chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Insomnia, Pruritus, Sleep disorder
Clinical narrative: He got his vaccine, the following morning about 2:00 AM he had chills, woke him up, and not able to get back to sleep.  He has never had a reaction to a vaccine before, has had 4 COVID vaccines other than a sore arm.  Also gets annual flu vaccines with that as well.  The chills passed, he was OK, and they recurred the following evening as well, 9/16/22, less intensity.  Then he had them again on 9/17/22, much less intensity and that was the final occurrence.  He has been fine since then.  He just waited out the symptoms until he improved.    He did get an itch from the 4th vaccine, down his arm which did go away which took a while.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received Moderna (6mo-5yr) on 7/18/2022 when he was 5 years old and came back on 9/2/2022 for their 2nd dose of Covid 19 vaccine. Patient should have received the same vaccine, Moderna (6mo-5yr), however, was administered Pfizer (5-11yr). Patient did not experience any adverse reactions.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulation drug level above therapeutic, Arthralgia, Blood chloride decreased, Blood creatinine increased
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 9/9/2022 Discharge Date: 9/13/2022   79 y.o. male with past medical history significant for A. fib, HTN, HLD, single kidney with CKD IV, dilated cardiomyopathy, prostrate cancer, anemia who presents to ED for hypoxia. Tested positive for COVID on 9/7/22. Since then, he has had worsening SOB, cough, diarrhea. He developed Tmax 102.2F. Daughter, who is RN, came to the house and noted that patient was hypoxic, SpO2 84% on room air and tachycardic w/ HR in the 120s.  Upon presentation to the emergency department, patient was hemodynamically stable, tachycardic with heart rates in the 100, temperature 102.2° F. He was saturating low 90s on room air.   Initial lab work reveale patient noted d sodium 131, chloride 97, crit 2.34, BNP 14175, hemoglobin 10.5.  COVID-19 positive.  UA showed large blood.  Chest x-ray showed cardiomegaly with diffuse interstitial prominence consistent with vascular congestion. He was diagnosed with acute hypoxic respiratory failure secondary to COVID, acute on chronic CHF with preserved ejection fraction. He was treated with Dexamethasone 6 mg daily day # 4/10, Mucinex, albuterol p.r.n..  He was treated with Zithromax for 3 days, discontinued on discharge. Initially required oxygen, but by the time of discharge he was on room air.    Pt has known a. fib., acute on chronic CHF with preserved ejection fraction Severe MR and Aortic stenosis s/p AVR (bioprosthesis), Mitral valve repair with band and tricuspid annuloplasty with band  Rate was well controlled, initially INR was low, but by the time of discharge was therapeutic of 2.0.  He should continue current dose of meds as per cardiologist.    On admission he had hematuria which resolved by the time of discharge.  Renal ultrasound shows single left kidney with multiple left renal cysts, no hydronephrosis, prostatmegaly noted. Recommend outpatient follow-up with Dr. his urologist.   Chronic kidney disease stage 4, with solitary kidney and renal function was closely monitored.  Stable, creatinine at time of discharge was 2.07, with baseline creatinine of 2.5. PT recommended out patient PT for right knee pain.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urine present, Body temperature increased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 9/9/2022 Discharge Date: 9/13/2022   79 y.o. male with past medical history significant for A. fib, HTN, HLD, single kidney with CKD IV, dilated cardiomyopathy, prostrate cancer, anemia who presents to ED for hypoxia. Tested positive for COVID on 9/7/22. Since then, he has had worsening SOB, cough, diarrhea. He developed Tmax 102.2F. Daughter, who is RN, came to the house and noted that patient was hypoxic, SpO2 84% on room air and tachycardic w/ HR in the 120s.  Upon presentation to the emergency department, patient was hemodynamically stable, tachycardic with heart rates in the 100, temperature 102.2° F. He was saturating low 90s on room air.   Initial lab work reveale patient noted d sodium 131, chloride 97, crit 2.34, BNP 14175, hemoglobin 10.5.  COVID-19 positive.  UA showed large blood.  Chest x-ray showed cardiomegaly with diffuse interstitial prominence consistent with vascular congestion. He was diagnosed with acute hypoxic respiratory failure secondary to COVID, acute on chronic CHF with preserved ejection fraction. He was treated with Dexamethasone 6 mg daily day # 4/10, Mucinex, albuterol p.r.n..  He was treated with Zithromax for 3 days, discontinued on discharge. Initially required oxygen, but by the time of discharge he was on room air.    Pt has known a. fib., acute on chronic CHF with preserved ejection fraction Severe MR and Aortic stenosis s/p AVR (bioprosthesis), Mitral valve repair with band and tricuspid annuloplasty with band  Rate was well controlled, initially INR was low, but by the time of discharge was therapeutic of 2.0.  He should continue current dose of meds as per cardiologist.    On admission he had hematuria which resolved by the time of discharge.  Renal ultrasound shows single left kidney with multiple left renal cysts, no hydronephrosis, prostatmegaly noted. Recommend outpatient follow-up with Dr. his urologist.   Chronic kidney disease stage 4, with solitary kidney and renal function was closely monitored.  Stable, creatinine at time of discharge was 2.07, with baseline creatinine of 2.5. PT recommended out patient PT for right knee pain.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac failure acute, Cardiac failure chronic, Cardiac failure congestive, Cardiomegaly
