chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Admit date: 2/10/2024  Discharge date: 3/5/2024  Admitting Physician:    Discharge Physician: Reason for Admission: Acute hypoxic respiratory failure and sepsis 2/2 pneumonia  Hospital Course: Patient was an 82 year old female who presented to the emergency department with increased shortness breath after only being discharged a few days prior.  She was previously treated with a course of ceftriaxone and doxycycline.  In the emergency room, patient arrived tachycardic with hypoxia and was placed on BiPAP with improvement in her oxygenation.  She was started on vancomycin and Zosyn.  She was found to be COVID positive, and was started on remdesivir and Decadron.  Over the course of her stay, it became clear that patient was having significant dysphagia with aspiration events which was concerning for aspiration pneumonia.  She was continued on antibiotic therapy with Zosyn, however she continued to have significant aspiration events while she was here.  She was made NPO, and even with SLP evaluation she continued to aspirate.  Of note, she did not have any decision makers that were appropriate for her on file and she essentially had no family members that could make decisions for her.  Palliative Care was consulted and determined that she did not have decision-making capacity, but believed that G-tube would not reduce her risk of aspiration and that placing a G-tube for her given her mental state was medically futile.  An ethics committee consultation was made, and after reviewing her case, it was deemed that comfort care measures would be most appropriate for her, and her code status was changed to comfort care only.  Plan was to have her discharged back to her skilled nursing facility with hospice, however because her code status prior to arrival at hospice was full code, she would need a guardian to make the decision for her.  A court hearing was scheduled on 03/4 for appointment of guardianship.  Overnight on 03/04, patient was pronounced dead. She was comfortable during her final days.  Patient Expired.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Tachycardia
Clinical narrative: Admit date: 2/10/2024  Discharge date: 3/5/2024  Admitting Physician:    Discharge Physician: Reason for Admission: Acute hypoxic respiratory failure and sepsis 2/2 pneumonia  Hospital Course: Patient was an 82 year old female who presented to the emergency department with increased shortness breath after only being discharged a few days prior.  She was previously treated with a course of ceftriaxone and doxycycline.  In the emergency room, patient arrived tachycardic with hypoxia and was placed on BiPAP with improvement in her oxygenation.  She was started on vancomycin and Zosyn.  She was found to be COVID positive, and was started on remdesivir and Decadron.  Over the course of her stay, it became clear that patient was having significant dysphagia with aspiration events which was concerning for aspiration pneumonia.  She was continued on antibiotic therapy with Zosyn, however she continued to have significant aspiration events while she was here.  She was made NPO, and even with SLP evaluation she continued to aspirate.  Of note, she did not have any decision makers that were appropriate for her on file and she essentially had no family members that could make decisions for her.  Palliative Care was consulted and determined that she did not have decision-making capacity, but believed that G-tube would not reduce her risk of aspiration and that placing a G-tube for her given her mental state was medically futile.  An ethics committee consultation was made, and after reviewing her case, it was deemed that comfort care measures would be most appropriate for her, and her code status was changed to comfort care only.  Plan was to have her discharged back to her skilled nursing facility with hospice, however because her code status prior to arrival at hospice was full code, she would need a guardian to make the decision for her.  A court hearing was scheduled on 03/4 for appointment of guardianship.  Overnight on 03/04, patient was pronounced dead. She was comfortable during her final days.  Patient Expired.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Fatigue, Nausea, Pain, Pain in extremity
Clinical narrative: Patient called once she made it home to this nurse.  Stated that she barely made it home and needed to go to the bathroom where she had diarrhea really bad and that she also felt like vomiting.  She managed to not vomit but that she then felt tired and achy all over and that her arm was starting to hurt.  This nurse advised her that according to the Vaccine Information Statement that she received is states that these are common reactions to the vaccine.   Advised her that OTC pain reliever can be taken and also advised her of the serious reactions  that she'd need to contact EMS for.  Also advised patient to notify us if these symptoms should last more than just today and that I'd be filing a VAERS report.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Cardiac failure acute, Cardiac failure congestive, Condition aggravated
Clinical narrative: Admit date: 2/18/2024  Discharge date: 03/05/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: FNP Reason for Admission: Acute on Chronic CHF, Atrial fibrillation with RVR, anasarca  Brief Summary of Hospital Stay:   Patient is a 82 YO widowed female living with family with past medical history significant for ESKD now on hemodialysis, permanent atrial fibrillation with recurrent rapid ventricular rate issues, worsening heart failure with reduced ejection fraction in the setting of tachyarrhythmia, moderate aortic stenosis, mild dementia with history of right basal ganglia ischemic stroke, gout, nephrolithiasis and right hemiarthroplasty status post right hip fracture with mechanical fall in December 2023 presented with worsening shortness of breath and atrial fibrillation with rapid ventricular rate with recent problems with low blood pressure and difficulty tolerating dialysis. She was found to be COVID-19 positive with concern for CAP. She was treated with antibiotics and dialysis for fluid removal, however patient initially decompensated and briefly required transfer to the CCU for BiPAP and vasopressor support. Good fluid removal was achieved with vasopressor support and she had subsequent marked clinical improvement. Heart rate was well controlled on amiodarone. Metoprolol was discontinued for hypotension. Hypotension was adequately treated with Midodrine 15mg TID and patient was able to tolerate dialysis without further episodes.   After several days of clinical stability patient was ready for discharge to SNF for ongoing rehab needs
