chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus
Clinical narrative: COVID+ 10/27/2022 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: DO Admission Date: 10/25/2022 Discharge Date: Nov 2, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? Dilated cardiomyopathy  05/02/2022 Yes ? Chronic combined systolic and diastolic heart failure  04/08/2022 Yes ? Nephrostomy status  03/22/2022 Yes ? Lymphoma  03/22/2022 Yes ? Hydronephrosis 03/17/2022 Yes ? Type 2 diabetes mellitus with diabetic neuropathy  03/14/2022 Yes ? Retroperitoneal mass 03/14/2022 Yes ? Chronic kidney disease (CKD), stage IV (severe)  03/14/2022 Yes ? Paroxysmal atrial fibrillation  03/14/2022 Yes ? Subclinical hypothyroidism 03/12/2021 Yes ? Thoracic aortic aneurysm without rupture 05/22/2020 Yes ? Lymphadenopathy, retroperitoneal 04/21/2020 Yes ? At risk for falls 06/13/2017 Yes ? Persistent proteinuria associated with type 2 diabetes mellitus   03/22/2016 Yes ? History of prostate cancer 02/22/2012 Yes ? Hypertension 07/06/2010 Yes ? Type 2 diabetes 07/06/2010 Yes  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 88 y.o. male with past medical history significant for CHFrEF (now 20%), PAF on Eliquis, HTN, CKD4, DM2, hydronephrosis status post right nephrostomy, who present to emergency department with a complaint of weakness and fall.  Patient developed generalized weakness, cold symptoms, and malaise and had a ground level fall after receiving his COVID-19 and flu vaccine.   Upon arrival at emergency department patient's vitals blood pressure 123/60, pulse 114, temperature 97.7°, O2 sat 98% on room air, respiration 18. Imaging CT of the head and cervical spine showed no acute intracranial process or fracture.  Chest x-ray showed mild left pleural effusion without evidence of infiltrate or opacity. EKG showed atrial fibrillation with heart rate at 117, as well as left anterior fascicular block.  Given patient's frequent fall and generalized weakness as well as COVID-19 infection that patient tested positive for, patient was admitted to general medicine for further management and PT OT and case manager will be consulted for placement.   Due to frequent falls patients eliquis was discontinued. Patient and son both agreed on this. Repeat ECHO did note decrease in EF from 40 to 21%. Patient was continued on his goal directed medical therapy of Toprol XL and lisinopril. No evidence of acute CHF. Recommend to follow up with Cardiology outpatient for repeat ECHO and optimization of medical therapy. This was communicated to his son who voiced understanding.    Orthopedics was consulted for mildly displaced R fibular fracture during his stay for which orthopedic surgery recommended conservative management with weight-bearing as tolerated. Outpatient ortho follow up in 1 week.   Patient discharged back to assisted living in stable condition. Discharge instructions reviewed with son over the phone.
Age: 77.0
Sex: F
Vaccine: FLUA4
Symptoms: Balance disorder, Dizziness, Gait disturbance, Limb discomfort, Muscular weakness
Clinical narrative: She got her vaccine, her arm was slight sore around it.  Then if she lifted her arm it was a little sore.  She had no pain in her arm at night, and felt absolutely fine.  On Wednesday morning she felt fine, but after a couple of hours she was off-balance and had to hold onto something to walk.  Her knees then felt like rubber and continued all the rest of the day and dizziness and off balance.  She is somewhat better today, her knees are better, but now it has gone down to her ankles and feet like they are too heavy and too big for her body.  She has not taken anything for her symptoms.  She has only used her inhalers that she uses every day.   she is going to call her doctor today.  She also had a bout of nausea probably due to the dizziness she feels.  She did not run fever and her arm today does not hurt and not sensitive.    She had her COVID vaccines and had no problems with them.
Age: 77.0
Sex: F
Vaccine: FLUA4
Symptoms: Nausea, Pain, Pain in extremity
Clinical narrative: She got her vaccine, her arm was slight sore around it.  Then if she lifted her arm it was a little sore.  She had no pain in her arm at night, and felt absolutely fine.  On Wednesday morning she felt fine, but after a couple of hours she was off-balance and had to hold onto something to walk.  Her knees then felt like rubber and continued all the rest of the day and dizziness and off balance.  She is somewhat better today, her knees are better, but now it has gone down to her ankles and feet like they are too heavy and too big for her body.  She has not taken anything for her symptoms.  She has only used her inhalers that she uses every day.   she is going to call her doctor today.  She also had a bout of nausea probably due to the dizziness she feels.  She did not run fever and her arm today does not hurt and not sensitive.    She had her COVID vaccines and had no problems with them.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: This Covid "booster" Monovalent was given inadvertently as a booster dose to the adults instead of a bivalent dose. The label read "booster" and caused some confusion. We ordered the Bivalent dose and this primary series for 6-12/adult boosters arrived instead.The cap colors are the same. Labels look almost identical except for the boarder color. Suppose we re-label, change label colors/cap colors to prevent this from happening again?
