chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: Unable to reach the patient. Phone was disconnected. Pt was contacted 4 days later by his PCP's medical assistant. Seemed like there were no adverse reactions.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Parent consent form for school influenza clinic received at the beginning of the school year.  Child received a flu shot at a clinic appointment on 10/10/2022.
Age: 24.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: No adverse event, Syringe issue, Underdose
Clinical narrative: Moderna bivalent was administered to the patient in her left arm.  When the needle was removed the vaccine leaked from the insertion site.  The amount that did not absorb was not measurable.  Another does was not provided.  No adverse reaction - no signs or symptoms exhibited.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I woke up with a fever of 101 and the next day I had achiness and chills. I tested positive for COVID-19 after taking  an at home test-September 12, 2022, I called the provider, and she did a telehealth appointment with me and prescribed Paxlovid and Loratadine.  After 2 days, all symptoms were gone. My temp was down to 99 but I felt much better. By the following day, I felt fine.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Acute kidney injury, Blood test abnormal, Chills, Delirium, Dizziness
Clinical narrative: patient began to experience dizziness, palpations, fever up to 103, chills, and shortness of breath, nausea and vomiting, tachycardia as well as became delirious about 45 minutes after receiving the Meningococcal B vaccine.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Dyspnoea, Hepatic enzyme increased, Hypotension, Nausea, Palpitations
Clinical narrative: patient began to experience dizziness, palpations, fever up to 103, chills, and shortness of breath, nausea and vomiting, tachycardia as well as became delirious about 45 minutes after receiving the Meningococcal B vaccine.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Pyrexia, Tachycardia, Vomiting
Clinical narrative: patient began to experience dizziness, palpations, fever up to 103, chills, and shortness of breath, nausea and vomiting, tachycardia as well as became delirious about 45 minutes after receiving the Meningococcal B vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 3/12/21  Moderna 044A21A dose 2 4/9/21 Moderna  018B21A
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Lethargy, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid 19 on September 10, 2022  I experienced a cough and congestion and lethargy. I was prescribed Paxlovid for my symptoms.
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Duplicate administration. Patient has not had any reactions as of now. Patient received influenza vaccine from Pharmacy on 10/18/2022. Facility had consent from power of attorney to receive influenza vaccine from Pharmacy on 10/19/2022. Facility and Pharmacy were unaware of previous administration non 10/18/2022.
Age: 0.5
Sex: M
Vaccine: FLU4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Primary vaccination series.  Dose 2 given at Day 23  - too short of interval by 5 days.    Vaccination will be considered Invalid.  Plan to repeat the dose in 28+ days.  Parents informed.
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: COVID pos on 10/18/2022. Cough with congestion.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case   dose 1 3/22/21 Pfizer EN6207 dose 2 4/12/21 Pfizer EW0158
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lip swelling, Pyrexia, Tremor, Vomiting
Clinical narrative: vomiting, lip swelling, fever, and shaking
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMRV, PNC13
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, No adverse event
Clinical narrative: Patient was given vaccines that system showed  were due. When entering vaccines into system  there were some previous vaccines given on the date of 7/14/21 that were showing "not valid". Once it was researched we found the date was entered wrong into system and should have been 7/14/2022.  So the vaccines that were given on 10/18/2022  were not due and the vaccines were repeated.  Mom notified to contact clinic or go to ER if any reaction occurs. Patient is well with no reaction or adverse affects of vaccines given.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Pulse absent, Respiratory arrest
Clinical narrative: When nurse entered room to check blood sugar noted resident had passed away, no pulse no resp.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Influenza virus test negative, Malaise, Nasal congestion
