chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Skin lesion
Clinical narrative: I developed shingles/ herpes zoster lesions on side of injection few hours post injection. I took valtrex once recognized issue.    Went to urgent care the next morning where they confirmed it was a shingles
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: There was no adverse event. I went to put vaccine in system & realized it was not correct.
Age: 51.0
Sex: M
Vaccine: HEP, TDAP
Symptoms: Lymphadenopathy, Pain in extremity, Peripheral swelling, Ultrasound scan
Clinical narrative: Employee/ patient went to ER 2-3 days following Tdap vaccine for pain and swelling in arm that he received Tdap vaccine. Diagnosed with reactive lymphadenopathy
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, General symptom
Clinical narrative: Reports Symptoms:  10064366:EXTRA DOSE ADMINISTERED;    Narrative:  The patient demanded a booster of the bivalent vaccine even though it is not authorized.  He already got a bivalent vaccine dose
Age: 50.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Reported Symptoms: FATIGUE; FEVER; HEADACHE; INJECTION SITE ERYTHEM; INJECTION SITE PAIN
Age: 58.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema
Clinical narrative: Reported Symptoms: 10022061:INJECTION SITE ERYTHEMA; 10022075:INJECTION SITE
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 4/23/21 lot# 007C21A;  Moderna 5/21/21 lot## 041C21A
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after 3 vaccines Pfizer 4/9/21 lot# Ew0158;  Pfizer 4/30/21 lot# EW0179;  Pfizer 12/13/21 Lot# FD7218
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 1/27/21 lot# El9264;  Pfizer 9/26/21 lot# FF2588;
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 7/27/21 lot# FA7484;  Pfizer 8/26/21 lot# FF2588
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines 1/26/21 Pfizer lot# EL9261;  MOderna 2/19/21 no lot#;  Moderna 3/19/21 no lot#;  9/27/21 Pfizer lot#FF2587
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Pfizer 1/8/21 lot# EL0140;  Pfizer 1/29/21 lot# EL8982;  Pfizer 10/4/21 lot# FA6780
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 2/13/21 lot# 006M20A;  Moderna 3/13/21 lot# 040A21A;  Moderna 12/4/21 lot# 004F21A
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Severe tinnitus since occurrence, it's getting worse as of this report.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ear infection, Ear pain, Fatigue, Influenza like illness, Middle ear effusion
Clinical narrative: I started having flu like symptoms fatigue and body aches, severe actually.  It was diffucult to move from bed to barthroom.  I thought it would go within a few days but it did not, I then began to have pain in my left ear at that point I decided to go to doctor so I went to an Urgent care clinic. I was seen by a doctor and was advised to take fluids including takng a pain killer. In four to five days I saw no difference and so I went again to the doctor and at this time I was prescribed an antibiotic for th infection in my ear.  After starting the antibiotic not being comfortable with the treatment I went  to an ENT docotor he said I had fluid in my ear and more antibiotics were prescribed after which in three months it cleared.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, SARS-CoV-2 test negative
Clinical narrative: I started having flu like symptoms fatigue and body aches, severe actually.  It was diffucult to move from bed to barthroom.  I thought it would go within a few days but it did not, I then began to have pain in my left ear at that point I decided to go to doctor so I went to an Urgent care clinic. I was seen by a doctor and was advised to take fluids including takng a pain killer. In four to five days I saw no difference and so I went again to the doctor and at this time I was prescribed an antibiotic for th infection in my ear.  After starting the antibiotic not being comfortable with the treatment I went  to an ENT docotor he said I had fluid in my ear and more antibiotics were prescribed after which in three months it cleared.
Age: 1.5
Sex: F
Vaccine: COVID19, DTAP
Symptoms: Cough, Croup infectious, Dysphonia, Loss of personal independence in daily activities, SARS-CoV-2 test negative
Clinical narrative: She had a hoarse voice and barking cough. She felt warm to the touch, but she didn't have a fever. We took her to the pediatrician's office where she was diagnosed with croup cough and prescribed an oral steroid medication Dexamethasone sodium phosphate 0.7mL for recovery. Her pediatrician tested her COVID-19 which came back negative; her pediatrician couldn't confirm whether receiving two same-day vaccinations affected her immune system and caused the croup cough. As of now, she's doing well and recovering, and recently just went back to daycare.
