chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acupuncture, Arthralgia, Back disorder, Blood test normal, Chest X-ray normal
Clinical narrative: He got his vaccine, had the sore arm, normal stuff you expect.  Then he was not feeling well, but never recovering from shortness of breath which he developed.  He felt that it would be a short term thing and has been chronic since that vaccine.  He did not have any issues with shortness of breath prior to the vaccine.  He tries and keep going and physically fit, has a bad back and has limited mobility but has kept himself moving.  He had been on pain pills and medications, which also had accupuncture which helped him get of the pain pills.  He tries to do things, trying to get the trash cans up the hill which he used to do with no problems, and now has to stop numerous times with chest pains and also shortness of breath.  He also has had pain in the shoulders, and just generally not feeling well.   He is down to 1/4 to 1/3 of what he can do prior to the vaccine.  He also has had minor chest pains.  He reported his symptoms to his doctors, and is in his record and his initial thought was to give it some time and that they should pass.  That doctor has left the practice and has been gone for about 6-8 months now.  He also has coughing and is going to discuss these symptoms with his new doctor on 2/14/2022.  It is disturbing that he is having these symptoms.    He did have 2 more COVID vaccines and did not have anything happen, still having the symptoms that he had after the third vaccine.   He did have COVID of 2022 and it did not seem that severe.  He did not have bad bad symptoms, and hoped that the vaccine minimized the illness.  He did not feel good for a  few days and tested positive for it.   His quality of life has not been the same since receiving that 3rd vaccine as compared to previous to that.  He constantly has a cough which has gotten worse since the vaccine.   It's been a big degradation in the quality of his life.  His activities are greatly diminished after having the shot.   He did have an x-ray of his esophagus and to the heart for inflammation, and did not see any critical but did not have a baseline to compare to.  He is going to request the new doctor to look more into the heart health.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Dyspnoea, Loss of personal independence in daily activities, Malaise
Clinical narrative: He got his vaccine, had the sore arm, normal stuff you expect.  Then he was not feeling well, but never recovering from shortness of breath which he developed.  He felt that it would be a short term thing and has been chronic since that vaccine.  He did not have any issues with shortness of breath prior to the vaccine.  He tries and keep going and physically fit, has a bad back and has limited mobility but has kept himself moving.  He had been on pain pills and medications, which also had accupuncture which helped him get of the pain pills.  He tries to do things, trying to get the trash cans up the hill which he used to do with no problems, and now has to stop numerous times with chest pains and also shortness of breath.  He also has had pain in the shoulders, and just generally not feeling well.   He is down to 1/4 to 1/3 of what he can do prior to the vaccine.  He also has had minor chest pains.  He reported his symptoms to his doctors, and is in his record and his initial thought was to give it some time and that they should pass.  That doctor has left the practice and has been gone for about 6-8 months now.  He also has coughing and is going to discuss these symptoms with his new doctor on 2/14/2022.  It is disturbing that he is having these symptoms.    He did have 2 more COVID vaccines and did not have anything happen, still having the symptoms that he had after the third vaccine.   He did have COVID of 2022 and it did not seem that severe.  He did not have bad bad symptoms, and hoped that the vaccine minimized the illness.  He did not feel good for a  few days and tested positive for it.   His quality of life has not been the same since receiving that 3rd vaccine as compared to previous to that.  He constantly has a cough which has gotten worse since the vaccine.   It's been a big degradation in the quality of his life.  His activities are greatly diminished after having the shot.   He did have an x-ray of his esophagus and to the heart for inflammation, and did not see any critical but did not have a baseline to compare to.  He is going to request the new doctor to look more into the heart health.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Quality of life decreased, X-ray normal
