chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropod bite, Dizziness, Infusion, Mass
Clinical narrative: He got her vaccine, the next day he felt a little dizzy for about a little while.  Two days later the problem developed of a growth on his left arm that kept growing to about half the size of a golf ball.  The area just kept growing.  He went to his doctor for this and  he informed him that he really did not know what the cause was.  He sent him to a cancer doctor who gave him an infusion of something that started making it go down.  He thinks that his body was immunocompromised and felt that his immune system got compromised.  He had some bug bites, and may have had some parasite egg sacks in his arm and thinks the vaccine caused the parasite eggs to be activated and cause the growth.  He has an appointment to go back to see the cancer specialist for follow up.    He states that he will not get any more vaccines of any kind from now on.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy.   I previously had Bell's Palsy in 1979.
Sex: U
Vaccine: HPV4
Symptoms: Autism spectrum disorder
Clinical narrative: autism; mother vaccinated with Gardasil before pregnancy; This spontaneous report has been received from a lawyer from a case in litigation for quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (2310USA011696), concerning a patient of unknown age (age group reported as child) and gender. There was no information regarding the patient's medical history, concurrent conditions and concomitant medications provided.  On unknown dates in 2006, the patient's mother was vaccinated with the first and the second dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection (exact doses, route of administration, anatomical location, lot numbers and expiration dates were not reported), and on an unspecified date in 2007, she was vaccinated with the thrid dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection (exact dose, route of administration, anatomical location, lot number and expiration date were not reported), all for prophylaxis (all doses administered before pregnancy) (foetal exposure before pregnancy). Pregnancy outcome was live birth, foetal outcome was unknown.  On an unknown date, the patient was believed to have autism. The outcome of the event was not reported.  The reporter cosidered the event to be related to the suspect vaccine.  Upon internal review, the event of autism was determined to be medically significant.; Sender's Comments:  US-009507513-2310USA011696: US-009507513-2312USA004346: US-009507513-2312USA004394: US-009507513-2312USA004386:
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE WAS FROZEN INSTEAD OF REFRIGERATED
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram normal, Electrocardiogram normal, Magnetic resonance imaging normal, Panic attack, Seizure
Clinical narrative: I started having weird seizures or panick attacks. My body would go into an uncontrollable state but I was aware of my surroundings. At first I thought it was just me and that I had started having these wierd attacks, but then my 16 yr old healthy daughter who has never had these issues but has had two of the same doses started having the exact same attcks.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash on body
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Injection site reaction, Injection site warmth, Pain, Urticaria
Clinical narrative: Employee states that a couple hours after receiving vaccine she felt a small welt forming but did but think anything of it since she had received shot that day. Upon waking up today states that now welt is quarter sized, warm to the touch and has radiating pain from injection site to the top of her shoulder. Employee given ice pack and offered Tylenol from the first aid kit, Tylenol was refused at this time.  Continuing to monitor employee for worsening s/s of adverse reaction,  could seek outside care if continued.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Death, Myocardial infarction
Clinical narrative: Aug 20 2021
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain, Peripheral swelling
Clinical narrative: Swelling and redness surrounding almost entire upper arm (total limb swelling) with firmness over left deltoid (injection site). Mild pain and pruritis
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: Swelling and redness surrounding almost entire upper arm (total limb swelling) with firmness over left deltoid (injection site). Mild pain and pruritis
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Pruritus, Rash
Clinical narrative: 11/30 Redness, slight swelling , and a "few bumps" at site. Slight swelling to left side neck. Itching on arm. Itching extended to neck, chest, and back by morning.  Started Benadryl 12/1 Visited clinic - rash noted to entire body. Continuing to itch "all over."  Perscribed medrol dose pak, pepcid, and continue benadryl.    12/4 Itching improving "some." Still experiencing rash over entire body. Using hydrocortisone cream 12/11 Improved.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling
Clinical narrative: 11/30 Redness, slight swelling , and a "few bumps" at site. Slight swelling to left side neck. Itching on arm. Itching extended to neck, chest, and back by morning.  Started Benadryl 12/1 Visited clinic - rash noted to entire body. Continuing to itch "all over."  Perscribed medrol dose pak, pepcid, and continue benadryl.    12/4 Itching improving "some." Still experiencing rash over entire body. Using hydrocortisone cream 12/11 Improved.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine frozen instead of refrigerated
