chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Chest X-ray abnormal, Cough, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient presented to the ER with complaints of low 02 while in her PCP's office for sore throat. Patient tested positive for Covid-19. Patient had a coughing spell while at PCP where O2 sat dropped to 82%, patient was visibly dypneic, after receiving o2, oxygen sat returned to 97%. Patient came to the ER with daughter per PCP recommendation. ED evaluation revealed patient positive for COVID-19.  BP 192/99, HR 117, R 26, temp 97.9°, SpO2 95% on 3 L nasal cannula.  Mild leukocytosis, AST 63, troponin 0.037, BNP 107. CXR showed atypical pneumonia. NS 1 L bolus, azithromycin, Rocephin, Decadron 10 mg IV given in ED. While in ED, patient experienced intermittent hypoxia and increased work up breathing, O2 was subsequently upgraded to high-flow Airvo.  Patient admitted to ICU level of care for medical management of acute respiratory failure with hypoxia and pneumonia secondary to COVID 19 infection. Following admission, patient became more hypoxic with increased work of breathing and respiratory failure, requiring emergent intubation.  Code blue called shortly following intubation, ROSC was not achieved, and patient's daughter, at bedside, requested to stop code blue efforts.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Leukocytosis, Oropharyngeal pain, Oxygen saturation decreased
Clinical narrative: Patient presented to the ER with complaints of low 02 while in her PCP's office for sore throat. Patient tested positive for Covid-19. Patient had a coughing spell while at PCP where O2 sat dropped to 82%, patient was visibly dypneic, after receiving o2, oxygen sat returned to 97%. Patient came to the ER with daughter per PCP recommendation. ED evaluation revealed patient positive for COVID-19.  BP 192/99, HR 117, R 26, temp 97.9°, SpO2 95% on 3 L nasal cannula.  Mild leukocytosis, AST 63, troponin 0.037, BNP 107. CXR showed atypical pneumonia. NS 1 L bolus, azithromycin, Rocephin, Decadron 10 mg IV given in ED. While in ED, patient experienced intermittent hypoxia and increased work up breathing, O2 was subsequently upgraded to high-flow Airvo.  Patient admitted to ICU level of care for medical management of acute respiratory failure with hypoxia and pneumonia secondary to COVID 19 infection. Following admission, patient became more hypoxic with increased work of breathing and respiratory failure, requiring emergent intubation.  Code blue called shortly following intubation, ROSC was not achieved, and patient's daughter, at bedside, requested to stop code blue efforts.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory failure, SARS-CoV-2 test positive, Troponin
Clinical narrative: Patient presented to the ER with complaints of low 02 while in her PCP's office for sore throat. Patient tested positive for Covid-19. Patient had a coughing spell while at PCP where O2 sat dropped to 82%, patient was visibly dypneic, after receiving o2, oxygen sat returned to 97%. Patient came to the ER with daughter per PCP recommendation. ED evaluation revealed patient positive for COVID-19.  BP 192/99, HR 117, R 26, temp 97.9°, SpO2 95% on 3 L nasal cannula.  Mild leukocytosis, AST 63, troponin 0.037, BNP 107. CXR showed atypical pneumonia. NS 1 L bolus, azithromycin, Rocephin, Decadron 10 mg IV given in ED. While in ED, patient experienced intermittent hypoxia and increased work up breathing, O2 was subsequently upgraded to high-flow Airvo.  Patient admitted to ICU level of care for medical management of acute respiratory failure with hypoxia and pneumonia secondary to COVID 19 infection. Following admission, patient became more hypoxic with increased work of breathing and respiratory failure, requiring emergent intubation.  Code blue called shortly following intubation, ROSC was not achieved, and patient's daughter, at bedside, requested to stop code blue efforts.
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Disorientation, Dizziness, Dry mouth, Fear, Malaise
Clinical narrative: Pt received dose of Covid vaccine (Moderna Spikevax) at 1:30 pm this afternoon.  About an hour later complained of not feeling well to RN.  Pt seen in presence of daughter.  Pt c/o dizziness, "disorientation", 2blurry vision and inability to read newsprint, feeling her mouth is dry and her speech is "not normal".  Denies headache, nausea, myalgias, chills, other symptoms. Did not have any symptoms following other Covid vaccines. Proceeds to talk about fear she will be unable to sleep tonight, and poor appetite.