Clinical narrative: Felt sore throat off and on 10/6 and 10/8.  10/12 COVID-19 at Rapid  Molecular/NAAT/NEAR.  Negative.  Evening of 10/13 felt slightly feverish 100.5, stuffy nose, sore throat, fatigue.  Went to AFC Urgent Care on 10/14.  Doctor there performed Rapid Flu and Strep.  Aditional Strep test and PCR COVID-19 Test also performed.  Only COVID-19 test was positive.  Doctor initially treated for sinus infection with atibioditcs while waiting test results.  Advised to stop antiboitics once test results came in.  Symptoms improved since 10/15 with just a little congestion and fatigue remaining.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Felt sore throat off and on 10/6 and 10/8.  10/12 COVID-19 at Rapid  Molecular/NAAT/NEAR.  Negative.  Evening of 10/13 felt slightly feverish 100.5, stuffy nose, sore throat, fatigue.  Went to AFC Urgent Care on 10/14.  Doctor there performed Rapid Flu and Strep.  Aditional Strep test and PCR COVID-19 Test also performed.  Only COVID-19 test was positive.  Doctor initially treated for sinus infection with atibioditcs while waiting test results.  Advised to stop antiboitics once test results came in.  Symptoms improved since 10/15 with just a little congestion and fatigue remaining.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Streptococcus test negative
Clinical narrative: Felt sore throat off and on 10/6 and 10/8.  10/12 COVID-19 at Rapid  Molecular/NAAT/NEAR.  Negative.  Evening of 10/13 felt slightly feverish 100.5, stuffy nose, sore throat, fatigue.  Went to AFC Urgent Care on 10/14.  Doctor there performed Rapid Flu and Strep.  Aditional Strep test and PCR COVID-19 Test also performed.  Only COVID-19 test was positive.  Doctor initially treated for sinus infection with atibioditcs while waiting test results.  Advised to stop antiboitics once test results came in.  Symptoms improved since 10/15 with just a little congestion and fatigue remaining.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Moderna  3/13/21  002B21A dose 2 Moderna  4/10/21  025B21A dose 3 Moderna  11/24/21  012H21B
Age: 38.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Incorrect route of product administration, Wrong technique in product usage process
Clinical narrative: NO visible  wheal present.  Pt chart indicates that pt deferred revaccination via subcutaneous route.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Off label use, Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Injection site pain, Injection site swelling
Clinical narrative: Pt recevied J and J vaccine on 4/12/21 and Moderna 11/9/21 and came to clinic for the bivalent Pfizer vaccine on 10/18/22. Due to mix up of the Pfizer monovalent and bivalent vaccine- she may have gotten either the monovalent or bivalent Pfizer vaccine. She has some pain and swelling of the upper arm
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Mobility decreased, Rotator cuff syndrome
Clinical narrative: patient is stating they have had shoulder pain and immobility since the shot. Upon examination, she discovered she has rotator cuff damage.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation error
Clinical narrative: gave dose before diluting it
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was inadvertently given the 6m-4 yr (3mcg/0.2ml) Pfizer vaccine instead of the intended Pfizer 12+ bivalent booster.
Age: 20.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Hyperhidrosis, Pallor, Supine position
Clinical narrative: 1605 vaccines x2 given per MA to left delt   1606: called to bedside per MA. Pt pale & extremely diaphoretic. BP cuff attached, pt responded to painful stim- sternal rub.   1607: pt A&Ox4 and responding to verbal stim. Asking for BP cuff to be moved to different arm. Pt states hx of syncopal episodes s/p imms as a child.    1610: BP 88/50, HR 61 99% pt A&O x4- remains supine. gatoraid given to patient   1612 99/63 HR 62. Pt remains supine and talking with nursing   1614: pt in sitting position, denies dizziness.  109/74 HR 90   1616: pt transitioned to chair- ambulates without diff per self with nursing as stand by assist. Offered chex mix.    1620: pt sitting, tolerating chex mix without issue. Instructed pt okay to leave at 1630. Pt verbalized understanding    1626: pt texting on phone, talking with nursing, denies dizziness. Denies HA.  102/66  HR 71  99%. States walking back to apartment in east quad. Plans to talk to friend on the way home.    1633: MD evaluated pt at bedside. Pt states friend is picking her up instead. Okay for pt to leave.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Pt received COVID Pfizer vaccines on 3/27/21, 4/17/21, 10/5/21 and 6/13/22. He came for the bivalent booster dose. Due to mix up of the Pfizer monovalent and bivalent vaccine- he may have gotten either the monovalent or bivalent Pfizer vaccine. Pt does not have any effects from the vaccine
