chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Myelitis transverse, Symptom recurrence
Clinical narrative: TRANSVERSE MYELITIS 1/24/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient said 5 days after the vaccine she started getting rash around the area where she had tinglings before the vaccine and it started spreading a bit to mid spine today.  She had to hard time to contact her primary and so reported to us.  She said she would find a way to get to urgent care or online md to get the rashes taken care of.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Breakthrough Covid-19 Infection
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Breakthrough Covid-19 Infection
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Blood pressure increased, Palpitations
Clinical narrative: Blood pressure spike resulting in starting meds to control blood pressure. Heart Palpitations (A fib), no remedy.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Throat irritation
Clinical narrative: Scratchy throat, generalized rash of small red bumps all over body and especially on arms/ legs.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Diarrhoea, Eye infection, Eye swelling, Headache
Clinical narrative: She got her vaccine, the day of the vaccine she had just a sore left arm.  On Monday 7/24/23 she had what she had was an eye infection.  Her eye swollen,  had video visit and she diagnosed an eye infection and a sinus infection and put her on antibiotics.  On Tuesday she started with nausea, vomiting and diarrhea.  On Friday she did not take it anymore, did not want another video visit and her husband took her to the ER.  There they officially diagnosed her with shingles.  She got an IV, antinausea medicine, they put her on an antiviral pill.  Her shingles was in her eyes, she saw an eye doctor on Friday afternoon, again on Monday and she sees him again tomorrow.  The eye doctor told her to continue the antiviral and put in artificial tears a few times a day and to stop the antibiotic the ER physician gave her.  She has lost 13# in one week.  She is also having headaches, which the ER told her was not unusual.  The thing that she never knew was that shingles is only one sided.   She is also taking Tylenol for the headaches.  She is improving with her symptoms, she is not having the nausea, vomiting or diarrhea and able to eat.  The spots are drying off and shrinking around her eye.  The ones in the eye itself are getting better as she is able to see better, but her eye is still swollen, but is hard to tell.  They are also looking for damage to the cornea and that is why she has to see them frequently.  She was told to see her PCP if her N/V/D did not stop to come back.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Nausea, Pain in extremity, Sinusitis, Vomiting
Clinical narrative: She got her vaccine, the day of the vaccine she had just a sore left arm.  On Monday 7/24/23 she had what she had was an eye infection.  Her eye swollen,  had video visit and she diagnosed an eye infection and a sinus infection and put her on antibiotics.  On Tuesday she started with nausea, vomiting and diarrhea.  On Friday she did not take it anymore, did not want another video visit and her husband took her to the ER.  There they officially diagnosed her with shingles.  She got an IV, antinausea medicine, they put her on an antiviral pill.  Her shingles was in her eyes, she saw an eye doctor on Friday afternoon, again on Monday and she sees him again tomorrow.  The eye doctor told her to continue the antiviral and put in artificial tears a few times a day and to stop the antibiotic the ER physician gave her.  She has lost 13# in one week.  She is also having headaches, which the ER told her was not unusual.  The thing that she never knew was that shingles is only one sided.   She is also taking Tylenol for the headaches.  She is improving with her symptoms, she is not having the nausea, vomiting or diarrhea and able to eat.  The spots are drying off and shrinking around her eye.  The ones in the eye itself are getting better as she is able to see better, but her eye is still swollen, but is hard to tell.  They are also looking for damage to the cornea and that is why she has to see them frequently.  She was told to see her PCP if her N/V/D did not stop to come back.
Age: 89.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Rash
Clinical narrative: Patient reported to have on the following day after vaccination approximately a 3 inch circular rash on the left hip area with a burning sensation in the hip area and down to the thigh area.