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Child received seasonal Flu vaccine 12/11/2023 AND 12/12/2023 Parent was made aware and reported no adverse effect to date
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Aphonia, Wheezing
Clinical narrative: Wheezing, loss of voice, similar to an asthma attack. duration lasted approximately 10 hours.  Home self care Took benadryl, used steam, drank coffee and h2o hydration. Reported symptoms to doctors office the following morning. Continued benadryl regiment for two days and ibuprofen for inflammation.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pain, Tenderness
Clinical narrative: She got her vaccine, Thursday morning she felt on my left arm where the injection was given was sore, but nothing unusual which lasted for a couple of days.  Then she was aware on Saturday of tenderness in both legs, strange and exactly the same area on the inner side of her legs going from above her ankles to just below her knees.  It is not red or anything, and just has the tenderness.  There is a soreness in the area when she touches it.  It has stayed the same, not gotten any worse or any better.  Yeserday she started feeling some tenderness in her arms, which seems to have disappeared today.  She feels that this will work out as well.
Age: 71.0
Sex: M
Vaccine: COVID19-2, RSV
Symptoms: Feeling abnormal, Hypersensitivity, Tremor
Clinical narrative: Patient received 2 vaccines around 10:45, at about 10:55 a technician walked in to the waiting room and noticed that he seemed to be having a hard time breathing. The pharmacist then went out to check on the patient and determined it was likely an allergic reaction to the vaccine and administered an epi-pen that the patient had with him. He said he brings it with him due to reactions in the past to medications. During this time we called emergency services and requested an ambulance. While waiting for the ambulance he told the technician waiting with him that he felt like he was going to have a seizure and was shaking. She helped him to the floor safely. When the paramedics arrived they flipped him onto his back, got him on to the stretcher, and brought him to the hospital.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered past the beyond use date of 11/12/2023. This was discovered on 12/11/2023. Moderna was contacted and they determined "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on December 2 and 9, 2023 from lot number AU5551B maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. " Revaccination not necessary.
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Headache, Muscle spasms
Clinical narrative: Severe headache, cough, leg cramps.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered on 12/9/23, after the Beyond Use Date of 11/12/23. Moderna was contacted to determine the need for revaccination. "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on December 2 and 9, 2023 from lot number AU5551B maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration." Patient had no adverse effects.
Age: 1.25
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was to receive Infanrix and was given Adacel in error. Patient did not have any adverse event. Mom has been notified. Local health department was contacted and informed our office that because this was the 4th dose of Dtap, patient does not need to do anything further other than get 5th dose at 4/5 yrs of age. Mom has been notified of information health department has given to our office.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Butterfly rash, Condition aggravated, Dysgeusia, Granulomatous rosacea, Rash
Clinical narrative: Metallic taste after 6/6/22 Moderna, 8/1/22 Moderna & 12/27/22 Mod. Bivalent Facial rash that never fades and became progessively worse after each covid vax Pinkish butterfly facial rash 2-weeks after 1st dose  Bright red, swollen facial rash forehead, nose, checks, chin within 1-2 weeks of 2nd dose Deep purple / red facial rash, scaly, swollen, and tough texture to skin in affected area Knobby painful nuckles on fingers 2-3 months after Moderna bivalent.  Speaking with DERM, they believe this is Granulomatus Rosacea Before, after, & current photos if needed. Prior to covid-19 vaccination, I have never experienced any rash or skin issues on my face. My first cousin had the same after 2 pfizer. 1 yr. to resolve.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Rash erythematous, Rash papular, Skin exfoliation, Skin texture abnormal
Clinical narrative: Metallic taste after 6/6/22 Moderna, 8/1/22 Moderna & 12/27/22 Mod. Bivalent Facial rash that never fades and became progessively worse after each covid vax Pinkish butterfly facial rash 2-weeks after 1st dose  Bright red, swollen facial rash forehead, nose, checks, chin within 1-2 weeks of 2nd dose Deep purple / red facial rash, scaly, swollen, and tough texture to skin in affected area Knobby painful nuckles on fingers 2-3 months after Moderna bivalent.  Speaking with DERM, they believe this is Granulomatus Rosacea Before, after, & current photos if needed. Prior to covid-19 vaccination, I have never experienced any rash or skin issues on my face. My first cousin had the same after 2 pfizer. 1 yr. to resolve.