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Speech disorder, Vision blurred
Clinical narrative: Pt received dose of Covid vaccine (Moderna Spikevax) at 1:30 pm this afternoon.  About an hour later complained of not feeling well to RN.  Pt seen in presence of daughter.  Pt c/o dizziness, "disorientation", 2blurry vision and inability to read newsprint, feeling her mouth is dry and her speech is "not normal".  Denies headache, nausea, myalgias, chills, other symptoms. Did not have any symptoms following other Covid vaccines. Proceeds to talk about fear she will be unable to sleep tonight, and poor appetite.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: Patient presented to the ER for progressively worsening cough, congestion and shortness of breath as well as generalized weakness for the past 2-3 days. evaluated in the ED.  Tested positive for COVID.  Also noted be having urinary tract infection.  Patient diagnosed with generalized weakness secondary to UTI and COVID-19.  Patient is admitted for further management. Patient was placed on empiric antibiotic therapy with Rocephin.  Also placed on empiric dexamethasone for COVID-19. Patient was a DNR. Patient was found by PCT with no pulse or respirations in room. Patient was pronounced deceased.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse absent, Respiratory arrest, Respiratory tract congestion, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient presented to the ER for progressively worsening cough, congestion and shortness of breath as well as generalized weakness for the past 2-3 days. evaluated in the ED.  Tested positive for COVID.  Also noted be having urinary tract infection.  Patient diagnosed with generalized weakness secondary to UTI and COVID-19.  Patient is admitted for further management. Patient was placed on empiric antibiotic therapy with Rocephin.  Also placed on empiric dexamethasone for COVID-19. Patient was a DNR. Patient was found by PCT with no pulse or respirations in room. Patient was pronounced deceased.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive, Walking distance test normal
Clinical narrative: Patient presented with complaint of shortness of breath and cough. She was then tested for COVID-19 and found to be positive.  She was seen by both Infectious Disease and pulmonology and placed on Remdesivir and Decadron.  She was also placed on empiric antibiotics.  Her oxygen requirements increased and at 1 point she required 15 L non-rebreather.  She slowly improved and her hospitalization was prolonged due to her significant oxygen requirements.  She was able to be weaned to nasal cannula and a 6 minutes walk study was performed which revealed the patient was stable on 3 L with ambulation. Patient was discharged home with home o2.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Appendicectomy, Appendicitis perforated, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient was diagnosed with perforated appendix.  Surgery was consulted.  Patient did get laparoscopic appendectomy done.  Patient had postoperative ileus.  Eventually resolved.  Pain is controlled with Norco.  Patient is currently cleared for discharge needs to follow-up outpatient with surgery.  Patient was also evaluated by Infectious Disease because of COVID-19 being positive. Patient was diagnosed with Covid-19 pneumonia and acute respiratory failure.  Patient kept on dexamethasone.  Discussed with Infectious Disease will be on 10 days of antibiotic Omnicef/Flagyl, dexamethasone. Patient was discharged home.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Laparoscopic surgery, Pain, Postoperative ileus, SARS-CoV-2 test positive
Clinical narrative: Patient was diagnosed with perforated appendix.  Surgery was consulted.  Patient did get laparoscopic appendectomy done.  Patient had postoperative ileus.  Eventually resolved.  Pain is controlled with Norco.  Patient is currently cleared for discharge needs to follow-up outpatient with surgery.  Patient was also evaluated by Infectious Disease because of COVID-19 being positive. Patient was diagnosed with Covid-19 pneumonia and acute respiratory failure.  Patient kept on dexamethasone.  Discussed with Infectious Disease will be on 10 days of antibiotic Omnicef/Flagyl, dexamethasone. Patient was discharged home.
Age: 64.0
Sex: F
Vaccine: FLUR4
Symptoms: Oral herpes, Rash, Swelling, Swelling face
Clinical narrative: rash above my upper lip, rash on my face, fever blisters on both lips, swelling of the face and neck, lasting for weeks. I am still experiencing minimal effects of the Vaccination after almost 5 weeks.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Back pain, Cough, Headache, Myalgia, Nasal congestion
Clinical narrative: The day after the vaccine I began to feel headache, frequent sneezing, a lot of mucus, stuffy nose, cough, fever, and muscle pain in my neck and back. I called the line I couldn't make a report but I contacted customer service, the lady told me that maybe I got infected before with flu or another virus before. I know my body and what I feel is since the vaccine.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Neck pain, Pyrexia, Secretion discharge, Sneezing
Clinical narrative: The day after the vaccine I began to feel headache, frequent sneezing, a lot of mucus, stuffy nose, cough, fever, and muscle pain in my neck and back. I called the line I couldn't make a report but I contacted customer service, the lady told me that maybe I got infected before with flu or another virus before. I know my body and what I feel is since the vaccine.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Child received 0.5 cc of vaccine that was labelled in the Moderna vial as "single-dose vial". Child should only have had 0.25 cc.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Influenza
Clinical narrative: I had advised two pharmacy techs that I normally had a robust reaction to vaccine shots so I should probably just get the standard flu shot as I have had most every year as an adult with no reactions.  They persuaded me to get the high dose shot and that all I would have "is a sore arm".  Not so much!!  Within 5 hours of getting the shot, I had full-blown flu symptoms:  high fever (102 to 103 degrees), shaking (with teeth chattering), nausea, muscle aches, high fatigue, headache, and sweats.  This continued for 18 hours.  I took three doses of extra strength Tylenol which helped with the fever, but I was forced to stay in bed the rest of the day of the shot (Friday) and most of the next day (Saturday).  By Saturday night I felt fine, but it made for a miserable start to my weekend. Pharmacy and other administrators of this shot should pay attention when a patient has reservations about the high dosage shots!  I will never take one of them again!!  (I was at home all week so was not exposed to some mysterious 18 hour flu).