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fall, General physical health deterioration, Generalised oedema, Haemodialysis
Clinical narrative: Admit date: 2/18/2024  Discharge date: 03/05/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: FNP Reason for Admission: Acute on Chronic CHF, Atrial fibrillation with RVR, anasarca  Brief Summary of Hospital Stay:   Patient is a 82 YO widowed female living with family with past medical history significant for ESKD now on hemodialysis, permanent atrial fibrillation with recurrent rapid ventricular rate issues, worsening heart failure with reduced ejection fraction in the setting of tachyarrhythmia, moderate aortic stenosis, mild dementia with history of right basal ganglia ischemic stroke, gout, nephrolithiasis and right hemiarthroplasty status post right hip fracture with mechanical fall in December 2023 presented with worsening shortness of breath and atrial fibrillation with rapid ventricular rate with recent problems with low blood pressure and difficulty tolerating dialysis. She was found to be COVID-19 positive with concern for CAP. She was treated with antibiotics and dialysis for fluid removal, however patient initially decompensated and briefly required transfer to the CCU for BiPAP and vasopressor support. Good fluid removal was achieved with vasopressor support and she had subsequent marked clinical improvement. Heart rate was well controlled on amiodarone. Metoprolol was discontinued for hypotension. Hypotension was adequately treated with Midodrine 15mg TID and patient was able to tolerate dialysis without further episodes.   After several days of clinical stability patient was ready for discharge to SNF for ongoing rehab needs
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Hip arthroplasty, Hip fracture, Hypotension, Intensive care, Positive airway pressure therapy
Clinical narrative: Admit date: 2/18/2024  Discharge date: 03/05/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: FNP Reason for Admission: Acute on Chronic CHF, Atrial fibrillation with RVR, anasarca  Brief Summary of Hospital Stay:   Patient is a 82 YO widowed female living with family with past medical history significant for ESKD now on hemodialysis, permanent atrial fibrillation with recurrent rapid ventricular rate issues, worsening heart failure with reduced ejection fraction in the setting of tachyarrhythmia, moderate aortic stenosis, mild dementia with history of right basal ganglia ischemic stroke, gout, nephrolithiasis and right hemiarthroplasty status post right hip fracture with mechanical fall in December 2023 presented with worsening shortness of breath and atrial fibrillation with rapid ventricular rate with recent problems with low blood pressure and difficulty tolerating dialysis. She was found to be COVID-19 positive with concern for CAP. She was treated with antibiotics and dialysis for fluid removal, however patient initially decompensated and briefly required transfer to the CCU for BiPAP and vasopressor support. Good fluid removal was achieved with vasopressor support and she had subsequent marked clinical improvement. Heart rate was well controlled on amiodarone. Metoprolol was discontinued for hypotension. Hypotension was adequately treated with Midodrine 15mg TID and patient was able to tolerate dialysis without further episodes.   After several days of clinical stability patient was ready for discharge to SNF for ongoing rehab needs
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Renal procedural complication, SARS-CoV-2 test positive
Clinical narrative: Admit date: 2/18/2024  Discharge date: 03/05/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: FNP Reason for Admission: Acute on Chronic CHF, Atrial fibrillation with RVR, anasarca  Brief Summary of Hospital Stay:   Patient is a 82 YO widowed female living with family with past medical history significant for ESKD now on hemodialysis, permanent atrial fibrillation with recurrent rapid ventricular rate issues, worsening heart failure with reduced ejection fraction in the setting of tachyarrhythmia, moderate aortic stenosis, mild dementia with history of right basal ganglia ischemic stroke, gout, nephrolithiasis and right hemiarthroplasty status post right hip fracture with mechanical fall in December 2023 presented with worsening shortness of breath and atrial fibrillation with rapid ventricular rate with recent problems with low blood pressure and difficulty tolerating dialysis. She was found to be COVID-19 positive with concern for CAP. She was treated with antibiotics and dialysis for fluid removal, however patient initially decompensated and briefly required transfer to the CCU for BiPAP and vasopressor support. Good fluid removal was achieved with vasopressor support and she had subsequent marked clinical improvement. Heart rate was well controlled on amiodarone. Metoprolol was discontinued for hypotension. Hypotension was adequately treated with Midodrine 15mg TID and patient was able to tolerate dialysis without further episodes.   After several days of clinical stability patient was ready for discharge to SNF for ongoing rehab needs
Age: 87.0
Sex: M
Vaccine: RSV
Symptoms: Aphasia, Gait inability, Laboratory test, Loss of consciousness, Neurological symptom
Clinical narrative: He collapsed during the night of 1/7/24 and was unconscious until the evening of 1/8/24 when he was discovered by his children and taken to Hospital.  He could not speak or walk. He presented with signs of a stroke but stroke was ruled out.  Over the course of the next 4 days his speech thought process slowly returned to normal . He went through numerous tests at the hospital but none were conclusive.  He slowly regained his ability to walk without assistance over those 4 days with the help of physical therapists. He was discharged to inpatient rehabilitation on 1/12/24 and was there until discharged on 1/22/24.  Although he is 87 years old, he is and always has been extremely healthy.
