chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Hypertension, Malaise, Night sweats
Clinical narrative: On the 31st of August I had fatigue, 102 fever and chills. It started that morning. This was the first COVID-19 bout I had. By lunchtime I went to urgent care and was given Paxlovid for 5 days from 8/31-9/4. It worked so well that it cleared everything up the next morning. The first night I was drenched from head to two at night, it went through the mattress. I soaking wet and my blood pressure was back to normal. And my blood pressure was going very high and my meds weren't working 2 days before I tested positive with COVID-19.  9/10 I went to the health center and I was positive again after being negative. I had a low grade fever and high pulse and sinus issues. I was told it was Paxlovid rebound. I was sick until 9/19 when I wound up in the hospital. I was given a steroid pack which helped with my sinuses. On the 19th I had a tayaccardia event and was admitted into the hospital for 3 days. I'm now on a heart monitor. My thyroid went down to 10.4 after being in the normal range for a long time.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinus disorder, Tachycardia, Thyroid function test abnormal
Clinical narrative: On the 31st of August I had fatigue, 102 fever and chills. It started that morning. This was the first COVID-19 bout I had. By lunchtime I went to urgent care and was given Paxlovid for 5 days from 8/31-9/4. It worked so well that it cleared everything up the next morning. The first night I was drenched from head to two at night, it went through the mattress. I soaking wet and my blood pressure was back to normal. And my blood pressure was going very high and my meds weren't working 2 days before I tested positive with COVID-19.  9/10 I went to the health center and I was positive again after being negative. I had a low grade fever and high pulse and sinus issues. I was told it was Paxlovid rebound. I was sick until 9/19 when I wound up in the hospital. I was given a steroid pack which helped with my sinuses. On the 19th I had a tayaccardia event and was admitted into the hospital for 3 days. I'm now on a heart monitor. My thyroid went down to 10.4 after being in the normal range for a long time.
Age: 1.83
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, No adverse event
Clinical narrative: Father brought in daughter and son for #1 Moderna vaccines. Reported he and mother had been vaccinated with Moderna and wanted to get kids started. RN looked up brother (older) - he was unvaccinated for Covid. Administration of covid vaccines complete. When entering vaccine, this RN saw that she was previously vaccinated. Father was unsure - said maybe they had gotten it started awhile ago but was unsure.  Client waited in clinic for 30 minutes before leaving and no immediate adverse effects were experienced. Department of Health was alerted and notified of situation. They advised VAERS be completed.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given Monovalent Covid vaccine instead of Bivalent Covid 19 vaccine.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: underage administration
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Crying, Insomnia, Malaise, Mobility decreased, Oropharyngeal pain
Clinical narrative: 10 YEAR OLD PATIENT WAS INADVERTANTLY GIVEN ADULT PFIZER BIVALENT 12+     WHEN CONTACTED , THE FATHER SAID HIS DAUGHTER WAS NOT FEELING WELL AT ALL AND DIDN'T GO TO SCHOOL THE FOLLOWING DAY.  HER SYMPTOMS INCLUDED AN EXTREMELY SORE ARM THAT SHE SAID FELT LIKE SHE COULD NOT MOVE IT, A SORE THROAT,  LOW-GRADE FEVER, SHE WOKE UP CRYING AND  AND HAD TROUBLE SLEEPING DURING THE NIGHT DUE TO PAIN. HE STATED THAT SHE TOOK  IBUPROFEN FOR PAIN, DOSE UNKNOWN.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: 10 YEAR OLD PATIENT WAS INADVERTANTLY GIVEN ADULT PFIZER BIVALENT 12+     WHEN CONTACTED , THE FATHER SAID HIS DAUGHTER WAS NOT FEELING WELL AT ALL AND DIDN'T GO TO SCHOOL THE FOLLOWING DAY.  HER SYMPTOMS INCLUDED AN EXTREMELY SORE ARM THAT SHE SAID FELT LIKE SHE COULD NOT MOVE IT, A SORE THROAT,  LOW-GRADE FEVER, SHE WOKE UP CRYING AND  AND HAD TROUBLE SLEEPING DURING THE NIGHT DUE TO PAIN. HE STATED THAT SHE TOOK  IBUPROFEN FOR PAIN, DOSE UNKNOWN.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Resident was administered a second Moderna Bivalent Booster vaccine on 10/18/2022. Resident had already recived a Moderna Bivalent Booster on 09/14/2022. Physicain and resident were notified immedialty of the administration error. No adverse reactions hav been noted following administration.