Age: 1.5
Sex: F
Vaccine: COVID19, DTAP
Symptoms: Skin warm
Clinical narrative: She had a hoarse voice and barking cough. She felt warm to the touch, but she didn't have a fever. We took her to the pediatrician's office where she was diagnosed with croup cough and prescribed an oral steroid medication Dexamethasone sodium phosphate 0.7mL for recovery. Her pediatrician tested her COVID-19 which came back negative; her pediatrician couldn't confirm whether receiving two same-day vaccinations affected her immune system and caused the croup cough. As of now, she's doing well and recovering, and recently just went back to daycare.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure
Clinical narrative: CHRONIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angina pectoris
Clinical narrative: STABLE ANGINA
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: There were no adverse reactions at this time. She was given 2 tdaps. one on 5/2/23 and another 6/28/2023
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received a 3rd dose of Shingrix vaccine. No adverse reaction reported.
Age: 29.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Injection site pain, Oedema
Clinical narrative: Edema, erythema, and tenderness at injection site.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Unevaluable event
Clinical narrative: spoke to Dr and parent there are no symptoms or treatment patient will need to repeat vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Hyperlipidaemia, Type 2 diabetes mellitus
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 3/10/2023 DM 2 W HYPERLIPIDEMIA
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dizziness, Facial nerve disorder, Facial paralysis, Fatigue
Clinical narrative: On 6/1/23 immediately after injection, left arm numbness for three days, fatigue 3 days, dizziness one week, purple mottled palms hands one week. Continued numbness tingling on/off for two weeks. On 6/25/23 numbness tingling to right side of face, 6/26 tingling worsening and lower right lip droop. Also feeling cold and hot sensations to right side of face. I went to the ER got imaging, Doctor and Dr at Med Center diagnosed me with facial peripheal nerve inflammation and neuropathy.  On 6/28 condition worsening with right eye blurred vision and worsening of facial numbness and tingling.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Feeling of body temperature change, General physical health deterioration, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: On 6/1/23 immediately after injection, left arm numbness for three days, fatigue 3 days, dizziness one week, purple mottled palms hands one week. Continued numbness tingling on/off for two weeks. On 6/25/23 numbness tingling to right side of face, 6/26 tingling worsening and lower right lip droop. Also feeling cold and hot sensations to right side of face. I went to the ER got imaging, Doctor and Dr at Med Center diagnosed me with facial peripheal nerve inflammation and neuropathy.  On 6/28 condition worsening with right eye blurred vision and worsening of facial numbness and tingling.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Livedo reticularis, Magnetic resonance imaging, Neurological examination, Neuropathy peripheral
Clinical narrative: On 6/1/23 immediately after injection, left arm numbness for three days, fatigue 3 days, dizziness one week, purple mottled palms hands one week. Continued numbness tingling on/off for two weeks. On 6/25/23 numbness tingling to right side of face, 6/26 tingling worsening and lower right lip droop. Also feeling cold and hot sensations to right side of face. I went to the ER got imaging, Doctor and Dr at Med Center diagnosed me with facial peripheal nerve inflammation and neuropathy.  On 6/28 condition worsening with right eye blurred vision and worsening of facial numbness and tingling.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Scan with contrast, Skin discolouration, Vision blurred
Clinical narrative: On 6/1/23 immediately after injection, left arm numbness for three days, fatigue 3 days, dizziness one week, purple mottled palms hands one week. Continued numbness tingling on/off for two weeks. On 6/25/23 numbness tingling to right side of face, 6/26 tingling worsening and lower right lip droop. Also feeling cold and hot sensations to right side of face. I went to the ER got imaging, Doctor and Dr at Med Center diagnosed me with facial peripheal nerve inflammation and neuropathy.  On 6/28 condition worsening with right eye blurred vision and worsening of facial numbness and tingling.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines pfizer 12/21/20 lot# EL0140;  Pfizer 1/11/21 Lot# EK9231
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines  Pfizer 3/19/21 Lot# ER2613;  Pfizer 4/9/21 lot# EW0150
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 11/8/21 lot# 071F;  Moderna 12/3/21 lot# 030H21B
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Pain in extremity, Pruritus, Pyrexia, Tremor
Clinical narrative: Starting on 3/6/23, had a mild fever (about 100F), despite tylenol 1000mg alternating with ibuprofen 400mg q6h. Also had chills and shakes, about 2 events on 3/6. These symptoms resolved by end of 3/6. Some arm soreness on left side from 3/6-3/9. Starting on 3/7, had some generalized hives on both forearms. Extremely itchy, used topical hydrocortisone 1% every few hours and benadryl 50mg every 6-8 hrs without relief. Worsened to larger hives over the next few days and no relief from OTC meds. Had Teladoc visit on 3/14 and prescribed Zyrtec twice daily and prednisone taper (40mgx3d, 30mgx3d, 20mgx3d, 10x3d), both started 3/14. Stopped Zyrtec twice daily on 3/22. Some resolution of hives on around 3/22. Hives returned on both forearms, neck and 1 spot on face on 3/30. Restarted Zyrtec twice daily with hydrocortisone 1% topical as needed. Resolved around 4/8. Continued on Zyrtec twice daily. Hives returned on 4/18, both forearms, neck and on both thighs. Continued with Zyrtec and used topical hydrocortisone 1% as needed again and hives resolved around 4/28. Stopped Zyrtec 5/1. No further recurrence of hives to date (6/29/23).