Age: 87.0
Sex: M
Vaccine: RSV
Symptoms: Syncope, Thinking abnormal
Clinical narrative: He collapsed during the night of 1/7/24 and was unconscious until the evening of 1/8/24 when he was discovered by his children and taken to Hospital.  He could not speak or walk. He presented with signs of a stroke but stroke was ruled out.  Over the course of the next 4 days his speech thought process slowly returned to normal . He went through numerous tests at the hospital but none were conclusive.  He slowly regained his ability to walk without assistance over those 4 days with the help of physical therapists. He was discharged to inpatient rehabilitation on 1/12/24 and was there until discharged on 1/22/24.  Although he is 87 years old, he is and always has been extremely healthy.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Rash, Rash erythematous, Rash papular, Skin warm
Clinical narrative: Cellulitis, warm to the touch, two raised red bumps with bumpy tissue under the skin throughout most of upper arm
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Death
Clinical narrative: PATIENT DECEASED 12/5/2023
Age: 2.0
Sex: F
Vaccine: HEPA, MMRV, PNC20
Symptoms: No adverse event, Wrong patient received product
Clinical narrative: Wrong vaccines were given to patient at appointment, on 03/05/2024. Father brought in patient and name was not confirmed by nurse staff, dad signed off on vaccines and were administered wrongly by nurse.  At time of administration there was no adverse reaction to vaccines. We are monitoring patient.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Vaccination error
Clinical narrative: No adverse reaction. Vaccine given in error.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Condition aggravated, Palpitations
Clinical narrative: Heart racing for several minutes
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Oligomenorrhoea
Clinical narrative: Heavy and missed mensural cycles. Treatment began in June 2023 and is ongoing to get it to stabilize.
Age: 24.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered, No adverse event
Clinical narrative: MA was notified patient needed HPV vaccine by provider after provider had discussed HPV schedule with patient, patient stated she did not remember getting more than 1. MA at that time ordered and administered it and when documenting the administration MA reconciled the vaccines and at that time realized pt had received 3 doses of HPV 9 valent and 1 dose of HPV quadrivalent, totaling 4.  One extra dose. MD was notified at that time and no adverse reaction noted during visit. Pt was not notified at this time, MD will follow up.
Age: 34.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Underdose, Wrong product administered
Clinical narrative: Nurse inadvertently administered Pediarix to an adult instead on administering Tdap (Adacel)
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspiration, Diplopia, Dysphagia, Echocardiogram normal, Electrocardiogram
Clinical narrative: MODERNA #1  3/25/2021 MODERNA #2 4/22/2021 120 POUND WEIGHT LOSS DUE TO DYSPHAGIA EASY ASPIRATION, DIPLOPLIA, AND WEAKNESS IN VOICE OVER THE COURSE OF A DAY.  CLINICAL PICTURE CONSISTENT WITH MYASTHENIA GRAVIS OR A PARANEOPLASTIC SYNDROME.  APPROPRIATE LABORATORIES AND CT IMAGING ORDERED.  TREATED EMPIRICALLY WITH MICROGEL VITAMINS AND SUPPLEMENTS AND PROTOCOL BASE SPIKE DETOXIFICATION
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Myasthenia gravis, Paraneoplastic syndrome, Vocal cord disorder, Weight decreased
Clinical narrative: MODERNA #1  3/25/2021 MODERNA #2 4/22/2021 120 POUND WEIGHT LOSS DUE TO DYSPHAGIA EASY ASPIRATION, DIPLOPLIA, AND WEAKNESS IN VOICE OVER THE COURSE OF A DAY.  CLINICAL PICTURE CONSISTENT WITH MYASTHENIA GRAVIS OR A PARANEOPLASTIC SYNDROME.  APPROPRIATE LABORATORIES AND CT IMAGING ORDERED.  TREATED EMPIRICALLY WITH MICROGEL VITAMINS AND SUPPLEMENTS AND PROTOCOL BASE SPIKE DETOXIFICATION
Age: 83.0
Sex: M
Vaccine: RSV
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Patient reports numbness in his left finger tips which started a few days after getting his RSV vaccine. Patient denies experiencing any numbness prior to the vaccine. Patient reports the numbness last for a short period of time and then after he massages his hand the numbness goes away. Patient reports this has happened 3-4 times since he got the RSV vaccine. Does not happen daily.  Patient also reports that the left corner of his top and bottom lip went numb one time (separate occasions with top and bottom lip). Patient denies any pain or burning sensation.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Back pain, Pain, Pain in extremity
Clinical narrative: throbbing pain, lift my arm pain, it will go up in my shoulder and down my back.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Musculoskeletal stiffness, Myalgia, Pruritus, Skin warm
Clinical narrative: Redness 7.5cm x 7.5cm , hot to touch, itchy, muscle pain/tightness in underarm.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: gave 10 year old patient the full dose of moderna spikevax for ages 12 and up.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 3 cm of redness, warmth and mild tenderness at site of injection
Age: 7.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Dtap (Kinrix) given to child age 7.  Kinrix reccomendations are 4-6.  no adverse symptoms noted.  upon research into this on the CDC website, no adverse side effects are likely to take place.