Age: 17.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: TDAP WAS ORDERED.  DTAP WAS ADMINISTERED
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral, Arteriogram carotid, Computerised tomogram thorax, Echocardiogram, Ischaemic stroke
Clinical narrative: Patient had ischemic stroke 5/13/21
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test
Clinical narrative: Patient had ischemic stroke 5/13/21
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypotension, Respiratory failure
Clinical narrative: HYPOTENSION 3/10/2023 CHRONIC HYPERCAPNIC RESPIRATORY FAILURE CHRONIC RESPIRATORY FAILURE 4/6/2023 CHRONIC HYPERCAPNIC RESPIRATORY FAILURE CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 3/21/2023 CHRONIC HYPERCAPNIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 3/21/2023 CHRONIC HYPERCAPNIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY 3/30/2023 CHRONIC HYPERCAPNIC RESPIRATORY FAILURE HYPERCAPNIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 3/25/2023 CHRONIC HYPERCAPNIC RESPIRATORY FAILURE
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Headache, Myalgia
Clinical narrative: headaches for 5 days muscle pain and aching  weak no strength  Emergency Room:
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Diarrhoea, Nausea
Clinical narrative: extreme pain joints, nausea, diarrhea
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: I21.09 ACUTE ST ELEVATION MI, ANTERIOR WALL 4/19/2023 ACUTE ST ELEVATION MI, ANTEROLATERAL WALL ACUTE ST ELEVATION MI, UNSPECIFIED I21.3 ACUTE ST ELEVATION MI, UNSPECIFIED 4/19/2023 ACUTE ST ELEVATION MI, ANTEROLATERAL WALL ACUTE ST ELEVATION MI, UNSPECIFIED
Age: 70.0
Sex: F
Vaccine: HEPA, TDAP, TYP, YF
Symptoms: Injection site erythema, Injection site pruritus, Pruritus, Rash, Skin swelling
Clinical narrative: 8/2/23 16:25 : Patient had c/o itching at YF site. Minimal redness noted at site  8/2/23 2200: Patient had redness and swelling at L arm at site of Yellow fever vaccine. Fairly extensive redness, about 7inches in length per her report. She was worried this was cellulitis. No systemic symptoms. No shortness of breath, no dizziness, no GI upset. Symptom onset about 4-5 hours after vaccination. She took a benadryl at home this afternoon and had a medrol dose pack and took 1 pill (4mg) methylprednisolone about 2 minutes before she called. 8/3/23 1300: Patient came back in for a follow-up visit at travel medicine clinic.  Started having itching and swelling of the area where the subcutaneous injection was given on the L arm, most likely the yellow fever vaccine. No breathing issues, able to drink and eat ok. No fevers. Noted pruritic and raised rash on other (distal) sites, other arm, same arm on wrist. Today also with small area of rash around umbilical area. Has Medrol Pack at home, called on call doctor yesterday after having taken the first dose. Was told to continue Medrol Pack. Today, noted that LUE area is more edematous and area has spread a little. Overall aside from the cosmetic change and pruritus is feeling fine. No side effects from steroids. Local reaction after vaccination, likely from YFV Given pruritus and lack of systemic symptoms no concern for bacterial cellulitis. No systemic symptoms concerning for anaphylaxis. Started Medrol Pack. Follow up here PRN
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 OBSTRUCTIVE SLEEP APNEA 3/7/2023 CHRONIC DVT, UNSPECIFIED VEIN
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure congestive, Respiratory failure
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/29/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED HX OF ACUTE KIDNEY INJURY J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 4/24/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED HX OF ACUTE KIDNEY INJURY
Age: 0.75
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse reaction. Patient was given 0.2 mL Moderna Bivalent, should have received 0.25 mL of Moderna as it was his second vaccine in the series.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: MeningococcalB vaccine given instead of intended MeningococcalACYW at age 12
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE ST ELEVATION MI, UNSPECIFIED ACUTE NON ST ELEVATION MI 2/20/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Expired product administered
Clinical narrative: On 08/07/2023 arount 9:00am Medical Assistant administrate expired vaccine to patient. Medical assitant was documenting the administration of vaccine whe Medical Assitant realized that the vaccine had expired on 06/14/2023. Medical assitant report to clinic practice director who contact Merck. Merck has reported that due vaccine was recently expire and properly storage at the right temperature has reported that vaccine still has the same potency and they do not recommend that the patient be vaccinated again but they will leave up to health provider. Patietn did not have any symptoms.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Breakthrough Covid-19 Infectiom
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema
Clinical narrative: ANGIOEDEMA, INIT
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Angina pectoris
Clinical narrative: I20.9 ANGINA, UNSPECIFIED 1/19/2023 ABDOMINAL PAIN J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 4/18/2023 ABDOMINAL PAIN I20.9 ANGINA, UNSPECIFIED 1/19/2023 ACUTE ON CHRONIC RESPIRATORY FAILURE J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 4/18/2023 ACUTE ON CHRONIC RESPIRATORY FAILURE
Age: 12.0
Sex: M
Vaccine: IPV
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Pre-syncopal event - pallor,  sweating, wooziness - swaying from side to side.  Patient reported "tunnel" and "black" vision with the event.  On arrival, I noted the patient looked pale, and had sweating along his forehead, and appeared woozy - he was swaying from side to side slightly. I asked him to stand slowly, then to take a few steps slowly, then to step up on to the bed slowly, then to scoot back and lie down at a 30 degree angle (with 30 - 60 second pause with each new action). I applied a cold compress to the back of his neck (ice pack) and wet cool paper towels to his forehead and asked him to lie still. I stayed and observed for an additional 5 minutes (two BP/pulse measurements) and he stated he was feeling better. He was able to drink a little water and a little juice during this time. His color returned to baseline and the sweating resolved. He stated that he had no further vision changes - it was back to normal. He was conversing with me normally, answering questions appropriately; at this time it had been 15 minutes since the vaccine was given. I asked the patient and Mom to stay an additional 10 minutes for further monitoring, and they agreed. At the end of 25 minutes, he was able to sit up slowly, then stand slowly, then take a few steps (30 seconds between each new activity) without any return of pre-syncopal symptoms. I advised Mom to notify medical personnel that he has a h/o presyncope/syncope with vaccines in the future so we can administer the vaccines with him lying at a propped angle in the bed (to prevent falls).