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, COVID-19, Chest X-ray normal, Chest pain, Chills
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Moderna x3 BRIEF OVERVIEW:  Admission Date: 10/26/2022 Discharge Date: 10/29/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Dyspnea 10/27/2022 Unknown ? Acute asthma exacerbation 12/28/2020 Yes ? COVID-19   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea Acute exacerbation of mild persistent extrinsic asthma COVID-19 Acute asthma exacerbation   HOSPITAL COURSE: The patient is a 44 y.o. male with PMH of asthma who presented to the ED due to shortness of breath for 2 days. He complains of accompanying fever, chills, sweats. Also recalls body aches. Also recalls wheezing and pleuritic chest pain left-sided. Self-medicated with NyQuil, DayQuil, vitamins, airborne. He also continued to use a his to inhalers. Despite this, remained short of breath.   Presented to the emergency department, found to be wheezing. Chest x-ray negative. COVID-19 positive. Breathing treatments and steroids given. He was admitted for further medical management.   He received IV remdesivir for COVID 19 and prednisone for asthma exacerbation. He received supportive care. He should follow up with his PCP as an outpatient. He was discharged home in stable condition on 10/29/2022.     BP 135/94  | Pulse 95  | Temp 36.6 °C (Oral)  | Resp 18  | Ht 1.829 m  | Wt 129.3 kg  | SpO2 95%  | BMI 38.65 kg/m²    Physical Exam Constitutional:      General: He is not in acute distress.    Appearance: He is obese.  HENT:     Head: Normocephalic.  Eyes:     General: No scleral icterus.    Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: No wheezing.  Abdominal:     General: Bowel sounds are normal. There is no distension.     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness. There is no guarding or rebound.  Musculoskeletal:     Right lower leg: No edema.     Left lower leg: No edema.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: He is alert.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Hyperhidrosis, Pain, Pleuritic pain
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Moderna x3 BRIEF OVERVIEW:  Admission Date: 10/26/2022 Discharge Date: 10/29/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Dyspnea 10/27/2022 Unknown ? Acute asthma exacerbation 12/28/2020 Yes ? COVID-19   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea Acute exacerbation of mild persistent extrinsic asthma COVID-19 Acute asthma exacerbation   HOSPITAL COURSE: The patient is a 44 y.o. male with PMH of asthma who presented to the ED due to shortness of breath for 2 days. He complains of accompanying fever, chills, sweats. Also recalls body aches. Also recalls wheezing and pleuritic chest pain left-sided. Self-medicated with NyQuil, DayQuil, vitamins, airborne. He also continued to use a his to inhalers. Despite this, remained short of breath.   Presented to the emergency department, found to be wheezing. Chest x-ray negative. COVID-19 positive. Breathing treatments and steroids given. He was admitted for further medical management.   He received IV remdesivir for COVID 19 and prednisone for asthma exacerbation. He received supportive care. He should follow up with his PCP as an outpatient. He was discharged home in stable condition on 10/29/2022.     BP 135/94  | Pulse 95  | Temp 36.6 °C (Oral)  | Resp 18  | Ht 1.829 m  | Wt 129.3 kg  | SpO2 95%  | BMI 38.65 kg/m²    Physical Exam Constitutional:      General: He is not in acute distress.    Appearance: He is obese.  HENT:     Head: Normocephalic.  Eyes:     General: No scleral icterus.    Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: No wheezing.  Abdominal:     General: Bowel sounds are normal. There is no distension.     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness. There is no guarding or rebound.  Musculoskeletal:     Right lower leg: No edema.     Left lower leg: No edema.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: He is alert.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Wheezing
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Moderna x3 BRIEF OVERVIEW:  Admission Date: 10/26/2022 Discharge Date: 10/29/2022   Active Hospital Problems   Diagnosis Date Noted POA ? Dyspnea 10/27/2022 Unknown ? Acute asthma exacerbation 12/28/2020 Yes ? COVID-19   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea Acute exacerbation of mild persistent extrinsic asthma COVID-19 Acute asthma exacerbation   HOSPITAL COURSE: The patient is a 44 y.o. male with PMH of asthma who presented to the ED due to shortness of breath for 2 days. He complains of accompanying fever, chills, sweats. Also recalls body aches. Also recalls wheezing and pleuritic chest pain left-sided. Self-medicated with NyQuil, DayQuil, vitamins, airborne. He also continued to use a his to inhalers. Despite this, remained short of breath.   Presented to the emergency department, found to be wheezing. Chest x-ray negative. COVID-19 positive. Breathing treatments and steroids given. He was admitted for further medical management.   He received IV remdesivir for COVID 19 and prednisone for asthma exacerbation. He received supportive care. He should follow up with his PCP as an outpatient. He was discharged home in stable condition on 10/29/2022.     BP 135/94  | Pulse 95  | Temp 36.6 °C (Oral)  | Resp 18  | Ht 1.829 m  | Wt 129.3 kg  | SpO2 95%  | BMI 38.65 kg/m²    Physical Exam Constitutional:      General: He is not in acute distress.    Appearance: He is obese.  HENT:     Head: Normocephalic.  Eyes:     General: No scleral icterus.    Conjunctiva/sclera: Conjunctivae normal.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: No wheezing.  Abdominal:     General: Bowel sounds are normal. There is no distension.     Palpations: Abdomen is soft.     Tenderness: There is no abdominal tenderness. There is no guarding or rebound.  Musculoskeletal:     Right lower leg: No edema.     Left lower leg: No edema.  Skin:    General: Skin is warm and dry.  Neurological:     Mental Status: He is alert.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID-19 on dates 9/12/22-9/22/22. Treated with dexamethasone, baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Dermatitis contact, Perfume sensitivity, Pruritus, Rash
Clinical narrative: Developed rash on right hand, which spread to other areas on my body (left hand, wrists, neck, back).