Age: 3.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Erythema, Immediate post-injection reaction, Swelling
Clinical narrative: Developed redness & swelling within 10min of vaccine administration. Gave 6.25ml of Benadryl & had him  wait for another 10 min w/ no further reactions.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Monovalent Covid 19 vaccine instead of Bivalent Covid 19 vaccine
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Death, Hypophagia, Hypotension, Muscle twitching
Clinical narrative: gradual decrease in food intake after shot, then on 8/7/22 he appeared to be ashen in color, hypotensive, bradycardia noted, increased respirations. over the next few days this continued as well as muscle twitches in arms and legs, oxygen saturation unable to be obtained, he expired on 8/12/22
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory rate increased, Skin discolouration
Clinical narrative: gradual decrease in food intake after shot, then on 8/7/22 he appeared to be ashen in color, hypotensive, bradycardia noted, increased respirations. over the next few days this continued as well as muscle twitches in arms and legs, oxygen saturation unable to be obtained, he expired on 8/12/22
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aphonia, Chills, Cough, Dysphonia, Headache
Clinical narrative: Sore throat started 10/16, became progressively worse and then severe for next couple days. Chills and feverish next day 10/17, then subsided. Then URI/sinus symptoms began (severe runny nose and sneezing, sinus pressure, headache, hoarseness, scratchy throat and losing voice). After OTC meds and prednisone symptoms began to improve. Towards end, developed an intermittent cough. Now I still have some runny nose and green mucus, coughing up phlegm occasionally. Voice is almost recovered.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Paranasal sinus discomfort, Productive cough, Pyrexia, Respiratory symptom
Clinical narrative: Sore throat started 10/16, became progressively worse and then severe for next couple days. Chills and feverish next day 10/17, then subsided. Then URI/sinus symptoms began (severe runny nose and sneezing, sinus pressure, headache, hoarseness, scratchy throat and losing voice). After OTC meds and prednisone symptoms began to improve. Towards end, developed an intermittent cough. Now I still have some runny nose and green mucus, coughing up phlegm occasionally. Voice is almost recovered.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, Secretion discharge, Sinus disorder, Sneezing, Throat irritation
Clinical narrative: Sore throat started 10/16, became progressively worse and then severe for next couple days. Chills and feverish next day 10/17, then subsided. Then URI/sinus symptoms began (severe runny nose and sneezing, sinus pressure, headache, hoarseness, scratchy throat and losing voice). After OTC meds and prednisone symptoms began to improve. Towards end, developed an intermittent cough. Now I still have some runny nose and green mucus, coughing up phlegm occasionally. Voice is almost recovered.
Age: 79.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Gait disturbance, Pain, Vision blurred
Clinical narrative: Patient received Fluzone High-Dose at Pharmacy. Patient has experienced shortness of breath, excruciating pain, gait instability, blurred vision.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Chills, Cough, Dizziness, Dyspnoea, Injection site pain
Clinical narrative: Dizziness, trouble breathing, wheezing, chills, coughing, pain at injection site, nausea & vomiting
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Nausea, Vomiting, Wheezing
Clinical narrative: Dizziness, trouble breathing, wheezing, chills, coughing, pain at injection site, nausea & vomiting
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: it was noticed that this patient was given the flu vaccine on october 4th but she was also given the flu vaccine on 10/27 /22 , protocol was followed
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent Pfizer  was given instead of the primary Pfizer vaccine for 2nd dose
Age: 0.58
Sex: F
Vaccine: DTPPVHBHPB, RV1
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Staff administered vaccines that were declared spoiled per the manufacturer after a power outage event. No acute adverse reactions have been reported by the patient or guardian.