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 9/9/2022 Discharge Date: 9/13/2022   79 y.o. male with past medical history significant for A. fib, HTN, HLD, single kidney with CKD IV, dilated cardiomyopathy, prostrate cancer, anemia who presents to ED for hypoxia. Tested positive for COVID on 9/7/22. Since then, he has had worsening SOB, cough, diarrhea. He developed Tmax 102.2F. Daughter, who is RN, came to the house and noted that patient was hypoxic, SpO2 84% on room air and tachycardic w/ HR in the 120s.  Upon presentation to the emergency department, patient was hemodynamically stable, tachycardic with heart rates in the 100, temperature 102.2° F. He was saturating low 90s on room air.   Initial lab work reveale patient noted d sodium 131, chloride 97, crit 2.34, BNP 14175, hemoglobin 10.5.  COVID-19 positive.  UA showed large blood.  Chest x-ray showed cardiomegaly with diffuse interstitial prominence consistent with vascular congestion. He was diagnosed with acute hypoxic respiratory failure secondary to COVID, acute on chronic CHF with preserved ejection fraction. He was treated with Dexamethasone 6 mg daily day # 4/10, Mucinex, albuterol p.r.n..  He was treated with Zithromax for 3 days, discontinued on discharge. Initially required oxygen, but by the time of discharge he was on room air.    Pt has known a. fib., acute on chronic CHF with preserved ejection fraction Severe MR and Aortic stenosis s/p AVR (bioprosthesis), Mitral valve repair with band and tricuspid annuloplasty with band  Rate was well controlled, initially INR was low, but by the time of discharge was therapeutic of 2.0.  He should continue current dose of meds as per cardiologist.    On admission he had hematuria which resolved by the time of discharge.  Renal ultrasound shows single left kidney with multiple left renal cysts, no hydronephrosis, prostatmegaly noted. Recommend outpatient follow-up with Dr. his urologist.   Chronic kidney disease stage 4, with solitary kidney and renal function was closely monitored.  Stable, creatinine at time of discharge was 2.07, with baseline creatinine of 2.5. PT recommended out patient PT for right knee pain.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 9/9/2022 Discharge Date: 9/13/2022   79 y.o. male with past medical history significant for A. fib, HTN, HLD, single kidney with CKD IV, dilated cardiomyopathy, prostrate cancer, anemia who presents to ED for hypoxia. Tested positive for COVID on 9/7/22. Since then, he has had worsening SOB, cough, diarrhea. He developed Tmax 102.2F. Daughter, who is RN, came to the house and noted that patient was hypoxic, SpO2 84% on room air and tachycardic w/ HR in the 120s.  Upon presentation to the emergency department, patient was hemodynamically stable, tachycardic with heart rates in the 100, temperature 102.2° F. He was saturating low 90s on room air.   Initial lab work reveale patient noted d sodium 131, chloride 97, crit 2.34, BNP 14175, hemoglobin 10.5.  COVID-19 positive.  UA showed large blood.  Chest x-ray showed cardiomegaly with diffuse interstitial prominence consistent with vascular congestion. He was diagnosed with acute hypoxic respiratory failure secondary to COVID, acute on chronic CHF with preserved ejection fraction. He was treated with Dexamethasone 6 mg daily day # 4/10, Mucinex, albuterol p.r.n..  He was treated with Zithromax for 3 days, discontinued on discharge. Initially required oxygen, but by the time of discharge he was on room air.    Pt has known a. fib., acute on chronic CHF with preserved ejection fraction Severe MR and Aortic stenosis s/p AVR (bioprosthesis), Mitral valve repair with band and tricuspid annuloplasty with band  Rate was well controlled, initially INR was low, but by the time of discharge was therapeutic of 2.0.  He should continue current dose of meds as per cardiologist.    On admission he had hematuria which resolved by the time of discharge.  Renal ultrasound shows single left kidney with multiple left renal cysts, no hydronephrosis, prostatmegaly noted. Recommend outpatient follow-up with Dr. his urologist.   Chronic kidney disease stage 4, with solitary kidney and renal function was closely monitored.  Stable, creatinine at time of discharge was 2.07, with baseline creatinine of 2.5. PT recommended out patient PT for right knee pain.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit increased, Haematuria, Haemoglobin, Hypoxia, International normalised ratio decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 9/9/2022 Discharge Date: 9/13/2022   79 y.o. male with past medical history significant for A. fib, HTN, HLD, single kidney with CKD IV, dilated cardiomyopathy, prostrate cancer, anemia who presents to ED for hypoxia. Tested positive for COVID on 9/7/22. Since then, he has had worsening SOB, cough, diarrhea. He developed Tmax 102.2F. Daughter, who is RN, came to the house and noted that patient was hypoxic, SpO2 84% on room air and tachycardic w/ HR in the 120s.  Upon presentation to the emergency department, patient was hemodynamically stable, tachycardic with heart rates in the 100, temperature 102.2° F. He was saturating low 90s on room air.   Initial lab work reveale patient noted d sodium 131, chloride 97, crit 2.34, BNP 14175, hemoglobin 10.5.  COVID-19 positive.  UA showed large blood.  Chest x-ray showed cardiomegaly with diffuse interstitial prominence consistent with vascular congestion. He was diagnosed with acute hypoxic respiratory failure secondary to COVID, acute on chronic CHF with preserved ejection fraction. He was treated with Dexamethasone 6 mg daily day # 4/10, Mucinex, albuterol p.r.n..  He was treated with Zithromax for 3 days, discontinued on discharge. Initially required oxygen, but by the time of discharge he was on room air.    Pt has known a. fib., acute on chronic CHF with preserved ejection fraction Severe MR and Aortic stenosis s/p AVR (bioprosthesis), Mitral valve repair with band and tricuspid annuloplasty with band  Rate was well controlled, initially INR was low, but by the time of discharge was therapeutic of 2.0.  He should continue current dose of meds as per cardiologist.    