Age: 17.0
Sex: M
Vaccine: HEP, IPV, MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse reaction.  Second dose Varicella administered prematurely.
Age: 63.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Feeling abnormal, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On Monday, I noticed the symptoms: coughing, runny nose, just not feeling good. Tested positive on Tuesday, 10/26/2022. On Wednesday, 10/27/2022 I reached out to my doctor, and they prescribed PAXLOVID. I started feeling better on day one. I completed the course of 5 days.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: This Covid "booster" Monovalent was given inadvertently as a booster dose to the adults instead of a bivalent dose. The label read "booster" and caused some confusion. We ordered the Bivalent dose and this primary series for 6-12/adult boosters arrived instead.The cap colors are the same. Labels look almost identical except for the boarder color. Suppose we re-label, change label colors/cap colors to prevent this from happening again?
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID-19 on dates  9/13/22-9/16/22. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ophthalmological examination, Pupil dilation procedure, Vitreous detachment
Clinical narrative: Posterior Vitreous Detachment of the left eye. Treated by Eye Hospital Physicians. Thorough eye exam. Return to visit scheduled December 13,2022.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vial of vaccine had been short dated by manufacturer, but office was not informed of shortened date and gave vaccine with expiration information that was given to them at delievery.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test normal, Fatigue, Feeling abnormal, Headache, Pain
Clinical narrative: Friday I received the vaccine. The next day on Saturday, I had very achy legs and a bad headache. By Sunday my headache was gone. My legs were achy and throbbing and that didn't go away. I took TYLENOL and it helped, but it always came back. Both legs were just throbbing. It didn't happen anywhere else. I went to see the doctor on Thursday. The doctor said I should take fish oil and I tried that for a couple of days. The legs weren't as bad as they were and they were getting better. But it still wasn't a good feeling and the throbbing was still there. I switched to ibuprofen and after 3 days it felt a lot better. Tuesday was the last time I took ibuprofen then by Wednesday I felt better. I still get a few twinges, but they aren't as bad as they were. Before they were throbbing and it felt like I was walking on two sticks, but now they just feel tired. They're definitely better and I've stopped taking medication.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: Friday I received the vaccine. The next day on Saturday, I had very achy legs and a bad headache. By Sunday my headache was gone. My legs were achy and throbbing and that didn't go away. I took TYLENOL and it helped, but it always came back. Both legs were just throbbing. It didn't happen anywhere else. I went to see the doctor on Thursday. The doctor said I should take fish oil and I tried that for a couple of days. The legs weren't as bad as they were and they were getting better. But it still wasn't a good feeling and the throbbing was still there. I switched to ibuprofen and after 3 days it felt a lot better. Tuesday was the last time I took ibuprofen then by Wednesday I felt better. I still get a few twinges, but they aren't as bad as they were. Before they were throbbing and it felt like I was walking on two sticks, but now they just feel tired. They're definitely better and I've stopped taking medication.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient DOB 11/25/1942 passed away at Hospital on 11.3.22.  He was admitted to another Hospital on 10.31.22 and diagnosed with COVID-19 on 10.31.22.