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Myalgia, Nausea, Pyrexia, Tremor
Clinical narrative: I had advised two pharmacy techs that I normally had a robust reaction to vaccine shots so I should probably just get the standard flu shot as I have had most every year as an adult with no reactions.  They persuaded me to get the high dose shot and that all I would have "is a sore arm".  Not so much!!  Within 5 hours of getting the shot, I had full-blown flu symptoms:  high fever (102 to 103 degrees), shaking (with teeth chattering), nausea, muscle aches, high fatigue, headache, and sweats.  This continued for 18 hours.  I took three doses of extra strength Tylenol which helped with the fever, but I was forced to stay in bed the rest of the day of the shot (Friday) and most of the next day (Saturday).  By Saturday night I felt fine, but it made for a miserable start to my weekend. Pharmacy and other administrators of this shot should pay attention when a patient has reservations about the high dosage shots!  I will never take one of them again!!  (I was at home all week so was not exposed to some mysterious 18 hour flu).
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product label issue
Clinical narrative: Child received 0.5 cc of  pediatric Moderna vaccine that was labelled as a "single-dose vial" but should have received 0.25 cc
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Continues with soreness in the left deltoid region after receiving vaccine 10/26/23  (18 days).  Referred to primary care physician for further evaluation 11/13/2023.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product label issue
Clinical narrative: Child received 0.5 cc of pediatric Moderna vaccine that was labelled as a "single-dose vial" and should have received only 0.25 cc
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, Echocardiogram, Electrocardiogram, Laboratory test, Nausea
Clinical narrative: 12 hours after injection, fainted, had nausea, tunnel vision, shaking. Now has likely dx of POTS. Continues to have nausea and increased anxiety.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Postural orthostatic tachycardia syndrome, Syncope, Tremor, Tunnel vision
Clinical narrative: 12 hours after injection, fainted, had nausea, tunnel vision, shaking. Now has likely dx of POTS. Continues to have nausea and increased anxiety.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product label issue
Clinical narrative: Child received 0.5 cc of pediatric Moderna vaccine that was labelled as  a "single-dose vial" but should have received 0.25 cc
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blindness, Diplegia, Erythema, Gait inability, Hyperhidrosis
Clinical narrative: Swelling to softball size, numbness, redness/hives, fever/sweating, nausea, migraine, uncontrollable twitching/muscle spasms for 28 hours after injection, paralysis of lower extremities/loss of mobility, loss of eye sight for 6 hours
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Migraine, Muscle spasms, Muscle twitching, Nausea
Clinical narrative: Swelling to softball size, numbness, redness/hives, fever/sweating, nausea, migraine, uncontrollable twitching/muscle spasms for 28 hours after injection, paralysis of lower extremities/loss of mobility, loss of eye sight for 6 hours
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Swelling, Urticaria
Clinical narrative: Swelling to softball size, numbness, redness/hives, fever/sweating, nausea, migraine, uncontrollable twitching/muscle spasms for 28 hours after injection, paralysis of lower extremities/loss of mobility, loss of eye sight for 6 hours
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discharge
Clinical narrative: Upon administering Spikevax into patient's L arm, some liquid from the vaccine began to leak out of the injection site. Unknown how much was administered. Contacted CDC who instructed that unknown amount or less that full amount administered the dose should be repeated. Communication shared with patient. Waiting on patient's response and if the decide to repeat dose they will need to follow up with their PCP.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product label issue
Clinical narrative: Child received 0.5 cc of pediatric Moderna vaccine that was labelled as "single-dose vial" but should have received 0.25 cc
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Benadryl allergy oral tablet twice daily, and one tablet every 24hrs as needed
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product label issue
Clinical narrative: Child may have received 0.5 cc of pediatric Moderna vaccine that was labelled as "single-use vial" and should have received 0.25 cc.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pain, Pain
Clinical narrative: 7+ weeks post injection left upper arm muscle pain continues, not injection site discomfort, but muscle pain. Never experience anything like it before. Painful to raise arm laterally. Husband has exact symptoms as well. Doesn't hurt otherwise just when lifting out to the side
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulse absent, Vomiting
Clinical narrative: found in bed appeared to have vomited and had no pulse
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Graves' disease
Clinical narrative: PATIENT SAYS THE VACCINE CAUSED A FLARE-UP OF HER GRAVES DISEASE
Age: 1.67
Sex: M
Vaccine: DTAPIPV, HEPA, HIBV, PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reactions noted. Client was administered Kinrix( Dtap and IPV) combination vaccine.  Vaers report is being made due to the client's age at time of vacciation.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injected limb mobility decreased, Loss of personal independence in daily activities, Neck pain, Pain
Clinical narrative: I think that the nurse who administered the vaccine injected it too high on my arm. A few days after the shot, my shoulder began to hurt and the pain progressively worsened over the next few weeks. The pain was in my right shoulder where the shot had been administered, my shoulder joint, my arm, the pain radiated up my neck. It was difficult to move my arm. Over the counter pain medications have not helped with the pain. After about a month the pain in my joint seemed to subside. The pain has since gotten worse and is in my arm, shoulder, and neck. My arm hurts when I am driving, working on the computer, reaching for things, and is interfering with everyday activities. The flu shot was administered as part of an employee vaccine clinic.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: I think that the nurse who administered the vaccine injected it too high on my arm. A few days after the shot, my shoulder began to hurt and the pain progressively worsened over the next few weeks. The pain was in my right shoulder where the shot had been administered, my shoulder joint, my arm, the pain radiated up my neck. It was difficult to move my arm. Over the counter pain medications have not helped with the pain. After about a month the pain in my joint seemed to subside. The pain has since gotten worse and is in my arm, shoulder, and neck. My arm hurts when I am driving, working on the computer, reaching for things, and is interfering with everyday activities. The flu shot was administered as part of an employee vaccine clinic.