Age: 32.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Burning sensation, Ear discomfort, Erythema, Flushing, Lip swelling
Clinical narrative: Pt was seen in Employee Health and given 2 vaccines: TDAP and Influenza.  Afterward, pt. complained of bilateral hands and ears burning, lips and tongue feeling tight. Denied difficulty breathing or throat itching. On assessment, scattered hives noted on neck, chest, abdomen, back.  Face flushed, hands red, lips swollen. No local reaction, redness or swelling from injections sites. Epi Pen 0.3 mg IM given in left lateral thigh. Pt was then taken to the Emergency Department via stretcher.
Age: 32.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Oral discomfort, Tongue discomfort, Urticaria
Clinical narrative: Pt was seen in Employee Health and given 2 vaccines: TDAP and Influenza.  Afterward, pt. complained of bilateral hands and ears burning, lips and tongue feeling tight. Denied difficulty breathing or throat itching. On assessment, scattered hives noted on neck, chest, abdomen, back.  Face flushed, hands red, lips swollen. No local reaction, redness or swelling from injections sites. Epi Pen 0.3 mg IM given in left lateral thigh. Pt was then taken to the Emergency Department via stretcher.
Age: 9.0
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Kinrix given to child age 9.  Kinrix age range is 4-6.  no adverse reactions noted.  upon research on the CDC website, no adverse symptoms are anticipated.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction
Clinical narrative: Adverse effect of vaccines and biological substances, init on 2024-02-16.
Age: 0.25
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV5
Symptoms: Pyrexia
Clinical narrative: Fever, unspecified on 2024-02-26.
Age: 2.08
Sex: F
Vaccine: UNK
Symptoms: Thrombocytopenia
Clinical narrative: Thrombocytopenia, unspecified on 2024-02-28.
Sex: M
Vaccine: DTAP, HIBV, PNC15, RV5
Symptoms: Bacterial test, Blood culture, C-reactive protein, Differential white blood cell count, Full blood count
Clinical narrative: abscess of left leg outer thigh associated fever.
Sex: M
Vaccine: DTAP, HIBV, PNC15, RV5
Symptoms: Incisional drainage, Injection site abscess, Laboratory test, Pyrexia
Clinical narrative: abscess of left leg outer thigh associated fever.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, PNC20
Symptoms: Extra dose administered
Clinical narrative: The patient was showing as due for pediarix and prevnar in system.  Patient provider ordered medication and medical assistant administered medication.  After the fact, provider realized that EHR showed patient was not due for medication despite system indicating he was.  On further investigation, some previous doses of the medications were entered historically and therefore did not pull into system.  RN modified entries to ensure that EHR documentation pulled into system for accurate projections.  Family notified and advised to call with adverse effects or other questions or concerns.
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Death, Mobility decreased, Muscular weakness, Paralysis, Sepsis
Clinical narrative: Had muscle weakness about a week after vaccine, became more extreme every week.  Developed paralysis and couldn't move, called ambulance taken to hospital on 10/11/2023 and died on 10/15/2023 developed sepsis.
Age: 1.33
Sex: M
Vaccine: HIBV, TDAP, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Patient was unintentionally given TDAP, instead of DTAP. Immediately notified provider, FNP-BC and we looked up to make certain no ill effects from vaccine given. I called our County Health Department and spoke to the nurse, RN who heads up the immunization program and she also reports there should be no ill effects, but suggests we go ahead and give the intended vaccine, TDAP at next scheduled office visit on 5/14/2024. Mother, was notified of vaccine given and aware we will be giving correct immunization at next visit. My immediate supervisor, clinic Director, RN was also notified.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain in extremity
Clinical narrative: Patient c/o prolonged arm soreness above elbow and headache
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, PNC20
Symptoms: Vaccination site erythema, Vaccination site induration
Clinical narrative: Reacting in both legs with erythema over both vaccine sites and slightly firm for 1-2 inches
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired at time of administration. Given on 2/25 expired on 2/15. After speaking with manufacturer. The CDC and vaccine coalition recommend re-vaccinating. GSK did a study in house that found the vaccine to be good for 30 days after expiration. Contacted PCP waiting to hear what he would like to do moving forward.