On admission he had hematuria which resolved by the time of discharge.  Renal ultrasound shows single left kidney with multiple left renal cysts, no hydronephrosis, prostatmegaly noted. Recommend outpatient follow-up with Dr. his urologist.   Chronic kidney disease stage 4, with solitary kidney and renal function was closely monitored.  Stable, creatinine at time of discharge was 2.07, with baseline creatinine of 2.5. PT recommended out patient PT for right knee pain.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Prostatomegaly, Pulmonary congestion, Renal cyst, Renal function test, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 9/9/2022 Discharge Date: 9/13/2022   79 y.o. male with past medical history significant for A. fib, HTN, HLD, single kidney with CKD IV, dilated cardiomyopathy, prostrate cancer, anemia who presents to ED for hypoxia. Tested positive for COVID on 9/7/22. Since then, he has had worsening SOB, cough, diarrhea. He developed Tmax 102.2F. Daughter, who is RN, came to the house and noted that patient was hypoxic, SpO2 84% on room air and tachycardic w/ HR in the 120s.  Upon presentation to the emergency department, patient was hemodynamically stable, tachycardic with heart rates in the 100, temperature 102.2° F. He was saturating low 90s on room air.   Initial lab work reveale patient noted d sodium 131, chloride 97, crit 2.34, BNP 14175, hemoglobin 10.5.  COVID-19 positive.  UA showed large blood.  Chest x-ray showed cardiomegaly with diffuse interstitial prominence consistent with vascular congestion. He was diagnosed with acute hypoxic respiratory failure secondary to COVID, acute on chronic CHF with preserved ejection fraction. He was treated with Dexamethasone 6 mg daily day # 4/10, Mucinex, albuterol p.r.n..  He was treated with Zithromax for 3 days, discontinued on discharge. Initially required oxygen, but by the time of discharge he was on room air.    Pt has known a. fib., acute on chronic CHF with preserved ejection fraction Severe MR and Aortic stenosis s/p AVR (bioprosthesis), Mitral valve repair with band and tricuspid annuloplasty with band  Rate was well controlled, initially INR was low, but by the time of discharge was therapeutic of 2.0.  He should continue current dose of meds as per cardiologist.    On admission he had hematuria which resolved by the time of discharge.  Renal ultrasound shows single left kidney with multiple left renal cysts, no hydronephrosis, prostatmegaly noted. Recommend outpatient follow-up with Dr. his urologist.   Chronic kidney disease stage 4, with solitary kidney and renal function was closely monitored.  Stable, creatinine at time of discharge was 2.07, with baseline creatinine of 2.5. PT recommended out patient PT for right knee pain.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Ultrasound kidney abnormal, Urine analysis
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 9/9/2022 Discharge Date: 9/13/2022   79 y.o. male with past medical history significant for A. fib, HTN, HLD, single kidney with CKD IV, dilated cardiomyopathy, prostrate cancer, anemia who presents to ED for hypoxia. Tested positive for COVID on 9/7/22. Since then, he has had worsening SOB, cough, diarrhea. He developed Tmax 102.2F. Daughter, who is RN, came to the house and noted that patient was hypoxic, SpO2 84% on room air and tachycardic w/ HR in the 120s.  Upon presentation to the emergency department, patient was hemodynamically stable, tachycardic with heart rates in the 100, temperature 102.2° F. He was saturating low 90s on room air.   Initial lab work reveale patient noted d sodium 131, chloride 97, crit 2.34, BNP 14175, hemoglobin 10.5.  COVID-19 positive.  UA showed large blood.  Chest x-ray showed cardiomegaly with diffuse interstitial prominence consistent with vascular congestion. He was diagnosed with acute hypoxic respiratory failure secondary to COVID, acute on chronic CHF with preserved ejection fraction. He was treated with Dexamethasone 6 mg daily day # 4/10, Mucinex, albuterol p.r.n..  He was treated with Zithromax for 3 days, discontinued on discharge. Initially required oxygen, but by the time of discharge he was on room air.    Pt has known a. fib., acute on chronic CHF with preserved ejection fraction Severe MR and Aortic stenosis s/p AVR (bioprosthesis), Mitral valve repair with band and tricuspid annuloplasty with band  Rate was well controlled, initially INR was low, but by the time of discharge was therapeutic of 2.0.  He should continue current dose of meds as per cardiologist.    On admission he had hematuria which resolved by the time of discharge.  Renal ultrasound shows single left kidney with multiple left renal cysts, no hydronephrosis, prostatmegaly noted. Recommend outpatient follow-up with Dr. his urologist.   Chronic kidney disease stage 4, with solitary kidney and renal function was closely monitored.  Stable, creatinine at time of discharge was 2.07, with baseline creatinine of 2.5. PT recommended out patient PT for right knee pain.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLUA4, PNC20, VARZOS
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: I received my Shingrix on Tuesday at the Health Department but they did not have the Moderna, PCV20 or the high Dose (I made appointment for all vaccine. the next day they announced that they had it! ) so that Friday I went to the pharmacy and received the other vaccines.  Saturday I had a headache as expected from previous Moderna vaccines, Sunday and Monday I had intermittent chills followed by sweats and fever as high as 101.8 and I am tired,  no body aches.   Today is Tuesday so far I am just tired with minor headache.  But usually the chills and sweats happen after 4:00pm until 12:00 midnight. I know I have read that you can get all vaccines that you need with the COVID vaccine,  but I now feel it was to much to soon.  My husband had the same vaccines minus the PVC 20 and he is fine.