Age: 92.0
Sex: M
Vaccine: FLU4
Symptoms: Blood test normal, Contusion, Skin discolouration
Clinical narrative: Patient has a large purple bruising extending from deltoid muscle, across bicep muscle and down to elbow. There was not excess bleeding or pain at administration. The patient reported it was 3 days later when he started to notice a purple pooling/bruise on his arm and continued to enlarge for 2 days. It has since stopped enlarging and has some yellowing in the upper arm. Patient was seen by a prescriber and stated "they ran blood work and said I was fine".
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction; dose of Tdap given 10/9/23 had expired 9/21/23
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Flushing, Immediate post-injection reaction, Palpitations
Clinical narrative: Quick Nursing Assessment at the Scene:  Patient sitting in chair, reports heart palpitations, SOB, dizziness, flushing, blurry visions right after COVID-19 booster. Alert and oriented x3. Able to answer questions appropriately without respiratory distress. Tolerating fluid. Symptoms improved with resting.    Patient Disposition: Reassessed patient every 10 minutes.  Symptoms continued to improve. Vital signs stable. Denies CP, SOB, nausea, dizziness, or difficulty with balance. . Member verbalizes understanding to follow up with PCP if symptoms persists or reoccur. Denies any symptoms at discharge. Member advised to call Clinical Contact Center/Advice for any symptoms or questions.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Quick Nursing Assessment at the Scene:  Patient sitting in chair, reports heart palpitations, SOB, dizziness, flushing, blurry visions right after COVID-19 booster. Alert and oriented x3. Able to answer questions appropriately without respiratory distress. Tolerating fluid. Symptoms improved with resting.    Patient Disposition: Reassessed patient every 10 minutes.  Symptoms continued to improve. Vital signs stable. Denies CP, SOB, nausea, dizziness, or difficulty with balance. . Member verbalizes understanding to follow up with PCP if symptoms persists or reoccur. Denies any symptoms at discharge. Member advised to call Clinical Contact Center/Advice for any symptoms or questions.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Pain
Clinical narrative: Patient has dull constant pain to right deltoid x 6-8 days s/p flu injection to the deltoid.  Denies redness, warmth, swelling, numbness, rash, stiffness, weakness, or decreased ROM to RUE.
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Pyrexia
Clinical narrative: The patient was seen in the ED on 10/10/23 for evaluation of fever, generalized weakness, runny nose, congestion, and cough which started the day prior. A COVID test was done in the ED which resulted positive. Ultimately, the patient was admitted 10/10/23 - 10/15/23 with discharge diagnoses including COVID-19 pneumonia and possible superimposed bacterial pneumonia, among other diagnoses. The patient did not require supplemental oxygen during admission.   Of note, she has received four doses of the Moderna Monovalent COVID vaccine (administered 1/17/2021; 2/13/2021; 11/19/2021; 4/13/2022) and one dose of the Pfizer Bivalent COVID vaccine (administered 10/17/22).
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: The patient was seen in the ED on 10/10/23 for evaluation of fever, generalized weakness, runny nose, congestion, and cough which started the day prior. A COVID test was done in the ED which resulted positive. Ultimately, the patient was admitted 10/10/23 - 10/15/23 with discharge diagnoses including COVID-19 pneumonia and possible superimposed bacterial pneumonia, among other diagnoses. The patient did not require supplemental oxygen during admission.   Of note, she has received four doses of the Moderna Monovalent COVID vaccine (administered 1/17/2021; 2/13/2021; 11/19/2021; 4/13/2022) and one dose of the Pfizer Bivalent COVID vaccine (administered 10/17/22).
Age: 31.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Extra dose administered
Clinical narrative: G1P0 at 37w1d with Estimated Date of Delivery: 11/26/23.  Patient had appointment in clinic specifically for RSV vaccination under a Nurse Only visit. Per order, vaccine was administered by this RN, without review of recent vaccine history. This RN was notified later that upon further review by a different RN, this patient had already received an RSV vaccine on 10/23/2023, and that the RSV administered on 11/01 was in error.