Age: 26.0
Sex: M
Vaccine: TD
Symptoms: Blood pressure decreased, Cold sweat, Pallor
Clinical narrative: Donor received the Tetanus Diphtheria Booster at 11:43 am, 7 mintes later, at 11:50m, the donor was pale and clamy.. Donor's blood pressure dropped to 90/62 from 112/80 that was taken earlier that day. Donor was provided Propel water and taken to an exam room to rest. After drinking the water, donor's blood pressure rose to 106/76. Donor left the cente with no incident.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Cough, Diarrhoea, Eating disorder, Erythema
Clinical narrative: Around 09:00PM after getting the vaccine I started feeling feverish. I got up the next say I had full blown COVID-19 symptoms and felt horrible. I had chills, fever, body aches, diarrhea, headaches. My arm was hot, red swollen and I thought it would pop open. I could not eat by Monday I started coughing horrible. I was drinking PEDIALYTE to stay hydrated. By Tuesday I did have to work but had some of the symptoms. I went to the doctor on Wednesday he gave me steroids and something for the pain. I still cannot eat but my symptoms have lessened. I still do not feel well.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Headache, Malaise, Pain, Peripheral swelling
Clinical narrative: Around 09:00PM after getting the vaccine I started feeling feverish. I got up the next say I had full blown COVID-19 symptoms and felt horrible. I had chills, fever, body aches, diarrhea, headaches. My arm was hot, red swollen and I thought it would pop open. I could not eat by Monday I started coughing horrible. I was drinking PEDIALYTE to stay hydrated. By Tuesday I did have to work but had some of the symptoms. I went to the doctor on Wednesday he gave me steroids and something for the pain. I still cannot eat but my symptoms have lessened. I still do not feel well.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Skin warm
Clinical narrative: Around 09:00PM after getting the vaccine I started feeling feverish. I got up the next say I had full blown COVID-19 symptoms and felt horrible. I had chills, fever, body aches, diarrhea, headaches. My arm was hot, red swollen and I thought it would pop open. I could not eat by Monday I started coughing horrible. I was drinking PEDIALYTE to stay hydrated. By Tuesday I did have to work but had some of the symptoms. I went to the doctor on Wednesday he gave me steroids and something for the pain. I still cannot eat but my symptoms have lessened. I still do not feel well.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Respiratory failure
Clinical narrative: Hospitalization for acute hypercapni/hypoxic respiratory failure and COVID-19 pneumonia on dates  9/18/22- 9/30/22. Treated with dexamethasone, baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient came in for Moderna bivalent booster but given Moderna monovalent instead. Patient received vaccine around 10:15 am and notified in the evening 7:38 pm. At time of notification in the evening patient confirmed she had no current side effects.
Age: 47.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: hives at site of injection and spread over body
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Muscular weakness, Pain, Pain in extremity
Clinical narrative: When administered the shot was difficult to inject so the student asked the instructor what to do and the instructor said push harder. She proceeded and it was very painful. Days after the shot when normal pain should have subsided my arm still hurt. Reaching behind my back is difficult and my range of motion is decreased. I also have some tingling in my arm and overall soreness.  I have some weakness in the arm. I wake up at night in pain. I have been taking Advil and have been prescribed a topical anti-inflammatory medicine.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: When administered the shot was difficult to inject so the student asked the instructor what to do and the instructor said push harder. She proceeded and it was very painful. Days after the shot when normal pain should have subsided my arm still hurt. Reaching behind my back is difficult and my range of motion is decreased. I also have some tingling in my arm and overall soreness.  I have some weakness in the arm. I wake up at night in pain. I have been taking Advil and have been prescribed a topical anti-inflammatory medicine.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Intentional medical device removal by patient, Underdose
Clinical narrative: Patient jerked when vaccine was being administered and did not receive full dose . No injury sustained
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Precocious puberty, Skin odour abnormal
Clinical narrative: Child (my son) is experiencing early signs of puberty. Has body odor the following evening after taking a shower the night before. This happened within the 1st year of taking the two vaccines. Child comes from a clean healthy family and household. Eats and plays like any normal child. Takes 2-3 baths per week on regular consistent schedules. Has noticed in the last month body odor smells from his arm pits and informed us his parents of wanting to know what this weird smell is and why it?s starting.  Would not be concerned parents if he was in 5th-6th grade (10-12yra old).
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: This Covid "booster" Monovalent was given inadvertently as a booster dose to the adults instead of a bivalent dose. The label read "booster" and caused some confusion. We ordered the Bivalent dose and this primary series for 6-12/adult boosters arrived instead.The cap colors are the same. Labels look almost identical except for the boarder color. Suppose we re-label, change label colors/cap colors to prevent this from happening again?
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eyelid sensory disorder, Hypoaesthesia, Hypoaesthesia oral, Malaise, Myalgia
Clinical narrative: Within 10 minutes mild numbness on right side of face, started in lower eye lid then spread to cheek and top lip and gum. No drooping or muscle involvement noted.  After about 30-45 minutes, the majority of the numbness went away, although today, 15 hours later there is still a little feeling of numbness. 4 hours later, numbness noted in left foot.  Lasted about 30 minutes, although a small amount of residual noted today.   14 hours after vaccination, muscle achiness and malaise started.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient came in for Moderna bivalent booster but given Moderna monovalent instead. Patient received vaccine around 10:15 am and notified in the evening 7:38 pm. At time of notification in the evening patient confirmed she had no current side effects.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: This Covid "booster" Monovalent was given inadvertently as a booster dose to the adults instead of a bivalent dose. The label read "booster" and caused some confusion. We ordered the Bivalent dose and this primary series for 6-12/adult boosters arrived instead.The cap colors are the same. Labels look almost identical except for the boarder color. Suppose we re-label, change label colors/cap colors to prevent this from happening again?