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block, Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 4/11/2023 AV BLOCK AV BLOCK, HIGH DEGREE
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Deafness, Tinnitus
Clinical narrative: Tinnitis with hearing loss
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Thyroid cancer
Clinical narrative: G62.9 NEUROPATHY 4/11/2023 THYROID CANCER
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient recieved an 3rd dose of Shingrx Vaacine. Patient stated that she had only had 1 shot of the series. No adverse reaction.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Breakthrough Covid-19 Infection
Age: 17.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No reaction ,  pt was given a proquad at the wrong age
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 14.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No reaction ,  pt was given a proquad at the wrong age
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 2 vaccines MOderna 4/8/21 lot# 017B21A;  Moderna 5/6/21 lot# 040B21A
Age: 13.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Patient was inadvertantly given the Bexsero vaccine instead of the Gardasil. Patient was supposed to get the gardasil 9 instead.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Ear pain, Pain in extremity, Paraesthesia
Clinical narrative: patient's left arm started to get tingly and she was dizzy 15 minutes after shot. another 20 minutes and the tingly turned painful and included the left ear
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 4/19/21 lot# 002B21A;  Moderna 5/17/21 lot# 007B21A
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 1/21/21 lot# EL9261;  Pfizer 2/1/21 lot# EM9810;  Pfizer 10/27/21 lot# FF2593;  Pfizer 10/25/22 lot# GH9702
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: no reported adverse effects from the pt
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Breakthrough Covid-19 Infection
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 3 vaccines  Moderna 3/24/21 lot# 038A21A;  Moderna 4/21/21 lot# 040B21A;  Moderna 1/19/22 lot# 066H21A
Age: 3.0
Sex: F
Vaccine: DTPPVHBHPB, HEPA, MMR, UNK, VARCEL, VARCEL, DTPPVHBHPB, HEPA, MMR, UNK, VARCEL, VARCEL
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Needle/syringe came out when child moved resulting in vaccination not being administered.  The vaccination was repeated during the same visit.
Age: 3.0
Sex: F
Vaccine: DTPPVHBHPB, HEPA, MMR, UNK, VARCEL, VARCEL, DTPPVHBHPB, HEPA, MMR, UNK, VARCEL, VARCEL
Symptoms: Syringe issue, Underdose
Clinical narrative: Needle/syringe came out when child moved resulting in vaccination not being administered.  The vaccination was repeated during the same visit.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Dizziness, Migraine, Skin exfoliation
Clinical narrative: Patient received day seven vaccine at our facility on 8/3/23 without any issues by RN. She previously  received day zero and day 3 at hospital, they do use Rabivert. Pt. called us on 8/7/23 with complaints of  a severe migraine and dizziness that developed an hour after receiving day seven at our facility and it didn't subside until 8/6/23. Pt. did report a history of migraines as a child. She also reported peeling skin on her hands that developed 8/7/23 . She continues to feel dizzy if she stands longer than 10 minutes. Pt. was advised to follow up with her PCP if symptoms persist and  return to hospital to receive day 14 on 8/10/23.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 2 vaccines Janssen 3/25/21 lot# 01802072;  Moderna 1/27/22 lot# 013H21B
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 2 vaccines  Moderna 6/8/21 lot# 025B21A;  Moderna 7/7/21 lot# 040B21A
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Breakthrough Covid-19 Infection
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: This was patient's first COVID-19 vaccine. It looks like she should have been given 0.25 mL, however, was given 0.5 mL.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Breakthrough Covid-19 Infection
Age: 46.0
Sex: F
Vaccine: HEPA
Symptoms: Ear pain, Mobility decreased, Neck pain
Clinical narrative: On 8/5/23, Patient experienced pain 10/10 in right side of neck up through behind her ear. Unable to lift or turn her head. Pain is same through Monday, 8/7/23.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient given 0.5 mL Moderna Bivalent Booster vaccine. Based on vaccination history, should have been given 0.25 mL (or 0.2 mL Bivalent Booster (6 m - 5 yr).
Age: 1.08
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: No adverse event
Clinical narrative: to date patient had not reported any adverse effects.