Age: 72.0
Sex: M
Vaccine: RSV
Symptoms: Ageusia, Anosmia, SARS-CoV-2 test negative
Clinical narrative: PATIENT CAME IN 11/15/23 STATING THAT 3 DAYS AFTER RSV VACCINE HE BEGAN EXPERIENCING LOSS OF TASTE AND SMELL. I ASKED IF HE HAD TESTED FOR COVID WHICH HE STATES HE HAD AND IT WAS A NEGATIVE RESULT. HE COMPLAINS THAT HE STILL HAS LOSS OF TASTE AND SMELL EVEN TO THIS DAY AND WORRIES HE WONT GET IT BACK.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Right arm red, swollen, and hot. Temperature was 100.0. Responded to Benadryl and Tylenol.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Skin discolouration
Clinical narrative: White splotches to bilateral arms. Is treating with OTC antihistamines and creams with no relief of symptoms
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Cough, Fatigue, Feeling abnormal, Headache
Clinical narrative: She got her vaccine, it was fine initially, just the initial pain of getting a shot.  It was fine that evening, started getting a little more sorer, you could feel more pain when moving the arm up or down.  The next morning around 9:00 she started feeling nauseous, she felt extremely fatigued, was coughing and sneezing.  Then about 9:15 she started vomiting and that continued on for 11 hours.    She threw up last year when she took a COVID vaccine and felt it was due to taking other vaccines within a couple of days, but not as sick as she is now.    This continued from 9:15 AM until 8:30 PM.  She had some Zofran that was 3 years old that she took, and once she could stop throwing up she took that and slept for the rest of the night.  She had extreme fatigue like she had to sleep on the bathroom floor as she could not make it back and forth.  She had a severe headache, sore throat.  Her heart rate was over 100, and that's not just when she was throwing up but also while resting.  She has an apple watch and it kept alarming her that her heart rate was high.  She had body aches, joint pains.  Then the next morning she felt a little bit better as she was not throwing up, but still had the nausea, extreme fatigue, coughing, sneezing, headache, heart rate still over 100. She still continued feeling better, but the nausea continued into the next week.  She threw up again this past Friday, but it was just once that day.  Her doctor did not give her any instructions, and that for the nausea they could not tell her what to do and to call the pharmacy and follow those instructions. She did contact her doctor and she suggested that she report to us and Pfizer.    This week she is feeling better, eating carefully, on a BRAT diet.  She is taking the Zofran as needed.  She is still feeling blah, but not as bad as she has been.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Mobility decreased, Nausea, Oropharyngeal pain, Pain
Clinical narrative: She got her vaccine, it was fine initially, just the initial pain of getting a shot.  It was fine that evening, started getting a little more sorer, you could feel more pain when moving the arm up or down.  The next morning around 9:00 she started feeling nauseous, she felt extremely fatigued, was coughing and sneezing.  Then about 9:15 she started vomiting and that continued on for 11 hours.    She threw up last year when she took a COVID vaccine and felt it was due to taking other vaccines within a couple of days, but not as sick as she is now.    This continued from 9:15 AM until 8:30 PM.  She had some Zofran that was 3 years old that she took, and once she could stop throwing up she took that and slept for the rest of the night.  She had extreme fatigue like she had to sleep on the bathroom floor as she could not make it back and forth.  She had a severe headache, sore throat.  Her heart rate was over 100, and that's not just when she was throwing up but also while resting.  She has an apple watch and it kept alarming her that her heart rate was high.  She had body aches, joint pains.  Then the next morning she felt a little bit better as she was not throwing up, but still had the nausea, extreme fatigue, coughing, sneezing, headache, heart rate still over 100. She still continued feeling better, but the nausea continued into the next week.  She threw up again this past Friday, but it was just once that day.  Her doctor did not give her any instructions, and that for the nausea they could not tell her what to do and to call the pharmacy and follow those instructions. She did contact her doctor and she suggested that she report to us and Pfizer.    This week she is feeling better, eating carefully, on a BRAT diet.  She is taking the Zofran as needed.  She is still feeling blah, but not as bad as she has been.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sneezing, Vomiting
Clinical narrative: She got her vaccine, it was fine initially, just the initial pain of getting a shot.  It was fine that evening, started getting a little more sorer, you could feel more pain when moving the arm up or down.  The next morning around 9:00 she started feeling nauseous, she felt extremely fatigued, was coughing and sneezing.  Then about 9:15 she started vomiting and that continued on for 11 hours.    She threw up last year when she took a COVID vaccine and felt it was due to taking other vaccines within a couple of days, but not as sick as she is now.    This continued from 9:15 AM until 8:30 PM.  She had some Zofran that was 3 years old that she took, and once she could stop throwing up she took that and slept for the rest of the night.  She had extreme fatigue like she had to sleep on the bathroom floor as she could not make it back and forth.  She had a severe headache, sore throat.  Her heart rate was over 100, and that's not just when she was throwing up but also while resting.  She has an apple watch and it kept alarming her that her heart rate was high.  She had body aches, joint pains.  Then the next morning she felt a little bit better as she was not throwing up, but still had the nausea, extreme fatigue, coughing, sneezing, headache, heart rate still over 100. She still continued feeling better, but the nausea continued into the next week.  She threw up again this past Friday, but it was just once that day.  Her doctor did not give her any instructions, and that for the nausea they could not tell her what to do and to call the pharmacy and follow those instructions. She did contact her doctor and she suggested that she report to us and Pfizer.    This week she is feeling better, eating carefully, on a BRAT diet.  She is taking the Zofran as needed.  She is still feeling blah, but not as bad as she has been.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Cough, Fatigue, Headache, Heart rate