Age: 0.5
Sex: M
Vaccine: RSV, RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine was inadvertently given to this six month old infant
Age: 0.5
Sex: M
Vaccine: RSV, RSV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Vaccine was inadvertently given to this six month old infant
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Blood culture, Cellulitis, Full blood count
Clinical narrative: Cellulitis developed in arm 2 days after injection.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Malaise, Pain, Palpitations, Rash erythematous
Clinical narrative: Patient reports feeling ill with body aches, she had a headache and experienced palpitations as well as broke out in a red blotchy/itchy rash on her torso and under her arms that lasted 2-3 days.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash macular, Rash pruritic
Clinical narrative: Patient reports feeling ill with body aches, she had a headache and experienced palpitations as well as broke out in a red blotchy/itchy rash on her torso and under her arms that lasted 2-3 days.
Age: 81.0
Sex: F
Vaccine: PNC20
Symptoms: Dyspnoea, Rash, Urticaria
Clinical narrative: Extra difficulty breathing Extreme breaking out with huge hives
Age: 18.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Diplopia, Dizziness, Eyelid ptosis, Facial paralysis, Hypoaesthesia
Clinical narrative: On 10/28/2023, patient(18 yr ), received flu vaccine, about 2 weeks later, he c/o dizziness, double vision, numbness in feet, right eye and mouth droop that looked like bels palsy and left eye nystgamus.   Took to doctor test were done and he was diagnosed on 12/6 with Multiple Sclerosis.  Took Covid Vaccine at age 15.  ( PREVIOUSLY SUBMITTED A REPORT FOR THE COVID VACCINE).
Age: 18.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Laboratory test, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Magnetic resonance imaging thoracic
Clinical narrative: On 10/28/2023, patient(18 yr ), received flu vaccine, about 2 weeks later, he c/o dizziness, double vision, numbness in feet, right eye and mouth droop that looked like bels palsy and left eye nystgamus.   Took to doctor test were done and he was diagnosed on 12/6 with Multiple Sclerosis.  Took Covid Vaccine at age 15.  ( PREVIOUSLY SUBMITTED A REPORT FOR THE COVID VACCINE).
Age: 18.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Multiple sclerosis, Nystagmus
Clinical narrative: On 10/28/2023, patient(18 yr ), received flu vaccine, about 2 weeks later, he c/o dizziness, double vision, numbness in feet, right eye and mouth droop that looked like bels palsy and left eye nystgamus.   Took to doctor test were done and he was diagnosed on 12/6 with Multiple Sclerosis.  Took Covid Vaccine at age 15.  ( PREVIOUSLY SUBMITTED A REPORT FOR THE COVID VACCINE).
Age: 75.0
Sex: F
Vaccine: COVID19, RSV, TDAP
Symptoms: Cellulitis
Clinical narrative: Cellulitis, per ER report on 12/14/23. ER provider prescribed Bactrim.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site rash, Injection site urticaria
Clinical narrative: hives/ rash on left arm from top of shoulder to elbow. onset 2 days after vaccine, lasted 4 days
Age: 59.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Arthralgia, Chills, Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: Next day after vaccines symptoms: shaking chills, arthralgia sore on both arms, nausea, headache and stiff neck.  Ibuprofen 400MG at bedtime. Slept .
