions were communicated to the clinic.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Injection site pain, Injection site swelling, Swelling
Clinical narrative: Pt had severe pain and swelling at injection site and corresponding axilla (right) 24 hours after the Pfizer bivalent booster vaccine taken in a different pharmacy.  Symptoms improved with Ibuprofen but not completely recovered. No anaphylaxis events reported.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Bone pain, Chills, Fatigue, Feeling abnormal, Influenza like illness
Clinical narrative: First shot July 27 2022 lot 5j27j from same pharmacy.  Felt a little tired 4 hours after shot but by 1030 pm I was shivering, fever 100.3F, bone pain, arm pain... felt like a raging inferno all night. No arm redness until Monday night... but, chills, fever, pain in arm, muscle aches, nausea,... remain to today, Wednesday. I feel awful! Like I have the flu. Negative for.covid. I feel I just want to crawl in bed and stay.... have to take care of house and child. I'm miserable! I did not expect these symptoms for so long. The huge red circle on my arm is about 5 to 6 inches round... hot and itchy.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: First shot July 27 2022 lot 5j27j from same pharmacy.  Felt a little tired 4 hours after shot but by 1030 pm I was shivering, fever 100.3F, bone pain, arm pain... felt like a raging inferno all night. No arm redness until Monday night... but, chills, fever, pain in arm, muscle aches, nausea,... remain to today, Wednesday. I feel awful! Like I have the flu. Negative for.covid. I feel I just want to crawl in bed and stay.... have to take care of house and child. I'm miserable! I did not expect these symptoms for so long. The huge red circle on my arm is about 5 to 6 inches round... hot and itchy.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: SARS-CoV-2 test negative, Skin warm
Clinical narrative: First shot July 27 2022 lot 5j27j from same pharmacy.  Felt a little tired 4 hours after shot but by 1030 pm I was shivering, fever 100.3F, bone pain, arm pain... felt like a raging inferno all night. No arm redness until Monday night... but, chills, fever, pain in arm, muscle aches, nausea,... remain to today, Wednesday. I feel awful! Like I have the flu. Negative for.covid. I feel I just want to crawl in bed and stay.... have to take care of house and child. I'm miserable! I did not expect these symptoms for so long. The huge red circle on my arm is about 5 to 6 inches round... hot and itchy.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: patient got pediatric monovalent when adult bivalent was indicated
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Myelodysplastic syndrome
Clinical narrative: Pt developed MYELODYSPLASTIC SYNDROME
Age: 64.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Culture, Dyspnoea, Nasal congestion, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: I had a sore throat. I thought it was strep, but the test was negative. I did not receive any antibiotics. It turned into a severe cold with runny nose, nasal congestion, chest congestion, and shortness of breath. These symptoms lasted 2-3 weeks. I took a maintenance inhaler which I usually only take when I feel compromised. I also used over the counter cough medicine and TYLENOL to treat these symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Respiratory tract congestion, Rhinorrhoea, Streptococcus test negative
Clinical narrative: I had a sore throat. I thought it was strep, but the test was negative. I did not receive any antibiotics. It turned into a severe cold with runny nose, nasal congestion, chest congestion, and shortness of breath. These symptoms lasted 2-3 weeks. I took a maintenance inhaler which I usually only take when I feel compromised. I also used over the counter cough medicine and TYLENOL to treat these symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eczema, Fatigue, Rash, Rash erythematous, Urticaria
Clinical narrative: Severe fatigue day of injection and following day.  Neck broke out in an angry red rash (severe eczema, especially throat latch).  Hives all over torso.  Not getting better at day 8.
Age: 34.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Unevaluable event
Clinical narrative: When giving the vaccine in the right forearm, a wheal did not form. Administered second dose in lower right forearm and wheal formed. No adverse reaction from second dose.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Asthenia, Mobility decreased, Pain of skin, Pyrexia
Clinical narrative: I received the vaccine on 09/27/2022 and later that evening I had a high fever, joint pain, skin hurt, and it was difficult to move for twelve hours. The joint pain lasted longer, and I had weakness. I contacted my doctor on 10/03/2022 and I was not given a prescription. The symptoms went away but returned at the end of October. I did not see my doctor put I took over the counter pain medication.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expired 11-21-22, bottle unlabeled. Pt notified and no adverse reactions noted by pt. Pt advised would need to be be revaccinated but refused at this moment
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Client came in to receive the Moderna Bivalent and I accidently gave him the regular Moderna Vaccine.  This occurred at 11:52 am 11/23/22.  Client had no reactions.  I talked with client and let him know that he received the regular Moderna vaccine and not the Bivalent.  Client questions what he needs to do next.  I discussed with him that he can return in 2 months and receive the Bivalent and apologized for the error.  Asked this client if he feels ok after his 15 min wait and he says, yes.