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Starting on 3/6/23, had a mild fever (about 100F), despite tylenol 1000mg alternating with ibuprofen 400mg q6h. Also had chills and shakes, about 2 events on 3/6. These symptoms resolved by end of 3/6. Some arm soreness on left side from 3/6-3/9. Starting on 3/7, had some generalized hives on both forearms. Extremely itchy, used topical hydrocortisone 1% every few hours and benadryl 50mg every 6-8 hrs without relief. Worsened to larger hives over the next few days and no relief from OTC meds. Had Teladoc visit on 3/14 and prescribed Zyrtec twice daily and prednisone taper (40mgx3d, 30mgx3d, 20mgx3d, 10x3d), both started 3/14. Stopped Zyrtec twice daily on 3/22. Some resolution of hives on around 3/22. Hives returned on both forearms, neck and 1 spot on face on 3/30. Restarted Zyrtec twice daily with hydrocortisone 1% topical as needed. Resolved around 4/8. Continued on Zyrtec twice daily. Hives returned on 4/18, both forearms, neck and on both thighs. Continued with Zyrtec and used topical hydrocortisone 1% as needed again and hives resolved around 4/28. Stopped Zyrtec 5/1. No further recurrence of hives to date (6/29/23).
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines pfizer 5/2/21 lot# EW0168;  Pfizer 6/2/21 lot# Ew0183;  Pfizer 6/3/21 no lot#;  fizer 1/7/22 lot# 330368D
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 3/31/21 lot# ER8727;  Pfizer 4/24/21 lot# EW0158;  Pfizer 11/8/21 lot# FF2589;  Pfizer 5/10/22 Lot# FJ8757;
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/22/21 lot# ER8732;  Pfizer 5/13/21 lot# ER2613
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic arteriosclerosis, Arterial disorder, Ischaemic stroke, Physical deconditioning, Transient ischaemic attack
Clinical narrative: G45. TRANSIENT CEREBRAL ISCHEMIA 4/4/2023 DECONDITIONING I63.89 SUPERIOR CEREBELLAR ARTERY SYNDROME 5/3/2023 DECONDITIONING I63.9 ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 4/17/2023 DECONDITIONING G45.9 TRANSIENT CEREBRAL ISCHEMIA 4/4/2023 ATHEROSCLEROSIS OF AORTA I63.89 SUPERIOR CEREBELLAR ARTERY SYNDROME 5/3/2023 ATHEROSCLEROSIS OF AORTA I63.9 ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 4/17/2023 ATHEROSCLEROSIS OF AORTA
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 0.67
Sex: M
Vaccine: COVID19-2, DTAPHEPBIP, PNC13
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient had not received any previous Covid vaccine doses and was indicated to receive the Dark Blue Cap Moderna Bivalent Vaccine (25mcg). The Dark Pink Cap Moderna Bivalent Vaccine (10 mcg) was administered by the Medical Assistant instead of the Dark Blue Cap Moderna Bivalent Vaccine.  RN Lead of clinic reached out to Vaccine Coordinator,  for clarification on next dose due to incorrect initial dose. No adverse events related to incident. Incident reported on both database and VAERS. Will contact parent to inform parent of plan of care once feedback is received from Vaccine Coordinator.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/11/21 lot# EN6207;  Pfizer 4/1/21 Lot#Er8732;  Pfizer 10/19/21 lot# 320308D
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chronic respiratory failure, Hypoventilation, Hypoxia, Respiratory failure
Clinical narrative: G47.36 SLEEP RELATED HYPOVENTILATION OR HYPOXEMIA 4/17/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/26/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R09.02 HYPOXIA 4/14/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXEMIA
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 1/11/21 lot# 032H20A;  Moderna 2/8/21 lot# 032H20A
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines  Pfizer 1/26/21 Lot# EL9264;  Pfizer 2/16/21 lot# EN6200;  Pfizer 9/14/21 lot# Er8732;  Pfizer 4/18/22 lot# FK9894
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after one dose Janssen
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Coagulopathy
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA 4/5/2022 ACUTE NON ST ELEVATION MI ACUTE NON ST ELEVATION MI 4/12/2023 ACUTE NON ST ELEVATION MI OBSTRUCTIVE SLEEP APNEA 4/5/2022 ACUTE NON ST ELEVATION MI ACUTE NON ST ELEVATION MI 4/12/2023 ACUTE NON ST ELEVATION MI
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Erythema, Flushing, Ocular hyperaemia, Pruritus