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: Immediate pain at the site of the injection. Pain has been ongoing since 10-05-22 without relief.  Sought treatment at clinic.   1. Motrin 400 mg PO BID for 5 days, then discontinue. Take with food. Stop medication for any GI distress, melena or hematochezia and proceed to ER. 2. Provided with written instructions for shoulder stretching and strengthening exercises. Apply heat prior and ice after with thermal barrier. Do not exceed 20 minutes in one sitting.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra-cold temperatures, then thawed for administration. Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions, but the use is considered off label.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site pain, Neck pain, Pain
Clinical narrative: Noted immediately with vaccine there was pain that shot up through shoulder and to neck. Also had pain in shoulder area radiating down same arm which began same day. Neck, shoulder, and arm pain continues daily, area of vaccine still burns and stings even today. Arm is also easily fatigued and pain/discomfort is worse at night. She experienced numbness down left leg for 2 nights after vaccine but this has since gone away. Patient went to orthopedic doctor who did xrays with no significant findings. No treatment was ordered.  Patient follows up with him Oct 28, 2022.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Vaccination site pain, X-ray normal
Clinical narrative: Noted immediately with vaccine there was pain that shot up through shoulder and to neck. Also had pain in shoulder area radiating down same arm which began same day. Neck, shoulder, and arm pain continues daily, area of vaccine still burns and stings even today. Arm is also easily fatigued and pain/discomfort is worse at night. She experienced numbness down left leg for 2 nights after vaccine but this has since gone away. Patient went to orthopedic doctor who did xrays with no significant findings. No treatment was ordered.  Patient follows up with him Oct 28, 2022.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Pt received Pfizer dose on 1/30/21, 2/21/21, 10/6/21 and 7/00/22. He came in for his COVID Bivalent booster dose on 10/18/22. Due to mix up of the Pfizer monovalent and bivalent vaccine- he may have gotten either the monovalent or bivalent Pfizer vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Computerised tomogram, Discomfort, Eye irritation, Eye pain
Clinical narrative: 09/22/2022: 24 hours after injection - Redness around the injection site and felt a little tired. Rested and took ibuprofen. No other medical treatment.  09/26/2022: Noticed that one side of my face was swollen including my left eyelid. Some redness to the outer corner of left eye. Did not notice any pain but felt pressure from the swelling on the left side of my face. No discharge or change to vision. May have started the day before, but may not have been significant enough to notice and did not look in the mirror on 09/25/2022 to really notice.   09/27/2022: Swelling increased on left side of the face. Additional redness to the left side of eye. Some pain associated with movement of eye. No discharge. Eyes are slightly watery. Some change to vision. Visited the Ophthalmologist who prescribed Amoxicillin 875 mg tablet and Neomyc-Polym-Dexam eye ointment.  09/28/2022: Increased swelling. No increase in redness on eye. Same pain level associated with eye movement. No discharge. Eyes are slightly watery.  09/29/2022: Increased swelling. Increased pain level associated with eye movement. More pressure felt on left side of the face. Primarily against the nose, cheek, and temple. No discharge. Difficult to see out of the eye. At times, it feels like there is a gritty texture on the interior of the lid. Ophthalmologist prescribed Moxifloxacin 400 mg. Directed me to stop using Amoxicillin 875 mg tablet and Neomyc-Polym-Dexam eye ointment.  09/30/2022: Eye almost completely shut. Increased swelling. Increased pain level associated with eye movement. 4/10. More pressure felt on left side of the face. Primarily against the nose, cheek, and temple. No discharge. Difficult to see out of the eye. Went to the ER.   10/01/2022: Slight improvement in swelling on eyelid. Redness increased throughout the eye. Pressure still felt around the eye, by nose, and temple. Pain level the same. 4/10 No discharge. Difficult to see out of the eye. Admitted to the hospital.  