Age: 59.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Tremor
Clinical narrative: Next day after vaccines symptoms: shaking chills, arthralgia sore on both arms, nausea, headache and stiff neck.  Ibuprofen 400MG at bedtime. Slept .
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Antineutrophil cytoplasmic antibody, Antinuclear antibody, Biopsy skin abnormal, Blood culture, Chronic pigmented purpura
Clinical narrative: rash diagnosed by biopsy as likely pigmented purpuric dermatosis. bilateral lower extremity rash.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Rash, Red blood cell sedimentation rate increased
Clinical narrative: rash diagnosed by biopsy as likely pigmented purpuric dermatosis. bilateral lower extremity rash.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Injection site induration, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: Patient was administered Flulaval in the right deltoid. Within seconds, patient started developing a large knot under the skin. After placing bandage, noticeable swelling had occurred. Injection site was hard to the touch and hot, no redness or rash developed. The knot was pretty significant, comparable to the size of a quarter. Patient remained seated and was given a cold compress for the swelling. After around 15 minutes patient did experience some lightheadedness. Patient was given liquid diphenhydramine 25 mg/10 mL and remained seated. After around 5 minutes after liquid diphenhydramine I examined the injection site which the swelling had decreased significantly, but remained hot to the touch. Patient was recommended to go to the local clinic, but stated she was a nurse and was feeling okay after the liquid diphenhydramine. Patient remained at the off-site shot clinic for another hour as she was hosting the event, but reported no worsening of symptoms. Patient was counseled before leaving to seek medical assistance if symptoms worsened. Both patient and her husband are registered nurses and fully understood the importance of watching for any adverse side effects. Patient was also counseled to take a dose of Tylenol to help with any discomfort.
Age: 83.0
Sex: F
Vaccine: RSV
Symptoms: Diarrhoea, Myalgia
Clinical narrative: SEVERE DIARRHEA MUSCLE ACHES
Age: 46.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given the wrong vaccine the Meningococcal instead of the MMR. The provider and me office manager spoke with patient she was fine laughing and joking with us, was not upset at all.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Expired product administered
Clinical narrative: Pt Received Anthrax Vaccine from vial that had been open for longer than 28 days/ The vial was not labeled with the date and time.
Age: 39.0
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No Adverse events experienced by patient. Patient has history of asplenia and inquired about vaccination. Discussed risks/benefits and shared decision made on receiving vaccine to protect from RSV.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angina pectoris, Chills, Myalgia, Nausea, Palpitations
Clinical narrative: Cardiac pain, racing HR. Treated with ibuprofen- lessened symptoms. 24 hrs after vaccine, s/s still present  Also have chills, extreme muscle aches, nausea
Sex: U
Vaccine: HPV4
Symptoms: Autoimmune disorder, Visual impairment
Clinical narrative: auto-immune disease; visually impaired; mother vaccinated with Gardasil in 2006, before pregnancy; This spontaneous report has been received from a lawyer via memo and plaintiff fact sheet from a case in litigation for quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (# 2310USA011696), concerning a patient of unknown age and gender. There was no information regarding the patient's medical history, concurrent conditions and concomitant medications provided.  On unknown dates in 2006, the patient's mother was vaccinated with the first and the second dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (exact doses, routes of administration, anatomical locations, lot numbers and expiration dates were not reported). On an unspecified date in 2007, she was vaccinated with the third dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (exact dose, route of administration, anatomical location, lot number and expiration date were not reported), all for prophylaxis (all doses administered before pregnancy) (foetal exposure before pregnancy).  On an unknown date, the patient was diagnosed with an autoimmune disease and was visually impaired. The outcome of the events was not reported. The reporter considered the events to be related to Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (GARDASIL).  Upon internal review, the event of autoimmune disorder was determined to be medically significant.; Sender's Comments:  US-009507513-2312USA004346: US-009507513-2310USA011696: US-009507513-2312USA004394: US-009507513-2312USA004394:
Age: 93.0
Sex: M
Vaccine: COVID19-2
Symptoms: Death
Clinical narrative: Resident expired at 0645 on 12/9/23. Vaccination was given at 1600 on 12/8/23.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given a 12 year old and up does vs the 5-11 does that he should have received. It was given intramuscularly in his right arm on 12/14/23 at 4:30. Patient's father was notified. Patient has not had any report reactions at this time.