Clinical narrative: Itching, hives on arms, neck, torso. Facial flushing, white of eyes red, throat clearing, coughing. Red, puffy face. Wheezing.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Swelling face, Throat clearing, Urticaria, Wheezing
Clinical narrative: Itching, hives on arms, neck, torso. Facial flushing, white of eyes red, throat clearing, coughing. Red, puffy face. Wheezing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Muscle aches and pain in various places on left arm extending from collar bone to above elbow.  Front of arm, back of arm, side of arm, shoulder, shoulder to collar bone.  Varies from ache to sharp pains, to excruciating pain.  3 of my friends who were vaccinated at the same location are also suffering the same symptoms.  None of us have knowingly hurt our arm or shoulder.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebellar artery occlusion, Cerebellar stroke, Reversible ischaemic neurological deficit
Clinical narrative: ACUTE STROKE DUE TO OCCLUSION OF RIGHT CEREBELLAR ARTERY REVERSIBLE ISCHEMIC NEUROLOGIC DEFICIT SYNDROME
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 01/28/2021 Lot# 012L20A;  Moderna 2/25/21 lot# 004M20A;  Moderna 11/10/21 lot# 033F21A;  Moderna 4/21/22 lot# FM9992
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol use disorder, Alcohol withdrawal syndrome, Obstructive sleep apnoea syndrome, Rectal haemorrhage
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, MILD 4/15/2023 BRIGHT RED BLOOD PER RECTUM G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, MILD 4/15/2023 SEVERE ALCOHOL USE DISORDER W ALCOHOL WITHDRAWAL, UNCOMPLICATED
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough  case admission after 2 vaccines Moderna 8/26/21 lot# 052E;  Moderna 9/25/21 lot# 066D
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 3/3/21 lot# 010A21A; Moderna 3/31/21 lot# 017B21A ; Moderna 12/10/21 lot# 058H21A
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE ON CHRONIC RESPIRATORY FAILURE
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 1/8/21 lot# EL0140;  Pfizer 1/29/21 lot# EL9261;  Pfizer 11/2/21 lot# EW0186;  Pfizer 9/21/22 lot# Gh9693
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 3/18/21 lot# ER2613;  Pfizer 4/8/21 lot# EW0162;  pfizer 10/19/21 Lot# FF2590;  Pfizer 5/18/22 lot# FM7553
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: Moderna Bivalent Vaccine given, vaccine expired on 06/12/2023. Error discussed with patient during the time of this visit. Patient has verbalized understanding , and agrees to repeat vaccine dose at another time.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 1 Janssen
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Hypotension
Clinical narrative: ACUTE NON ST ELEVATION MI HYPOTENSION
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after 2 vaccines Moderna 4/17/21 lot# 037B21A;  Moderna 5/15/21 lot# 006C21A
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Hypotension
Clinical narrative: ACUTE NON ST ELEVATION MI HYPOTENSION
Age: 18.0
Sex: F
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient presented to the clinic for her 2nd dose of HPV9. It was given 1 week too early.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash vesicular
Clinical narrative: Small blisters/rash on arms, legs, and buttocks.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: vaccine was given 4 weeks early. first vaccine was given on April 6 and bivalent was administered on May 5
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: The wrong bivalent vaccine and dose were given. The patient was contacted by their PCP, instructed to come back in and received the correct bivalent vaccine per guidelines.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given DTAP #4  injection on 06/28/2023 4:50pm @ his 15 Month Physical that expired on 06/21/2023 on Right Thigh (IM )injection. Patient was checked 10  minutes later and did not have any visible reaction to his leg.
Age: 0.5
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: The wrong bivalent vaccine and dose were given. The patient was contacted by their PCP, instructed to come back in and received the correct bivalent vaccine per guidelines.