Clinical narrative: He got his vaccine, had the sore arm, normal stuff you expect.  Then he was not feeling well, but never recovering from shortness of breath which he developed.  He felt that it would be a short term thing and has been chronic since that vaccine.  He did not have any issues with shortness of breath prior to the vaccine.  He tries and keep going and physically fit, has a bad back and has limited mobility but has kept himself moving.  He had been on pain pills and medications, which also had accupuncture which helped him get of the pain pills.  He tries to do things, trying to get the trash cans up the hill which he used to do with no problems, and now has to stop numerous times with chest pains and also shortness of breath.  He also has had pain in the shoulders, and just generally not feeling well.   He is down to 1/4 to 1/3 of what he can do prior to the vaccine.  He also has had minor chest pains.  He reported his symptoms to his doctors, and is in his record and his initial thought was to give it some time and that they should pass.  That doctor has left the practice and has been gone for about 6-8 months now.  He also has coughing and is going to discuss these symptoms with his new doctor on 2/14/2022.  It is disturbing that he is having these symptoms.    He did have 2 more COVID vaccines and did not have anything happen, still having the symptoms that he had after the third vaccine.   He did have COVID of 2022 and it did not seem that severe.  He did not have bad bad symptoms, and hoped that the vaccine minimized the illness.  He did not feel good for a  few days and tested positive for it.   His quality of life has not been the same since receiving that 3rd vaccine as compared to previous to that.  He constantly has a cough which has gotten worse since the vaccine.   It's been a big degradation in the quality of his life.  His activities are greatly diminished after having the shot.   He did have an x-ray of his esophagus and to the heart for inflammation, and did not see any critical but did not have a baseline to compare to.  He is going to request the new doctor to look more into the heart health.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Central venous catheterisation, Discharge, Dyspnoea, Hypervolaemia
Clinical narrative: Admission Date: 1/25/2023 Discharge Date: 1/31/2023   DETAILS OF HOSPITAL STAY: Patient is a 75 y.o. female with past medical history of chronic respiratory failure on 2 L nasal cannula baseline, COPD, permament atrial fibrillation on Eliquis, recent ORIF (11/23/22) due to L distal femur and R tib-fib fracture with persistent surgical wounds, chronic deconditioning due to nonweightbearing status, chronic prosthetic joint infection of Left knee on Zosyn through PICC line (started 1/2/23, discontinue date: 2/13/23), chronic anemia, chronic diastolic heart failure, essential hypertension, OSA who presented to Hospital Emergency room on 1/25/23 with worsening shortness of breath x 2 days.              Patient was noted to be COVID positive and was started on Decadron and remdesivir.  She completed her course of remdesivir while in hospital.  She will need 4 more days of Decadron 6 mg daily.               She was continued on her IV antibiotics through PICC line for chronic prosthetic joint infection (end date 2/13/23). Suture removed on 1/31/2023 by me, wound healed almost completely, with very small superficial dehiscence in the middle (2 in long). Minimal wound drainage. Follow up with ortho as scheduled before.    Seen by Wound clinic for chronic left hip wound. They recommended NS damp to dry 1/2 inch plain packing strip. Change twice per day.   She was noted to have potential contribution of fluid overload to her shortness of breath and was aggressively diuresed with IV Lasix while inpatient.  She tolerated this well. Net IO Since Admission: -9,175 mL [01/31/23 1147]. Patient improved during her stay and was discharged on Lasix 40 mg po bid.  She was weaned back to her home O2 requirements at baseline 2 l/min O2 via NC.   PT and OT saw the patient recommended Home with HHC.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Medical device site joint infection, SARS-CoV-2 test positive, Skin wound, Suture removal, Wound dehiscence
Clinical narrative: Admission Date: 1/25/2023 Discharge Date: 1/31/2023   DETAILS OF HOSPITAL STAY: Patient is a 75 y.o. female with past medical history of chronic respiratory failure on 2 L nasal cannula baseline, COPD, permament atrial fibrillation on Eliquis, recent ORIF (11/23/22) due to L distal femur and R tib-fib fracture with persistent surgical wounds, chronic deconditioning due to nonweightbearing status, chronic prosthetic joint infection of Left knee on Zosyn through PICC line (started 1/2/23, discontinue date: 2/13/23), chronic anemia, chronic diastolic heart failure, essential hypertension, OSA who presented to Hospital Emergency room on 1/25/23 with worsening shortness of breath x 2 days.              Patient was noted to be COVID positive and was started on Decadron and remdesivir.  She completed her course of remdesivir while in hospital.  She will need 4 more days of Decadron 6 mg daily.               She was continued on her IV antibiotics through PICC line for chronic prosthetic joint infection (end date 2/13/23). Suture removed on 1/31/2023 by me, wound healed almost completely, with very small superficial dehiscence in the middle (2 in long). Minimal wound drainage. Follow up with ortho as scheduled before.    Seen by Wound clinic for chronic left hip wound. They recommended NS damp to dry 1/2 inch plain packing strip. Change twice per day.   She was noted to have potential contribution of fluid overload to her shortness of breath and was aggressively diuresed with IV Lasix while inpatient.  She tolerated this well. Net IO Since Admission: -9,175 mL [01/31/23 1147]. Patient improved during her stay and was discharged on Lasix 40 mg po bid.  She was weaned back to her home O2 requirements at baseline 2 l/min O2 via NC.   PT and OT saw the patient recommended Home with HHC.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Myalgia