Age: 39.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Extra dose administered, Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient received Fluad 65+ instead of pfizer booster. She had just got her flu shot last week so this was a duplicate as well as the wrong dose
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Computerised tomogram abnormal, Gait inability, Ovarian disorder, Sleep disorder
Clinical narrative: I woke up with severe stomach pain. I couldn't walk and had to be in a wheelchair the rest of the day. I started vomiting and threw up several times. They gave me peptide for the vomiting. This lasted for the entire day. I got discharged and am feeling much better now.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting, Wheelchair user
Clinical narrative: I woke up with severe stomach pain. I couldn't walk and had to be in a wheelchair the rest of the day. I started vomiting and threw up several times. They gave me peptide for the vomiting. This lasted for the entire day. I got discharged and am feeling much better now.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Lip swelling, Nasal congestion, Oral disorder, Periorbital swelling
Clinical narrative: Demarcated rash with itchy, crusty pustuals around the elbow. Oral cavity problems including swelling of inner lip. She also reported puffy eyes, nasal congestion, and fatigue
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash pruritic, Rash pustular, Scab
Clinical narrative: Demarcated rash with itchy, crusty pustuals around the elbow. Oral cavity problems including swelling of inner lip. She also reported puffy eyes, nasal congestion, and fatigue
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oedema peripheral, Rash erythematous, Swelling
Clinical narrative: 10/15/2022 Swelling of left neck and left axillia. Faint light red rash above left clavicle. 10/16/2022 Rash resolved, swelling improved 10/17/2022 continued improvement
Age: 90.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Cardiac flutter, Dizziness, SARS-CoV-2 test negative
Clinical narrative: On 10/10/2022  at 12:30PM  I felt light headed.  I sat down quickly. After few minutes I try to continue doing exercise. I felt like my heart was flattering. It happened again in the middle of the month. I went to my doctor and told him what I was experiencing he said he will put me on a Holter monitor to see if something comes up. He will then refer me to a Cardiologist.  This episodes comes and goes. There is no specific time.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in for a booster, was administered Monovalent when was supposed to be Bivalent booster.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent  pfizer covid vaccine instead of pfizer bivalent for booster
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Malaise
Clinical narrative: Covid/flu symptoms
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was ordered Pfizer Bivalent Booster vaccine before going to home  Patient was inadvertently administered the Monovalent Vaccine which is for Primary Immunization only.  Both Vials look very similar, they are separated and labeled for primary vaccination only.  Case Management informed to contact home of error, so patient can be scheduled to get the bivalent vaccine in 2 months. Report also to be filed for error.  This formulation is no longer approved for booster vaccinations.  Discovered when viewing data
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent Moderna but was supposed to be Bivalent
Age: 68.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: Wrong dose for Moderna COVID Bivalent was given on 10/14/2022 (As146B) at 0.25mL dose instead of the 0.5mL. The other 0.25mL (061F22A) was  given on 10/28/2022
Age: 11.0
Sex: F
Vaccine: HEP
Symptoms: Visual impairment
Clinical narrative: Patient tolerated well after the vaccination for 15minutes and left the clinic. Patient went to gym class and ran. Patient complained of changes of vision after the running and came back to health suite. She could see, but unable to see clearly. She said she saw 2 fingers when I showed one finger. She was able to walk and pick up tissue without problem. Her normal vision came back in 15-20minutes, but guardian came to take the student to home.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness, Sudden death
Clinical narrative: noted to be very restless all evening, walking the hallways, early morning hours rt noted to have expired in his bed
Age: 52.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Acoustic stimulation tests, Computerised tomogram, Deafness, Deafness neurosensory, Deafness unilateral
Clinical narrative: Sensorineural Deafness (complete hearing loss in left ear)
Age: 52.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Magnetic resonance imaging
Clinical narrative: Sensorineural Deafness (complete hearing loss in left ear)
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac stress test, Cough, Dizziness, Electrocardiogram
Clinical narrative: On or around late June 2021, I started to feel an elevated heart rate, which I have never had issues with in the past. The elevated heart rate felt like my heart was pounding out of my chest. I felt dizzy during the episodes and would have to sit down to get my heart back to normal rhythm. When I caught the Omni variant January 2022, I found blood particles in the sputum I would cough out. It seems whenever I get a cold now, I have these black specs of blood in my sputum.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Haemoptysis, Heart rate increased, Nasopharyngitis, Palpitations
Clinical narrative: On or around late June 2021, I started to feel an elevated heart rate, which I have never had issues with in the past. The elevated heart rate felt like my heart was pounding out of my chest. I felt dizzy during the episodes and would have to sit down to get my heart back to normal rhythm. When I caught the Omni variant January 2022, I found blood particles in the sputum I would cough out. It seems whenever I get a cold now, I have these black specs of blood in my sputum.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood test, Borrelia test negative, C-reactive protein increased
Clinical narrative: I had severe pain in my shoulders, biceps, right buttocks', and weakness all over. I had some tests done and was in 3 weeks of pain. I was given antibiotics and steroid. I started taking a statin for cholesterol in September and was on it for 3 weeks before the pain started. Once pain started I stopped the statin and haven't taken it since. Presently the groin pain and right side buttocks pain is gone. The severe weakness, stiffness was still present until 2 days ago when I started the steriodi.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Musculoskeletal pain, Musculoskeletal stiffness, Myalgia, Red blood cell sedimentation rate increased