Age: 71.0
Sex: M
Vaccine: PNC20
Symptoms: Abdominal discomfort, Asthenia, Chills, Fatigue, Influenza virus test
Clinical narrative: fever, chills, weakness, fatigue, upset stomach
Age: 71.0
Sex: M
Vaccine: PNC20
Symptoms: Pyrexia, SARS-CoV-2 test
Clinical narrative: fever, chills, weakness, fatigue, upset stomach
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.25 was administered instead of 0.5 No adverse reaction reported
Age: 5.0
Sex: M
Vaccine: DTPPVHBHPB, HEPA
Symptoms: No adverse event, Off label use, Product administered to patient of inappropriate age
Clinical narrative: No adverse event occurred.. Vaxelis was given "off-label" to child > 4 years in order to get caught up due to delayed vaccines.  The one and only Dtap/HIB was given on 4/8/22, and the one and only IPV was given on 5/11/22.  No Hep. B ever given
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave mRna Covid 19 Moderna vaccine booster after 8/31/22 instead of Bivalent booster
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave mRna Covid 19 Moderna vaccine booster after 8/31/22 instead of Bivalent booster
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave mRna Covid 19 Moderna vaccine booster after 8/31/22 instead of Bivalent booster
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Received the Bivalent Booster for 2nd dose instead of Primary dose vaccine.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction. Patient given 5yr to 11yr dose in error
Age: 31.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Syncope
Clinical narrative: Upon giving the MMR (which was the 2nd vaccine, as I had already given the Boostrix) the patient fainted.  She slumped down and I basically caught her in my arms.   I waited until the patient was conscious and then began to fan her with some papers in the vaccine room.  Her boyfriend was waiting outside and I gestured for him to come inside the room.  Once he came inside the room, I had him continue to fan her and sit directly in front of her so that I could leave the room and get some cold compresses.  I returned within a few seconds and put cold compresses on the back of the patient's neck.  We continued with supportive measures for several minutes and then I offered the patient a water.  She agreed and I again left the room to get water and a more supportive fan ( a clipboard).  I returned with the water and the clipboard and the patient drank the water and I was able to fan the patient better with the clipboard.  After another 5 minutes or so the patient said she felt better and was ok to leave the room and sit outside with her boyfriend.  So we moved them outside the room to some waiting room chairs for her to sit and continue to drink the water and relax.  After about 10 minute she said she felt fine and went home.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Coma, Dizziness, Mobility decreased
Clinical narrative: Patient reported feeling dizzy about 2-3 hours after vaccination. He sat down in a chair and claims that he became comatose and could not move for 2 hours.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asymptomatic COVID-19, Bundle branch block right, Death, Electrocardiogram abnormal
Clinical narrative: MODERNA VACCINE #3 GIVEN 11/11/2021, LOT #071F21A. MODERNA VACCINE #4 GIVEN 05/04/2022, LOT #056A22A. 6/5/22 pt transferred to hospital from outside hospital due to elevated troponin; pt also had a positive COVID test without any respiratory sx; no O2 supplement needed; treated with Vitamin Supplements; EKG showed right BBB; dx with NSTEMI; pt did not want any aggressive or invasive tx, would pursue medical management only; dc'd 6/8/22 to the Nursing home where she passed away on 6/28/22
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: MODERNA VACCINE #3 GIVEN 11/11/2021, LOT #071F21A. MODERNA VACCINE #4 GIVEN 05/04/2022, LOT #056A22A. 6/5/22 pt transferred to hospital from outside hospital due to elevated troponin; pt also had a positive COVID test without any respiratory sx; no O2 supplement needed; treated with Vitamin Supplements; EKG showed right BBB; dx with NSTEMI; pt did not want any aggressive or invasive tx, would pursue medical management only; dc'd 6/8/22 to the Nursing home where she passed away on 6/28/22
Age: 53.0
Sex: M
Vaccine: UNK
Symptoms: Cold sweat, Feeling cold, Hyperhidrosis, Syncope
Clinical narrative: Patient had an episode of fainting for about 30 seconds after receiving intradermal jynneos vaccination for Monkeypox. After pt recovered from fainting, he was alert and oriented x3. He complained of feeling cold, clammy and diaphoretic. Pt was later flat, vitals initiated and offered water. Pt observation was extended for 30 minutes. Pt stated he felt much better after observation ended. Pt was able to walk with a steady gait, denied any of the earlier symptoms mentioned. Left in stable condition via ambulatory. Encouraged to seek medical attention for any adverse reactions.
