chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, High density lipoprotein decreased, Hyperglycaemia, Hyperkalaemia, Hypernatraemia
Clinical narrative: Patient is a 79 y.o. male patient of MD with history of CLL, Colon cancer, C-dif, GERD, HLD  presented to Hospital with shortness of breath .   Acute hypoxic respiratory failure  Suspecting secondary to COVID-19 viral pneumonia  CXR shows faint patchy opacities in left mid to lower lung zone which may correspond to some subtle atelectasis or pneumonitis.  Started on Rocephin and Azithromycin for possible pneumonia however symptoms more consistent with viral etiology than bacterial especially given negative pro-cal. Urinary Ags and sputum culture negative D-dimer elevated. CTPA negative for PE but did show pulmonary HTN, patchy ground-glass infiltrates bilaterally with tiny bilateral pleural effusions.  Wean O2 requirements able Home O2 eval done today- qualified for 2L Management of COVID-19 listed below   Covid-19 viral pneumonia Date of onset of symptoms: 12/12/22 Symptoms present on admission: productive cough, chills, altered mental status Date of covid positive test: 12/12/22 - at home, repeat test positive Vaccination status: vaccinated Imaging: 7 faint patchy opacities in the left mid to lower lobes with some subtle atelectasis or pneumonitis Oxygen requirements on admission: 3L NC -> 4L Current oxygen requirements: 2L NC Medical therapy: Steroids x10 days. Out of time frame for Remdesivir Consultants following: None at this time Anticipated special isolation end date: TBD  Albuterol, steroids x5 days, and Tessalon Perles at discharge   Acute encephalopathy Suspecting secondary to hypoxia, underlying infection, and possible CVA TSH, B12, Folate all wnl Attempt to regulate sleep/wake cycle Resolved   Abnormal CT CT head shows low density areas in basal ganglia compatible with lacunar infarcts and/or dilated perivascular space. Low attenuation in left external capsule/subcortical insular white matter compatible with age indeterminate ischemic changes MRI brain showed chronic microvascular angiopathic changes Neuro consulted. Recommended starting ASA Neuro checks Q4H PT/OT/ST- HHC at discharge  History of CLL Patient is on Calquence BID which is non-formulary Continue Valcyclovir therapy Oncology consulted. Continue to hold Calquence/Acalabrutinib while admitted. Immunoglobulin levels shows decreased IgM of 33. Discussed with Dr. on day of discharge- does not need IVIG. Follow up with outpatient Oncologist when to resume Calquence/Acalabrutinib.   Hyperkalemia K 5.9 Hyperglycemia protocol with Ca-gluconate, Albuterol, and Lokelma Monitor   Hypernatremia Na 147 Resolved   DM, new onset Glucose also elevated due to steroids HbA1c 6.8 Recommend lifestyle changes Defer to PCP for further management   Hx of HLD Cholesterol panel: Cholesterol 194, TG 260, HDL 26, LDL 116 Recommend lifestyle changes Follow up with PCP for consideration for statin   Microcytic anemia Hb 12 with MV 96.5 No signs of bleeding Iron studies + ferritin pending- defer to PCP for follow up   Severe malnutrition POA Nutrition consulted   GERD  Continue Maalox PRN
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Lacunar infarction, Low density lipoprotein normal, Lung infiltration, Lung opacity, Magnetic resonance imaging head abnormal
Clinical narrative: Patient is a 79 y.o. male patient of MD with history of CLL, Colon cancer, C-dif, GERD, HLD  presented to Hospital with shortness of breath .   Acute hypoxic respiratory failure  Suspecting secondary to COVID-19 viral pneumonia  CXR shows faint patchy opacities in left mid to lower lung zone which may correspond to some subtle atelectasis or pneumonitis.  Started on Rocephin and Azithromycin for possible pneumonia however symptoms more consistent with viral etiology than bacterial especially given negative pro-cal. Urinary Ags and sputum culture negative D-dimer elevated. CTPA negative for PE but did show pulmonary HTN, patchy ground-glass infiltrates bilaterally with tiny bilateral pleural effusions.  Wean O2 requirements able Home O2 eval done today- qualified for 2L Management of COVID-19 listed below   Covid-19 viral pneumonia Date of onset of symptoms: 12/12/22 Symptoms present on admission: productive cough, chills, altered mental status Date of covid positive test: 12/12/22 - at home, repeat test positive Vaccination status: vaccinated Imaging: 7 faint patchy opacities in the left mid to lower lobes with some subtle atelectasis or pneumonitis Oxygen requirements on admission: 3L NC -> 4L Current oxygen requirements: 2L NC Medical therapy: Steroids x10 days. Out of time frame for Remdesivir Consultants following: None at this time Anticipated special isolation end date: TBD  Albuterol, steroids x5 days, and Tessalon Perles at discharge   Acute encephalopathy Suspecting secondary to hypoxia, underlying infection, and possible CVA TSH, B12, Folate all wnl Attempt to regulate sleep/wake cycle Resolved   Abnormal CT CT head shows low density areas in basal ganglia compatible with lacunar infarcts and/or dilated perivascular space. Low attenuation in left external capsule/subcortical insular white matter compatible with age indeterminate ischemic changes MRI brain showed chronic microvascular angiopathic changes Neuro consulted. Recommended starting ASA Neuro checks Q4H PT/OT/ST- HHC at discharge  History of CLL Patient is on Calquence BID which is non-formulary Continue Valcyclovir therapy Oncology consulted. Continue to hold Calquence/Acalabrutinib while admitted. Immunoglobulin levels shows decreased IgM of 33. Discussed with Dr. on day of discharge- does not need IVIG. Follow up with outpatient Oncologist when to resume Calquence/Acalabrutinib.   