Age: 54.0
Sex: F
Vaccine: PNC20
Symptoms: Local reaction
Clinical narrative: patient developed localized reaction of 8.5 cm by 3 cm after administration of the pneumonia 20 vaccine and the influenza vaccine on the same day
Age: 13.0
Sex: M
Vaccine: MMR
Symptoms: Syncope
Clinical narrative: Client fainted. Was put in recliner and given drinks and pudding.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vial of vaccine had been short dated by manufacturer, but office was not informed of shortened date and gave vaccine with expiration information that was given to them at delivery.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in for her IMZ appointment and checked in. Prescription was typed up correctly and given to administrator to administer. Administrator grabbed the pre-drawn bivalent. She checked in with patient, asked DOB and vaccine receiving. Patient stated Moderna, but still did not register that it was to be a first time primary injection. Gave injection and mom said, "since this is her first shot she should wait 15 minutes, right?". Administrator realized she had given Bivalent. I informed mom and patient right away, apologized and stated I needed to research the proper next steps. Called Moderna who referred to CDC interim clinical considerations. According to Table D - it stated to give the Primary injection right away as bivalent would not be enough dose to create a proper initial response. I llet patient know this may mean an increase of side effects of fatigue, site reactions
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: This Covid "booster" Monovalent was given inadvertently as a booster dose to the adults instead of a bivalent dose. The label read "booster" and caused some confusion. We ordered the Bivalent dose and this primary series for 6-12/adult boosters arrived instead.The cap colors are the same. Labels look almost identical except for the boarder color. Suppose we re-label, change label colors/cap colors to prevent this from happening again?
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchoalveolar lavage, COVID-19, Complications of transplanted lung, Culture, Dyspnoea
Clinical narrative: COVID+ 10/26/22.  Vaccination status - moderna x4 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: NP Admission Date: 10/26/2022 Discharge Date: Oct 28, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 10/26/2022 Unknown ? Fever 10/26/2022 Unknown ? Bilateral Lung Transplant, 10/11/19 10/11/2019 Yes ? Type 2 diabetes mellitus, with long-term current use of insulin (HCC) 07/23/2019 Yes   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Other complications of lung transplant (HCC) [T86.818] COVID-19 [U07.1]   HOSPITAL COURSE:  Pt is a 75 y.o. male who presented 10/26 with fever, fatigue, lethargy in the setting of COVID Infection diagnosed on 10/10. He received MAB shortly after positive test and felt a little better. About a week ago reported still feeling fatigued, fevers at home, and mild SOB/DOE. Due to worsening symptoms and neutropenia his MMF was held. He was direct admitted for a bronch and BAL. Significant vocal cord edema was noted on bronch so ENT was consulted and decadron x2 was given. ENT felt edema was likely from viral process and didn't feel treatment was indicated. Decadron was stopped and he was reduced back to home 5mg pred dose. BAL culture prelim was consistent with normal respiratory flora. Given improvement on abx though, will complete 5d course and follow-up final cultures as outpatient. Patient has been afebrile, ambulating without difficulty, and without shortness of breath. He will be discharged today to follow-up in clinic.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Laryngeal oedema, Lethargy, Neutropenia
Clinical narrative: COVID+ 10/26/22.  Vaccination status - moderna x4 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: NP Admission Date: 10/26/2022 Discharge Date: Oct 28, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 10/26/2022 Unknown ? Fever 10/26/2022 Unknown ? Bilateral Lung Transplant, 10/11/19 10/11/2019 Yes ? Type 2 diabetes mellitus, with long-term current use of insulin (HCC) 07/23/2019 Yes   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Other complications of lung transplant (HCC) [T86.818] COVID-19 [U07.1]   HOSPITAL COURSE:  Pt is a 75 y.o. male who presented 10/26 with fever, fatigue, lethargy in the setting of COVID Infection diagnosed on 10/10. He received MAB shortly after positive test and felt a little better. About a week ago reported still feeling fatigued, fevers at home, and mild SOB/DOE. Due to worsening symptoms and neutropenia his MMF was held. He was direct admitted for a bronch and BAL. Significant vocal cord edema was noted on bronch so ENT was consulted and decadron x2 was given. ENT felt edema was likely from viral process and didn't feel treatment was indicated. Decadron was stopped and he was reduced back to home 5mg pred dose. BAL culture prelim was consistent with normal respiratory flora. Given improvement on abx though, will complete 5d course and follow-up final cultures as outpatient. Patient has been afebrile, ambulating without difficulty, and without shortness of breath. He will be discharged today to follow-up in clinic.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COVID+ 10/26/22.  Vaccination status - moderna x4 BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: NP Admission Date: 10/26/2022 Discharge Date: Oct 28, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 10/26/2022 Unknown ? Fever 10/26/2022 Unknown ? Bilateral Lung Transplant, 10/11/19 10/11/2019 Yes ? Type 2 diabetes mellitus, with long-term current use of insulin (HCC) 07/23/2019 Yes   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Other complications of lung transplant (HCC) [T86.818] COVID-19 [U07.1]   HOSPITAL COURSE:  Pt is a 75 y.o. male who presented 10/26 with fever, fatigue, lethargy in the setting of COVID Infection diagnosed on 10/10. He received MAB shortly after positive test and felt a little better. About a week ago reported still feeling fatigued, fevers at home, and mild SOB/DOE. Due to worsening symptoms and neutropenia his MMF was held. He was direct admitted for a bronch and BAL. Significant vocal cord edema was noted on bronch so ENT was consulted and decadron x2 was given. ENT felt edema was likely from viral process and didn't feel treatment was indicated. Decadron was stopped and he was reduced back to home 5mg pred dose. BAL culture prelim was consistent with normal respiratory flora. Given improvement on abx though, will complete 5d course and follow-up final cultures as outpatient. Patient has been afebrile, ambulating without difficulty, and without shortness of breath. He will be discharged today to follow-up in clinic.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Respiratory tract congestion