Age: 51.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient is reporting a chronic pain in his Right arm which began late in the evening on the day of vaccination.  He has not had it evaluated by a medical provider.  He states "I continues to hope it just goes away." He states that he felt no pain at the time of injection.  He describes it as a throbbing dull pain.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Injection site reaction, Muscle twitching, Urticaria
Clinical narrative: 3 days after she received her 4th COVID injection (first bivalent vaccine), she developed a large welt at the injection site. This welt spread to a size of over 10 inches long and 3 inches wide.  It was painful to touch.  She took ibuprofen for 10 days before symptoms resolved. No antihistamines used during this time.  About 6 weeks after injection, she developed significant muscle twitching in her injection arm, left calf, and left thumb. This was significant for approximately 6-8 months before it began to diminish.  It has almost completely resolved at this time.
Age: 27.0
Sex: M
Vaccine: HEP, IPV, TYP
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood creatine phosphokinase increased
Clinical narrative: Presented w/abd pain, vomiting, chills, weakness & abnormal labs No recent travel, recent vaccine prep for trip  Hx of Ulcerative Colitis, tx with Mesalamine;  Transferred to ER with Abd pain, then found to be in shock liver, rhabdomyolysis, coagulopathy, transminitis.
Age: 27.0
Sex: M
Vaccine: HEP, IPV, TYP
Symptoms: Chills, Coagulopathy, Hypertransaminasaemia, International normalised ratio increased, Ischaemic hepatitis
Clinical narrative: Presented w/abd pain, vomiting, chills, weakness & abnormal labs No recent travel, recent vaccine prep for trip  Hx of Ulcerative Colitis, tx with Mesalamine;  Transferred to ER with Abd pain, then found to be in shock liver, rhabdomyolysis, coagulopathy, transminitis.
Age: 27.0
Sex: M
Vaccine: HEP, IPV, TYP
Symptoms: Platelet count decreased, Rhabdomyolysis, Vomiting
Clinical narrative: Presented w/abd pain, vomiting, chills, weakness & abnormal labs No recent travel, recent vaccine prep for trip  Hx of Ulcerative Colitis, tx with Mesalamine;  Transferred to ER with Abd pain, then found to be in shock liver, rhabdomyolysis, coagulopathy, transminitis.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: resident is Covid-19
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Wrong product administered
Clinical narrative: Heplisav given in error
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Back pain, Electromyogram, Fall, Gait inability, Guillain-Barre syndrome
Clinical narrative: Patient lost the ability to walk. Legs and lower extremities grew very week. She did fall a couple of times because. She did complain of lower leg pain and "unusual" back pain.  Physician instructed her to go to ER. They did tests and lab work. On third day, spinal tap confirmed  diagnosis of Guillain Barre Syndrome. IVIG was administered in the hospital. Patient started improving rapidly on third day of treatment. Patient continues to improve with physical therapy and supportive medication (pregabalin).
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Immunoglobulin therapy, Laboratory test, Lumbar puncture abnormal, Muscular weakness, Pain in extremity
Clinical narrative: Patient lost the ability to walk. Legs and lower extremities grew very week. She did fall a couple of times because. She did complain of lower leg pain and "unusual" back pain.  Physician instructed her to go to ER. They did tests and lab work. On third day, spinal tap confirmed  diagnosis of Guillain Barre Syndrome. IVIG was administered in the hospital. Patient started improving rapidly on third day of treatment. Patient continues to improve with physical therapy and supportive medication (pregabalin).
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: Patient had a blood draw and then received the Men B vaccine.  Immediately after receiving Men B vaccine patient fainted and turned pale.  He quickly regained consciousness.  RN reclined patient on table, elevated feet, and turned on fan.  RN also gave patient a granola bar and water.  Patient's normal coloring returned after several minutes.  Patient waited in office for about 15 minutes and was released after feeling better.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received a dose of Moderna vaccine: 6mo to 11yrs on 2/23/2024, instead of Spikevax 12 yrs and older.  The volume administered was 0.5ml.  NIPINFO was contacted. They advised if "0.5 ml was administered, the dose does not have to be repeated".  Pt notified, no adverse reactions reported.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient recieved a 2nd dose in less than approved amount of time (1st dose 09/28/23 and 2nd dose 10/10/23). Patient did not exhibit ant adverse effects. we found out when pt arrived to get booster dose.
Age: 99.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Fatigue, Laboratory test
Clinical narrative: Prostration and fatigue with GI distress upon awakening day after vaccine.  Waxing and waning symptoms since.