Hyperkalemia K 5.9 Hyperglycemia protocol with Ca-gluconate, Albuterol, and Lokelma Monitor   Hypernatremia Na 147 Resolved   DM, new onset Glucose also elevated due to steroids HbA1c 6.8 Recommend lifestyle changes Defer to PCP for further management   Hx of HLD Cholesterol panel: Cholesterol 194, TG 260, HDL 26, LDL 116 Recommend lifestyle changes Follow up with PCP for consideration for statin   Microcytic anemia Hb 12 with MV 96.5 No signs of bleeding Iron studies + ferritin pending- defer to PCP for follow up   Severe malnutrition POA Nutrition consulted   GERD  Continue Maalox PRN
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Malnutrition, Mean cell volume increased, Mental status changes, Microcytic anaemia, Pleural effusion
Clinical narrative: Patient is a 79 y.o. male patient of MD with history of CLL, Colon cancer, C-dif, GERD, HLD  presented to Hospital with shortness of breath .   Acute hypoxic respiratory failure  Suspecting secondary to COVID-19 viral pneumonia  CXR shows faint patchy opacities in left mid to lower lung zone which may correspond to some subtle atelectasis or pneumonitis.  Started on Rocephin and Azithromycin for possible pneumonia however symptoms more consistent with viral etiology than bacterial especially given negative pro-cal. Urinary Ags and sputum culture negative D-dimer elevated. CTPA negative for PE but did show pulmonary HTN, patchy ground-glass infiltrates bilaterally with tiny bilateral pleural effusions.  Wean O2 requirements able Home O2 eval done today- qualified for 2L Management of COVID-19 listed below   Covid-19 viral pneumonia Date of onset of symptoms: 12/12/22 Symptoms present on admission: productive cough, chills, altered mental status Date of covid positive test: 12/12/22 - at home, repeat test positive Vaccination status: vaccinated Imaging: 7 faint patchy opacities in the left mid to lower lobes with some subtle atelectasis or pneumonitis Oxygen requirements on admission: 3L NC -> 4L Current oxygen requirements: 2L NC Medical therapy: Steroids x10 days. Out of time frame for Remdesivir Consultants following: None at this time Anticipated special isolation end date: TBD  Albuterol, steroids x5 days, and Tessalon Perles at discharge   Acute encephalopathy Suspecting secondary to hypoxia, underlying infection, and possible CVA TSH, B12, Folate all wnl Attempt to regulate sleep/wake cycle Resolved   Abnormal CT CT head shows low density areas in basal ganglia compatible with lacunar infarcts and/or dilated perivascular space. Low attenuation in left external capsule/subcortical insular white matter compatible with age indeterminate ischemic changes MRI brain showed chronic microvascular angiopathic changes Neuro consulted. Recommended starting ASA Neuro checks Q4H PT/OT/ST- HHC at discharge  History of CLL Patient is on Calquence BID which is non-formulary Continue Valcyclovir therapy Oncology consulted. Continue to hold Calquence/Acalabrutinib while admitted. Immunoglobulin levels shows decreased IgM of 33. Discussed with Dr. on day of discharge- does not need IVIG. Follow up with outpatient Oncologist when to resume Calquence/Acalabrutinib.   Hyperkalemia K 5.9 Hyperglycemia protocol with Ca-gluconate, Albuterol, and Lokelma Monitor   Hypernatremia Na 147 Resolved   DM, new onset Glucose also elevated due to steroids HbA1c 6.8 Recommend lifestyle changes Defer to PCP for further management   Hx of HLD Cholesterol panel: Cholesterol 194, TG 260, HDL 26, LDL 116 Recommend lifestyle changes Follow up with PCP for consideration for statin   Microcytic anemia Hb 12 with MV 96.5 No signs of bleeding Iron studies + ferritin pending- defer to PCP for follow up   Severe malnutrition POA Nutrition consulted   GERD  Continue Maalox PRN
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonitis, Procalcitonin normal, Productive cough, Pulmonary hypertension, SARS-CoV-2 test positive
Clinical narrative: Patient is a 79 y.o. male patient of MD with history of CLL, Colon cancer, C-dif, GERD, HLD  presented to Hospital with shortness of breath .   Acute hypoxic respiratory failure  Suspecting secondary to COVID-19 viral pneumonia  CXR shows faint patchy opacities in left mid to lower lung zone which may correspond to some subtle atelectasis or pneumonitis.  Started on Rocephin and Azithromycin for possible pneumonia however symptoms more consistent with viral etiology than bacterial especially given negative pro-cal. Urinary Ags and sputum culture negative D-dimer elevated. CTPA negative for PE but did show pulmonary HTN, patchy ground-glass infiltrates bilaterally with tiny bilateral pleural effusions.  