Age: 16.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Syncope
Clinical narrative: fainted
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Vaccination error
Clinical narrative: none noted yet.  found error when processing vaccine
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received a Covid Bivalent Pfizer vaccine before initiating or receiving a primary series.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave bivalent booster instead of monovalent
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Pain in extremity
Clinical narrative: Aching of legs and feet. Overall malaise.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: MenA Lyophilized Conjugate Compound was diluted with sterile diluent INSTEAD of the accompanying vial of MenCYWLiquid Conjugate Component
Age: 10.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Dizziness, Loss of consciousness, Muscle twitching, Musculoskeletal stiffness, Nausea
Clinical narrative: Tdap was given and then HPV and within minutes patient got dizzy and passed out for approx 30 seconds. During this time she did have muscle stiffness and some twitching. Upon waking she was hit and nauseous with a heart rate of around 105
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood loss anaemia, Death, Endotracheal intubation, Feeding tube user
Clinical narrative: The patient was an unfortunate 59-year-old male, who was recently admitted to Regional hospital for intracranial hemorrhage.  This was managed nonoperatively.  He had a prolonged complicated hospital course.  There was significant for respiratory failure requiring intubation, pneumonia secondary to Acinetobacter, septic shock, altered mental status, and abnormal LFTs.  He underwent G-tube placement on October 12, 2022 and tracheostomy tube placement on October 14, 2022.    On October 19, 2022, he was transferred to alternate facility for further evaluation and management.  He was maintained on mechanical ventilatory support.  Tube feeds were continued.  DVT prophylaxis was provided.  He never really made much progress in terms of ventilator weaning.  He remains very poorly responsive.  He was felt to have a probable upper GI bleed at one point with acute blood loss anemia.  This stabilized.  After extensive discussion with the family, it was decided to make him DNR and withdrawal of ventilator support.  He was made comfort care.  He was pronounced dead at 12:58 p.m
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrostomy, Haemorrhage intracranial, Hyporesponsive to stimuli, Liver function test abnormal, Mechanical ventilation
Clinical narrative: The patient was an unfortunate 59-year-old male, who was recently admitted to Regional hospital for intracranial hemorrhage.  This was managed nonoperatively.  He had a prolonged complicated hospital course.  There was significant for respiratory failure requiring intubation, pneumonia secondary to Acinetobacter, septic shock, altered mental status, and abnormal LFTs.  He underwent G-tube placement on October 12, 2022 and tracheostomy tube placement on October 14, 2022.    On October 19, 2022, he was transferred to alternate facility for further evaluation and management.  He was maintained on mechanical ventilatory support.  Tube feeds were continued.  DVT prophylaxis was provided.  He never really made much progress in terms of ventilator weaning.  He remains very poorly responsive.  He was felt to have a probable upper GI bleed at one point with acute blood loss anemia.  This stabilized.  After extensive discussion with the family, it was decided to make him DNR and withdrawal of ventilator support.  He was made comfort care.  He was pronounced dead at 12:58 p.m
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia acinetobacter, Respiratory failure, Septic shock, Tracheostomy, Upper gastrointestinal haemorrhage
Clinical narrative: The patient was an unfortunate 59-year-old male, who was recently admitted to Regional hospital for intracranial hemorrhage.  This was managed nonoperatively.  He had a prolonged complicated hospital course.  There was significant for respiratory failure requiring intubation, pneumonia secondary to Acinetobacter, septic shock, altered mental status, and abnormal LFTs.  He underwent G-tube placement on October 12, 2022 and tracheostomy tube placement on October 14, 2022.    On October 19, 2022, he was transferred to alternate facility for further evaluation and management.  He was maintained on mechanical ventilatory support.  Tube feeds were continued.  DVT prophylaxis was provided.  He never really made much progress in terms of ventilator weaning.  He remains very poorly responsive.  He was felt to have a probable upper GI bleed at one point with acute blood loss anemia.  This stabilized.  After extensive discussion with the family, it was decided to make him DNR and withdrawal of ventilator support.  He was made comfort care.  He was pronounced dead at 12:58 p.m
Age: 7.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Injection site erythema, Injection site warmth, Oropharyngeal discomfort, Pruritus, Throat irritation
Clinical narrative: Pt was observed for 15 min after vaccines without incident. He developed generalized itching and hives on trunk about 30 min after vaccines. Briefly c/o itching in throat and sensation of needing to cough, but those symptoms resolved without intervention.