Age: 45.0
Sex: U
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events. Vaccine was given to patient below age of 60, for severe asthma, OSA, OHS with risks/benefits discussed and shared decision making.
Age: 1.75
Sex: F
Vaccine: DTAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: There no treatment for patient and patient has had any side effect
Age: 1.42
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 17 month old child received dose of COVID vaccine for age 12+. This was discovered via chart audit. Patient's parent notified. Upon speaking with parent, no signs and symptoms have been noticed. Child scheduled for follow up exam on 12/14/23 at 1:20 PM
Age: 62.0
Sex: M
Vaccine: PNC20
Symptoms: Expired product administered
Clinical narrative: PT WAS GIVEN EXPIRED VACCINE
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Discomfort, Inflammation, Pain, Pain in extremity
Clinical narrative: Message patient sent via patient portal 12/4/23:   Good morning, Dr. I am experiencing some arm pain that has been growing more concerning. I started noticing a couple weeks ago that quite regularly I would wake up to my right arm being asleep when I slept on my right side, and this increasingly including some mild pain when it happened. After a few time of this happening, I realized that the start point of this is where I received my COVID vaccine, which made me start paying a bit more attention to it. The pain started being more prevalent and persistent during the day as well. I also thought that since I?ve been doing significantly more physical movement after months of being limited in physical activity from illness and surgical recovery that perhaps I overused or pulled it. It was becoming more and more uncomfortable to sleep on my right side, so I got more mindful about resting it. This weekend I noticed a steady increase in the pain?so last night I took two ibuprofen three hours before bed, then two acetaminophen before bed, put on a heat pack, and set up pillows to not roll onto my right side, but have just has the pain wake me up. I would only rate it at about a 5 or less, but it?s throbbing a bit. I?m concerned since it is getting steadily worse instead of better and seems to be originating from where I got my vaccine. Does this feel concerning to you, or should I just continue with these pain management measures?   Patient was then seen at ortho urgent care at Health on 12/5/23.   Diagnosed with subdeltoid bursitis of right shoulder joint.  Following plan was given to patient:   Plan:   o Discussed treatment options the patient today which include observation, oral anti-inflammatories, physical therapy versus home exercise program, oral steroid versus steroid injection, and obtaining further imaging. o Patient was provided a prescription for a Medrol Dosepak and instructed on use of this medication. o Educated patient on use over-the-counter nonsteroidal anti-inflammatory medications.  Discussed having her do ibuprofen 800 mg twice a day over the next 2 weeks to aid with inflammation and pain control. o Patient was also provided a home exercise program to work on scapular stabilization and rotator cuff strengthening. o If no improvement of her symptoms over the next 4 weeks, will have the patient follow up with our nonoperative sports medicine team.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sleep disorder, Vaccination site pain, Vaccination site paraesthesia, X-ray limb normal
Clinical narrative: Message patient sent via patient portal 12/4/23:   Good morning, Dr. I am experiencing some arm pain that has been growing more concerning. I started noticing a couple weeks ago that quite regularly I would wake up to my right arm being asleep when I slept on my right side, and this increasingly including some mild pain when it happened. After a few time of this happening, I realized that the start point of this is where I received my COVID vaccine, which made me start paying a bit more attention to it. The pain started being more prevalent and persistent during the day as well. I also thought that since I?ve been doing significantly more physical movement after months of being limited in physical activity from illness and surgical recovery that perhaps I overused or pulled it. It was becoming more and more uncomfortable to sleep on my right side, so I got more mindful about resting it. This weekend I noticed a steady increase in the pain?so last night I took two ibuprofen three hours before bed, then two acetaminophen before bed, put on a heat pack, and set up pillows to not roll onto my right side, but have just has the pain wake me up. I would only rate it at about a 5 or less, but it?s throbbing a bit. I?m concerned since it is getting steadily worse instead of better and seems to be originating from where I got my vaccine. Does this feel concerning to you, or should I just continue with these pain management measures?   