Age: 15.0
Sex: F
Vaccine: YF
Symptoms: Dysphagia, Injection site pain, Injection site swelling, Throat tightness
Clinical narrative: On Aug 3, 7 days after recieving vaccine, client notified office that she had lots of swelling and pain at injection site and that she was having trouble swallowing and that her throat felt thick. Client was in out of town at the time and information was relayes via email. Client was advised to take 25mg Benadryl every 6 hours and then given the number for to call for reputeable medical professionals near her.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Epilepsy
Clinical narrative: EPILEPSY, UNSPECIFIED
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case administration after 3 vaccines  Pfizer 2/24/21 lot# EL9267;  Pfizer 3/17/21 lot# EN6205;  Pfizer 12/20/21 lot# FL3197
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema
Clinical narrative: Left arm became reddened.  Denies warmth, pain, swelling, hardness of the left arm.  Recommended icing it and taking either Tylenol or ibuprofen for any discomfort.  Follow-up with provider if worsens or no improvement.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Joint swelling, Laboratory test, Peripheral swelling, Swelling face
Clinical narrative: pt had menveo and bexsero on 8/2/23 during her physical, the next morning she noticed right hand/wrist swelling, right improved some, then left hand/wrist started to swell. later that day she had left foot swelling. Family took her to ER and they transferred her to hospital. They observed her over night, symtoms improved and she was released. Since discharge the left side of her face is slightly swollen. no more swelling of the arms and legs. she was treated with motrin/tylenol and was given 1 dose of clindamycin in the ER, but this was not continued.  no cold sx, no fevers. no n/v/d.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 1/20/21 lot# EL3249;  Pfizer 2/10/21 lot# EL9265;  Pfizer 10/19/21 lot# FH8020
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/3/21 lot# Ew0150;  Pfizer 4/24/21 lot# ER8729;  Pfizer 10/30/21 lot# 30145BA
Age: 1.92
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB, DTPPVHBHPB
Symptoms: Balance disorder, Body temperature increased, Coordination abnormal, Crying, Decreased appetite
Clinical narrative: 8/1/23 loss of appetite, drowsy,sleepiness. 8/2/23 16:00 felt warm, sleeplessness, no appetite, sweating, severe diarrhea (12 + liquid BM diapers), discomfort, screaming in tears, unable to  be consoled late into the next morning. 100.3 temp. 8/3/23 redness in face, neck, continued severe diarrhea, screaming while holding on hand supported by other hand (as if in aching pain). 103 temp. Produced 13+ liquide BM diapers while in the kneeling fetal position with arms tucked in. Cried out for help throughout the night. 8/4/23 weight loss (1.5 pounds), contiuned discomfort, unable to sleep. difficulty with balance and corrdenation. Similar events with 2nd series with same vaccine (lot#U7536AA).
Age: 1.92
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB, DTPPVHBHPB
Symptoms: Diarrhoea, Discomfort, Erythema, Hyperhidrosis, Screaming
Clinical narrative: 8/1/23 loss of appetite, drowsy,sleepiness. 8/2/23 16:00 felt warm, sleeplessness, no appetite, sweating, severe diarrhea (12 + liquid BM diapers), discomfort, screaming in tears, unable to  be consoled late into the next morning. 100.3 temp. 8/3/23 redness in face, neck, continued severe diarrhea, screaming while holding on hand supported by other hand (as if in aching pain). 103 temp. Produced 13+ liquide BM diapers while in the kneeling fetal position with arms tucked in. Cried out for help throughout the night. 8/4/23 weight loss (1.5 pounds), contiuned discomfort, unable to sleep. difficulty with balance and corrdenation. Similar events with 2nd series with same vaccine (lot#U7536AA).
Age: 1.92
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB, DTPPVHBHPB
Symptoms: Sleep disorder, Somnolence, Weight decreased
Clinical narrative: 8/1/23 loss of appetite, drowsy,sleepiness. 8/2/23 16:00 felt warm, sleeplessness, no appetite, sweating, severe diarrhea (12 + liquid BM diapers), discomfort, screaming in tears, unable to  be consoled late into the next morning. 100.3 temp. 8/3/23 redness in face, neck, continued severe diarrhea, screaming while holding on hand supported by other hand (as if in aching pain). 103 temp. Produced 13+ liquide BM diapers while in the kneeling fetal position with arms tucked in. Cried out for help throughout the night. 8/4/23 weight loss (1.5 pounds), contiuned discomfort, unable to sleep. difficulty with balance and corrdenation. Similar events with 2nd series with same vaccine (lot#U7536AA).
Age: 1.92
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB, DTPPVHBHPB
Symptoms: Crying, Decreased appetite, Diarrhoea, Discomfort, Erythema
Clinical narrative: 8/1/23 loss of appetite, drowsy,sleepiness. 8/2/23 16:00 felt warm, sleeplessness, no appetite, sweating, severe diarrhea (12 + liquid BM diapers), discomfort, screaming in tears, unable to  be consoled late into the next morning. 100.3 temp. 8/3/23 redness in face, neck, continued severe diarrhea, screaming while holding on hand supported by other hand (as if in aching pain). 103 temp. Produced 13+ liquide BM diapers while in the kneeling fetal position with arms tucked in. Cried out for help throughout the night. 8/4/23 weight loss (1.5 pounds), contiuned discomfort, unable to sleep. difficulty with balance and corrdenation. Similar events with 2nd series with same vaccine (lot#U7536AA).