Wean O2 requirements able Home O2 eval done today- qualified for 2L Management of COVID-19 listed below   Covid-19 viral pneumonia Date of onset of symptoms: 12/12/22 Symptoms present on admission: productive cough, chills, altered mental status Date of covid positive test: 12/12/22 - at home, repeat test positive Vaccination status: vaccinated Imaging: 7 faint patchy opacities in the left mid to lower lobes with some subtle atelectasis or pneumonitis Oxygen requirements on admission: 3L NC -> 4L Current oxygen requirements: 2L NC Medical therapy: Steroids x10 days. Out of time frame for Remdesivir Consultants following: None at this time Anticipated special isolation end date: TBD  Albuterol, steroids x5 days, and Tessalon Perles at discharge   Acute encephalopathy Suspecting secondary to hypoxia, underlying infection, and possible CVA TSH, B12, Folate all wnl Attempt to regulate sleep/wake cycle Resolved   Abnormal CT CT head shows low density areas in basal ganglia compatible with lacunar infarcts and/or dilated perivascular space. Low attenuation in left external capsule/subcortical insular white matter compatible with age indeterminate ischemic changes MRI brain showed chronic microvascular angiopathic changes Neuro consulted. Recommended starting ASA Neuro checks Q4H PT/OT/ST- HHC at discharge  History of CLL Patient is on Calquence BID which is non-formulary Continue Valcyclovir therapy Oncology consulted. Continue to hold Calquence/Acalabrutinib while admitted. Immunoglobulin levels shows decreased IgM of 33. Discussed with Dr. on day of discharge- does not need IVIG. Follow up with outpatient Oncologist when to resume Calquence/Acalabrutinib.   Hyperkalemia K 5.9 Hyperglycemia protocol with Ca-gluconate, Albuterol, and Lokelma Monitor   Hypernatremia Na 147 Resolved   DM, new onset Glucose also elevated due to steroids HbA1c 6.8 Recommend lifestyle changes Defer to PCP for further management   Hx of HLD Cholesterol panel: Cholesterol 194, TG 260, HDL 26, LDL 116 Recommend lifestyle changes Follow up with PCP for consideration for statin   Microcytic anemia Hb 12 with MV 96.5 No signs of bleeding Iron studies + ferritin pending- defer to PCP for follow up   Severe malnutrition POA Nutrition consulted   GERD  Continue Maalox PRN
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum culture, Urine analysis normal, Vitamin B12 normal
Clinical narrative: Patient is a 79 y.o. male patient of MD with history of CLL, Colon cancer, C-dif, GERD, HLD  presented to Hospital with shortness of breath .   Acute hypoxic respiratory failure  Suspecting secondary to COVID-19 viral pneumonia  CXR shows faint patchy opacities in left mid to lower lung zone which may correspond to some subtle atelectasis or pneumonitis.  Started on Rocephin and Azithromycin for possible pneumonia however symptoms more consistent with viral etiology than bacterial especially given negative pro-cal. Urinary Ags and sputum culture negative D-dimer elevated. CTPA negative for PE but did show pulmonary HTN, patchy ground-glass infiltrates bilaterally with tiny bilateral pleural effusions.  Wean O2 requirements able Home O2 eval done today- qualified for 2L Management of COVID-19 listed below   Covid-19 viral pneumonia Date of onset of symptoms: 12/12/22 Symptoms present on admission: productive cough, chills, altered mental status Date of covid positive test: 12/12/22 - at home, repeat test positive Vaccination status: vaccinated Imaging: 7 faint patchy opacities in the left mid to lower lobes with some subtle atelectasis or pneumonitis Oxygen requirements on admission: 3L NC -> 4L Current oxygen requirements: 2L NC Medical therapy: Steroids x10 days. Out of time frame for Remdesivir Consultants following: None at this time Anticipated special isolation end date: TBD  Albuterol, steroids x5 days, and Tessalon Perles at discharge   Acute encephalopathy Suspecting secondary to hypoxia, underlying infection, and possible CVA TSH, B12, Folate all wnl Attempt to regulate sleep/wake cycle Resolved   Abnormal CT CT head shows low density areas in basal ganglia compatible with lacunar infarcts and/or dilated perivascular space. Low attenuation in left external capsule/subcortical insular white matter compatible with age indeterminate ischemic changes MRI brain showed chronic microvascular angiopathic changes Neuro consulted. Recommended starting ASA Neuro checks Q4H PT/OT/ST- HHC at discharge  History of CLL Patient is on Calquence BID which is non-formulary Continue Valcyclovir therapy Oncology consulted. Continue to hold Calquence/Acalabrutinib while admitted. Immunoglobulin levels shows decreased IgM of 33. Discussed with Dr. on day of discharge- does not need IVIG. Follow up with outpatient Oncologist when to resume Calquence/Acalabrutinib.   Hyperkalemia K 5.9 Hyperglycemia protocol with Ca-gluconate, Albuterol, and Lokelma Monitor   Hypernatremia Na 147 Resolved   DM, new onset Glucose also elevated due to steroids HbA1c 6.8 Recommend lifestyle changes Defer to PCP for further management   Hx of HLD Cholesterol panel: Cholesterol 194, TG 260, HDL 26, LDL 116 Recommend lifestyle changes Follow up with PCP for consideration for statin   Microcytic anemia Hb 12 with MV 96.5 No signs of bleeding Iron studies + ferritin pending- defer to PCP for follow up   Severe malnutrition POA Nutrition consulted   GERD  Continue Maalox PRN
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Moderna Bivalent Booster 0.25mcg was given, patient was to receive 0.5mcg. Wrong dose given.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test normal, Chest X-ray normal, Electrocardiogram normal, Hypertension, Laboratory test normal