Clinical narrative: COUGH, CONGESTION,
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Central nervous system inflammation, Magnetic resonance imaging spinal abnormal, Pain in extremity, Paraesthesia, Vertebral foraminal stenosis
Clinical narrative: I received the vaccination in my right arm. Afterwards, my right arm became VERY sore and painful. It gradually improved over the next 2-3 weeks. Shortly after the pain subsided, I realized that I had tingling in my right hand and made an appointment to go see my doctor, who ordered an MRI of my neck. It showed  mild-moderate foraminal stenosis at C6-C7. Clearly the vaccine didn't cause the stenosis, but I went to see a neurosurgeon who reported that the immunization could have led to inflammation of the nerve. I think that the nerve was already in a tight spot, but after the immunization, it became inflamed and that's why I developed the symptoms afterwards.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Syncope
Clinical narrative: After receiving vaccine patient was seated for 15 minutes. She then got up at walked to get a drink but fainted and hit her head on shelving as she fell.  A team member dialed 911 and as we waited, she was responsive and was breathing. She was helped to a seat and after EMT arrived was taken to the hospital for further evaluation.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Injection site pain, Loss of personal independence in daily activities, Lymphadenopathy, Muscle contractions involuntary
Clinical narrative: I woke around 06:00 in the morning to severe pain in my stomach, my deltoid muscle where I received I injection, my trapezoid muscles. My lymph nodes on both sides are swollen but the left side are so swollen, I am unable to do anything. I went to the doctor and was given pain medication and muscle relaxer, so I am able to be to be comfortable and sleep. I have tried icing the muscles this only irritates the muscles. Heat does not help either. When the contractions from the muscle spasms happen, I am rendered helpless.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Muscle spasms
Clinical narrative: I woke around 06:00 in the morning to severe pain in my stomach, my deltoid muscle where I received I injection, my trapezoid muscles. My lymph nodes on both sides are swollen but the left side are so swollen, I am unable to do anything. I went to the doctor and was given pain medication and muscle relaxer, so I am able to be to be comfortable and sleep. I have tried icing the muscles this only irritates the muscles. Heat does not help either. When the contractions from the muscle spasms happen, I am rendered helpless.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Asthenia, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate decreased
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Pfizer x3 Discharge Date: Oct 28, 2022    Admission Date: 10/26/2022   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 virus infection 10/26/2022 Yes ? Generalized weakness   Details of Hospital Stay PRESENTING PROBLEM: COVID-19 virus infection   HOSPITAL COURSE: 89-year-old male who presented after having a fall at home.  He had felt fatigued for 2 weeks prior to admission when multiple other family members have been sick with COVID-19.  While ambulating at home, his legs gave out and he fell to the ground hitting the right side of his head and right arm.  He suffered a right ear and right forearm laceration.  He was brought to the emergency department for evaluation.  His right ear and right forearm lacerations were sutured and closed with Dermabond, respectively.  He tested positive for COVID-19.  He was evaluated for PT and OT evaluation.  He did well with therapy elevation.  He although he remained weaker than her baseline, he was able to tolerate ambulating 300 ft with a walker.  Patient was discharged home with home health care and to continue home therapy.  Patient was advised to use a walker for now until he is back to baseline functioning status.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin decreased, Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Pfizer x3 Discharge Date: Oct 28, 2022    Admission Date: 10/26/2022   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 virus infection 10/26/2022 Yes ? Generalized weakness   Details of Hospital Stay PRESENTING PROBLEM: COVID-19 virus infection   HOSPITAL COURSE: 89-year-old male who presented after having a fall at home.  He had felt fatigued for 2 weeks prior to admission when multiple other family members have been sick with COVID-19.  While ambulating at home, his legs gave out and he fell to the ground hitting the right side of his head and right arm.  He suffered a right ear and right forearm laceration.  He was brought to the emergency department for evaluation.  His right ear and right forearm lacerations were sutured and closed with Dermabond, respectively.  He tested positive for COVID-19.  He was evaluated for PT and OT evaluation.  He did well with therapy elevation.  He although he remained weaker than her baseline, he was able to tolerate ambulating 300 ft with a walker.  Patient was discharged home with home health care and to continue home therapy.  Patient was advised to use a walker for now until he is back to baseline functioning status.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea normal, COVID-19, Fall