Age: 64.0
Sex: F
Vaccine: COVID19, HEPA, RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received a dose of Moderna vaccine: 6mo to 11yrs on 2/23/2024, instead of Spikevax 12 yrs and older.  The volume administered was 0.5ml.  Agency was contacted. They advised if "0.5 ml was administered, the dose does not have to be repeated".  Pt notified, no adverse reactions reported.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Pt called to report leg swelling. Has an appt with PCP on 3/7. Is able to ambulate- Walked 2.5miles today and swelling decreased. Pt complained that swelling increases when he is sedentary. Has received multiple Moderna Covid vaccines in the past without any adverse effects. Counseled pt to watch for increased swelling or pain. If condition worsens, go to ER. Continue to ambulate & keep appt with PCP for further evaluation
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Arthralgia, Dysstasia, Epistaxis, Heart rate irregular, Injection site pain
Clinical narrative: Pain in area of shots rabies vaccines 11 shots for 4 weeks and in left leg now I can't sleep on left side ever since pain in hips and knee and leg swells and nails growing sideways and flipped over and weird pain going up leg and heal and aches and shooting pain and throbbing and I have audio and video recordings of me sleeping flat on back with rabies shot leg up to my chest and at beginning for first 2-4 months odd tingling and orgasmic sensation in hip lower back after vaccines and bloody noses and irregular heartbeat random typically when I am standing at night time and when I lay down can't lay on left side I've always sleep on left side good for heart ever since dog attack and rabbies vaccines I can't sleep on left side and heart has palpitations and when first 7 rabies shots in left upper front thigh there is 6 bumps in vaccine area hurts still to touch and leg swells and in morning when i wake up I have to stand on tippy toes because immediately pain shoots up left leg like I jumped off a roof and I'll wake up with my left knee in my face rest body is flat
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Nail growth abnormal, Pain, Pain in extremity, Palpitations, Paraesthesia
Clinical narrative: Pain in area of shots rabies vaccines 11 shots for 4 weeks and in left leg now I can't sleep on left side ever since pain in hips and knee and leg swells and nails growing sideways and flipped over and weird pain going up leg and heal and aches and shooting pain and throbbing and I have audio and video recordings of me sleeping flat on back with rabies shot leg up to my chest and at beginning for first 2-4 months odd tingling and orgasmic sensation in hip lower back after vaccines and bloody noses and irregular heartbeat random typically when I am standing at night time and when I lay down can't lay on left side I've always sleep on left side good for heart ever since dog attack and rabbies vaccines I can't sleep on left side and heart has palpitations and when first 7 rabies shots in left upper front thigh there is 6 bumps in vaccine area hurts still to touch and leg swells and in morning when i wake up I have to stand on tippy toes because immediately pain shoots up left leg like I jumped off a roof and I'll wake up with my left knee in my face rest body is flat
Age: 39.0
Sex: M
Vaccine: RAB
Symptoms: Peripheral swelling, Sensory disturbance, Sleep disorder, Vaccination site pain, Vaccination site rash
Clinical narrative: Pain in area of shots rabies vaccines 11 shots for 4 weeks and in left leg now I can't sleep on left side ever since pain in hips and knee and leg swells and nails growing sideways and flipped over and weird pain going up leg and heal and aches and shooting pain and throbbing and I have audio and video recordings of me sleeping flat on back with rabies shot leg up to my chest and at beginning for first 2-4 months odd tingling and orgasmic sensation in hip lower back after vaccines and bloody noses and irregular heartbeat random typically when I am standing at night time and when I lay down can't lay on left side I've always sleep on left side good for heart ever since dog attack and rabbies vaccines I can't sleep on left side and heart has palpitations and when first 7 rabies shots in left upper front thigh there is 6 bumps in vaccine area hurts still to touch and leg swells and in morning when i wake up I have to stand on tippy toes because immediately pain shoots up left leg like I jumped off a roof and I'll wake up with my left knee in my face rest body is flat
Age: 2.0
Sex: M
Vaccine: HEPA, HIBV, PNC20, VARCEL
Symptoms: Erythema of eyelid, Immediate post-injection reaction, Swelling of eyelid
Clinical narrative: Patient's eyelids became swollen and slightly reddened immediately following vaccines.  Before the vaccines were given, the patient's mother denied he had ever had an allergic or bad reaction.  After vaccination, the patient's mother stated the swelling happens every time and resolves quickly.  Patient did not appear to have difficulty breathing, or any swelling or redness in any other part of his body, including the vaccine sites.  All symptoms resolved within 8 minutes.  RN advised mother that patient's reaction was a true allergic reaction and, although mild, needs to be communicated with any medical professional in the future.  Patient and mother instructed to wait in clinic for at least 15 more minutes.  RN again checked on patient, who appeared normal and was playing with his toys.  Patient's and mother left soon and did not stay for 15 mins.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Pruritus
Clinical narrative: 6 inches x 3 inches swelling, redness, mild tenderness and mild rash over right upper arm (vaccine site) started to appear 1 day after vaccination and seen at clinic on 2nd day. Treated with cold compress, ibuprofen and Diphenhydramine for itching. Symptoms gradually got better over the next 3 days.
Age: 69.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received a dose of Moderna vaccine: 6mo to 11yrs on 2/23/2024, instead of Spikevax 12 yrs and older.  The volume administered was 0.5ml.  Nurse was contacted. They advised if "0.5 ml was administered, the dose does not have to be repeated".  Pt notified, no adverse reactions reported.