Clinical narrative: I had my vaccination on 10/18/2022. On 12/24/2022 I woke up at night and I had significant heart pounding. It was not racing but very hard beating. I did breathe exercises to calm down. This happened again on 01/11/2023 and I went to the emergency room. I was run through labs tests cardiac related and all were negative. I was prescribed medication for hypertension. I had a follow up on 01/18/2023. I do have upcoming medical appointments for EKG and a stress test. I will be seeing my doctor every 4 weeks to make sure there isn't anything significant going on to include ongoing stress tests.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Liver function test normal, Middle insomnia, Palpitations, Renal function test normal
Clinical narrative: I had my vaccination on 10/18/2022. On 12/24/2022 I woke up at night and I had significant heart pounding. It was not racing but very hard beating. I did breathe exercises to calm down. This happened again on 01/11/2023 and I went to the emergency room. I was run through labs tests cardiac related and all were negative. I was prescribed medication for hypertension. I had a follow up on 01/18/2023. I do have upcoming medical appointments for EKG and a stress test. I will be seeing my doctor every 4 weeks to make sure there isn't anything significant going on to include ongoing stress tests.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given only half dose of Moderna Bivalent Booster. Patient was given wrong dose of Booster.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dyspnoea, Eye pruritus, Rhinorrhoea
Clinical narrative: I contracted COVID-19 a couple of days after receiving my vaccine; I took an at-home COVID-19 on 01/11/2023 which came back negative. I knew something was wrong, so I took another test on 01/14/2023 which rightfully came back positive. I had coughing, sneezing, itchy eyes, scratchy throat, runny nose, and difficulty breathing from coughing. I contacted my doctor who prescribed me anti-viral LAGEVRIO to help with my symptoms. As of now, I'm improving everyday getting better with a cough still at times.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sneezing, Throat irritation
Clinical narrative: I contracted COVID-19 a couple of days after receiving my vaccine; I took an at-home COVID-19 on 01/11/2023 which came back negative. I knew something was wrong, so I took another test on 01/14/2023 which rightfully came back positive. I had coughing, sneezing, itchy eyes, scratchy throat, runny nose, and difficulty breathing from coughing. I contacted my doctor who prescribed me anti-viral LAGEVRIO to help with my symptoms. As of now, I'm improving everyday getting better with a cough still at times.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received the wrong vaccine.  First 2 doses of the primary series was Moderna.  3rd dose received was Pfizer bivalent.  No treatment needed.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Given Pfizer bivalent 0.3 ml adult booster dose Intended dose, Pfizer Bivalent 0.2 ml booster dose
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Pt. was hear for husband's appt. Dr. came out to the nurses' station and provided orders for husband and requested that patient be added on for a nurse visit to get her bivalent booster with husband. RN requested that front desk add patient on. Chart labels were printed. RN obtained VIS, covid 19 screening questionnaire, and the vaccine.  RN presented to exam room and performed vaccine screening questionnaire.  Neither the husband nor the patient brought their vaccine cards in for this visit.  Both patients indicated that they received their primary series as well as a booster but that it had been greater than 2 months ago.  RN precharted NDC and Lot number on husband's vaccine and then administered the vaccine and finishing documenting it.  Husband, who utilizes a walker, needed to use the restroom so he was assisted to the bathroom and when RN returned, pt. had her arm out of   her shirt sleeve, ready for her immunization.  Pt. was inquiring about whether or not the anticipated snowstorm had started.  Sh was hoping to hurry up and get home before it started.  RN administered the vaccine without precharting.  Both husband and patient were observed for 15 minutes post administration without any adverse effects.  When RN went to chart patient's immunization, RN noticed patient had received the bivalent booster in 10/22.  Dr. notified immediately.  She was unaware that patient had received the bivalent booster as was RN.  Director of Primary Care Clinics was notified during the noon hour.  Incident report completed.  Contacted Pharmacy Director to notify him of the incident.  Submitting VAERs report per his request.  RN aware that MD and RN should have reviewed immunization record prior to administration. RN and provider will use this as a learning opportunity.  Spoke to patient.  She does not recall receiving her covid bivalent booster in 10/22.  Pt. will monitor for adverse events and will notify our office immediately should concerns arise.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Amenorrhoea, Menstrual disorder
Clinical narrative: Reported amenorrhea since booster.  She also had menstrual changes after her last booster.  Her periods did return to normal within a short time after her first booster
Age: 71.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Atrial fibrillation, Blood test, Cerebral thrombosis, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: Major Stroke, AFIB, clot in right side of brain, left side of body paralyzed.  Clot removed mechanically.  10 days in hospital.  3 weeks at Rehabilitation.  Ongoing PT and OT.