Age: 0.5
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: The wrong bivalent vaccine and dose were given. The patient was contacted by their PCP, instructed to come back in and received the correct bivalent vaccine per CDC guidelines.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain
Clinical narrative: WOKE UP ON MORNING FOLLOWING VACCINE WITH PAIN IN RIGHT HIP WITH PAIN OF 8/10 WHEN SITTING AND STANDING. PAIN LOCATION IS DESCIBED AS HIP PAIN AND PATIENT POINTS TO RIGHT BUTTOKS CENTER. PATIENT STATES PAIN WAS NOTICABLE AND LASTED ABOUT 6 MONTHS AND THEN ONE DAY SHE JUST NOTICED THE PAIN WAS MISSING. PATIENT STATES THEY DO A LOT OF HIKING AND WALKING AND IT COULD BE TOTALLY NOT RELATED BUT WOULD LIKE IT TO BE REPORTED JUST IN CASE.
Age: 1.25
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: The wrong bivalent vaccine and dose were given. The patient was contacted by their PCP, instructed to come back in and received the correct bivalent vaccine per guidelines.
Age: 0.75
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: The wrong bivalent vaccine and dose were given. The patient was contacted by their PCP, instructed to come back in and received the correct bivalent vaccine per guidelines.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: "Admitted to the hospital with complaints of generalized weakness; found to have COPD exacerbation and was treated with steroids, bronchodilators.    Patient was also noted to have COVID-19 infection.  He was treated with steroids and Actemra.   "
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dyspnoea, Oxygen saturation decreased, Pneumonia
Clinical narrative: Presented w/ complaints of worsening SOB; tested positive for COVID-19  in the ER; chest x-ray showed pneumonia.   Placed on broad-spectrum IV antibiotics along with steroids and symptomatic treatment.  Patient's symptoms improved but required higher than baseline home oxygen off 5 L to maintain adequate oxygen saturations.   Patient and his sons decided to proceed to pursue hospice care at home.  Pt dc'd home with hospice.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented w/ complaints of worsening SOB; tested positive for COVID-19  in the ER; chest x-ray showed pneumonia.   Placed on broad-spectrum IV antibiotics along with steroids and symptomatic treatment.  Patient's symptoms improved but required higher than baseline home oxygen off 5 L to maintain adequate oxygen saturations.   Patient and his sons decided to proceed to pursue hospice care at home.  Pt dc'd home with hospice.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Presented w c/o weakness. Pt also found to be COVID-19+; tx w/ abx, steroids; pt did not require O2.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Encephalopathy, Endotracheal intubation
Clinical narrative: Admitted for acute on chronic hypoxic respiratory failure, tested positive for COVID-19 , also was noted to be encephalopathic initially attributed to hypercapnia.  Tx w/abx, steroids & pulm support w/noninvasive ventilation but  hypercapnia and encephalopathy did not improve hence patient was intubated. Due to lack of improvement family decided to withdraw care, patient was extubated, placed on comfort measures and expired on 01/27.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hypercapnia, Mechanical ventilation, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Admitted for acute on chronic hypoxic respiratory failure, tested positive for COVID-19 , also was noted to be encephalopathic initially attributed to hypercapnia.  Tx w/abx, steroids & pulm support w/noninvasive ventilation but  hypercapnia and encephalopathy did not improve hence patient was intubated. Due to lack of improvement family decided to withdraw care, patient was extubated, placed on comfort measures and expired on 01/27.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Hypoxia, Pneumonia
Clinical narrative: Presented with pneumonia due to COVID-19 virus, acute respiratory failure with hypoxia.  Tx w/ IV abx, remdesivir, steroids & O2. Weaned to RA for dc home.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: HYPOXIA 1/31/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Presents to the ED with chief complaint of cough, congestion and concern for electrolyte imbalance. Incidental finding of COVID-19+; tx w/abx & zinc. Dc'd home.