Recommended Dosing: Loading dose vancomycin 2000mg X1 followed by Vancomycin 1000mg q12h starting at 10/01/22 1700  10/02/2022: Slight improvement on eyelid swelling. Decreased redness on eye. Pressure still felt around the eye, by nose, and temple. Slight improvement on pain level. 3/10 No discharge. Discharged from the hospital.  Began new antibiotic: Doxycycline hyclate 100 mg capsule.  10/03/2022 - 10/07: No significant changes to swelling. 10/08: Swelling improved with prednisone treatment. Current: Swelling improved with prednisone treatment and will continue for another 4 weeks.  Preseptal/preorbital cellulitis  Referred to rheumatologist due to IgG4 positive test.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Injection site erythema, Laboratory test abnormal, Lacrimation increased, Ocular discomfort
Clinical narrative: 09/22/2022: 24 hours after injection - Redness around the injection site and felt a little tired. Rested and took ibuprofen. No other medical treatment.  09/26/2022: Noticed that one side of my face was swollen including my left eyelid. Some redness to the outer corner of left eye. Did not notice any pain but felt pressure from the swelling on the left side of my face. No discharge or change to vision. May have started the day before, but may not have been significant enough to notice and did not look in the mirror on 09/25/2022 to really notice.   09/27/2022: Swelling increased on left side of the face. Additional redness to the left side of eye. Some pain associated with movement of eye. No discharge. Eyes are slightly watery. Some change to vision. Visited the Ophthalmologist who prescribed Amoxicillin 875 mg tablet and Neomyc-Polym-Dexam eye ointment.  09/28/2022: Increased swelling. No increase in redness on eye. Same pain level associated with eye movement. No discharge. Eyes are slightly watery.  09/29/2022: Increased swelling. Increased pain level associated with eye movement. More pressure felt on left side of the face. Primarily against the nose, cheek, and temple. No discharge. Difficult to see out of the eye. At times, it feels like there is a gritty texture on the interior of the lid. Ophthalmologist prescribed Moxifloxacin 400 mg. Directed me to stop using Amoxicillin 875 mg tablet and Neomyc-Polym-Dexam eye ointment.  09/30/2022: Eye almost completely shut. Increased swelling. Increased pain level associated with eye movement. 4/10. More pressure felt on left side of the face. Primarily against the nose, cheek, and temple. No discharge. Difficult to see out of the eye. Went to the ER.   10/01/2022: Slight improvement in swelling on eyelid. Redness increased throughout the eye. Pressure still felt around the eye, by nose, and temple. Pain level the same. 4/10 No discharge. Difficult to see out of the eye. Admitted to the hospital.  Recommended Dosing: Loading dose vancomycin 2000mg X1 followed by Vancomycin 1000mg q12h starting at 10/01/22 1700  10/02/2022: Slight improvement on eyelid swelling. Decreased redness on eye. Pressure still felt around the eye, by nose, and temple. Slight improvement on pain level. 3/10 No discharge. Discharged from the hospital.  Began new antibiotic: Doxycycline hyclate 100 mg capsule.  10/03/2022 - 10/07: No significant changes to swelling. 10/08: Swelling improved with prednisone treatment. Current: Swelling improved with prednisone treatment and will continue for another 4 weeks.  Preseptal/preorbital cellulitis  Referred to rheumatologist due to IgG4 positive test.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ocular hyperaemia, Pain, Periorbital cellulitis, Swelling face, Swelling of eyelid
Clinical narrative: 09/22/2022: 24 hours after injection - Redness around the injection site and felt a little tired. Rested and took ibuprofen. No other medical treatment.  09/26/2022: Noticed that one side of my face was swollen including my left eyelid. Some redness to the outer corner of left eye. Did not notice any pain but felt pressure from the swelling on the left side of my face. No discharge or change to vision. May have started the day before, but may not have been significant enough to notice and did not look in the mirror on 09/25/2022 to really notice.   09/27/2022: Swelling increased on left side of the face. Additional redness to the left side of eye. Some pain associated with movement of eye. No discharge. Eyes are slightly watery. Some change to vision. Visited the Ophthalmologist who prescribed Amoxicillin 875 mg tablet and Neomyc-Polym-Dexam eye ointment.  