Age: 71.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Hemiplegia, Laboratory test, Thrombectomy
Clinical narrative: Major Stroke, AFIB, clot in right side of brain, left side of body paralyzed.  Clot removed mechanically.  10 days in hospital.  3 weeks at Rehabilitation.  Ongoing PT and OT.
Age: 22.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Dizziness, Fall, Seizure, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Weakness-Mild, Additional Details: Patient was given both Flu and Covid vaccines, was still sitting in chair and fainted. Patient fell sideways out of chair onto the floor but the screen behind him broke his fall. Patient shook for a few moments showing sign of convulsion. 911 was called. Paramedics came, patient became responsive again, and then had a second seizure much more severe than the first this time. Patient again became responsive and paramedics took him. Mom stated that he has a history of fainting, but not of seizures
Age: 22.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Weakness-Mild, Additional Details: Patient was given both Flu and Covid vaccines, was still sitting in chair and fainted. Patient fell sideways out of chair onto the floor but the screen behind him broke his fall. Patient shook for a few moments showing sign of convulsion. 911 was called. Paramedics came, patient became responsive again, and then had a second seizure much more severe than the first this time. Patient again became responsive and paramedics took him. Mom stated that he has a history of fainting, but not of seizures
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: 01/05/2023 Provider Dr. ordered Pfizer Covid 5-11year initial series 1st dose. Nurse pulled Pfizer 5-11 year Bivalent Booster dose and gave vaccine in error. No adverse reactions. Monitored patient for 20 minutes and not reactions. Medical Director spoke with parents regarding next steps.   See below documentation on phone encounter with Medical Director and patient's mom.    "If a bivalent Pfizer-BioNTech vaccine is administered in error for a primary series dose: Do not repeat the dose. The primary and booster dosages are the same; the bivalent dose can be counted as a primary series dose. Continue with the recommended vaccination schedule (i.e., complete the primary series with a monovalent Pfizer-BioNTech vaccine, then administer a bivalent booster dose at least 2 months after completion of the primary series).  If a bivalent Moderna vaccine is administered for a primary dose: Repeat the dose immediately (no minimum interval) with a monovalent Moderna vaccine because administration of the bivalent Moderna vaccine will result in a lower-than-authorized primary series dosage. Some experts suggest delaying the repeat dose for 8 weeks after the invalid dose. After the dose has been repeated, continue with the recommended vaccination schedule (i.e., complete the primary series with a monovalent Moderna vaccine, then administer a bivalent booster dose at least 2 months after completion of the primary series).  Both situations are considered vaccine administration errors and should be reported to Vaccine Adverse Event Reporting System (VAERS).
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLU4, UNK
Symptoms: Atrial fibrillation, Blood test normal, Condition aggravated
Clinical narrative: On the 14th of January, I had an afib attack. I have prescriptions for this and took one of each. I have had this in the past but have not had many episodes of it. I saw my doctor and I was told to take my blood pressure medication. I have not had another incident since. The issue seems to have resolved as of 01/17/2023.
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Bronchitis, Cough, Ear pain, Headache, Influenza virus test negative
Clinical narrative: Symptoms started probably a week before I was really sick.  It was the 30th of November. I started with cough, headache, earache and slight fever 99 to 100. There was congestion and that stuff. I tested myself ion the 2nd and the 4th and they were both negative. I contacted my doctor, and I was diagnosed with acute Bronchitis and was given four prescriptions. I know for sure on was a Z-pack. I started that on the 8th. I still have a bit of a cough, but I feel okay now. I go back in a couple weeks. The coughing did make me gag a bit.
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Malaise, Respiratory tract congestion, Retching
Clinical narrative: Symptoms started probably a week before I was really sick.  It was the 30th of November. I started with cough, headache, earache and slight fever 99 to 100. There was congestion and that stuff. I tested myself ion the 2nd and the 4th and they were both negative. I contacted my doctor, and I was diagnosed with acute Bronchitis and was given four prescriptions. I know for sure on was a Z-pack. I started that on the 8th. I still have a bit of a cough, but I feel okay now. I go back in a couple weeks. The coughing did make me gag a bit.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given 1 dose as the bivalent not the primary series. Patient was stable and was not showing any adverse effects. Patient was informed of what vaccine was given and that the patient still needs to complete the primary series.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given half dose of Moderna Bivalent Booster. Wrong dose given.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse reaction happened. CDC asked to document error using VAERS form
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given half dose of Moderna Bivalent Booster. Wrong dose was given.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chest pain, Feeling abnormal, Headache, Oropharyngeal pain
Clinical narrative: On 01/14/2023 I traveled out of state. On 01/15/2023 I started having chest pains that lasted the entire day. On 01/16/2023 I had a horrible sore throat in the morning and again at 3:00PM along with achiness I went to bed and woke up with a very bad headache. 3PM and turned into a achiness. on Monday shortly thereafter I got body aches went to bed and woke up with a bad headache. I'm still feeling pretty awful.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: On 01/14/2023 I traveled out of state. On 01/15/2023 I started having chest pains that lasted the entire day. On 01/16/2023 I had a horrible sore throat in the morning and again at 3:00PM along with achiness I went to bed and woke up with a very bad headache. 3PM and turned into a achiness. on Monday shortly thereafter I got body aches went to bed and woke up with a bad headache. I'm still feeling pretty awful.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis
Clinical narrative: Arthritis on left hand in one finger; finger always bent
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 1/17/2023.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammatory marker test, Polymyalgia rheumatica
Clinical narrative: Symptoms of polymyalgia rheumatic with exception of normal inflammatory markers, however symptoms have been responsive to treatment for PMR
Age: 2.0
Sex: M
Vaccine: HEP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given a dose of Hepatitis B, when he needed his second dose of Hepatitis A. No symptoms or danger to patient.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient received  Moderna Bivalent booster vaccine on 09/16/2022 (lot # AS7147B). Patient inadvertently received another Moderna Bivalent booster dose (Lot #023H22A).