Age: 26.0
Sex: M
Vaccine: COVID19, FLU4, HPV9, TYP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received a dose of Moderna vaccine: 6mo to 11yrs on 2/27/2024, instead of Spikevax 12 yrs and older.  The volume administered was 0.5ml.  NIPINFO was contacted. They advised if "0.5 ml was administered, the dose does not have to be repeated".  Pt notified, no adverse reactions reported.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: COVID vaccine was not diluted prior to administration. Patient was administered 0.3 ml of undiluted vaccination. Patient did not have any symptoms at time of injection. Patient was monitored in office until completion of state notification. Mom aware of symptoms to watch for.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anosmia, Aphonia, Bladder catheterisation, Bladder disorder, Chills
Clinical narrative: I have had extreme fatigue, muscle fatigue, chills that I have had a few times a week since that vaccine. I get icy cold hands. I have been to the hospital several times for: Bladder issues- they drained 42 and 46 oz of urine out each time. I have self-catheters now. I have been told I have a dry kidney and have been given fluids for that. I get migraines. I have had a series of mini strokes. I have had what I believe was a heart attack but could not reach my phone and fell asleep after on the floor where I fell. I have severe dizziness. I have lots of hospital records. I have seen a urologist, a neurologist, etc. I had lost my voice for 2 months straight. It is back but groveled sounding. When I get severely dizzy, I have to crawl around the house. Loss of smell. Loss of appetite. Nausea in the morning. I can't eat till 1pm or so. I rate all of these on a scale of 1-10 as 8-9 in severity, 10 being death. I have dry mouth. I have thick mucus at night.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Decreased appetite, Dizziness, Dry mouth, Dysphonia
Clinical narrative: I have had extreme fatigue, muscle fatigue, chills that I have had a few times a week since that vaccine. I get icy cold hands. I have been to the hospital several times for: Bladder issues- they drained 42 and 46 oz of urine out each time. I have self-catheters now. I have been told I have a dry kidney and have been given fluids for that. I get migraines. I have had a series of mini strokes. I have had what I believe was a heart attack but could not reach my phone and fell asleep after on the floor where I fell. I have severe dizziness. I have lots of hospital records. I have seen a urologist, a neurologist, etc. I had lost my voice for 2 months straight. It is back but groveled sounding. When I get severely dizzy, I have to crawl around the house. Loss of smell. Loss of appetite. Nausea in the morning. I can't eat till 1pm or so. I rate all of these on a scale of 1-10 as 8-9 in severity, 10 being death. I have dry mouth. I have thick mucus at night.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fall, Fatigue, Increased viscosity of upper respiratory secretion, Laboratory test, Magnetic resonance imaging
Clinical narrative: I have had extreme fatigue, muscle fatigue, chills that I have had a few times a week since that vaccine. I get icy cold hands. I have been to the hospital several times for: Bladder issues- they drained 42 and 46 oz of urine out each time. I have self-catheters now. I have been told I have a dry kidney and have been given fluids for that. I get migraines. I have had a series of mini strokes. I have had what I believe was a heart attack but could not reach my phone and fell asleep after on the floor where I fell. I have severe dizziness. I have lots of hospital records. I have seen a urologist, a neurologist, etc. I had lost my voice for 2 months straight. It is back but groveled sounding. When I get severely dizzy, I have to crawl around the house. Loss of smell. Loss of appetite. Nausea in the morning. I can't eat till 1pm or so. I rate all of these on a scale of 1-10 as 8-9 in severity, 10 being death. I have dry mouth. I have thick mucus at night.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Migraine, Mobility decreased, Muscle fatigue, Nausea, Peripheral coldness
Clinical narrative: I have had extreme fatigue, muscle fatigue, chills that I have had a few times a week since that vaccine. I get icy cold hands. I have been to the hospital several times for: Bladder issues- they drained 42 and 46 oz of urine out each time. I have self-catheters now. I have been told I have a dry kidney and have been given fluids for that. I get migraines. I have had a series of mini strokes. I have had what I believe was a heart attack but could not reach my phone and fell asleep after on the floor where I fell. I have severe dizziness. I have lots of hospital records. I have seen a urologist, a neurologist, etc. I had lost my voice for 2 months straight. It is back but groveled sounding. When I get severely dizzy, I have to crawl around the house. Loss of smell. Loss of appetite. Nausea in the morning. I can't eat till 1pm or so. I rate all of these on a scale of 1-10 as 8-9 in severity, 10 being death. I have dry mouth. I have thick mucus at night.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Renal disorder, Transient ischaemic attack
Clinical narrative: I have had extreme fatigue, muscle fatigue, chills that I have had a few times a week since that vaccine. I get icy cold hands. I have been to the hospital several times for: Bladder issues- they drained 42 and 46 oz of urine out each time. I have self-catheters now. I have been told I have a dry kidney and have been given fluids for that. I get migraines. I have had a series of mini strokes. I have had what I believe was a heart attack but could not reach my phone and fell asleep after on the floor where I fell. I have severe dizziness. I have lots of hospital records. I have seen a urologist, a neurologist, etc. I had lost my voice for 2 months straight. It is back but groveled sounding. When I get severely dizzy, I have to crawl around the house. Loss of smell. Loss of appetite. Nausea in the morning. I can't eat till 1pm or so. I rate all of these on a scale of 1-10 as 8-9 in severity, 10 being death. I have dry mouth. I have thick mucus at night.