Clinical narrative: She got her vaccine, it was fine initially, just the initial pain of getting a shot.  It was fine that evening, started getting a little more sorer, you could feel more pain when moving the arm up or down.  The next morning around 9:00 she started feeling nauseous, she felt extremely fatigued, was coughing and sneezing.  Then about 9:15 she started vomiting and that continued on for 11 hours.    She threw up last year when she took a COVID vaccine and felt it was due to taking other vaccines within a couple of days, but not as sick as she is now.    This continued from 9:15 AM until 8:30 PM.  She had some Zofran that was 3 years old that she took, and once she could stop throwing up she took that and slept for the rest of the night.  She had extreme fatigue like she had to sleep on the bathroom floor as she could not make it back and forth.  She had a severe headache, sore throat.  Her heart rate was over 100, and that's not just when she was throwing up but also while resting.  She has an apple watch and it kept alarming her that her heart rate was high.  She had body aches, joint pains.  Then the next morning she felt a little bit better as she was not throwing up, but still had the nausea, extreme fatigue, coughing, sneezing, headache, heart rate still over 100. She still continued feeling better, but the nausea continued into the next week.  She threw up again this past Friday, but it was just once that day.  Her doctor did not give her any instructions, and that for the nausea they could not tell her what to do and to call the pharmacy and follow those instructions. She did contact her doctor and she suggested that she report to us and Pfizer.    This week she is feeling better, eating carefully, on a BRAT diet.  She is taking the Zofran as needed.  She is still feeling blah, but not as bad as she has been.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Nausea, Oropharyngeal pain, Pain, Sneezing
Clinical narrative: She got her vaccine, it was fine initially, just the initial pain of getting a shot.  It was fine that evening, started getting a little more sorer, you could feel more pain when moving the arm up or down.  The next morning around 9:00 she started feeling nauseous, she felt extremely fatigued, was coughing and sneezing.  Then about 9:15 she started vomiting and that continued on for 11 hours.    She threw up last year when she took a COVID vaccine and felt it was due to taking other vaccines within a couple of days, but not as sick as she is now.    This continued from 9:15 AM until 8:30 PM.  She had some Zofran that was 3 years old that she took, and once she could stop throwing up she took that and slept for the rest of the night.  She had extreme fatigue like she had to sleep on the bathroom floor as she could not make it back and forth.  She had a severe headache, sore throat.  Her heart rate was over 100, and that's not just when she was throwing up but also while resting.  She has an apple watch and it kept alarming her that her heart rate was high.  She had body aches, joint pains.  Then the next morning she felt a little bit better as she was not throwing up, but still had the nausea, extreme fatigue, coughing, sneezing, headache, heart rate still over 100. She still continued feeling better, but the nausea continued into the next week.  She threw up again this past Friday, but it was just once that day.  Her doctor did not give her any instructions, and that for the nausea they could not tell her what to do and to call the pharmacy and follow those instructions. She did contact her doctor and she suggested that she report to us and Pfizer.    This week she is feeling better, eating carefully, on a BRAT diet.  She is taking the Zofran as needed.  She is still feeling blah, but not as bad as she has been.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting, Weight
Clinical narrative: She got her vaccine, it was fine initially, just the initial pain of getting a shot.  It was fine that evening, started getting a little more sorer, you could feel more pain when moving the arm up or down.  The next morning around 9:00 she started feeling nauseous, she felt extremely fatigued, was coughing and sneezing.  Then about 9:15 she started vomiting and that continued on for 11 hours.    She threw up last year when she took a COVID vaccine and felt it was due to taking other vaccines within a couple of days, but not as sick as she is now.    This continued from 9:15 AM until 8:30 PM.  She had some Zofran that was 3 years old that she took, and once she could stop throwing up she took that and slept for the rest of the night.  She had extreme fatigue like she had to sleep on the bathroom floor as she could not make it back and forth.  She had a severe headache, sore throat.  Her heart rate was over 100, and that's not just when she was throwing up but also while resting.  She has an apple watch and it kept alarming her that her heart rate was high.  She had body aches, joint pains.  Then the next morning she felt a little bit better as she was not throwing up, but still had the nausea, extreme fatigue, coughing, sneezing, headache, heart rate still over 100. She still continued feeling better, but the nausea continued into the next week.  She threw up again this past Friday, but it was just once that day.  Her doctor did not give her any instructions, and that for the nausea they could not tell her what to do and to call the pharmacy and follow those instructions. She did contact her doctor and she suggested that she report to us and Pfizer.    This week she is feeling better, eating carefully, on a BRAT diet.  She is taking the Zofran as needed.  She is still feeling blah, but not as bad as she has been.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: 4.5cm red round tender are at injection site
Age: 34.0
Sex: F
Vaccine: FLUX, FLUC3
Symptoms: Chest pain, Erythema, Heart rate increased, Hyperhidrosis, Migraine
Clinical narrative: Migraine, chest pain, increased heart rate, pale, diaphoretic, and pain in left arm with erythema and edema.    Employee did receive the egg free influenza vaccination.