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Pfizer x3 Discharge Date: Oct 28, 2022    Admission Date: 10/26/2022   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 virus infection 10/26/2022 Yes ? Generalized weakness   Details of Hospital Stay PRESENTING PROBLEM: COVID-19 virus infection   HOSPITAL COURSE: 89-year-old male who presented after having a fall at home.  He had felt fatigued for 2 weeks prior to admission when multiple other family members have been sick with COVID-19.  While ambulating at home, his legs gave out and he fell to the ground hitting the right side of his head and right arm.  He suffered a right ear and right forearm laceration.  He was brought to the emergency department for evaluation.  His right ear and right forearm lacerations were sutured and closed with Dermabond, respectively.  He tested positive for COVID-19.  He was evaluated for PT and OT evaluation.  He did well with therapy elevation.  He although he remained weaker than her baseline, he was able to tolerate ambulating 300 ft with a walker.  Patient was discharged home with home health care and to continue home therapy.  Patient was advised to use a walker for now until he is back to baseline functioning status.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Haematocrit normal, Haemoglobin normal, Head injury, International normalised ratio normal
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Pfizer x3 Discharge Date: Oct 28, 2022    Admission Date: 10/26/2022   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 virus infection 10/26/2022 Yes ? Generalized weakness   Details of Hospital Stay PRESENTING PROBLEM: COVID-19 virus infection   HOSPITAL COURSE: 89-year-old male who presented after having a fall at home.  He had felt fatigued for 2 weeks prior to admission when multiple other family members have been sick with COVID-19.  While ambulating at home, his legs gave out and he fell to the ground hitting the right side of his head and right arm.  He suffered a right ear and right forearm laceration.  He was brought to the emergency department for evaluation.  His right ear and right forearm lacerations were sutured and closed with Dermabond, respectively.  He tested positive for COVID-19.  He was evaluated for PT and OT evaluation.  He did well with therapy elevation.  He although he remained weaker than her baseline, he was able to tolerate ambulating 300 ft with a walker.  Patient was discharged home with home health care and to continue home therapy.  Patient was advised to use a walker for now until he is back to baseline functioning status.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Limb injury, Loss of control of legs, N-terminal prohormone brain natriuretic peptide increased, Platelet count decreased, Protein total decreased
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Pfizer x3 Discharge Date: Oct 28, 2022    Admission Date: 10/26/2022   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 virus infection 10/26/2022 Yes ? Generalized weakness   Details of Hospital Stay PRESENTING PROBLEM: COVID-19 virus infection   HOSPITAL COURSE: 89-year-old male who presented after having a fall at home.  He had felt fatigued for 2 weeks prior to admission when multiple other family members have been sick with COVID-19.  While ambulating at home, his legs gave out and he fell to the ground hitting the right side of his head and right arm.  He suffered a right ear and right forearm laceration.  He was brought to the emergency department for evaluation.  His right ear and right forearm lacerations were sutured and closed with Dermabond, respectively.  He tested positive for COVID-19.  He was evaluated for PT and OT evaluation.  He did well with therapy elevation.  He although he remained weaker than her baseline, he was able to tolerate ambulating 300 ft with a walker.  Patient was discharged home with home health care and to continue home therapy.  Patient was advised to use a walker for now until he is back to baseline functioning status.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin laceration, Suture insertion, Walking aid user, White blood cell count normal
Clinical narrative: COVID+ 10/26/22.  Vaccination status - Pfizer x3 Discharge Date: Oct 28, 2022    Admission Date: 10/26/2022   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 virus infection 10/26/2022 Yes ? Generalized weakness   Details of Hospital Stay PRESENTING PROBLEM: COVID-19 virus infection   HOSPITAL COURSE: 89-year-old male who presented after having a fall at home.  He had felt fatigued for 2 weeks prior to admission when multiple other family members have been sick with COVID-19.  While ambulating at home, his legs gave out and he fell to the ground hitting the right side of his head and right arm.  He suffered a right ear and right forearm laceration.  He was brought to the emergency department for evaluation.  His right ear and right forearm lacerations were sutured and closed with Dermabond, respectively.  He tested positive for COVID-19.  He was evaluated for PT and OT evaluation.  He did well with therapy elevation.  He although he remained weaker than her baseline, he was able to tolerate ambulating 300 ft with a walker.  Patient was discharged home with home health care and to continue home therapy.  Patient was advised to use a walker for now until he is back to baseline functioning status.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: patient was given a bivalent without having any previous monovalent doses
Age: 42.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site discharge, Injection site pruritus, Injection site reaction, Injection site vesicles, Skin exfoliation
Clinical narrative: Pt got his 2nd dose of Jynneos vaccine  on left forearm, same location as 1st dose. Both vaccines were given intradermal. By 10:00pm that night, he noticed water like substance coming out of skin where injection was placed and skin around injection site peeling. 11/3/22 patient states he noticed a few tiny blisters around injection site, itching sensation as well. No blisters noted on the rest of his body. Pt was encouraged contact his PCP for guidance. Pt admitted to nurse that he a nodule after his first vaccine dose in the same arm.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: I have intense shoulder pain. I cannot lift my arm. This is way more extreme than any other vaccine arm pain I've ever experienced. I have to lift my affected arm using my "good arm."