09/28/2022: Increased swelling. No increase in redness on eye. Same pain level associated with eye movement. No discharge. Eyes are slightly watery.  09/29/2022: Increased swelling. Increased pain level associated with eye movement. More pressure felt on left side of the face. Primarily against the nose, cheek, and temple. No discharge. Difficult to see out of the eye. At times, it feels like there is a gritty texture on the interior of the lid. Ophthalmologist prescribed Moxifloxacin 400 mg. Directed me to stop using Amoxicillin 875 mg tablet and Neomyc-Polym-Dexam eye ointment.  09/30/2022: Eye almost completely shut. Increased swelling. Increased pain level associated with eye movement. 4/10. More pressure felt on left side of the face. Primarily against the nose, cheek, and temple. No discharge. Difficult to see out of the eye. Went to the ER.   10/01/2022: Slight improvement in swelling on eyelid. Redness increased throughout the eye. Pressure still felt around the eye, by nose, and temple. Pain level the same. 4/10 No discharge. Difficult to see out of the eye. Admitted to the hospital.  Recommended Dosing: Loading dose vancomycin 2000mg X1 followed by Vancomycin 1000mg q12h starting at 10/01/22 1700  10/02/2022: Slight improvement on eyelid swelling. Decreased redness on eye. Pressure still felt around the eye, by nose, and temple. Slight improvement on pain level. 3/10 No discharge. Discharged from the hospital.  Began new antibiotic: Doxycycline hyclate 100 mg capsule.  10/03/2022 - 10/07: No significant changes to swelling. 10/08: Swelling improved with prednisone treatment. Current: Swelling improved with prednisone treatment and will continue for another 4 weeks.  Preseptal/preorbital cellulitis  Referred to rheumatologist due to IgG4 positive test.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Visual impairment
Clinical narrative: 09/22/2022: 24 hours after injection - Redness around the injection site and felt a little tired. Rested and took ibuprofen. No other medical treatment.  09/26/2022: Noticed that one side of my face was swollen including my left eyelid. Some redness to the outer corner of left eye. Did not notice any pain but felt pressure from the swelling on the left side of my face. No discharge or change to vision. May have started the day before, but may not have been significant enough to notice and did not look in the mirror on 09/25/2022 to really notice.   09/27/2022: Swelling increased on left side of the face. Additional redness to the left side of eye. Some pain associated with movement of eye. No discharge. Eyes are slightly watery. Some change to vision. Visited the Ophthalmologist who prescribed Amoxicillin 875 mg tablet and Neomyc-Polym-Dexam eye ointment.  09/28/2022: Increased swelling. No increase in redness on eye. Same pain level associated with eye movement. No discharge. Eyes are slightly watery.  09/29/2022: Increased swelling. Increased pain level associated with eye movement. More pressure felt on left side of the face. Primarily against the nose, cheek, and temple. No discharge. Difficult to see out of the eye. At times, it feels like there is a gritty texture on the interior of the lid. Ophthalmologist prescribed Moxifloxacin 400 mg. Directed me to stop using Amoxicillin 875 mg tablet and Neomyc-Polym-Dexam eye ointment.  09/30/2022: Eye almost completely shut. Increased swelling. Increased pain level associated with eye movement. 4/10. More pressure felt on left side of the face. Primarily against the nose, cheek, and temple. No discharge. Difficult to see out of the eye. Went to the ER.   10/01/2022: Slight improvement in swelling on eyelid. Redness increased throughout the eye. Pressure still felt around the eye, by nose, and temple. Pain level the same. 4/10 No discharge. Difficult to see out of the eye. Admitted to the hospital.  Recommended Dosing: Loading dose vancomycin 2000mg X1 followed by Vancomycin 1000mg q12h starting at 10/01/22 1700  10/02/2022: Slight improvement on eyelid swelling. Decreased redness on eye. Pressure still felt around the eye, by nose, and temple. Slight improvement on pain level. 3/10 No discharge. Discharged from the hospital.  Began new antibiotic: Doxycycline hyclate 100 mg capsule.  10/03/2022 - 10/07: No significant changes to swelling. 10/08: Swelling improved with prednisone treatment. Current: Swelling improved with prednisone treatment and will continue for another 4 weeks.  Preseptal/preorbital cellulitis  Referred to rheumatologist due to IgG4 positive test.