Age: 52.0
Sex: F
Vaccine: COVID19, HEPA, PNC20, TDAP, TYP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received a dose of Moderna vaccine: 6mo to 11yrs on 2/27/2024, instead of Spikevax 12 yrs and older.  The volume administered was 0.5ml.  NIPINFO was contacted. They advised if "0.5 ml was administered, the dose does not have to be repeated".  Pt notified, no adverse reactions reported.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Alcoholic liver disease, Aspartate aminotransferase increased, Autoimmune hepatitis, Biliary dilatation
Clinical narrative: Pt was found to have persistently elevated LFTs following vaccination (mildly elevated prior to that point) but with history of alcohol use disorder; however, approximately 5 months after vaccination suddenly developed new autoimmune hepatitis as well as severe psoriasis that requires treatment with biologic. No family history of autoimmune condition prior to this diagnosis. No plaque psorisis prior to vaccination was known to me as his healthcare provider. His alcoholic liver disease is further complicated from autoimmune hepatitis, it is unclear if this is a resut of his vaccination as he did not seemingly have autoimmune risk prior to vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin increased, Condition aggravated, Endoscopic retrograde cholangiopancreatography, Hepatic steatosis
Clinical narrative: Pt was found to have persistently elevated LFTs following vaccination (mildly elevated prior to that point) but with history of alcohol use disorder; however, approximately 5 months after vaccination suddenly developed new autoimmune hepatitis as well as severe psoriasis that requires treatment with biologic. No family history of autoimmune condition prior to this diagnosis. No plaque psorisis prior to vaccination was known to me as his healthcare provider. His alcoholic liver disease is further complicated from autoimmune hepatitis, it is unclear if this is a resut of his vaccination as he did not seemingly have autoimmune risk prior to vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hepatitis viral test positive, Laboratory test abnormal, Liver function test increased, Magnetic resonance cholangiopancreatography, Platelet count decreased
Clinical narrative: Pt was found to have persistently elevated LFTs following vaccination (mildly elevated prior to that point) but with history of alcohol use disorder; however, approximately 5 months after vaccination suddenly developed new autoimmune hepatitis as well as severe psoriasis that requires treatment with biologic. No family history of autoimmune condition prior to this diagnosis. No plaque psorisis prior to vaccination was known to me as his healthcare provider. His alcoholic liver disease is further complicated from autoimmune hepatitis, it is unclear if this is a resut of his vaccination as he did not seemingly have autoimmune risk prior to vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Psoriasis, Smooth muscle antibody positive, Thrombocytopenia
Clinical narrative: Pt was found to have persistently elevated LFTs following vaccination (mildly elevated prior to that point) but with history of alcohol use disorder; however, approximately 5 months after vaccination suddenly developed new autoimmune hepatitis as well as severe psoriasis that requires treatment with biologic. No family history of autoimmune condition prior to this diagnosis. No plaque psorisis prior to vaccination was known to me as his healthcare provider. His alcoholic liver disease is further complicated from autoimmune hepatitis, it is unclear if this is a resut of his vaccination as he did not seemingly have autoimmune risk prior to vaccination.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Proquad and Varicella were given so patient got an extra dose of Varicella. No adverse events occurred.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling cold
Clinical narrative: Patient called the pharmacy stating she was cold, shivering and cannot get warm. I suggested she might have a low grade fever and this is not unusual for the first couple of days post immunization, especially with the second dose.  Patient states she might try some tylenol. Patient's temporal thermometer was not reading correctly the first time she tried while we were on the phone, then thermometer died. Patient was going to find batteries to retry temp.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hepatic enzyme increased
Clinical narrative: Patient reported that following administration of his COVID vaccination in October, 2024 he developed elevated liver enzymes. The vaccination in October was using the Moderna product. Previous COVID vaccines using Pfizer product did not cause the same side affect. Patient reported that his MD monitored his liver function and continues to check the liver enzymes every 3 months. At this time they have returned to base line values.
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Blood test, Brain injury, Diaphragmatic paralysis, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Diagnoses with Gillian Barre' syndrome.                                                      Hands got numb, than left leg would not work. Ambulance was called, then began paralysis of entire body including diaphragm. Was put on ventilator, and at some point, was deprived of oxygen and now has brain damage. Went to 4 facilities and end up in long term facility (nursing home).  This happened in Oct 2023, it is now, March 2024 and she still is unable to move her torso and legs. Can't even feel when she goes to the bathroom.
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Hypoxia, Laboratory test, Mechanical ventilation, Movement disorder, Musculoskeletal disorder
Clinical narrative: Diagnoses with Gillian Barre' syndrome.                                                      Hands got numb, than left leg would not work. Ambulance was called, then began paralysis of entire body including diaphragm. Was put on ventilator, and at some point, was deprived of oxygen and now has brain damage. Went to 4 facilities and end up in long term facility (nursing home).  This happened in Oct 2023, it is now, March 2024 and she still is unable to move her torso and legs. Can't even feel when she goes to the bathroom.