Age: 25.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Supine position
Clinical narrative: Patient received Dose #2 of JYNNEOS. Several minutes after vaccination, patient reported to me that he needed to lie down on the floor. He was feeling faint and dizzy. He reported history of faintness and dizziness with injections and blood draws (not disclosed during pre-vaccination assessment).  1820: Patient placed supine on floor. BP 87/68. HR 52. O2 98%. RR 20. 1826: BP 76/55. HR 56. O2 100%. RR 18. 1834: BP 110/93. HR 54. 02 100%. RR 16. Patient placed back on chair. Patient verbalized feeling much better.  Patient held in observation station for an additional 30 minutes. Water given. Patient stated he felt much better and such reaction is typical for him. I was satisfied to release him seeing VS trend and AOX4 sans gross neurological deficit.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 63yo patient received flu shot for 65+
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: On August 11, 2022, I tested positive for COVID-19. I had a really bad head cold. I contacted my doctor and was prescribe Paxlovid for five days.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Rash erythematous, Respiratory tract congestion
Clinical narrative: He developed red goosebump-size bumps primarily on his core, chest, back, and down both arms. The redness has faded, but he still has raised bumps. They have diminished in size, but they are still present. He did not develop a fever and the bumps did not itch. He also has a cough and congestion, but I think that is due to having a cold.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Underdose
Clinical narrative: 0.25 ml was admininstred instead of 0.5 ml. No adverse reaction reported
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Laboratory test, Pain, Rash
Clinical narrative: Patient had severe body aches, and rashes that broke out all over her body.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Decreased appetite, Fatigue, Headache
Clinical narrative: On the morning of the 09/13 I woke up and felt extreme fatigue, nausea, headache and muscle soreness.  I had no appetite.  I went to the urgent care on 9/14  I was advised to take some vitamin C and vitamin D and a Zofran shot.  I went to the urgent care again on 9/19 and was diagnosed with pneumonia after a chest x-ray.  They gave me a c-pack, Augmentin, albuterol inhaler and flovent inhaler. It still currently hurts to cough.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Myalgia, Nausea, Pneumonia, SARS-CoV-2 test
Clinical narrative: On the morning of the 09/13 I woke up and felt extreme fatigue, nausea, headache and muscle soreness.  I had no appetite.  I went to the urgent care on 9/14  I was advised to take some vitamin C and vitamin D and a Zofran shot.  I went to the urgent care again on 9/19 and was diagnosed with pneumonia after a chest x-ray.  They gave me a c-pack, Augmentin, albuterol inhaler and flovent inhaler. It still currently hurts to cough.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test
Clinical narrative: On the morning of the 09/13 I woke up and felt extreme fatigue, nausea, headache and muscle soreness.  I had no appetite.  I went to the urgent care on 9/14  I was advised to take some vitamin C and vitamin D and a Zofran shot.  I went to the urgent care again on 9/19 and was diagnosed with pneumonia after a chest x-ray.  They gave me a c-pack, Augmentin, albuterol inhaler and flovent inhaler. It still currently hurts to cough.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient complained of strong arm pain after administration of Shingrix vaccine. Patient came back to pharmacy 9/20/2022 complaining that arm was still hurting from the shot.  Patient said taking tylenol helped but did not get rid of the pain
Age: 84.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: resident asymptomatic
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 35.0
Sex: F
Vaccine: COVID19-2, VARZOS
Symptoms: Extra dose administered
Clinical narrative: UNKNOWN, PT JUST CALLED AND INFORMED THE PHARMACIST ON DUTY THAT SHE WENT TO THE HOSPITAL AGAIN AND HAD TO USE AN EPI-PEN DOSE
Age: 13.0
Sex: M
Vaccine: TD
Symptoms: Wrong product administered
Clinical narrative: TD was given instead of Tdap.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Pain at site day of injection.  The next morning, patient began to feel flu-like symptoms. By that evening she had chills and fever of 102.5. Patient took Aleve. Patient remained febrile, chilled, and body ached. Patient temperature 100.7 this am (5 days later), took Advil. Injection site is so painful that she feels like the needle is still in her arm. Stiffness and pain goes all the way down her arm and also up into her neck on that left side. Today patient has golf ball size lump that is red and raised. Area of redness and swelling goes up her shoulder and halfway down her upper arm. Patient took a home covid test which was negative.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site swelling, Musculoskeletal stiffness, Neck pain, Pain, Pyrexia
Clinical narrative: Pain at site day of injection.  The next morning, patient began to feel flu-like symptoms. By that evening she had chills and fever of 102.5. Patient took Aleve. Patient remained febrile, chilled, and body ached. Patient temperature 100.7 this am (5 days later), took Advil. Injection site is so painful that she feels like the needle is still in her arm. Stiffness and pain goes all the way down her arm and also up into her neck on that left side. Today patient has golf ball size lump that is red and raised. Area of redness and swelling goes up her shoulder and halfway down her upper arm. Patient took a home covid test which was negative.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Pain at site day of injection.  The next morning, patient began to feel flu-like symptoms. By that evening she had chills and fever of 102.5. Patient took Aleve. Patient remained febrile, chilled, and body ached. Patient temperature 100.7 this am (5 days later), took Advil. Injection site is so painful that she feels like the needle is still in her arm. Stiffness and pain goes all the way down her arm and also up into her neck on that left side. Today patient has golf ball size lump that is red and raised. Area of redness and swelling goes up her shoulder and halfway down her upper arm. Patient took a home covid test which was negative.