Age: 34.0
Sex: F
Vaccine: FLUX, FLUC3
Symptoms: Oedema peripheral, Pain in extremity, Pallor
Clinical narrative: Migraine, chest pain, increased heart rate, pale, diaphoretic, and pain in left arm with erythema and edema.    Employee did receive the egg free influenza vaccination.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest discomfort, Cough, Dyspnoea, Oxygen saturation decreased
Clinical narrative: The patient has a history of chronic respiratory failure/severe steroid-dependent COPD on home oxygen. She presented to the ED on 10/10/23 with worsening shortness of breath, chest tightness, fever, and cough that has been ongoing for the past 3 weeks. Upon arrival to the ED, she desatted into the low 80's, which came back up after being placed on 5L O2. She was able to be weaned down to her baseline oxygen of 2-3 L. A COVID PCR test performed in the ED resulted positive. Ultimately, she was admitted 10/10/23 - 10/14/23 for possible pneumonia secondary to COVID-19, among other diagnoses.   Of note, the patient has received 6 doses of the COVID vaccine. She has received four doses of the Pfizer monovalent COVID vaccine (given 9/16/2021, 10/8/2021, 4/12/2022, 8/12/2022) and two doses of the Pfizer Bivalent COVID vaccine (given 10/20/2022 and 8/3/2023).
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The patient has a history of chronic respiratory failure/severe steroid-dependent COPD on home oxygen. She presented to the ED on 10/10/23 with worsening shortness of breath, chest tightness, fever, and cough that has been ongoing for the past 3 weeks. Upon arrival to the ED, she desatted into the low 80's, which came back up after being placed on 5L O2. She was able to be weaned down to her baseline oxygen of 2-3 L. A COVID PCR test performed in the ED resulted positive. Ultimately, she was admitted 10/10/23 - 10/14/23 for possible pneumonia secondary to COVID-19, among other diagnoses.   Of note, the patient has received 6 doses of the COVID vaccine. She has received four doses of the Pfizer monovalent COVID vaccine (given 9/16/2021, 10/8/2021, 4/12/2022, 8/12/2022) and two doses of the Pfizer Bivalent COVID vaccine (given 10/20/2022 and 8/3/2023).
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: asked for covid vaccine and received influeza vaccine. no symptoms at time.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphonia, Dizziness, Dysphonia, Dyspnoea, Dyspnoea exertional
Clinical narrative: 09/21/2022 loss of voice, hoarse, loss of air when speaking to the point of dizziness, unable to project. Difficult to perform duties at my place of employment with regards to speaking, being heard, etc.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fungal infection, Impaired work ability, Laryngeal stroboscopy, Laryngoplasty, Laryngoscopy
Clinical narrative: 09/21/2022 loss of voice, hoarse, loss of air when speaking to the point of dizziness, unable to project. Difficult to perform duties at my place of employment with regards to speaking, being heard, etc.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laryngoscopy abnormal, Paralysis recurrent laryngeal nerve, Surgery, Thyroplasty, Vocal cord paresis
Clinical narrative: 09/21/2022 loss of voice, hoarse, loss of air when speaking to the point of dizziness, unable to project. Difficult to perform duties at my place of employment with regards to speaking, being heard, etc.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, UNK, UNK
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse reactions from patient. Given 6 month through 11 year Moderna Spikevax vaccine .5ml 50 mcg  (full vial dose), not 12+ adult dose of .5 ml. 50 mcg. Patient was given the correct dosage of vaccine with correct mcg. Wrong vaccine vial was used.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse event- no treatment needed
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Pleural effusion, Pulmonary oedema, Respiratory syncytial virus infection
Clinical narrative: caught rsv after vaccination
Age: 87.0
Sex: F
Vaccine: FLUA4
Symptoms: Dysstasia, Fall, Fatigue, Feeling abnormal, Head injury
Clinical narrative: Patient claims she was very tired and arm ached. She said she didn't "feel right" so she went to bed early. She got up in the middle of the night (does not know what time) and tried to stand up. She fell and hit her head on the dresser on the way down. She didn't feel well the next morning and spent most of the day in bed.