Age: 0.58
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: The wrong bivalent vaccine and dose were given. The patient was contacted by their PCP, instructed to come back in and received the correct bivalent vaccine per guidelines.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Oxygen saturation abnormal, SARS-CoV-2 test positive
Clinical narrative: Presented to the ED w c/o of SOB; found to be positive for COVID-19. Tx w/steroids, vitamin-C, O2, & zinc.  Patient's oxygen saturations improved and pt dc'd on room air.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Epistaxis, Melaena, SARS-CoV-2 test positive
Clinical narrative: Presented due to epistaxis and melena; COVID-19+, tx w/steroids, O2, abx; weaned to RA for dc home
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiac failure acute, Cardiac failure congestive, Left ventricular failure
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 4/23/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED I21.A1 ACUTE NON ST ELEVATION MI (NSTEMI), TYPE 2 MI (SUPPLY/DEMAND) 4/22/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED I21.4 ACUTE NON ST ELEVATION MI 4/23/2023 ACUTE NON ST ELEVATION MI I21.A1 ACUTE NON ST ELEVATION MI (NSTEMI), TYPE 2 MI (SUPPLY/DEMAND) 4/22/2023 ACUTE NON ST ELEVATION MI I21.4 ACUTE NON ST ELEVATION MI 4/23/2023 DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC I21.A1 ACUTE NON ST ELEVATION MI (NSTEMI), TYPE 2 MI (SUPPLY/DEMAND) 4/22/2023 DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Hypoxia, Sepsis
Clinical narrative: Presented to the emergency room via EMS with complaints of cough; dx w/ sepsis due to COVID-19 infection/hypoxia; tx w/remdesivir, steroids, abx, zinc; did not require O2. Dc'd home
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Epilepsy, Hypersensitivity
Clinical narrative: ALLERGIC REACTION, SEQUELA 2/4/2023 EPILEPSY, UNSPECIFIED
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Cerebrovascular accident, Coronary artery disease
Clinical narrative: STABLE ANGINA 4/19/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 3/24/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough  case infection after 2 vaccines  Moderna 2/9/21 lot# 007M20A; Moderna 3/9/21 lot# 010A21A;
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines moderna 2/26/21 lot# 025A21A;  Moderna 3/26/21 lot# 045A21A;  Moderna 11/8/21 lot# 058F21A;  Moderna 4/4/22 lot# 025L21B;  Moderna 10/22/22 lot# 062F22A
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: The wrong bivalent vaccine and dose were given. The patient was contacted by their PCP, instructed to come back in and received the correct bivalent vaccine per guidelines.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 4/10/21 lot# 008B21-2A; Moderna 5/8/21 lot# 043B21A
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: The wrong bivalent vaccine and dose were given. The patient was contacted by their PCP, instructed to come back in and received the correct bivalent vaccine per guidelines.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Janssen 3/24/21 lot#1802068
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Pfizer 5/11/21 Lot# Ew0176;  Pfizer 6/1/21 lot# Ew0191;  Pfizer 10/1/21 lot# FC3184;  Moderna 5/19/22 lot# 049L21A;  Pfizer 9/27/22 lot# A57163B
Age: 0.83
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: An LVN drew up and gave the lower dose Moderna Bivalent (0.2ml/10mcg) for the second dose in the series instead of giving the correct higher dose Moderna bivalent (0.25ml/25mcg). No adverse reactions were reported by the parents. The parents were notified by the patient's primary care provider and by the manager of the clinic. The guidelines for incorrect dosage administered was reviewed by the PCP and the patient.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Pfizer 1/27/21 lot# EL9261;  Pfizer 2/27/21 lot# EN6201;  Pfizer 11/12/21 no lot#
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Benign prostatic hyperplasia, Hypotension, Hypoxia
Clinical narrative: HYPOTENSION 3/25/2023 BPH W LOWER URINARY TRACT SYMPTOMS ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 BPH W LOWER URINARY TRACT SYMPTOMS HYPOXIA 3/21/2023 BPH W LOWER URINARY TRACT SYMPTOMS HYPOTENSION 3/25/2023 INTESTINAL PERFORATION ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 INTESTINAL PERFORATION HYPOXIA 3/21/2023 INTESTINAL PERFORATION HYPOTENSION 3/25/2023 NONTRAUMATIC ACUTE KIDNEY INJURY ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 NONTRAUMATIC ACUTE KIDNEY INJURY HYPOXIA 3/21/2023 NONTRAUMATIC ACUTE KIDNEY INJURY
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Intestinal perforation, Lower urinary tract symptoms
Clinical narrative: HYPOTENSION 3/25/2023 BPH W LOWER URINARY TRACT SYMPTOMS ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 BPH W LOWER URINARY TRACT SYMPTOMS HYPOXIA 3/21/2023 BPH W LOWER URINARY TRACT SYMPTOMS HYPOTENSION 3/25/2023 INTESTINAL PERFORATION ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 INTESTINAL PERFORATION HYPOXIA 3/21/2023 INTESTINAL PERFORATION HYPOTENSION 3/25/2023 NONTRAUMATIC ACUTE KIDNEY INJURY ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/25/2023 NONTRAUMATIC ACUTE KIDNEY INJURY HYPOXIA 3/21/2023 NONTRAUMATIC ACUTE KIDNEY INJURY