Age: 51.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration, Vaccination error
Clinical narrative: Intradermal injection to left forearm given but did not wheal. Repeat injection given subcutaneous to left back of arm successfully.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Discomfort, Fatigue, SARS-CoV-2 test positive
Clinical narrative: General discomfort, fatigue, poor appetite
Age: 48.0
Sex: M
Vaccine: FLUA4
Symptoms: Wrong product administered
Clinical narrative: I vaccinated patient wiith a FLUAD instead of the correct vaccine, Fluarix.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Illness, Peripheral swelling, Rash, Skin warm
Clinical narrative: sick all weekend then Monday night arm swollen and Tuesday am rash on arm and warm to touch
Age: 101.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fall, Fracture, X-ray
Clinical narrative: Spontaneous fall within 48 hours of vaccination, resulting in a fracture and ER visit.
Age: 90.0
Sex: F
Vaccine: UNK
Symptoms: Ageusia, COVID-19, Discomfort, Fatigue, Nasopharyngitis
Clinical narrative: Resident with cold like symptoms  fatigue general discomfort  lost of taste
Age: 90.0
Sex: F
Vaccine: UNK
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Resident with cold like symptoms  fatigue general discomfort  lost of taste
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong Moderna was given. Pt received Moderna 6-11 years Moderna instead of 6mths to 5 years.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Herpes zoster, Rash, Sensitive skin
Clinical narrative: Wednesday my skin on the left side of my back got sensitive, on Friday I had a pain in my back, but I went on Saturday to the ER with extreme abdominal pain and in my back (that started on Friday) and then I had a rash on Sunday, a visible rash, on Monday I went to the doctor, and he verified that I had shingles.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Computerised tomogram, Electrocardiogram
Clinical narrative: I received my booster at 5:00pm Friday. I started experiencing abdominal pain that evening. The pain progressed thru Saturday and was not able to keep food down. I went to the ER on Sunday and was Dx with appendicitis and had an appendectomy at 11:30PM  on Sunday.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, SARS-CoV-2 test, Vomiting
Clinical narrative: I received my booster at 5:00pm Friday. I started experiencing abdominal pain that evening. The pain progressed thru Saturday and was not able to keep food down. I went to the ER on Sunday and was Dx with appendicitis and had an appendectomy at 11:30PM  on Sunday.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: We administered half the dose (0.25 ml) instead of 0.5 ml
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: patient was administered two fluzone hd vaccinations in the right arm
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Client was administered Janssen vaccine with an expiration date of 09/08/2022. Lot # 211D214 on 09/12/2022.
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: We administered half the dose (0.25 ml) instead of 0.5 ml
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.25 ml was given instead of 0.5 ml No adverse reactions reported
Age: 50.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration, Vaccination error
Clinical narrative: Intradermal vaccine injection given to left forearm but did not wheal. Repeat vaccine injection successfully given to left back of the arm subcutaneous.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Dizziness, Hyperhidrosis, Malaise
Clinical narrative: Patient gets sick after 5 minutes of get the shot. She starts to sweat, had a stomach cramps, dizziness and show a blood pressure for 84/64. We lay patient on the floor and raise her legs for 15 minutes. Then she gets better and show a blood pressure of 108/77. She always was aware and alert.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: We administered half the dose (0.25 ml) instead of 0.5 ml
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB, HIBV, PNC13, DTPPVHBHPB, HIBV, PNC13
Symptoms: Extra dose administered
Clinical narrative: Patient was given Vaxelis and Hib on the same day. Patient had no adverse reaction or side effects.  Dr. did speak with patient's mother regarding the event.
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB, HIBV, PNC13, DTPPVHBHPB, HIBV, PNC13
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given Vaxelis and Hib on the same day. Patient had no adverse reaction or side effects.  Dr. did speak with patient's mother regarding the event.