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Pt received Pfizer vaccine on 1/30/21, 2/21/21, 10/6/21, 7/00/22 and he came in for his bivalent booster vaccine. Due to mix up of the Pfizer monovalent and bivalent vaccine- he may have gotten either the monovalent or bivalent Pfizer vaccine.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Blood pressure immeasurable, Cold sweat, Dizziness, Immediate post-injection reaction
Clinical narrative: 5:00 PM-Pt sent to our observation unit immediately after administering vaccine. Became dizzy, weak, lightheaded, skin pale and clammy. Started to lose consciousness, experienced loss of bladder control.MD in attendance. EMTs called. Initially unable to obtain pusle or BP. 5:03 PM VS- BP 107/68 HR 64 Pulse ox- 99%. Pt coming around. No memory of what happened. 05:13- VS- BP 110/65 HR-54 Pulse Ox 99%. Pt c/o feeling nauseous. Denies chest pain. EMTs arrived to take pt to hospital.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Loss of consciousness, Memory impairment, Nausea, Pallor, Pulse absent
Clinical narrative: 5:00 PM-Pt sent to our observation unit immediately after administering vaccine. Became dizzy, weak, lightheaded, skin pale and clammy. Started to lose consciousness, experienced loss of bladder control.MD in attendance. EMTs called. Initially unable to obtain pusle or BP. 5:03 PM VS- BP 107/68 HR 64 Pulse ox- 99%. Pt coming around. No memory of what happened. 05:13- VS- BP 110/65 HR-54 Pulse Ox 99%. Pt c/o feeling nauseous. Denies chest pain. EMTs arrived to take pt to hospital.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urinary incontinence
Clinical narrative: 5:00 PM-Pt sent to our observation unit immediately after administering vaccine. Became dizzy, weak, lightheaded, skin pale and clammy. Started to lose consciousness, experienced loss of bladder control.MD in attendance. EMTs called. Initially unable to obtain pusle or BP. 5:03 PM VS- BP 107/68 HR 64 Pulse ox- 99%. Pt coming around. No memory of what happened. 05:13- VS- BP 110/65 HR-54 Pulse Ox 99%. Pt c/o feeling nauseous. Denies chest pain. EMTs arrived to take pt to hospital.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 61.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Hypotension, Trendelenburg position
Clinical narrative: Pt reporeted dizziness and feelin like he has a low BP. Vitals: 139/68, 99, 19 -- > 126/69 VS m onitored.  Pt placed in T-berg position.  Pt given water. Pt stable and released from the vaccination site.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received his Pfizer vaccines 3/27/21, 4/17/21 and 10/15/21. He came in for his bivalent booster dose on 10/18/22 Due to mix up of the Pfizer monovalent and bivalent vaccine- he may have gotten either the monovalent or bivalent Pfizer vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 23.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: PT received her vaccine on 3/27/21, 4/17/21 and 10/15/21 and requested the bivalent booster on 10/18/22 Due to mix up of the Pfizer monovalent and bivalent vaccine- she may have gotten either the monovalent or bivalent Pfizer vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Dysuria, Pyrexia, Urinary tract infection
Clinical narrative: On the night of the vaccine, I started running a fever which is usual when I get the vaccines.  I woke up around 4:00am to go to the restroom and it burned when I urinated.  I was shivering.  I had a temperature of 93.  I went on my health tracking app at 6:00am in the morning and was diagnosed with urinary tract infection.  I was prescribed Nitrofurantoin Monohydrate and have started to feel better.
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Fatigue, Feeling cold, Vomiting projectile
Clinical narrative: vaccine given 10/20/22 @ 0853 symptoms of projectile vomiting at 1130, fatigue began after vomiting, laid down to rest vomited again, was cold feeling off and on, only ate one cracker and held down, awoke 10/21/22 @ 0430 feeling better.  Went to work and feeling better today per patient.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Seconds after the shot was administered the right side of my face felt numb and as seconds passed it felt as though the right side of my face was drooping (think Bells Palsy).  My "shot buddy" was there and I asked her if my face was drooping and she said yes.  The symptoms slowly decreased but to this day I still can feel the muscles in that area of my face pulling downward.
Sex: M
Vaccine: FLU4, HPV9, MENB, MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient got an extra dose of  tdap outside of recommended schedule.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site bruising, Peripheral swelling, Skin warm
Clinical narrative: Quarter size bruise around injection site and a secondary bruise about an inch beneath first bruise. Second bruise is twice the size and has  a more diffuse border than the first. Some arm warmth and swelling as well.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Pt received his Pfizer vaccines on 1/28/21, 2/25/21, 10/27/21 an d4/26/22. he came in for his bivalent booster dose on 10/18/22 Due to mix up of the Pfizer monovalent and bivalent vaccine- he may have gotten either the monovalent or bivalent Pfizer vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Flu shot was to be administered and accidentally a Moderna Bivalent Booster was given in R-arm instead. Flu shot was administered in L-arm . I have been vaccinated and boosted w/2 boosters w/Pfizer and my last booster of Pfizer was last friday .