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Please note - the patient has not communicated any adverse effects.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Dyspnoea, Electrocardiogram abnormal, Headache, Laboratory test
Clinical narrative: POTS, Dizziness, racing heart upon standing and walking, headache, shortness of breath, feeling of almost passing out.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Palpitations, Postural orthostatic tachycardia syndrome, Presyncope
Clinical narrative: POTS, Dizziness, racing heart upon standing and walking, headache, shortness of breath, feeling of almost passing out.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines MOderna 1/28/21 lot# 028L20A;  Moderna 2/25/21 lot# 004M20A
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia, Symptom recurrence
Clinical narrative: HYPOXEMIA 2/12/2023 &  3/12/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Coronary artery disease
Clinical narrative: I63.9 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 3/23/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA I63.9 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 3/23/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA I63.9 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 3/23/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA I63.9 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 3/23/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 4/29/21 lot# Ew0165;  Pfizer 5/20/21 lot# Ew0186
Age: 0.67
Sex: U
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Moderna bivalent 10 mcg dose given instead of bivalent 25 mcg dose
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure acute, Chronic respiratory failure, Essential tremor, Hypoxia, Left ventricular failure
Clinical narrative: J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 PNEUMONIA R09.02 HYPOXIA 4/30/2023 PNEUMONIA J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 FEVER OF UNKNOWN ORIGIN R09.02 HYPOXIA 4/30/2023 FEVER OF UNKNOWN ORIGIN J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 SYSTOLIC HEART FAILURE, ACUTE ON CHRONIC R09.02 HYPOXIA 4/30/2023 SYSTOLIC HEART FAILURE, ACUTE ON CHRONIC J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 MALIGNANT PLEURAL EFFUSION R09.02 HYPOXIA 4/30/2023 MALIGNANT PLEURAL EFFUSION J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 BENIGN ESSENTIAL TREMOR R09.02 HYPOXIA 4/30/2023 BENIGN ESSENTIAL TREMOR
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Malignant pleural effusion, Pneumonia, Pyrexia, Respiratory failure
Clinical narrative: J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 PNEUMONIA R09.02 HYPOXIA 4/30/2023 PNEUMONIA J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 FEVER OF UNKNOWN ORIGIN R09.02 HYPOXIA 4/30/2023 FEVER OF UNKNOWN ORIGIN J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 SYSTOLIC HEART FAILURE, ACUTE ON CHRONIC R09.02 HYPOXIA 4/30/2023 SYSTOLIC HEART FAILURE, ACUTE ON CHRONIC J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 MALIGNANT PLEURAL EFFUSION R09.02 HYPOXIA 4/30/2023 MALIGNANT PLEURAL EFFUSION J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/12/2023 BENIGN ESSENTIAL TREMOR R09.02 HYPOXIA 4/30/2023 BENIGN ESSENTIAL TREMOR
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after one dose Janssen
Age: 0.83
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Moderna bivalent 10 mcg given instead of bivalent 25 mcg dose
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Pfizer 3/2/21 lot# EN6202;  Pfizer 4/13/21 lot# ER8733;  Pfizer 10/20/21 lot# FF2589
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 2/9/21 Lot# 007M20A;  Moderna 3/9/21 no lot#; MOderna 1/10/22 lot# 084J21A
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Fibromyalgia, Injection site erythema, Injection site swelling, Loss of consciousness
Clinical narrative: Patient received vaccine 6/27 at 10:30 am. Came to pharmacy 6/28 around 10 am to talk to us about the reaction she was having to her vaccine. She presented with a red and swollen left deltoid approximately 5 inches in diameter. She said she had pain and believed that the vaccine had caused a flare in her fibromyalgia. Later that afternoon, around 3 pm, we were told that she was taken by ambulance to the hospital. I called today to check on her, two days after receiving her vaccine, and she said that she passed out and believes that the vaccine caused a flare-up of her tachycardia as well. She received pain medication from the hospital and has been using ice on her arm and is doing somewhat better.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Tachycardia
Clinical narrative: Patient received vaccine 6/27 at 10:30 am. Came to pharmacy 6/28 around 10 am to talk to us about the reaction she was having to her vaccine. She presented with a red and swollen left deltoid approximately 5 inches in diameter. She said she had pain and believed that the vaccine had caused a flare in her fibromyalgia. Later that afternoon, around 3 pm, we were told that she was taken by ambulance to the hospital. I called today to check on her, two days after receiving her vaccine, and she said that she passed out and believes that the vaccine caused a flare-up of her tachycardia as well. She received pain medication from the hospital and has been using ice on her arm and is doing somewhat better.