Age: 1.92
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB, DTPPVHBHPB
Symptoms: Feeling hot, Hyperhidrosis, Pyrexia, Screaming, Somnolence
Clinical narrative: 8/1/23 loss of appetite, drowsy,sleepiness. 8/2/23 16:00 felt warm, sleeplessness, no appetite, sweating, severe diarrhea (12 + liquid BM diapers), discomfort, screaming in tears, unable to  be consoled late into the next morning. 100.3 temp. 8/3/23 redness in face, neck, continued severe diarrhea, screaming while holding on hand supported by other hand (as if in aching pain). 103 temp. Produced 13+ liquide BM diapers while in the kneeling fetal position with arms tucked in. Cried out for help throughout the night. 8/4/23 weight loss (1.5 pounds), contiuned discomfort, unable to sleep. difficulty with balance and corrdenation. Similar events with 2nd series with same vaccine (lot#U7536AA).
Age: 1.92
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB, DTPPVHBHPB
Symptoms: Weight decreased
Clinical narrative: 8/1/23 loss of appetite, drowsy,sleepiness. 8/2/23 16:00 felt warm, sleeplessness, no appetite, sweating, severe diarrhea (12 + liquid BM diapers), discomfort, screaming in tears, unable to  be consoled late into the next morning. 100.3 temp. 8/3/23 redness in face, neck, continued severe diarrhea, screaming while holding on hand supported by other hand (as if in aching pain). 103 temp. Produced 13+ liquide BM diapers while in the kneeling fetal position with arms tucked in. Cried out for help throughout the night. 8/4/23 weight loss (1.5 pounds), contiuned discomfort, unable to sleep. difficulty with balance and corrdenation. Similar events with 2nd series with same vaccine (lot#U7536AA).
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 5/19/21 lot# 041C21A  Moderna 6/6/21 lot# 053C21A
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 2/12/21 lot# 029L20A;  Moderna 3/12/21 lot# 2044A21A;  Moderna 9/2/21 lot# 053E21A
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 8/17/21 lot# 005C21A;  Moderna 9/16/21 lot# 005C21A
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Autoimmune disorder, Gastric disorder, Gastrointestinal disorder, Nervous system disorder
Clinical narrative: half my legs  and my knees are hurting messed my stomach up and couldn't use the bathroom my lungs have fluid on it auto immune system problems where my brain doesn't send signal
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pulmonary oedema
Clinical narrative: half my legs  and my knees are hurting messed my stomach up and couldn't use the bathroom my lungs have fluid on it auto immune system problems where my brain doesn't send signal
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 3 vaccines  Pfizer 3/1/21 lot# EN6207; Pfizer 4/1/21 lot# EW0150;  Pfizer 12/20/21 Lot# FE3594
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Epilepsy, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE EPILEPSY, UNSPECIFIED 8/17/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/3/21 lot# EN6198;  Pfizer 3/24/21 lot# EN6208;  Pfizer 1/7/22 lot# FD7218
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Intensive care
Clinical narrative: Patient is a 72 y.o. male patient of a MD with history of asthma presented on 7/8/2023 with acute respiratory failure with hypoxia 2/2 pneumonia and COVID. HCP consulted by HCF, for continued post ICU medical care.    Acute respiratory failure with hypoxia and hypercapnia Sepsis POA due to Covid 19 multifocal PNA  AF, WBC normal, CTPA without PE, with R>L infiltrates on exam, PCT normal Needed bipap on admission, now on RA ID and Pulm following; completed dexamethasone and remdesivir    Asthma, not in exacerbation   Follows with Dr. last seen 5/2023.  Denies home oxygen use. Patient denies hx of OSA but states pulmonologist has previously recommended sleep s
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Laboratory test normal, Lung infiltration, Pneumonia, Positive airway pressure therapy, Respiratory failure
Clinical narrative: Patient is a 72 y.o. male patient of a MD with history of asthma presented on 7/8/2023 with acute respiratory failure with hypoxia 2/2 pneumonia and COVID. HCP consulted by HCF, for continued post ICU medical care.    Acute respiratory failure with hypoxia and hypercapnia Sepsis POA due to Covid 19 multifocal PNA  AF, WBC normal, CTPA without PE, with R>L infiltrates on exam, PCT normal Needed bipap on admission, now on RA ID and Pulm following; completed dexamethasone and remdesivir    Asthma, not in exacerbation   Follows with Dr. last seen 5/2023.  Denies home oxygen use. Patient denies hx of OSA but states pulmonologist has previously recommended sleep s
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Sepsis, White blood cell count normal
Clinical narrative: Patient is a 72 y.o. male patient of a MD with history of asthma presented on 7/8/2023 with acute respiratory failure with hypoxia 2/2 pneumonia and COVID. HCP consulted by HCF, for continued post ICU medical care.    Acute respiratory failure with hypoxia and hypercapnia Sepsis POA due to Covid 19 multifocal PNA  AF, WBC normal, CTPA without PE, with R>L infiltrates on exam, PCT normal Needed bipap on admission, now on RA ID and Pulm following; completed dexamethasone and remdesivir    Asthma, not in exacerbation   Follows with Dr. last seen 5/2023.  Denies home oxygen use. Patient denies hx of OSA but states pulmonologist has previously recommended sleep s