Patient was then seen at ortho urgent care at Health on 12/5/23.   Diagnosed with subdeltoid bursitis of right shoulder joint.  Following plan was given to patient:   Plan:   o Discussed treatment options the patient today which include observation, oral anti-inflammatories, physical therapy versus home exercise program, oral steroid versus steroid injection, and obtaining further imaging. o Patient was provided a prescription for a Medrol Dosepak and instructed on use of this medication. o Educated patient on use over-the-counter nonsteroidal anti-inflammatory medications.  Discussed having her do ibuprofen 800 mg twice a day over the next 2 weeks to aid with inflammation and pain control. o Patient was also provided a home exercise program to work on scapular stabilization and rotator cuff strengthening. o If no improvement of her symptoms over the next 4 weeks, will have the patient follow up with our nonoperative sports medicine team.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: My period was late by 5 days. I received the COVID booster 1 day before my period was to start (I track my cycle using the smart phone cycle tracking in the Health app). My cycle is very regular and I am never late.
Age: 57.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Acute kidney injury, Agitation, Areflexia, Brain death, COVID-19
Clinical narrative: 12/9 - Felt unwell and tired.   12/10 - Delirious, agitated and confused.  To local ER.  Intubated for airway protection.  Tx to another location.  Temp was high up to 105 and low.  AKI.   12/11 - Found to have Multiple embolic strokes on MRI.  Developed multisystem organ failure and profound neurologic injury.   12/12: No brainstem reflex after sedation held for 24 hours. EEG with severe background attenuation, no seizure. Worsening hemodynamic and metabolic profile despite maximal medical support.  Compassionate extubation.  Expired @ 1425.
Age: 57.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Chest X-ray, Computerised tomogram abdomen, Confusional state, Death, Delirium
Clinical narrative: 12/9 - Felt unwell and tired.   12/10 - Delirious, agitated and confused.  To local ER.  Intubated for airway protection.  Tx to another location.  Temp was high up to 105 and low.  AKI.   12/11 - Found to have Multiple embolic strokes on MRI.  Developed multisystem organ failure and profound neurologic injury.   12/12: No brainstem reflex after sedation held for 24 hours. EEG with severe background attenuation, no seizure. Worsening hemodynamic and metabolic profile despite maximal medical support.  Compassionate extubation.  Expired @ 1425.
Age: 57.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Echocardiogram, Ejection fraction, Electrocardiogram, Electroencephalogram abnormal, Embolic stroke
Clinical narrative: 12/9 - Felt unwell and tired.   12/10 - Delirious, agitated and confused.  To local ER.  Intubated for airway protection.  Tx to another location.  Temp was high up to 105 and low.  AKI.   12/11 - Found to have Multiple embolic strokes on MRI.  Developed multisystem organ failure and profound neurologic injury.   12/12: No brainstem reflex after sedation held for 24 hours. EEG with severe background attenuation, no seizure. Worsening hemodynamic and metabolic profile despite maximal medical support.  Compassionate extubation.  Expired @ 1425.
Age: 57.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Endotracheal intubation, Fatigue, Haemodynamic test abnormal, Injury, Laboratory test
Clinical narrative: 12/9 - Felt unwell and tired.   12/10 - Delirious, agitated and confused.  To local ER.  Intubated for airway protection.  Tx to another location.  Temp was high up to 105 and low.  AKI.   12/11 - Found to have Multiple embolic strokes on MRI.  Developed multisystem organ failure and profound neurologic injury.   12/12: No brainstem reflex after sedation held for 24 hours. EEG with severe background attenuation, no seizure. Worsening hemodynamic and metabolic profile despite maximal medical support.  Compassionate extubation.  Expired @ 1425.