Age: 61.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Wrong product administered
Clinical narrative: Flu shot was to be administered and accidentally a Moderna Bivalent Booster was given in R-arm instead. Flu shot was administered in L-arm . I have been vaccinated and boosted w/2 boosters w/Pfizer and my last booster of Pfizer was last friday .
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis
Clinical narrative: Cellulitis surrounding the area
Age: 22.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Axillary pain, Immediate post-injection reaction, Inflammation, Injected limb mobility decreased
Clinical narrative: Immediate high pain (9/10) at injection site, difficulty raising right arm, pain in axillary and shoulder. I took a photograph of the injection site just after  it.  After 11 days with continuing difficulty to lift right arm, discomfort and achy feeling in right shoulder, weakness right arm, difficulty sleeping due to not finding a comfortable position for right shoulder., I contacted provider clinic via portal and by telephone. I asked to be referred to Ortho for assessment which was done. On  Oct 19,I went for appt 3 pm to see Orthopedic Dr. Xrays were taken at that time showing position of shoulder in relation to puncture site of injection. It was determined that  as per the xrays, the injection had entered in the shoulder capsule area . Dr prescribed MethylPREDNISolone 4 mg, 8 day treatment, to treat the right shoulder inflammation.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site pain, Insomnia, Muscular weakness, Musculoskeletal discomfort, Product administered at inappropriate site
Clinical narrative: Immediate high pain (9/10) at injection site, difficulty raising right arm, pain in axillary and shoulder. I took a photograph of the injection site just after  it.  After 11 days with continuing difficulty to lift right arm, discomfort and achy feeling in right shoulder, weakness right arm, difficulty sleeping due to not finding a comfortable position for right shoulder., I contacted provider clinic via portal and by telephone. I asked to be referred to Ortho for assessment which was done. On  Oct 19,I went for appt 3 pm to see Orthopedic Dr. Xrays were taken at that time showing position of shoulder in relation to puncture site of injection. It was determined that  as per the xrays, the injection had entered in the shoulder capsule area . Dr prescribed MethylPREDNISolone 4 mg, 8 day treatment, to treat the right shoulder inflammation.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: X-ray limb abnormal
Clinical narrative: Immediate high pain (9/10) at injection site, difficulty raising right arm, pain in axillary and shoulder. I took a photograph of the injection site just after  it.  After 11 days with continuing difficulty to lift right arm, discomfort and achy feeling in right shoulder, weakness right arm, difficulty sleeping due to not finding a comfortable position for right shoulder., I contacted provider clinic via portal and by telephone. I asked to be referred to Ortho for assessment which was done. On  Oct 19,I went for appt 3 pm to see Orthopedic Dr. Xrays were taken at that time showing position of shoulder in relation to puncture site of injection. It was determined that  as per the xrays, the injection had entered in the shoulder capsule area . Dr prescribed MethylPREDNISolone 4 mg, 8 day treatment, to treat the right shoulder inflammation.
Age: 36.0
Sex: F
Vaccine: PNC20
Symptoms: Acoustic stimulation tests abnormal, Deafness neurosensory, Deafness unilateral, Sudden hearing loss, Tinnitus
Clinical narrative: Woke up with hearing loss in the right ear. Went to ENT for a hearing test/evaluation. Was diagnosed with Sudden Sensory Hearing Loss. Went to 3 doctors, all 3 diagnosed with same.   I hear LOUD ringing in my right ear constantly. Unable to hear well.  Doctor recommended MRI, oral steroids, and steroid injection for the next 3 weeks.  I never had one issue with any ears. No infections, fluids, ringing, until now.