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse reaction. We were notified by the CDC to document vaccine error by completing a VAERS form.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Hearing aid user, Influenza like illness, Tinnitus
Clinical narrative: Flu like symptoms that lasted three days followed by ringing in the ears that has cause need for hearing aids.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Month after vaccine got serious itchy with rashes. Still occurring but less severe.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Echocardiogram, Ischaemic stroke, Magnetic resonance imaging
Clinical narrative: ischemic stroke
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Back pain, COVID-19, Cough, Dyspnoea, Headache
Clinical narrative: Saturday, I had a runny nose, I thought it was allergies. I took a test at work it was negative. During the night I had night sweats, body ache and extreme back pain. I took a at home test it was positive. I called my doctor and was prescribed PAXLOVID and coughing pearls. The cough got worse and the congestion. I started getting short of breath and a headache. The back pain did not go away in my lower back. The cough is still going on and I am short of breath a lot of the time.
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Night sweats, Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Saturday, I had a runny nose, I thought it was allergies. I took a test at work it was negative. During the night I had night sweats, body ache and extreme back pain. I took a at home test it was positive. I called my doctor and was prescribed PAXLOVID and coughing pearls. The cough got worse and the congestion. I started getting short of breath and a headache. The back pain did not go away in my lower back. The cough is still going on and I am short of breath a lot of the time.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Crying, Electroencephalogram abnormal, Erythema, Eye movement disorder, Fatigue
Clinical narrative: 1/6/23 ? 11:30am immunizations. 4:30p pickup from daycare, eyes watery & red, nose runny, seems tired and sick. 1/7/23 ? fussy,  sick (runny nose, sneezing, watery eyes, no fever).  won't take a day nap but trying to get him to sleep around 2-3pm and notice first spasm. slept at night okay. 1/8/23 - still fussy, sick-ish, but no fever. still won't nap during day. finally at 10p get him to sleep for the night. 10:40p awakes with a spasm ? eyes alert, arms/legs stretched outward and stiff, crunches towards the stomach. after body relaxes cries hard for 15 minutes and then sleeps the night through okay. 1/9/23 ?  sent to daycare, picked up around 4:30p,  his right cheek is bright red (daycare says due to nap) but stays red for hours that night but observe no spasms 1/10/23 ? sent to daycare, picked up around 4:30p ? he is asleep as they hand them to me and as i get him into his snowsuit he has multiple spasms in a row ? cluster of about 6 then a minute off and another cluster. daycare said they had noticed these spasms too and thought it was colic. video tapped this called pediatrician head to Hospital ER.  after two failed attemepts at inserting an IV he is upset and has a cluster of intense body spasms (arms/legs fling out, stiffen and crunch towards stomach; eyes roll up in head but focused and alert the whole time) that last about 2-3 minutes while ER dr is in the room. EEG conducted overnight at hospital.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Infant irritability, Infantile spasms, Insomnia, Lacrimation increased, Magnetic resonance imaging normal
Clinical narrative: 1/6/23 ? 11:30am immunizations. 4:30p pickup from daycare, eyes watery & red, nose runny, seems tired and sick. 1/7/23 ? fussy,  sick (runny nose, sneezing, watery eyes, no fever).  won't take a day nap but trying to get him to sleep around 2-3pm and notice first spasm. slept at night okay. 1/8/23 - still fussy, sick-ish, but no fever. still won't nap during day. finally at 10p get him to sleep for the night. 10:40p awakes with a spasm ? eyes alert, arms/legs stretched outward and stiff, crunches towards the stomach. after body relaxes cries hard for 15 minutes and then sleeps the night through okay. 1/9/23 ?  sent to daycare, picked up around 4:30p,  his right cheek is bright red (daycare says due to nap) but stays red for hours that night but observe no spasms 1/10/23 ? sent to daycare, picked up around 4:30p ? he is asleep as they hand them to me and as i get him into his snowsuit he has multiple spasms in a row ? cluster of about 6 then a minute off and another cluster. daycare said they had noticed these spasms too and thought it was colic. video tapped this called pediatrician head to Hospital ER.  after two failed attemepts at inserting an IV he is upset and has a cluster of intense body spasms (arms/legs fling out, stiffen and crunch towards stomach; eyes roll up in head but focused and alert the whole time) that last about 2-3 minutes while ER dr is in the room. EEG conducted overnight at hospital.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Malaise, Middle insomnia, Muscle spasms, Musculoskeletal stiffness, Ocular hyperaemia