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: COVID-19 mRNA LNP-S, bivalent PF 6mos-5yrs (Moderna), 10 mcg/0.2 mL (Wrong dose given- under dosed).
Age: 0.58
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Moderna bivalent 10 mcg given instead of bivalent 25 mcg dose
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 9/20/21 lot# FC2184;  Pfizer 10/20/21 lot# FF2590
Age: 1.33
Sex: M
Vaccine: RV5
Symptoms: No adverse event
Clinical narrative: NO ADVERSE ADVENTS. PARENT MADE AWARE.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Gait disturbance, Grip strength decreased, Hypoaesthesia, Limb discomfort, Magnetic resonance imaging
Clinical narrative: Patient stated that after she received the immunization, she went home and that afternoon she started having numbness and tingles in her right food.  She stated that she kept dropping items and could not climb up the stairs. Patient had gallbladder surgery two weeks prior tot he immunization.  It went up her right leg and her entire right side became numb. She then was admitted into the ER and her doctor concluded that she had a "mini-stroke".  The patient is still having ankle/right foot numbness and describes it as a "tight feeling" along with vision problems.  She has followed up with her PCP and he has referred her to a neurologist.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Transient ischaemic attack, Visual impairment
Clinical narrative: Patient stated that after she received the immunization, she went home and that afternoon she started having numbness and tingles in her right food.  She stated that she kept dropping items and could not climb up the stairs. Patient had gallbladder surgery two weeks prior tot he immunization.  It went up her right leg and her entire right side became numb. She then was admitted into the ER and her doctor concluded that she had a "mini-stroke".  The patient is still having ankle/right foot numbness and describes it as a "tight feeling" along with vision problems.  She has followed up with her PCP and he has referred her to a neurologist.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Benign prostatic hyperplasia, Hypoxia, Lower urinary tract symptoms
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/21/2023 BPH W LOWER URINARY TRACT SYMPTOMS HYPOXEMIA 4/25/2023 BPH W LOWER URINARY TRACT SYMPTOMS
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Moderna bivalent 10 mcg given instead of bivalent 25 mcg dose
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: COVID-19 mRNA LNP-S, bivalent PF 6mos-5yrs (Moderna), 10 mcg/0.2 mL (wrong dose given- under dosed)
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: COVID-19 mRNA LNP-S, bivalent PF 6mos-5yrs (Moderna), 10 mcg/0.2 mL (wrong dose given- under dosed)
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia, Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 1/30/2023 &  1/28/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough
Clinical narrative: Presents w/ cough x 1 wk; amitted for COVID-19 pna, tx w/abx, steroids, zinc, remdesivir, & O2 therapy; weaned to RA, dc'd home
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dehydration, Rhabdomyolysis, SARS-CoV-2 test positive
Clinical narrative: Admitted for severe dehydration & mild rhabdo; profound continued weakness prompted infectious causes and pt COVID+; was treated w/steroids, abx, remdesivir & O2, weaned to RA. Due to weakness, pt dc'd to rehab
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Presented to ED with generalized weakness, SOB.  Patient was diagnosed with pneumonia due to COVID-19 virus, tx with oxygen, antibiotics, remdesivir, steroids; weaned from O2 to RA but remained debilitated & weak; dc'd to rehab.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Dyspnoea, Nausea, Vomiting
Clinical narrative: Presented to ED w/N&V, cough, SOB; admitted for COVID-19 pna; tx w/abx, steroids, remdesivir, zinc; weaned to RA; discharged home
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Presented to ED w/weakness & SOB; admitted for COVID-19 pna; tx w/steroids, remdesivir, Vit-C, zinc. & O2; dc to home w/O2.
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 1.67
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient came in for her 18 month well child check. Patient received two vaccines. The Hep A (Vaqta) vaccine had expired in March 2023.  Parent & provider were notified immediately of expired vaccine administration. Pediatric Director was also called and informed of situation. Patient is scheduled to receive repeat Hep A vaccine at next visit. No adverse outcomes reported.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 10.0
Sex: M
Vaccine: MNQ
Symptoms: Unevaluable event
Clinical narrative: NONE