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: We administered half the dose (0.25 ml) instead of 0.5 ml
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: NAUSEA, VOMITTING,  DIZZINESS, PT WENT TO URGENT CARE
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Reporting on behalf of facility. Report per Information Brief dated 9/9/2022. Monovalent COVID vaccine administered as booster after FDA authorization. Two patients were given Moderna monovalent COVID vaccine after FDA authorization of bivalent booster. Dates 9/2/2022 and 9/6/2022. Delay and confusion regarding vaccine information brief. Since that time, bivalent boosters received and provider/staff education provided. Please let me know if you have any additional questions. Thank you.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The wrong covid vaccine was administered.  The patient was wanting the bivalent vaccine and received the regular covid vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient was given Pfizer bivalent vaccine instead of Pfizer monovalent (2nd dose).
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: We administered half the dose (0.25 ml) instead of 0.5 ml
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Atrial fibrillation, Blood creatinine increased, Blood potassium increased
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD  Admission Date: 9/9/2022 Discharge Date: 9/10/2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:      An 80 years old gentleman who presented to the Health emergency department on 9/9/2022 because of fever and chills after he underwent successful DC cardioversion for atrial fibrillation early in the day on the 9th. His work-up in the emergency department was found to have fever 38.9, and the initial workup showed positive COVID-19 PCR rapid test, elevated troponin 31, and elevated creatinine 1.9 with known baseline 1.2 and an elevated potassium of 5.2.   The chest x-ray did not show any acute cardiopulmonary process and the urinalysis was unremarkable for any evidence of infection.  He was admitted for COVID-19 with sepsis. In the ED the patient developed hypoxia with exertion down to 84% on room air. His procal was unremarkable at 0.08 and CRP only minimally elevated 12.9. He was started on decadron and IV fluids during the stay and his home lisinopril was help due to AKI/hyperkalemia and hypotension. He was started on norvasc 5mg during the stay.  The patient's renal function improved however his potassium up trended to 5.5. He was given a dose of lokelma and a repeat BMP was ordered prior to discharge. Will stop decadron as this is not indicated for patients with COVID without hypoxia.    Upon initial presentation troponin elevated to 31 down trended to 22. He denies chest pain. Given cardioversion prior tin the day suspect this was demand ischemia vs AKI.  No evidence of ST elevation or depression on 12 lead electrocardiogram.   The patient had successful DC cardioversion. The patient is still on Eliquis and will remain on the Zio patch.   Recommend post-hospitalization follow-up with PCP 1-week following discharge and a repeat BMP in 1 week to reassess renal function and potassium.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Cardioversion, Chest X-ray normal, Chills
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD  Admission Date: 9/9/2022 Discharge Date: 9/10/2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:      An 80 years old gentleman who presented to the Health emergency department on 9/9/2022 because of fever and chills after he underwent successful DC cardioversion for atrial fibrillation early in the day on the 9th. His work-up in the emergency department was found to have fever 38.9, and the initial workup showed positive COVID-19 PCR rapid test, elevated troponin 31, and elevated creatinine 1.9 with known baseline 1.2 and an elevated potassium of 5.2.   The chest x-ray did not show any acute cardiopulmonary process and the urinalysis was unremarkable for any evidence of infection.  He was admitted for COVID-19 with sepsis. In the ED the patient developed hypoxia with exertion down to 84% on room air. His procal was unremarkable at 0.08 and CRP only minimally elevated 12.9. He was started on decadron and IV fluids during the stay and his home lisinopril was help due to AKI/hyperkalemia and hypotension. He was started on norvasc 5mg during the stay.  The patient's renal function improved however his potassium up trended to 5.5. He was given a dose of lokelma and a repeat BMP was ordered prior to discharge. Will stop decadron as this is not indicated for patients with COVID without hypoxia.    Upon initial presentation troponin elevated to 31 down trended to 22. He denies chest pain. Given cardioversion prior tin the day suspect this was demand ischemia vs AKI.  No evidence of ST elevation or depression on 12 lead electrocardiogram.   The patient had successful DC cardioversion. The patient is still on Eliquis and will remain on the Zio patch.   Recommend post-hospitalization follow-up with PCP 1-week following discharge and a repeat BMP in 1 week to reassess renal function and potassium.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Hyperkalaemia, Hypotension, Hypoxia, Myocardial ischaemia