Clinical narrative: I had severe pain in my shoulders, biceps, right buttocks', and weakness all over. I had some tests done and was in 3 weeks of pain. I was given antibiotics and steroid. I started taking a statin for cholesterol in September and was on it for 3 weeks before the pain started. Once pain started I stopped the statin and haven't taken it since. Presently the groin pain and right side buttocks pain is gone. The severe weakness, stiffness was still present until 2 days ago when I started the steriodi.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray abnormal
Clinical narrative: I had severe pain in my shoulders, biceps, right buttocks', and weakness all over. I had some tests done and was in 3 weeks of pain. I was given antibiotics and steroid. I started taking a statin for cholesterol in September and was on it for 3 weeks before the pain started. Once pain started I stopped the statin and haven't taken it since. Presently the groin pain and right side buttocks pain is gone. The severe weakness, stiffness was still present until 2 days ago when I started the steriodi.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose increased, Hyperglycaemia, Insomnia
Clinical narrative: Systemic: hyperglycemia-Medium, Additional Details: Pt reports having uncontrolled blood  sugar levels starting on the day she received the Moderna Bivalent vaccine. Also has had trouble sleeping, she is not sure which is causing the high blood  sugar. Normally well controlled per pt. Pt reported to our CVS location as it is her home store, but she recieved the vaccine at Pharmacy due to appointment availability.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Severe, Additional Details: Cx received vaccination on12/28/2021 for pfizer shot. He did experience pain in his arm which wasn't unusual so he waited some time before he considered it a problem. Once his 2nd pfizer shot was due he went in for his appointment. The pharmacist there told him he should give it some more time before he gets the shot. He went to his doctor and they told him the same thing. still experiencing pain 2.5 month later
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Pfizer bivalent booster for ages 5-11 years given to patient instead of the 12 and older dose.  Patient was called 1 hour later, and incident was thoroughly explained.  Per recommendations, patient should be given an adult dose immediately.   Patient was given the appropriate dose at 12:30 pm
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was ordered Pfizer Bivalent Booster vaccine before going to a residential facility.  Patient was inadvertently administered the Monovalent Vaccine which is for Primary Immunization only.  Both Vials look very similar, they are separated and labeled for primary vaccination only.  Case Management informed to contact residential facility of error, so patient can be scheduled to get the bivalent vaccine in 2 months.  VAERS report also to be filed for error.  This formulation is no longer approved for booster vaccinations.  Discovered when viewing data
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram, Pain in extremity, Plantar fasciitis, X-ray limb normal
Clinical narrative: I noticed the pain progressively, about a month after the vaccine. After a month, I went to see my doctor. I had pain in my knees, and ankles, and the plants of my feet. The doctor referred me to a podiatrist. The doctor ordered x-ray of my knees and feet. The results were normal. I took acetaminophen. I got an appointment to see the podiatrist in 6/2021. The podiatrist injected cortisone in the plants of my foot. He prescribed Diclofenac. It did not help. He also prescribed Medrol. The doctor ordered a CT scan of my feet. The doctor diagnosed me with plantar fasciitis. Till this day the plants of my feet still hurt. My knees do not hurt anymore.
Age: 97.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Blood test, C-reactive protein increased, Computerised tomogram, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: Our pharmacy facility went onsite the patient's residence to administer influenza vaccinations and COVID boosters. The patient received both the COVID Pfizer Bivalent Booster and the FluAd Quadrivalent vaccinations. It is reported that very soon after receiving both shots he began to experience pain, the patient did not think much of it since some pain can be expected after vaccination. However in the following 2-3 days the pain continued to intensify to a state of severe and unbearable pain.  When the pain got to a point of not being able to function normally he went to see a provider and was put on low dose steroids and pain medication. The medications seemed to help for a day but then the pain got even worse still so the patient went to the Emergency Room at the hospital where he was diagnosed with Polymyalgia rheumatica (PMR). (approximately 2 weeks after vaccination)  The patient is experiencing some relief with high dose prednisone, however in the question below I am considering the patient "not recovered" because at his age being on high dose steroids is not ideal, so I would not consider him "recovered" until we know he is able to be without pain after the steroid treatment is completed.  The patient got so bad that palliative care was discussed, but it does seem that with the treatments he may turn the corner.
Age: 97.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Pain, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Our pharmacy facility went onsite the patient's residence to administer influenza vaccinations and COVID boosters. The patient received both the COVID Pfizer Bivalent Booster and the FluAd Quadrivalent vaccinations. It is reported that very soon after receiving both shots he began to experience pain, the patient did not think much of it since some pain can be expected after vaccination. However in the following 2-3 days the pain continued to intensify to a state of severe and unbearable pain.  When the pain got to a point of not being able to function normally he went to see a provider and was put on low dose steroids and pain medication. The medications seemed to help for a day but then the pain got even worse still so the patient went to the Emergency Room at the hospital where he was diagnosed with Polymyalgia rheumatica (PMR). (approximately 2 weeks after vaccination)  The patient is experiencing some relief with high dose prednisone, however in the question below I am considering the patient "not recovered" because at his age being on high dose steroids is not ideal, so I would not consider him "recovered" until we know he is able to be without pain after the steroid treatment is completed.  The patient got so bad that palliative care was discussed, but it does seem that with the treatments he may turn the corner.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was administered two flu vaccines: 10/06/22, 10/25/22
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Product expiration date issue
Clinical narrative: Expiration date doesn't match expiration date given under Moderna lot number look u on the website.