Age: 87.0
Sex: F
Vaccine: FLUA4
Symptoms: Malaise, Middle insomnia, Pain in extremity
Clinical narrative: Patient claims she was very tired and arm ached. She said she didn't "feel right" so she went to bed early. She got up in the middle of the night (does not know what time) and tried to stand up. She fell and hit her head on the dresser on the way down. She didn't feel well the next morning and spent most of the day in bed.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Contusion, Molluscum contagiosum, Peripheral swelling, Skin discolouration
Clinical narrative: Mom reports that 2 weeks after receiving L arm SQ vaccination, patient developed swelling, bruising and darkening bump of the arm. Was taken to the ER and diagnosed with Molluscum Contagiosum in which the ER providers attributed to patient receiving vaccinations. Sent home to self-monitor and allow to self-treat.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The varicella vaccine was administered  at a date that was too close to the MMR administered prior.  Instead of 4 weeks between the vaccines,  it was only 2 weeks and 2 days.  No adverse reactions were disclosed by the parent, either after the vaccination, or when the issue was reported to them today.   All questions and concerns were addressed with parent, and they were informed that they would speak with their pediatrician before moving forward with revaccination.  This parent follows an alternate schedule (not the ACIP recommended schedule) for vaccinating their child, and she said that she would need to think about whether she wanted to revaccinate at this time, and follow-up with her pediatrician.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rash, Rash erythematous, Skin lesion
Clinical narrative: Mother presented to the clinic accompanied by her two children. Only one child was scheduled for immunizations. I mention this because the Mother reports that approximately one month later both of her kids developed " approximately 20 to 30  red dots to the arm pits, collar area buttocks, abdomen, back of ears & back of knee. Mother states that her children c/o lesions being "painful to the touch but did not blister" Mother reports they did not develop fever or other symptoms and the rash has resolved. Mother states she did not use any new lotions or detergents or introduce any new foods to her children. She also reports they were not exposed to potential environmental allergen. Mother feels that the vaccine could have been responsible for the reaction her children had. The mother did not take her children in to see their PCP for evaluation of rash. The child had recieved both of these vaccines in the past without any adverse reactions. The mother is highly anxious about immunizations. The mother did show me a picture of the rash. The rash looked like flat red spots.
Age: 55.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site erythema, Injection site warmth, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: Pt. presents to clinic on 11/13/2023 with c/o left arm being sore. She reports having both COVID and influenza vaccines administered on 10/22/2023. She states the pain in her left arm started at that time and did not go away. She reports some redness and warm to touch at the time of injection, but it did not persist.  Soreness has gotten persistently worse and she now needs assistance getting dressed. She was prescribed warm compresses, acetaminophen and ibuprofen PRN, Prednisone 20 mg , 2 per day x 5 days. Physical therapy was also prescribed at this time.
Age: 19.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Product administered to patient of inappropriate age, Vaccination error
Clinical narrative: No allergic reaction. This was an vaccine error due to age range cut off.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Deafness unilateral, Malaise, Pyrexia
Clinical narrative: Profound hearing loss in right ear.  High fever and general malaise
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Altered state of consciousness, Aphasia, Asthenia, Mental status changes
Clinical narrative: T 103.0, Altered level of consciousness, General weakness, Nursing observations; Resident noted with altered mental status. Resident was unable to verbally respond to commands.  MD notified ordered given to be transferred to hospital for future evaluation.
Age: 6.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: the parent put 7 years old on the VIS form. Patient is fine
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Laboratory test, Pain, Sleep disorder
Clinical narrative: Next morning extreme pain all body extreme fatigue. Symptoms match Lyme Disease. Currently being evaluated for that condition. Every pain and symptom is the same as Lyme, but magnified MANY times. As of today, symptoms worse not better. Taken in conjunction with flu shot. NEVER EVER AGAIN. NOT SAFE.  Same arm.  No treatment except Tylenol 3, 1000mg dose of Tylenol, 800 mg of Ibuprofen. not much help. Great pain during sleep (or not sleep). Ambien now ineffective.
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: Pt. had a sore shoulder for 2 weeks, but after using a heating pad the shoulder pain resolved.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: fever, fatigue, headaches, and myalgia to MD, requested report be made.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Musculoskeletal stiffness
Clinical narrative: Flu vaccine given in upper left arm made arm stiff and hard to lift past the shoulder.  I still can?t lift my arm past my shoulder and it?s been approximately 6 weeks.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Pain, Pyrexia, Vomiting
Clinical narrative: fever, body aches, headache, and vomiting began 11/15/23, day after vaccine with no symptoms before vaccine.  I, her mother and a family nurse practitioner had similar symptoms but not the vomiting after my own Moderna booster
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient did not have an adverse reaction. At the time of the office visit 10/30/23 patient was offered a COVID vaccine. Patient agreed to vaccine. Patient was accompanied by her daughter who did not realize that patients other daughter already took her to pharmacy to have the vaccine on 10/20/23.