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alcohol abuse, Asthma, Blood bicarbonate decreased, COVID-19
Clinical narrative: Patient  is a 61 y.o. male patient of, MD with history of anemia, Asthma, COPD, Gout, Cocaine use, HTN presented to  Medical Center with flu like symptoms .   Sepsis-POA, resolved  Possible CAP Covid-19 pulmonary infection Acute asthma exacerbation Acute hypoxic respiratory failure/ Date of onset of symptoms: ~7/15 P/w fever, tachycardia Date of covid positive test: 7/17 Vaccination status: vaccinated Imaging: CXR bibasilar opacities  Oxygen requirements on admission: RA Current oxygen requirements: RA Medical therapy: steroids; Levaquin; initiated on remdesivir and already on steroid Consultants following: ID E-consult Anticipated special isolation end date: 7/27 Overall improving Finished steroid course and remdesivir with improvement Finish 7 days of Levaquin Hyponatremia Could be due to decreased oral intake Encourage solute intake Dry lung strategy Monitor DC IV fluid Improved     Mild anion gap metabolic acidosis Bicarb 15, etiology? Resolved     HTN Cont home Norvasc BP stable   Skin rash Over both ankles x1 week Pt attributes them to friction due to tight shoes Psoriatic look clinically Outpt f/up   ETOH abuse Drinks 'plenty of beer' but denies heavy drinking or dependence Was at facility earlier
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Hyponatraemia, Hypophagia, Influenza like illness
Clinical narrative: Patient  is a 61 y.o. male patient of, MD with history of anemia, Asthma, COPD, Gout, Cocaine use, HTN presented to  Medical Center with flu like symptoms .   Sepsis-POA, resolved  Possible CAP Covid-19 pulmonary infection Acute asthma exacerbation Acute hypoxic respiratory failure/ Date of onset of symptoms: ~7/15 P/w fever, tachycardia Date of covid positive test: 7/17 Vaccination status: vaccinated Imaging: CXR bibasilar opacities  Oxygen requirements on admission: RA Current oxygen requirements: RA Medical therapy: steroids; Levaquin; initiated on remdesivir and already on steroid Consultants following: ID E-consult Anticipated special isolation end date: 7/27 Overall improving Finished steroid course and remdesivir with improvement Finish 7 days of Levaquin Hyponatremia Could be due to decreased oral intake Encourage solute intake Dry lung strategy Monitor DC IV fluid Improved     Mild anion gap metabolic acidosis Bicarb 15, etiology? Resolved     HTN Cont home Norvasc BP stable   Skin rash Over both ankles x1 week Pt attributes them to friction due to tight shoes Psoriatic look clinically Outpt f/up   ETOH abuse Drinks 'plenty of beer' but denies heavy drinking or dependence Was at facility earlier
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Metabolic acidosis, Pyrexia, Rash, SARS-CoV-2 test positive
Clinical narrative: Patient  is a 61 y.o. male patient of, MD with history of anemia, Asthma, COPD, Gout, Cocaine use, HTN presented to  Medical Center with flu like symptoms .   Sepsis-POA, resolved  Possible CAP Covid-19 pulmonary infection Acute asthma exacerbation Acute hypoxic respiratory failure/ Date of onset of symptoms: ~7/15 P/w fever, tachycardia Date of covid positive test: 7/17 Vaccination status: vaccinated Imaging: CXR bibasilar opacities  Oxygen requirements on admission: RA Current oxygen requirements: RA Medical therapy: steroids; Levaquin; initiated on remdesivir and already on steroid Consultants following: ID E-consult Anticipated special isolation end date: 7/27 Overall improving Finished steroid course and remdesivir with improvement Finish 7 days of Levaquin Hyponatremia Could be due to decreased oral intake Encourage solute intake Dry lung strategy Monitor DC IV fluid Improved     Mild anion gap metabolic acidosis Bicarb 15, etiology? Resolved     HTN Cont home Norvasc BP stable   Skin rash Over both ankles x1 week Pt attributes them to friction due to tight shoes Psoriatic look clinically Outpt f/up   ETOH abuse Drinks 'plenty of beer' but denies heavy drinking or dependence Was at facility earlier
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Tachycardia
Clinical narrative: Patient  is a 61 y.o. male patient of, MD with history of anemia, Asthma, COPD, Gout, Cocaine use, HTN presented to  Medical Center with flu like symptoms .   Sepsis-POA, resolved  Possible CAP Covid-19 pulmonary infection Acute asthma exacerbation Acute hypoxic respiratory failure/ Date of onset of symptoms: ~7/15 P/w fever, tachycardia Date of covid positive test: 7/17 Vaccination status: vaccinated Imaging: CXR bibasilar opacities  Oxygen requirements on admission: RA Current oxygen requirements: RA Medical therapy: steroids; Levaquin; initiated on remdesivir and already on steroid Consultants following: ID E-consult Anticipated special isolation end date: 7/27 Overall improving Finished steroid course and remdesivir with improvement Finish 7 days of Levaquin Hyponatremia Could be due to decreased oral intake Encourage solute intake Dry lung strategy Monitor DC IV fluid Improved     Mild anion gap metabolic acidosis Bicarb 15, etiology? Resolved     HTN Cont home Norvasc BP stable   Skin rash Over both ankles x1 week Pt attributes them to friction due to tight shoes Psoriatic look clinically Outpt f/up   ETOH abuse Drinks 'plenty of beer' but denies heavy drinking or dependence Was at facility earlier