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site pruritus, Vaccination site erythema, Vaccination site induration, Vaccination site infection
Clinical narrative: Client states he woke up the day after receiving vaccine "and had a streaking red infection" near the site of vaccine administration. Client states he did "find myself scratching it several times during the night because it itched and I think I may have broken it open".  Client went to the Emergency Department on 10/22 and was prescribed oral Keflex 500 mg 4 times a day for seven days. He states "it has cleared up nicely".
Age: 24.0
Sex: M
Vaccine: FLUC4
Symptoms: Arthralgia, Immediate post-injection reaction, Myalgia, Pain
Clinical narrative: Patient immediately felt some pain in the muscles of the shoulder.  It became a constant dull ache which throbs with use.  Unfortunately, he works in a job that requires a lot of physical use.  He believes this is getting worse instead of better.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea exertional, Electrocardiogram abnormal, Palpitations, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 10/4 for abnormal EKG, today heart palpitations onset. Pt COVID+ 10/4, no anti-COVID rx needed. 10/7 pt reports shortness of breath with minimal exertion but improving. 10/8 A&O x4, vital signs stable, denies any pain. 10/8 pt doing well, has not had chest pain, SOB, or palpitations. 10/12 no CP, no dyspnea, no N/V. 10/13 pt doing well, denies palpitations. 10/14 pt discharged.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Asthenia, Chills, Diarrhoea, Dizziness
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Severe, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: patient states unable to take her maintenance meds for 3 days
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Injection site pain, Injection site swelling, Lethargy
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Severe, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: patient states unable to take her maintenance meds for 3 days
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Severe, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: patient states unable to take her maintenance meds for 3 days
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope
Clinical narrative: Syncope
Age: 7.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Wrong patient received product, Wrong product administered
Clinical narrative: Medical Assistant drew up the vaccines mixing up with another patient and gave vaccines to wrong patient.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash pruritic
Clinical narrative: I started with itchy bumps on my legs and now I'm getting them on my arms. They pop out and itch intensely. I used hydrocortisone and Benadryl and didn't work. My doctor gave me a prescription steroid cream. After the 4th dose I had a similar reaction but not as intense. The Dermatologist felt it was a reaction to a shot. The rash seems to be not as bad in terms of the itchness but I continue to get it in different places.
Age: 42.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Contusion, Fatigue, Rash, Urticaria
Clinical narrative: hives, body rash, excessive bruising , fatigue, weakness
Age: 15.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Adult dose was provided (20mcg/1mL) instead of  the age appropriate dose (10mcg/0.5mL). Unknown side effects at the moment.
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient was given a covid booster vaccine that was indicated for ages 5-11 years.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Mechanical ventilation, Rales, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 10/12 for shortness of breath. PT COVID+ 10/12, maintained on Zosyn and vancomycin. 10/13 pt has been weaned off the ventilator, on supplemental oxygen. 10/14 Vital signs stable, pt A&Ox4. 10/15 Pt states shortness of breath has improved, crackles still present in bilateral lower lobes with slight expiratory wheeze in upper lobes. 10/18 pt respiratory status has been improving. 10/20 pt discharged.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Wean from ventilator, Wheezing
Clinical narrative: Pt to ED 10/12 for shortness of breath. PT COVID+ 10/12, maintained on Zosyn and vancomycin. 10/13 pt has been weaned off the ventilator, on supplemental oxygen. 10/14 Vital signs stable, pt A&Ox4. 10/15 Pt states shortness of breath has improved, crackles still present in bilateral lower lobes with slight expiratory wheeze in upper lobes. 10/18 pt respiratory status has been improving. 10/20 pt discharged.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pain
Clinical narrative: severe body aches, chills, tiredness
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient came to get her booster and was given a regular COVID dose. What she needed was the booster dosage not a regular dosage but the new booster dosage.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product expiration date issue
Clinical narrative: Expiration date doesn't match expiration date given under moderna lot number look up on the moderna website.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Scheduled for a #2 Hepatitis B vaccine, but no record of Hepatitis B on record.  Spoke with patient, she stated she had Hep B series as a child and just needs 2nd Hepatitis A. Hepatitis A vaccine given to patient. Printed record and it showed she needed another Hepatitis A vaccine.  Spoke with another nurse and investigated further to realize the dose had been given 2 months earlier than recommended.  Called patient to notify her of error and explained she would need to come back after April 28, 2023 for repeat Hepatitis A vaccine.  Patient verbalized understanding.  Charted this information in chart.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Nausea