Age: 15.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient got an extra dose of  tdap  and MCV 4 outside of recommended schedule.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Borrelia test, Condition aggravated, Lyme disease
Clinical narrative: symptoms of lyme disease after taking the covid vaccines. Not sure if it was from the vaccines but had been in remission for 6 years.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received Pfizer vaccines on 4/1/21, 4/21/21, 10/22/21, 5/23/22. She came in for her bivalent booster dose on 10/18/22. Due to mix up of the Pfizer monovalent and bivalent vaccine- she may have gotten either the monovalent or bivalent Pfizer vaccine.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Transient global amnesia
Clinical narrative: PT HAD TRANSIENT GLOBAL AMNESIA AS PER NEUROLOGIST THAT LASTED FRIDAY AND OVER THE WEEKEND
Age: 87.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received influenza quadrivalent High Dose P-free flu vaccine in the clinic on 9/16/22. On 9/28/22 Appointment was made to come get an influenza quadrivalent High Dose P-free flu vaccine during the drive through flu clinic that was done on 10/17/22. Patient received a second dose of the influenza quadrivalent High Dose P-free flu vaccine flu vaccine on 1017/22.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness neurosensory, Sudden hearing loss, Tinnitus
Clinical narrative: Recently diagnosed with Sudden Sensory Hearing Loss in my right ear.  Loud, constant ringing in the ear. Hearing loss, unable to hear well.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 31.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site paraesthesia, Nausea, Paraesthesia oral, Pharyngeal paraesthesia
Clinical narrative: Tingling to left site of tongue and tingling around the injection site. Nausea. Tingling is throat area.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Chills, Fatigue, Headache
Clinical narrative: On October 11, 2022 I began to have symptoms such as fever, chills, sneezing, headaches and bodyaches. I took a home Covid test which was positive (although the PCR test I took that day came back negative). I experienced these symptoms October 11, 12, 13 and 14. On October 14, I tested positive again, and  I saw a doctor via telehealth, who prescribed medicines for these symptoms. I took cough medicines. October 15, the fever was gone, along with the chills and bodyaches. I just had a bit of a headache, sinus congestion, and some exhaustion, which lasted another three days or so. The headache went away, and the sinus congestion continued to break up over the next week. I had to spend the whole next week resting, and continued to test positive until today, October 21, when I got my first negative test. Energy is slowly coming back and congestion slowly continuing to break up.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Sinus congestion, Sneezing
Clinical narrative: On October 11, 2022 I began to have symptoms such as fever, chills, sneezing, headaches and bodyaches. I took a home Covid test which was positive (although the PCR test I took that day came back negative). I experienced these symptoms October 11, 12, 13 and 14. On October 14, I tested positive again, and  I saw a doctor via telehealth, who prescribed medicines for these symptoms. I took cough medicines. October 15, the fever was gone, along with the chills and bodyaches. I just had a bit of a headache, sinus congestion, and some exhaustion, which lasted another three days or so. The headache went away, and the sinus congestion continued to break up over the next week. I had to spend the whole next week resting, and continued to test positive until today, October 21, when I got my first negative test. Energy is slowly coming back and congestion slowly continuing to break up.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Lymphadenopathy
Clinical narrative: October 20 10:00 am c/o swollen lymph nodes under left arm, general discomfort under the arm, it hurt to have arm in resting position. No redness, warmth or pain at the injection site, no fever, no chills.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 17.0
Sex: F
Vaccine: MMRV, MNQ, TDAP, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Gave MMRV vaccine instead of MMR. Separate Varicella vaccination also given. Patient did not have any adverse effects
Age: 86.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received influenza quadrivalent High Dose P-free flu vaccine in the clinic on 9/16/22. On 9/28/22 Appointment was made to come get an influenza quadrivalent High Dose P-free flu vaccine during the drive through flu clinic that was done on 10/17/22. Patient received a second dose of the influenza quadrivalent High Dose P-free flu vaccine flu vaccine on 1017/22.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of recommended storage guidelines--it was frozen under normal temperatures, not ultra cold temperatures, then thawed for administration.  Per Pfizer stability data the vaccine is still safe and effective for up to 14 days under these conditions but the use is considered off label.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Breath sounds abnormal, Dyspnoea, Mouth breathing, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: we gave him vaccine on Saturday (10/15) 6:00 PM and he started noisy breathing on Monday Night (10/17). He doesn't have Fever,  stuffy nose or runny nose.  He has problem only with breathing when he is sleeping and chest congestion. He is breathing from his mouth instead of nose and facing difficulty in breathing.  we gave over the counter medicine but problem continue so we visited medical group, on Thrusday(10/20) .