Age: 7.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Urticaria
Clinical narrative: Pt was observed for 15 min after vaccines without incident. He developed generalized itching and hives on trunk about 30 min after vaccines. Briefly c/o itching in throat and sensation of needing to cough, but those symptoms resolved without intervention.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Ear pain, Headache, Hypoaesthesia, Laboratory test
Clinical narrative: She woke @ 0400 am with severe HA.  @ 0600 developed severe nausea & dizziness, by 0700 was vomiting.  She was unable to keep anything down for 36 hours and was vomiting every hour for the first 12 hours, then about every 2-3 hours for 12 hours, then every 4-6 hours for the last 12 hours.  Headache, low grade fever (100.6), body aches and dizziness throughout this 36 hour period.   The am of 10/9/22, she woke up with severe ear pain and enlarged lymph nodes behind ear, in neck, and in arm pit.  Lymph nodes were tender swollen and hot to touch.  Lymph nodes were so swollen, she believes that the swelling compressed the ulnar nerve which resulted in numbness and tingling to R hand.  This numb and tingling lasted 3 days and gradually subsided.  On 10/10 she developed profuse blistering of the tongue, and was unable to resume a normal diet for 1 week. Muscle spasms, aches occurred for 1 week post the vomiting episode.   She followed up with PCP (MD) on 10/24/22, where she felt mostly recovered to check labs and get an ultrasound
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymph node pain, Lymphadenopathy, Muscle spasms, Myalgia, Nausea
Clinical narrative: She woke @ 0400 am with severe HA.  @ 0600 developed severe nausea & dizziness, by 0700 was vomiting.  She was unable to keep anything down for 36 hours and was vomiting every hour for the first 12 hours, then about every 2-3 hours for 12 hours, then every 4-6 hours for the last 12 hours.  Headache, low grade fever (100.6), body aches and dizziness throughout this 36 hour period.   The am of 10/9/22, she woke up with severe ear pain and enlarged lymph nodes behind ear, in neck, and in arm pit.  Lymph nodes were tender swollen and hot to touch.  Lymph nodes were so swollen, she believes that the swelling compressed the ulnar nerve which resulted in numbness and tingling to R hand.  This numb and tingling lasted 3 days and gradually subsided.  On 10/10 she developed profuse blistering of the tongue, and was unable to resume a normal diet for 1 week. Muscle spasms, aches occurred for 1 week post the vomiting episode.   She followed up with PCP (MD) on 10/24/22, where she felt mostly recovered to check labs and get an ultrasound
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Paraesthesia, Pyrexia, Skin warm, Sleep disorder
Clinical narrative: She woke @ 0400 am with severe HA.  @ 0600 developed severe nausea & dizziness, by 0700 was vomiting.  She was unable to keep anything down for 36 hours and was vomiting every hour for the first 12 hours, then about every 2-3 hours for 12 hours, then every 4-6 hours for the last 12 hours.  Headache, low grade fever (100.6), body aches and dizziness throughout this 36 hour period.   The am of 10/9/22, she woke up with severe ear pain and enlarged lymph nodes behind ear, in neck, and in arm pit.  Lymph nodes were tender swollen and hot to touch.  Lymph nodes were so swollen, she believes that the swelling compressed the ulnar nerve which resulted in numbness and tingling to R hand.  This numb and tingling lasted 3 days and gradually subsided.  On 10/10 she developed profuse blistering of the tongue, and was unable to resume a normal diet for 1 week. Muscle spasms, aches occurred for 1 week post the vomiting episode.   She followed up with PCP (MD) on 10/24/22, where she felt mostly recovered to check labs and get an ultrasound
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tongue blistering, Ultrasound scan, Vomiting
Clinical narrative: She woke @ 0400 am with severe HA.  @ 0600 developed severe nausea & dizziness, by 0700 was vomiting.  She was unable to keep anything down for 36 hours and was vomiting every hour for the first 12 hours, then about every 2-3 hours for 12 hours, then every 4-6 hours for the last 12 hours.  Headache, low grade fever (100.6), body aches and dizziness throughout this 36 hour period.   The am of 10/9/22, she woke up with severe ear pain and enlarged lymph nodes behind ear, in neck, and in arm pit.  Lymph nodes were tender swollen and hot to touch.  Lymph nodes were so swollen, she believes that the swelling compressed the ulnar nerve which resulted in numbness and tingling to R hand.  This numb and tingling lasted 3 days and gradually subsided.  On 10/10 she developed profuse blistering of the tongue, and was unable to resume a normal diet for 1 week. Muscle spasms, aches occurred for 1 week post the vomiting episode.   She followed up with PCP (MD) on 10/24/22, where she felt mostly recovered to check labs and get an ultrasound
Age: 30.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal
Clinical narrative: Acute appendicitis requiring appendectomy
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Lymphadenopathy
Clinical narrative: Patient reported headache and swollen lymph node in left axilla
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Feeding disorder, Full blood count, Hyperhidrosis, Metabolic function test
Clinical narrative: The patient is suffering from nausea, vomiting, profuse sweating, a large lump under the left armpit and inability to eat.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Procalcitonin, Urine analysis, Vomiting
Clinical narrative: The patient is suffering from nausea, vomiting, profuse sweating, a large lump under the left armpit and inability to eat.