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain, Back pain, Blood test, Diarrhoea, Pain
Clinical narrative: BODY ACHES X 2 DAYS, BACK PAIN X 2 DAYS, , FEVER 100.6  X 2 DAYS SEVERE DIARRHEA  > 10 X DAILY FOR 4 DAYS AT THIS TIME CONTINUES WITH LOSE STOOLS 4 TIMES DAILY WITH ABD CRAMPING
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: BODY ACHES X 2 DAYS, BACK PAIN X 2 DAYS, , FEVER 100.6  X 2 DAYS SEVERE DIARRHEA  > 10 X DAILY FOR 4 DAYS AT THIS TIME CONTINUES WITH LOSE STOOLS 4 TIMES DAILY WITH ABD CRAMPING
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: SYMPTOMATIC
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bladder pain, Headache, Tinnitus, Tremor
Clinical narrative: While less severe than the other three shots, I experienced severe whole  body shaking for about 20 minutes and the usual bad headache, however,  this time I also had severe sharp pain in both knees and in my bladder.  Both of these abated overnight after I took a Tylenol.   I also experienced severe ringing in my ears which is still on going.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac ventricular thrombosis, Cough, Dyspnoea
Clinical narrative: TROUBLE BREATHING, COUGH, BLOOD CLOT IN LEFT VENTRICLE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Hypogeusia, Hyposmia
Clinical narrative: On 07/17/2022, I developed terrible chills. Monday, I woke up coughing as well as still having the chills. Tuesday, I woke up with the most horrendous sore throat I had ever had. I also noticed a decrease in my sense of smell and taste, so I went to see my doctor. He prescribed an antibiotic and advised that I begin taking that while I was waiting on my COVID-19 test results. He stated that if my test was positive, I would need to stop taking the antibiotic and begin taking Paxlovid. He called me that next morning with positive results, and I began taking the Paxlovid later that day. The Paxlovid left a terrible taste in my mouth and for 3 weeks after ending the medication, I still could not taste or smell anything. I still, on 11/04/2022, feel as though my senses have not returned properly. Food does not taste or smell right to me.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Taste disorder
Clinical narrative: On 07/17/2022, I developed terrible chills. Monday, I woke up coughing as well as still having the chills. Tuesday, I woke up with the most horrendous sore throat I had ever had. I also noticed a decrease in my sense of smell and taste, so I went to see my doctor. He prescribed an antibiotic and advised that I begin taking that while I was waiting on my COVID-19 test results. He stated that if my test was positive, I would need to stop taking the antibiotic and begin taking Paxlovid. He called me that next morning with positive results, and I began taking the Paxlovid later that day. The Paxlovid left a terrible taste in my mouth and for 3 weeks after ending the medication, I still could not taste or smell anything. I still, on 11/04/2022, feel as though my senses have not returned properly. Food does not taste or smell right to me.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Upper-airway cough syndrome
Clinical narrative: I have been coughing and coughing up flem, and post nasal drip. Just coughing really hard, i'm about tired of coughing. I am taking cough drops, drinking plenty of water, taking tylenol- nothing hurts, but I am coughing like a crazy person. But nothing hurts. I go to the doctor next week on Wednesday.
Age: 0.5
Sex: M
Vaccine: COVID19, DTAPHEPBIP, DTAPIPVHIB, FLU4, PNC13, RV5
Symptoms: Wrong product administered
Clinical narrative: Client was given Pentacel instead of ActHIB and when the error was discovered, manager was notified and parents were contacted.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: ASYMPTOMATIC
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site pain
Clinical narrative: Soreness at injection site
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Feeling cold, Headache, Hyperhidrosis
Clinical narrative: Fever, Severe Headache, chills, Severe Aches throughout body, No Energy, Lethargic, No Appetite, Slept 18 out of 24 hours, Severe Sweating
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Lethargy, Pain, Pyrexia
Clinical narrative: Fever, Severe Headache, chills, Severe Aches throughout body, No Energy, Lethargic, No Appetite, Slept 18 out of 24 hours, Severe Sweating