Clinical narrative: I woke up Saturday morning feeling really nauseous. there wasn't really a reason for it. I got solid sleep. I am prone to dizziness so I'm good about staying hydrated. I thought it would go away have through the day. Throughout the day it continued, I tried eating it didn't make me vomit but worsened the nausea. I tried to drink peppermint tea but that didn't work. I had left over Ondansetron and that cleared it right up. I also had a headache that day
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: Headache, dizzy, fatigue
Age: 85.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: This was the second influenza vaccination this patient received. 1st dose given 9/9/22, 2nd dose given 10/5/22.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Screaming, Wrong technique in product usage process
Clinical narrative: PATIENT STATED THAT AFTER SHE ARRANGED HER SHIRT SLEEVE FOR THE SHOT, SHE WAS GIVEN THE SHOT IMMEDIATELY WITHOUT WARNING AND IT WAS SHOT " LIKE A DART".  THE PHARMACIST DID NOT WARN HER SHE WAS ABOUT TO GIVE IT, AND THE PATIENT SCREAMED .  THE PATIENT STATED THAT THIS WAS THE MOST PAINFUL SHOT THAT SHE HAS EVER HAD AND THAT THE PHARMACIST DID NOT HOLD HER ARM TO ADMINISTER THE SHOT AND WAS NOT GENTLE.  PATIENT STATES THAT EVEN AT 10 PM THAT NIGHT SHE HAD TO TAKE MELOXICAM FOR THE PAIN
Age: 22.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Rash macular, Urticaria
Clinical narrative: Patient received Influenza Vaccine to Left Deltoid at 1113. Patient in 15 minute waiting area when medic noticed patient's face was red and blotchy with hives, around 1124. Hives were to patient's face, neck and chest. Denied any side effects of difficulty breathing or symptoms of an anaphylactic reaction. Patient instructed to wait 30 minutes, VS monitored and were stable. Hives improved. Patient released at 1145 and instructed to follow up with primary care provider.
Age: 59.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Asthenia, Breath sounds abnormal, COVID-19, Chills, Cough
Clinical narrative: Pt to ED 10/16 for weakness, rigors. Pt lethargic, difficulty keeping eyes open while talking. Lungs sound coarse throughout. Pt COVID+ 10/16. 10/17 Patient is lethargic, VSS and no S/S of acute distress noted at this time, denies SOB/chest pain. Congested cough noted with thick, yellow sputum. Upper/lower coarse crackles noted. 10/18 Patient received alert and oriented x4, currently on oxygen via NC, no distress noted. 10/20 pt discharged.
Age: 59.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Eye movement disorder, Lethargy, Rales, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 10/16 for weakness, rigors. Pt lethargic, difficulty keeping eyes open while talking. Lungs sound coarse throughout. Pt COVID+ 10/16. 10/17 Patient is lethargic, VSS and no S/S of acute distress noted at this time, denies SOB/chest pain. Congested cough noted with thick, yellow sputum. Upper/lower coarse crackles noted. 10/18 Patient received alert and oriented x4, currently on oxygen via NC, no distress noted. 10/20 pt discharged.
Age: 59.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Sputum discoloured
Clinical narrative: Pt to ED 10/16 for weakness, rigors. Pt lethargic, difficulty keeping eyes open while talking. Lungs sound coarse throughout. Pt COVID+ 10/16. 10/17 Patient is lethargic, VSS and no S/S of acute distress noted at this time, denies SOB/chest pain. Congested cough noted with thick, yellow sputum. Upper/lower coarse crackles noted. 10/18 Patient received alert and oriented x4, currently on oxygen via NC, no distress noted. 10/20 pt discharged.
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Cough, Dehydration, Metabolic function test normal, Nasopharyngitis
Clinical narrative: Cold lie symptoms lasting for over two weeks include chills, sore thought, coughing, and a constant sense of dehydration.
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain
Clinical narrative: Cold lie symptoms lasting for over two weeks include chills, sore thought, coughing, and a constant sense of dehydration.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Biopsy, Dermatitis, Pain of skin, Pruritus
Clinical narrative: After the second Covid Shot, my hair started falling out in the top of my head, and my scalp was tender to touch.   It persisted for quite some time.  After the 4th Dose, my scalp again became inflamed.  I eventually went to the dermatologist in July 2022 and was given  Fluocinolone Acetonide Body Oil.  It seemed to have been improving, but I had the last Booster shot on September 17, 2022, and the hair loss increased accompanied by a tender and itchy scalp.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was seen in clinic for covid booster. my co-worker look at it and said he and his sister that are coming in was okay. so i give him the 0.2 dose of the covid booster and tell Dad to wait for 15 min after that we notice at check out that the kid was 1 week early. Clinic employee went over to talk to dad.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was due to receive the Pfizer Bivalent Booster. Instead, the Monovalent was administered in error.