Age: 18.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Rash, Rash erythematous, Urticaria, Wheezing
Clinical narrative: Upon receiving vaccinations patient broke out in hives and became light headed. She sat and waited and tried to calm herself down. Her wheezing continued to become worse and a red rash started on her neck and upper arms of both arms. She used her albuterol inhaler and took some Benadryl that she had with her. She has had allergic reactions in the past. Allergy testing wasn't able to determine the agents due to the strong immune response she was exhibiting. She carried an Epi-Pen but it was not used. Her mother arrived after being notified and she was able to help calm her further and assist her with deep breathing to abate symptoms.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Areflexia, Ascending flaccid paralysis, CSF protein increased, Endotracheal intubation, Lumbar puncture abnormal
Clinical narrative: Patient started having ascending paralysis on 11/20/2022 and eventually came to the hospital on 11/21/2022.  Absent deep tissue reflexes.  LP with high protein and MRI spine with myelitis.  Currently intubated for possible Guillain-Barré syndrome.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Magnetic resonance imaging spinal abnormal, Myelitis
Clinical narrative: Patient started having ascending paralysis on 11/20/2022 and eventually came to the hospital on 11/21/2022.  Absent deep tissue reflexes.  LP with high protein and MRI spine with myelitis.  Currently intubated for possible Guillain-Barré syndrome.
Age: 29.0
Sex: U
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Limb discomfort, Pain in extremity, Paraesthesia
Clinical narrative: Immediately started to experience tingly sensation most if my R arm and both pinky and ring finger. For couple days after, my R arm became so painfully sore and uncomfortable to the point it was causing extreme pain throughout my entire arm.   Went to see a doctor at a urgent clinic and was prescribed Prednisone, 1 tablet 2x day for 5 days. My arm recovered since then
Age: 16.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient under the age of 18 received Flublok vaccine which is only indicated for patients over the 18. No adverse effects were reported during follow-up conversation with patient?s mom 12 days after vaccination.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received monovalent Pfizer vaccine instead of the intended Pfizer bivalent booster. Called patient to notify patient of error. Patient does not speak the language. Her caregiver said it was okay since she can come back and get her booster in 2 months.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: got wrong shot
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Eyelid ptosis
Clinical narrative: Left eye ptosis: started 4-5 hours after vaccines were given. Persisted consistently x 3-4 days, then gradually became intermittent. Intermittent left-sided ptosis has continued to be noted since that time.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Device malfunction, Syringe issue
Clinical narrative: While administering vaccine, the the plunger of the Fluarix vaccine stopped and would not advance. Syringe removed. Family notified.  Vaccine dose repeated per CDC recommendations.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Nausea, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: sore swollen arm with rash and redness, 4 inches, naseau, fever
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: sore swollen arm with rash and redness, 4 inches, naseau, fever
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Feeding disorder, Fluid intake reduced, Injection site pain, Injection site rash
Clinical narrative: sore swollen arm with rash and redness, 4 inches, naseau, fever
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site swelling, Nausea, Pyrexia, Vomiting
Clinical narrative: sore swollen arm with rash and redness, 4 inches, naseau, fever
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Nausea, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Morning following vaccine patient woke up feeling weak with severe nausea and vomiting. Fever continued to go up. Could not eat or drink all day. Significant swelling and soreness around injection site with rash. Was able to start eating very little the following day but is still weak from the event as of today (11/23/2022).