Age: 57.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Magnetic resonance imaging head abnormal, Malaise, Metabolic function test abnormal, Multiple organ dysfunction syndrome, Nervous system disorder
Clinical narrative: 12/9 - Felt unwell and tired.   12/10 - Delirious, agitated and confused.  To local ER.  Intubated for airway protection.  Tx to another location.  Temp was high up to 105 and low.  AKI.   12/11 - Found to have Multiple embolic strokes on MRI.  Developed multisystem organ failure and profound neurologic injury.   12/12: No brainstem reflex after sedation held for 24 hours. EEG with severe background attenuation, no seizure. Worsening hemodynamic and metabolic profile despite maximal medical support.  Compassionate extubation.  Expired @ 1425.
Age: 57.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Pyrexia, SARS-CoV-2 test positive, Ultrasound Doppler normal, Ultrasound kidney normal
Clinical narrative: 12/9 - Felt unwell and tired.   12/10 - Delirious, agitated and confused.  To local ER.  Intubated for airway protection.  Tx to another location.  Temp was high up to 105 and low.  AKI.   12/11 - Found to have Multiple embolic strokes on MRI.  Developed multisystem organ failure and profound neurologic injury.   12/12: No brainstem reflex after sedation held for 24 hours. EEG with severe background attenuation, no seizure. Worsening hemodynamic and metabolic profile despite maximal medical support.  Compassionate extubation.  Expired @ 1425.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Brain stem stroke, Dizziness, Dysarthria, Echocardiogram normal, Ejection fraction normal
Clinical narrative: PRESENTED TO ER WITH COMPLAINT OF DIZZINESS AND SLURRED SPEECH. FOUND TO HAVE RIGHT MEDIAL PONTINE STROKE.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Low density lipoprotein normal, Magnetic resonance imaging head abnormal
Clinical narrative: PRESENTED TO ER WITH COMPLAINT OF DIZZINESS AND SLURRED SPEECH. FOUND TO HAVE RIGHT MEDIAL PONTINE STROKE.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Blister, Erythema, Pain of skin, Rash pruritic, Skin lesion
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Anion gap, Aspartate aminotransferase normal, Basophil count decreased
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Blood chloride increased, Blood creatinine normal, Blood glucose normal, Blood magnesium, Blood potassium decreased
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Blood sodium normal, Blood urea decreased, Blood urea nitrogen/creatinine ratio, Carbon dioxide normal, Condition aggravated
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Dermatitis bullous, Eosinophil count decreased, Eosinophil percentage decreased, Erythema multiforme, Globulin
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Glomerular filtration rate normal, Granulocyte count, Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Hyperlipidaemia, Hypertension, Immature granulocyte count, Iron deficiency anaemia, Lymphocyte count decreased
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Monocyte count normal, Monocyte percentage, Pemphigoid, Platelet count normal, Protein total decreased
Clinical narrative: Pt states the afternoon after her Flu shot,  she noticed an area on her left thigh that looked like an insect/mosquito bite that began to itch. She states the next morning she had a rash over her left side and after a few more days it progressed to the right side. She states she went to the ER on 12/3/23 and was told that it was a "rare reaction to the Flu shot." She states she was given a prescription for Calamine lotion, Cephalexin 500 mg 3 times per day for 7 days and  Hydroxyzine for itching. She then went home and had a follow up appointment with clinic on 12/7/23. She states she was again told that it was a rare reaction to the Flu Shot and she was to keep taking the medication and follow-up again on 12/14/23. Pt came into the Health Department to report this on 12/13/2023 and she is noted to have lesions starting on the right side of her neck and extending down over her entire trunk and limbs. The lesions range from small eraser size red areas that are slightly raised to large fifty cent size areas that have a halo  effect of redness very similar to a ring worm. Other lesions are full blown blistered areas the size of  golf balls. She reports intense itching and pain. The lesions are under her breast area and she is unable to wear a bra. Pt was sent back to the ER as the doctor's office was closed and nurse felt that this was an emergency situation. Rash is very similar in character to Steven-Johnson Syndrome.