Age: 78.0
Sex: F
Vaccine: FLUA4
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Patient received vaccination, no issues at time,  came back to pharmacy on 10/24/22 reporting a rash that began the evening of the vaccination.  she said she was itching and could not get any relief so finally decided to come to pharmacy. Her face was red and a visible reaction could be seen.  she was given Claritin to help with the itching and told to report to doctor if no relief.  Pharmacist called her a couple of days later and she reported going to doctor and receiving a steroid shot  she said the itching was still present but it was getting better
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea, Sinusitis
Clinical narrative: I experienced symptoms of congestion, runny nose, sore throat, and body aches. I was diagnosed with a sinus infection and prescribed Amoxicillin.  My symptoms have not begun to abate yet. I have not experienced any other symptoms I attribute to the vaccine.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Recalled product administered
Clinical narrative: Vaccine was given to patient at 10/07/2022 for first dose pfizer kid. Vaccine was set to expired 1 year after manufacture date which was 09/30/22. We went by BUD 10 weeks after received vaccine which will expired at 10/30/22. The vaccine had been recalled by pharmacy on 10/13/2022 for all LOT and NDC. The manufacture data supported that vaccine is stable and effected so revaccination is not indicated and patient notification is not required at this moment.
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was scheduled to receive their second COVID-19 booster dose. The patient was supposed to receive the bivalent formulation but was inadvertently administered the monovalent formulation. Patient waited in waiting room for 15 minutes without incident.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: on 09/14/2022  Patient's mother reported swollen area "size of lemon" at injection site on left thigh. Reported area was hot and red.  Client's mother reports that client was seen by a physician who did not diagnose infection.  On 10/28/2022 mother reported that client was still having problems with injection site. She reports a "rubbery" appearing area at site. She feels like this area may be on the right thigh.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Dyspnoea, Pain, Pyrexia
Clinical narrative: short of breath, in pain, heart fluttering, fever, aches
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Cold sweat, Hyperhidrosis, Syncope
Clinical narrative: PATIENT WAS ADMINISTERED FLULAVAL APPROX.  1440 HAD A SYNCOPE EPISODE; WAS CLAMMY, DIAPHORETIC PATIENT WAS IMMEDIATELY BROUGHT TO BY FACILITY. PATIENT WAS A&Ox3. PATIENT WAS PLACED ON BED, HEAD WAS CHECKED FOR BRUISING. PEDIATRIC RAPID RESPONSE TEAM WAS CALLED AND MACE EXAM WAS PERFORMED. PATIENT WAS ON HIGH FLOW O2 FOR 5 MINUTES AS A PREVENTATIVE MEASURE.  @1450: B/P: 86/52; 70 BPM; 100% SPO2 @1500: B/P: 83/53; 68BPM; 100% SPO2  PEDIATRIC RRT CLEARED THE PATIENT TO LEAVE THE SITE. RECOMMENDED A VISIT TO THE ED IF ANYTHING CHANGES WITH THE CHILDS HEALTH.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Cardiac disorder, Colonoscopy, Electrocardiogram abnormal, Fatigue
Clinical narrative: I was having a colonoscopy and was asleep. They said they couldnt do it because it was something wrong with my heart. I went home and I was still feeling tired. I called my doctor and went in and explained what happened. She ordered a stress test and a halter monitor and that would not be completed until November. She also did an EKG and she indicated that there was something odd that she would like to have someone else review and she would 3get back with me. I do not feel any different but its unknown whether the issue still exist.
Age: 58.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Arthralgia, Contusion, Erythema, Furuncle, Pruritus
Clinical narrative: Patient states within 48 hours after receiving vaccine, swell and itch, turned bright red, looked like a boil. Lasted at least 3 and half weeks. Following decrease of redness, ring in 2-3 inches of diameter in 4th week. Hard core at site of vaccination.  Site specific achiness, ache in elbow/possible referred pain. 5th week from 1st vaccination, still showing visible signs of bruising.   No other vaccine on day of MPV vaccination.