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Aspiration, Blood potassium decreased, Dehydration, Nausea, Vomiting
Clinical narrative: Nausea and vomiting for over 12 hours. Aspirated so called EMS to go to Emergency Room. Dehydrated. Low potassium.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Lacunar stroke
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY HYPOTENSION
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 85 y.o. male patient of a, MD with history of recently diagnosed lung cancer, atrial fibrillation, T2DM, DJD, HLD, HTN, vitamin D deficiency presented to a local Hospital with worsening shortness of breath.   S/p palliative extubation 7/30 Cosnult hospice   Sepsis Septic shock Acute respiratory failure with hypoxia secondry to Covid Pneumonia Present on admission: yes Etiology: Respiratory Pallative extubation on 7/30   Persistent fevers Follow cultures   Atrial fibrillation Not currently on anticoagulation due to bleeding Holding  home diltiazem and metoprolol while on pressor support PRN lopressor pushes    Pulmonary vascular congestion Elevated BNP One time dose of lasix 40 7/26  Covid-19 Virus Infection Date of onset of symptoms: 7/18 Symptoms present on admission: Cough, shortness of breath Date of covid positive test: 7/25 Vaccination status: vaccinated Squamous cell carcinoma of the left lung Follows with Dr. at a HCF Completed radiation therapy July 5 Not currently on chemotherapy   Hypertension Hold home hypertensives as patient is hypotensive and requiring Levophed
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Culture, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient is a 85 y.o. male patient of a, MD with history of recently diagnosed lung cancer, atrial fibrillation, T2DM, DJD, HLD, HTN, vitamin D deficiency presented to a local Hospital with worsening shortness of breath.   S/p palliative extubation 7/30 Cosnult hospice   Sepsis Septic shock Acute respiratory failure with hypoxia secondry to Covid Pneumonia Present on admission: yes Etiology: Respiratory Pallative extubation on 7/30   Persistent fevers Follow cultures   Atrial fibrillation Not currently on anticoagulation due to bleeding Holding  home diltiazem and metoprolol while on pressor support PRN lopressor pushes    Pulmonary vascular congestion Elevated BNP One time dose of lasix 40 7/26  Covid-19 Virus Infection Date of onset of symptoms: 7/18 Symptoms present on admission: Cough, shortness of breath Date of covid positive test: 7/25 Vaccination status: vaccinated Squamous cell carcinoma of the left lung Follows with Dr. at a HCF Completed radiation therapy July 5 Not currently on chemotherapy   Hypertension Hold home hypertensives as patient is hypotensive and requiring Levophed
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Pulmonary congestion, Pyrexia, Radiotherapy, SARS-CoV-2 test positive
Clinical narrative: Patient is a 85 y.o. male patient of a, MD with history of recently diagnosed lung cancer, atrial fibrillation, T2DM, DJD, HLD, HTN, vitamin D deficiency presented to a local Hospital with worsening shortness of breath.   S/p palliative extubation 7/30 Cosnult hospice   Sepsis Septic shock Acute respiratory failure with hypoxia secondry to Covid Pneumonia Present on admission: yes Etiology: Respiratory Pallative extubation on 7/30   Persistent fevers Follow cultures   Atrial fibrillation Not currently on anticoagulation due to bleeding Holding  home diltiazem and metoprolol while on pressor support PRN lopressor pushes    Pulmonary vascular congestion Elevated BNP One time dose of lasix 40 7/26  Covid-19 Virus Infection Date of onset of symptoms: 7/18 Symptoms present on admission: Cough, shortness of breath Date of covid positive test: 7/25 Vaccination status: vaccinated Squamous cell carcinoma of the left lung Follows with Dr. at a HCF Completed radiation therapy July 5 Not currently on chemotherapy   Hypertension Hold home hypertensives as patient is hypotensive and requiring Levophed
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Septic shock
Clinical narrative: Patient is a 85 y.o. male patient of a, MD with history of recently diagnosed lung cancer, atrial fibrillation, T2DM, DJD, HLD, HTN, vitamin D deficiency presented to a local Hospital with worsening shortness of breath.   S/p palliative extubation 7/30 Cosnult hospice   Sepsis Septic shock Acute respiratory failure with hypoxia secondry to Covid Pneumonia Present on admission: yes Etiology: Respiratory Pallative extubation on 7/30   Persistent fevers Follow cultures   Atrial fibrillation Not currently on anticoagulation due to bleeding Holding  home diltiazem and metoprolol while on pressor support PRN lopressor pushes    Pulmonary vascular congestion Elevated BNP One time dose of lasix 40 7/26  Covid-19 Virus Infection Date of onset of symptoms: 7/18 Symptoms present on admission: Cough, shortness of breath Date of covid positive test: 7/25 Vaccination status: vaccinated Squamous cell carcinoma of the left lung Follows with Dr. at a HCF Completed radiation therapy July 5 Not currently on chemotherapy   Hypertension Hold home hypertensives as patient is hypotensive and requiring Levophed