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD  Admission Date: 9/9/2022 Discharge Date: 9/10/2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:      An 80 years old gentleman who presented to the Health emergency department on 9/9/2022 because of fever and chills after he underwent successful DC cardioversion for atrial fibrillation early in the day on the 9th. His work-up in the emergency department was found to have fever 38.9, and the initial workup showed positive COVID-19 PCR rapid test, elevated troponin 31, and elevated creatinine 1.9 with known baseline 1.2 and an elevated potassium of 5.2.   The chest x-ray did not show any acute cardiopulmonary process and the urinalysis was unremarkable for any evidence of infection.  He was admitted for COVID-19 with sepsis. In the ED the patient developed hypoxia with exertion down to 84% on room air. His procal was unremarkable at 0.08 and CRP only minimally elevated 12.9. He was started on decadron and IV fluids during the stay and his home lisinopril was help due to AKI/hyperkalemia and hypotension. He was started on norvasc 5mg during the stay.  The patient's renal function improved however his potassium up trended to 5.5. He was given a dose of lokelma and a repeat BMP was ordered prior to discharge. Will stop decadron as this is not indicated for patients with COVID without hypoxia.    Upon initial presentation troponin elevated to 31 down trended to 22. He denies chest pain. Given cardioversion prior tin the day suspect this was demand ischemia vs AKI.  No evidence of ST elevation or depression on 12 lead electrocardiogram.   The patient had successful DC cardioversion. The patient is still on Eliquis and will remain on the Zio patch.   Recommend post-hospitalization follow-up with PCP 1-week following discharge and a repeat BMP in 1 week to reassess renal function and potassium.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin normal, Pyrexia, Renal impairment, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD  Admission Date: 9/9/2022 Discharge Date: 9/10/2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:      An 80 years old gentleman who presented to the Health emergency department on 9/9/2022 because of fever and chills after he underwent successful DC cardioversion for atrial fibrillation early in the day on the 9th. His work-up in the emergency department was found to have fever 38.9, and the initial workup showed positive COVID-19 PCR rapid test, elevated troponin 31, and elevated creatinine 1.9 with known baseline 1.2 and an elevated potassium of 5.2.   The chest x-ray did not show any acute cardiopulmonary process and the urinalysis was unremarkable for any evidence of infection.  He was admitted for COVID-19 with sepsis. In the ED the patient developed hypoxia with exertion down to 84% on room air. His procal was unremarkable at 0.08 and CRP only minimally elevated 12.9. He was started on decadron and IV fluids during the stay and his home lisinopril was help due to AKI/hyperkalemia and hypotension. He was started on norvasc 5mg during the stay.  The patient's renal function improved however his potassium up trended to 5.5. He was given a dose of lokelma and a repeat BMP was ordered prior to discharge. Will stop decadron as this is not indicated for patients with COVID without hypoxia.    Upon initial presentation troponin elevated to 31 down trended to 22. He denies chest pain. Given cardioversion prior tin the day suspect this was demand ischemia vs AKI.  No evidence of ST elevation or depression on 12 lead electrocardiogram.   The patient had successful DC cardioversion. The patient is still on Eliquis and will remain on the Zio patch.   Recommend post-hospitalization follow-up with PCP 1-week following discharge and a repeat BMP in 1 week to reassess renal function and potassium.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Urine analysis normal
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD  Admission Date: 9/9/2022 Discharge Date: 9/10/2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:      An 80 years old gentleman who presented to the Health emergency department on 9/9/2022 because of fever and chills after he underwent successful DC cardioversion for atrial fibrillation early in the day on the 9th. His work-up in the emergency department was found to have fever 38.9, and the initial workup showed positive COVID-19 PCR rapid test, elevated troponin 31, and elevated creatinine 1.9 with known baseline 1.2 and an elevated potassium of 5.2.   The chest x-ray did not show any acute cardiopulmonary process and the urinalysis was unremarkable for any evidence of infection.  He was admitted for COVID-19 with sepsis. In the ED the patient developed hypoxia with exertion down to 84% on room air. His procal was unremarkable at 0.08 and CRP only minimally elevated 12.9. He was started on decadron and IV fluids during the stay and his home lisinopril was help due to AKI/hyperkalemia and hypotension. He was started on norvasc 5mg during the stay.  The patient's renal function improved however his potassium up trended to 5.5. He was given a dose of lokelma and a repeat BMP was ordered prior to discharge. Will stop decadron as this is not indicated for patients with COVID without hypoxia.    Upon initial presentation troponin elevated to 31 down trended to 22. He denies chest pain. Given cardioversion prior tin the day suspect this was demand ischemia vs AKI.  No evidence of ST elevation or depression on 12 lead electrocardiogram.   The patient had successful DC cardioversion. The patient is still on Eliquis and will remain on the Zio patch.   Recommend post-hospitalization follow-up with PCP 1-week following discharge and a repeat BMP in 1 week to reassess renal function and potassium.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: The two components of Menveo were not mixed together prior to administration.  The dry component of Menveo was mixed with Sterile Water diluent intended for Varicella.  We caught this error during our shot clinic and narrowed this mixing error down to this client and one other client.  We will reach out to both client families to revaccinate with properly mixed Menveo.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Eye irritation, Eye pruritus, Eye swelling, Ocular hyperaemia, Periorbital cellulitis
Clinical narrative: Woke Monday, Sep 19th with swollen, red, itchy, irritated left eye.  Sought treatment at Medical Center Emergency where Doctor diagnosed me with periorbital cellulitis of left eye.  Given prescription for amoxicillin-clavulanate 875-125mg twice daily for 7 days and started it right away.  By late Monday morning my right eye was exhibiting the same symptoms.  Throughout Monday I applied warm compresses to my eyes as directed by the Doctor and took 25mg Diphenhydramine HCl for the itching, irritated feeling.  Tuesday morning the redness and swelling was reduced and still taking prescription along with the Diphenhydramine.