Clinical narrative: 1/6/23 ? 11:30am immunizations. 4:30p pickup from daycare, eyes watery & red, nose runny, seems tired and sick. 1/7/23 ? fussy,  sick (runny nose, sneezing, watery eyes, no fever).  won't take a day nap but trying to get him to sleep around 2-3pm and notice first spasm. slept at night okay. 1/8/23 - still fussy, sick-ish, but no fever. still won't nap during day. finally at 10p get him to sleep for the night. 10:40p awakes with a spasm ? eyes alert, arms/legs stretched outward and stiff, crunches towards the stomach. after body relaxes cries hard for 15 minutes and then sleeps the night through okay. 1/9/23 ?  sent to daycare, picked up around 4:30p,  his right cheek is bright red (daycare says due to nap) but stays red for hours that night but observe no spasms 1/10/23 ? sent to daycare, picked up around 4:30p ? he is asleep as they hand them to me and as i get him into his snowsuit he has multiple spasms in a row ? cluster of about 6 then a minute off and another cluster. daycare said they had noticed these spasms too and thought it was colic. video tapped this called pediatrician head to Hospital ER.  after two failed attemepts at inserting an IV he is upset and has a cluster of intense body spasms (arms/legs fling out, stiffen and crunch towards stomach; eyes roll up in head but focused and alert the whole time) that last about 2-3 minutes while ER dr is in the room. EEG conducted overnight at hospital.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Rhinorrhoea, Sneezing, Vomiting projectile
Clinical narrative: 1/6/23 ? 11:30am immunizations. 4:30p pickup from daycare, eyes watery & red, nose runny, seems tired and sick. 1/7/23 ? fussy,  sick (runny nose, sneezing, watery eyes, no fever).  won't take a day nap but trying to get him to sleep around 2-3pm and notice first spasm. slept at night okay. 1/8/23 - still fussy, sick-ish, but no fever. still won't nap during day. finally at 10p get him to sleep for the night. 10:40p awakes with a spasm ? eyes alert, arms/legs stretched outward and stiff, crunches towards the stomach. after body relaxes cries hard for 15 minutes and then sleeps the night through okay. 1/9/23 ?  sent to daycare, picked up around 4:30p,  his right cheek is bright red (daycare says due to nap) but stays red for hours that night but observe no spasms 1/10/23 ? sent to daycare, picked up around 4:30p ? he is asleep as they hand them to me and as i get him into his snowsuit he has multiple spasms in a row ? cluster of about 6 then a minute off and another cluster. daycare said they had noticed these spasms too and thought it was colic. video tapped this called pediatrician head to Hospital ER.  after two failed attemepts at inserting an IV he is upset and has a cluster of intense body spasms (arms/legs fling out, stiffen and crunch towards stomach; eyes roll up in head but focused and alert the whole time) that last about 2-3 minutes while ER dr is in the room. EEG conducted overnight at hospital.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Psoriasis, SARS-CoV-2 test negative
Clinical narrative: My adverse event started on 12/2022 I probably think in the morning but not sure about the time exactly. I noticed Psoriasis on fingers and now it's on my upper lip. I went to a Dermatologist last week on 01/11/2023. They are trying to see if my insurance covers the medication. They haven't prescribed me any medications yet. I have three insurances they are trying to figure out who can cover the medications. As of now I am just using over the counter medications which is not helping. I have a follow up coming on 04/11/2023 to discuss about the medications options from my insurances.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: Sore right arm
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Computerised tomogram, Electrocardiogram, Electroencephalogram, Laboratory test
Clinical narrative: NORSE. FOCAL SEIZURES (UP TO 300 PER DAY)
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Partial seizures, Urine analysis
Clinical narrative: NORSE. FOCAL SEIZURES (UP TO 300 PER DAY)
Age: 30.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent COVID vaccine administered in primary series, rather than monovalent dose.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Malaise, Oropharyngeal pain, Pain
Clinical narrative: I had fatigue for about 24 hours after receiving the vaccine. I started not feeling well on 01/09/2023 with a sore throat, body aches, lots of serious congestion and no fever. I really thought I just had a bad cold. I went to a clinic to be tested and I tested positive for COVID-19 on 01/13/2023. They recommended guaifenesin to help with the congestion. I tolerated the medication well. I still have some congestion and I stay fatigued.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had fatigue for about 24 hours after receiving the vaccine. I started not feeling well on 01/09/2023 with a sore throat, body aches, lots of serious congestion and no fever. I really thought I just had a bad cold. I went to a clinic to be tested and I tested positive for COVID-19 on 01/13/2023. They recommended guaifenesin to help with the congestion. I tolerated the medication well. I still have some congestion and I stay fatigued.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer bivalent booster dose given as first dose of primary series, rather than monovalent dose.
Age: 31.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: S/p +23 hrs vaccination, patient presented to allergy clinic for routine administration of allergy shots (environmental allergens only). Within appx 90 sec of injections (2 left arm + 1 right arm; blue top; 0.50 uL), patient developed intense SOB and tightness in clinic waiting room. Pt presented to staff to report AE: staff immediately moved pt to private room in clinic. Assessed  vitals and breathing/chest sounds. BP appx 140/88, BP appx 99, normal chest sounds. Repeated q10min x2: BP down appx 5 points each time; final HR appx 92 bpm. D/c?d to home. Throughout, pt lightheaded, dizzy, and disturbed by rapid heart beat/sensation. Symptoms continued s/o d/c except that SOB resolved: pt took #2 puffs albuterol sulfate HFA 90 mcg immediately before reporting to clinic; pt repeated #2 puffs on own volition appx 10 min s/p admission to private room in clinic. Pt monitored for appx 45 min total.