Age: 1.25
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: pt started with hives on 8/4/23.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Disorientation, Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Immediately after vaccination, Patient became quiet and seemed a little disoriented and surprised by the vaccination process. We asked him how he was doing, and he said he was feeling okay. However we asked him to sit for a few minutes after vaccination. After that, upon standing, he said is head felt a little dizzy. He was asked to sit back down.  He appeared a little sweaty as well and  reported that his stomach felt a little unsettled. He was given an ice pack for the back of his neck, water, apple juice, and popcorn and was monitored for 20 additional minutes. He never lost consciousness but seemed to have a minor vasovagal response. He was able to stand without feeling dizzy prior to leaving our office. He left with this mom and siblings.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia
Clinical narrative: HYPOTENSION HYPOXIA
Age: 54.0
Sex: F
Vaccine: PNC20, TDAP
Symptoms: Erythema, Fatigue, Headache, Influenza like illness, Malaise
Clinical narrative: Wednesday when I got the pneumonia and tetanus shot later that evening both my arms got red and hurt and I started feeling like I have the flu which I thought was normal but since then my left arm has gotten worse I have a golf ball size bump that is very painful and dark red the other side the welt has grown to the size of my hand and every day since I don?t feel good I?m nauseous ,headache , body aches, tired and I just wanted to know if this is normal .  Using cold compress and Ibuprofen
Age: 54.0
Sex: F
Vaccine: PNC20, TDAP
Symptoms: Nausea, Pain, Pain in extremity, Peripheral swelling, Urticaria
Clinical narrative: Wednesday when I got the pneumonia and tetanus shot later that evening both my arms got red and hurt and I started feeling like I have the flu which I thought was normal but since then my left arm has gotten worse I have a golf ball size bump that is very painful and dark red the other side the welt has grown to the size of my hand and every day since I don?t feel good I?m nauseous ,headache , body aches, tired and I just wanted to know if this is normal .  Using cold compress and Ibuprofen
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 1/19/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient was mistakenly triaged for 12+ grey bivalent pfizer covid booster. Patient should have been triaged for and received orange 5-11 year old pfizer covid booster. Patient not treated at time of event, no ade observed. Parent and pt informed to monitor for ade and to report any that occur.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Dyskinesia, Eye movement disorder, Fall, Unresponsive to stimuli
Clinical narrative: The patient fell onto the floor from sitting in a chair within a minute of vaccination, the patient did not respond to voice her eyes were open and fixed on the ceiling, her arms were flexed, and jerking, head, neck and legs were jerking. Patient VS were stable.  The mother verbalized that she would take the patient to the ER right away.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Induration, Peripheral swelling, Skin warm
Clinical narrative: Right arm - swelling, hot, red and induration per guardian.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: We discovered 3 vials of diluent were missing from the Shingrix box of the lot number entered. We are trying to determine if diluent alone was given in 3 instances to the 9 patients that received vaccination from this lot. The patient information entered was for only 1 of  the nine. Please let me know if information is needed on all patients. Investigation ongoing and communication plan to follow.
Age: 11.0
Sex: F
Vaccine: MNQ, PNC20, TDAP
Symptoms: Wrong product administered
Clinical narrative: Patient was given wrong vaccine.  She was to receive a HPV but was given Prevnar20.
Age: 38.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Cough, Erythema, Influenza like illness, Malaise
Clinical narrative: He reports notable erythema, warmth, edema, pruritus to his upper arm. He reports paresthesia?s and neuralgic pain to his left hand and fingers. He denies paresis or paralysis. He reports the vaccine site was very high on his shoulder, and had initial severe shoulder pain about an hour after receipt, which has resolved, and he reports normal ROM. He states he had flulike symptoms of fever, rhinitis, cough, malaise for 7 days starting prior to receipt, which his children had similar symptoms before his developed.  POC today: -Ibuprofen 800 mgs tid with food -Cetirazine 10 mgs daily, may repeat q12 severe pruritis -Topical lidex 0.05% AAA -Temporary medically reactive exemption. I would defer next dose until full 18 months have passed and recommend premedication with ibuprofen 800 mgs 1-4 hours prior to receipt. He reports he will be on duty and can contact or clinic to mange receipt at the time. -File VAERS report He also reports site placement of injection as ?too high?. He currently has normal ROM and denies significant pain. Paresthesia?s can be associated with Post immunization arthropathy, however we will assess further if they don?t clear with his local site reaction.