Age: 58.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Swelling, Vaccination site induration, Vaccination site pain
Clinical narrative: Patient states within 48 hours after receiving vaccine, swell and itch, turned bright red, looked like a boil. Lasted at least 3 and half weeks. Following decrease of redness, ring in 2-3 inches of diameter in 4th week. Hard core at site of vaccination.  Site specific achiness, ache in elbow/possible referred pain. 5th week from 1st vaccination, still showing visible signs of bruising.   No other vaccine on day of MPV vaccination.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Daughter was given 12+ Pfizer Bivalent Shot (gray cap) when it was supposed to be pediatrics dose (orange cap)
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: MONOVALENT DOSE GIVEN INSTEAD OF BIVALENT BOOSTER DOSE THAT WAS NEEDED
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Dizziness, Electrocardiogram normal, Hypoaesthesia oral, Vertigo
Clinical narrative: Pt received Moderna Bi-Valent 0.5mL on the left deltoid and after approximately 5-6 minutes. Pt started to c/o vertigo and stated "I'm about to passout" pt complained of lips feeling numb, feeling  faint, chills, and stated she had a hx of anxiety and  insomnia.  Patient takes Quetiapine 25mg HS and Clonazepam 0.5 PRN. Emergency medical personnel called pt evaluated by emergency medical personnel EKG NML.  Last BP per emergency personnel was 121/78. Pt cleared to leave per emergency medical personnel. Refused Ambulance Transport.
Age: 70.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Decreased appetite, Discomfort, Dyspnoea, Feeling abnormal, Gait disturbance
Clinical narrative: He got his vaccines, they came home around 4-5, he did not feel good, wanted to go to bed.  He was hot, feverish so he went right to bed without dinner as he had lost his appetite.  He kept sweating in bed.  Then his wife gave him the Ibuprofen.  He was uncomfortable, sore, and had difficulty turning over in bed.  He normally lays on his back and was unable to do that as he hurt so bad.  He had muscle weakness.  He tried to get up and use the bathroom around 9-10 PM and she heard a faint noise and said what and he was saying help, so she felt that he could not breath, gave his oxygen, could not walk and his wife thought it was COPD problems.  She had never seen him not being able to walk, he was not able to move and she had to help him to the bathroom.  He just made it to the bathroom, and he soiled himself.  He ended up on the floor as his wife was not able to pull him up to put him back to bed.  She laid him on the floor for a while so that he could breath and be calm for about 20 minutes.   She tried again to get him up, and his feet would not work for him to walk.  He then had to use the bathroom again and she had to take him to another bathroom and just had difficulty getting him back to bed.  He turned white due to the COPD, and when he was saying help he almost died and if she did not hear his faint help he would not have made it.  He had no air in him, and to get his air back he had to lie down and put oxygen on him.  She got him to bed, she gave him some toast, and went to sleep with his oxygen and slept good.  He had no muscle control.  He has had shingles twice in his life, but that was so horrible and painful that his wife wanted him to get the vaccine, but he will never get another  vaccine.    He is walking and his muscle tone is better and looks like he always had.  He is still weak and feeling pretty much back to his regular self.  He went to the bathroom and when he went to get up his weight would not carry his weight, was shaking like a leaf and would get winded due to the stress and then his breathing got worse and worse.  He was so weak that he could hardly even raise his voice just to call his wife for help.  His breathing is pretty much back to normal.  His color came back after lying on the floor for about 30 minutes.
Age: 70.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Gait inability, Hyperhidrosis, Mobility decreased, Movement disorder, Muscular weakness
Clinical narrative: He got his vaccines, they came home around 4-5, he did not feel good, wanted to go to bed.  He was hot, feverish so he went right to bed without dinner as he had lost his appetite.  He kept sweating in bed.  Then his wife gave him the Ibuprofen.  He was uncomfortable, sore, and had difficulty turning over in bed.  He normally lays on his back and was unable to do that as he hurt so bad.  He had muscle weakness.  He tried to get up and use the bathroom around 9-10 PM and she heard a faint noise and said what and he was saying help, so she felt that he could not breath, gave his oxygen, could not walk and his wife thought it was COPD problems.  She had never seen him not being able to walk, he was not able to move and she had to help him to the bathroom.  He just made it to the bathroom, and he soiled himself.  He ended up on the floor as his wife was not able to pull him up to put him back to bed.  She laid him on the floor for a while so that he could breath and be calm for about 20 minutes.   She tried again to get him up, and his feet would not work for him to walk.  He then had to use the bathroom again and she had to take him to another bathroom and just had difficulty getting him back to bed.  He turned white due to the COPD, and when he was saying help he almost died and if she did not hear his faint help he would not have made it.  He had no air in him, and to get his air back he had to lie down and put oxygen on him.  She got him to bed, she gave him some toast, and went to sleep with his oxygen and slept good.  He had no muscle control.  He has had shingles twice in his life, but that was so horrible and painful that his wife wanted him to get the vaccine, but he will never get another  vaccine.    He is walking and his muscle tone is better and looks like he always had.  He is still weak and feeling pretty much back to his regular self.  He went to the bathroom and when he went to get up his weight would not carry his weight, was shaking like a leaf and would get winded due to the stress and then his breathing got worse and worse.  He was so weak that he could hardly even raise his voice just to call his wife for help.  His breathing is pretty much back to normal.  His color came back after lying on the floor for about 30 minutes.