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer bivalent vaccine administered as second dose in primary series, rather than monovalent vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Caesarean section, Exposure during pregnancy, Foetal heart rate decreased, Foetal hypokinesia
Clinical narrative: Vaccinated during pregnancy, Pfizer two doses, shortly after admitted to antipartum care for low fetal movement and fetal heart rate. Stuck on side for her to breathe for over a month until forced c section at 34 weeks pregnant. Genetic testing on baby during nicu concluded Prader Willi Syndrome. mRNA vaccine altered and faulted 15th chromosome.  Life long syndrome.
Age: 1.42
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: I gave pentacel instead of just Dtap no adverse reactions
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arterial disorder, IIIrd nerve disorder
Clinical narrative: ocular nerve and artery issues that is ongoing
Age: 56.0
Sex: M
Vaccine: UNK
Symptoms: Burning sensation, Dry skin, Skin discolouration, Skin fissures, Skin haemorrhage
Clinical narrative: After the second shoot (first booster) hands became irritated, then  burning. Later they began to dry up and crack. The skin continued to get thick and grey coloured. At this point, approx. a month past first symptoms, the cracks in the affected areas began to bleed. This condition has been persistent.
Age: 56.0
Sex: M
Vaccine: UNK
Symptoms: Skin hypertrophy, Skin irritation
Clinical narrative: After the second shoot (first booster) hands became irritated, then  burning. Later they began to dry up and crack. The skin continued to get thick and grey coloured. At this point, approx. a month past first symptoms, the cracks in the affected areas began to bleed. This condition has been persistent.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Head injury, Loss of consciousness, Pregnancy test
Clinical narrative: 03/12/2022 passed out and hit head; went to see if I had concussion. Blood pressure was elevated, passed out 5 times the last year. Deemed as response to high blood pressure. No definitive answer whether it was related to booster shots.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: 03/12/2022 passed out and hit head; went to see if I had concussion. Blood pressure was elevated, passed out 5 times the last year. Deemed as response to high blood pressure. No definitive answer whether it was related to booster shots.
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: C-reactive protein increased, Chest pain, Pericarditis, Sleep disorder
Clinical narrative: Patient is a 39 y.o. male who was admitted on 1/17/2023 and diagnosed with acute pericarditis.  He had onset of symptoms on Monday 1/16/2022 with chest pain.  He initially took ibuprofen but the chest pain worsened and woke him up around midnight yesterday morning.  He therefore presented to ER yesterday.  He required several doses of NSAIDs yesterday for analgesia including IV hydromorphone, indomethacin, IV Toradol and IV morphine.     He has been started on HD NSAID and colchicine.   He reports having COVID twice once in November 2021 and likely again in May 2022. Had Moderna injections on 3/2/2021, 3/29/2021 with Moderna booster on 1/4/2022 and Pfizer bivalent on 10/25/2022.   Denies any recent fevers, chills, URI symptoms or autoimmune disorders.  He has 2 school age children.  Reports significant improvement in chest pain compared to yesterday now reportedly only 2/10.  Denies any orthopnea, PND, palpitations.  Has had no arrhythmias.  There is no biochemical evidence of myocarditis.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Headache, Malaise, Oropharyngeal pain
Clinical narrative: I had my vaccination on 10/17/2022. On 01/06/2023 I had symptoms to include congestion coughing and fever. The symptoms started to get worse with a sore throat headache and vertigo. I tested COVID-19 positive on 01/12/2023. I was informed to take prednisone ear drops nasal spray and TYLENOL. I presently still feel quite ill on 01/18/2023.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vertigo
Clinical narrative: I had my vaccination on 10/17/2022. On 01/06/2023 I had symptoms to include congestion coughing and fever. The symptoms started to get worse with a sore throat headache and vertigo. I tested COVID-19 positive on 01/12/2023. I was informed to take prednisone ear drops nasal spray and TYLENOL. I presently still feel quite ill on 01/18/2023.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: I developed a stroke on 12/9/22 at 11;00 am
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Illness, Immune system disorder
Clinical narrative: 1. Immediately following the first dose of Moderna covid vaccine on 9/11/21 I started menstrual spotting. It happens two weeks after the last cycle (when I should be ovulating) and has not stopped occurring even today 1/18/23, over a year later. Never in my life before the vaccine had I experienced spotting of any kind. There were no other changes in my life. 2. After taking the vaccine (especially after the second dose on 10/10/21) my immune system became weaker. I did not usually get sick more than once a year, and after the vaccine I was becoming sick 1-2 times per month despite changing nothing else and eating healthy, exercising, and being sanitary. This continued until a couple of months ago, but I still get sick more than I did before.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Rash vesicular
Clinical narrative: Development of pox like rash over bilateral upper extremities and right abdomen
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site pain, Musculoskeletal stiffness
Clinical narrative: headache, stiff neck, pain at injection site, fatigue