Clinical narrative: continued soreness as if was given vaccine yesterday. Has not noticed any improvement. No redness, swelling, or hot to touch just muscle soreness as expected after vaccine however not continued for months post vaccine.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: paresthesia of upper limb-Physical Therapy recommended
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Nasal congestion, Pain, Pyrexia
Clinical narrative: COVID-19 I experienced nasal congestion, fever of 103.00; body aches. I was prescribed PAXLOVID for my symptoms.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Condition aggravated, Gait disturbance, Mobility decreased
Clinical narrative: I had previously had fluid drained from my knees and then shots into my knees to help them with pain and mobility issues. This had helped and I had not had a problem with them. Then I had my COVID-19 shot and then the pain came back in my knees. I have done nothing to trigger this like an injury. It is like I never had the shots with the pain and issues with being able move and walk. I do have a follow up to go back in and my provider did mention that I may have to drain the fluid again and get the shots again to get this cleared up.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cognitive disorder, Confusional state, Gait disturbance, Hypophagia, Partial seizures
Clinical narrative: focal seizure, confusion, couldn't eat drink after, cognitive issues, walking issues
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Balance disorder, Erythema, Joint swelling, Lymphadenopathy, Peripheral swelling
Clinical narrative: Fever over 103 for over 48h Joint redness, tenderness, swelling at 72h (hands and knees with difficulty walking stairs, and I am active) Balance distortion Severe redness with swelling of entire upper L arm, dark reddened area, extremely tender, has appeared adjacent to inj site Axillary lymphadenopathy
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Tenderness
Clinical narrative: Fever over 103 for over 48h Joint redness, tenderness, swelling at 72h (hands and knees with difficulty walking stairs, and I am active) Balance distortion Severe redness with swelling of entire upper L arm, dark reddened area, extremely tender, has appeared adjacent to inj site Axillary lymphadenopathy
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Food allergy, Foreign body in throat, Milk allergy, Oesophageal disorder, Rash
Clinical narrative: The next day after receiving my vaccine, I had a full body rash and it lasted for several days. I developed allergies to dairy, wheat and barley. On 03/2021 I was taking my fish oil supplement and it got stuck in my throat. I am concerned about the rate of how fast my allergies have come up since my COVID-19 vaccines. I am eliminating foods to see what could be triggering the outbreaks. I had a really bad episode on 12/22/2022. I had taken a turmeric supplement and my esophagus closed. I did not go to the emergency room but I did see my doctor the next day.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Adnexa uteri pain, Breast mass, Discomfort, Fear, Female reproductive tract disorder
Clinical narrative: Within hours my beast milk stopped and I had horrible mastitis? a horrific ovary/uterine lining  infection kind of like yeast but it was not. Immediately got very heavy period for 5 months straight. My cycles are still off and I?m still having pain in my ovaries and discomfort like a yeast infection yet it is not. My entire reproductive system is totally off. I wanted to have another child but I?m not getting pregnant. The breast milk never returned in my right breast and it has never been the same since mastitis. It is very lumpy and not right. I just had cancer scare over the mass I had a ton of tests and now I watch it for changes. The second shot has been worse than a c section. 18 months later I am still uncomfortable and I fear my body will never go back to how it was before I took that shot. It was immediate. I?ve taken round after round of anti biotics for these issues but they do not improve.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Laboratory test abnormal, Mammogram abnormal, Mastitis, Menstrual disorder
Clinical narrative: Within hours my beast milk stopped and I had horrible mastitis? a horrific ovary/uterine lining  infection kind of like yeast but it was not. Immediately got very heavy period for 5 months straight. My cycles are still off and I?m still having pain in my ovaries and discomfort like a yeast infection yet it is not. My entire reproductive system is totally off. I wanted to have another child but I?m not getting pregnant. The breast milk never returned in my right breast and it has never been the same since mastitis. It is very lumpy and not right. I just had cancer scare over the mass I had a ton of tests and now I watch it for changes. The second shot has been worse than a c section. 18 months later I am still uncomfortable and I fear my body will never go back to how it was before I took that shot. It was immediate. I?ve taken round after round of anti biotics for these issues but they do not improve.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Oophoritis, Suppressed lactation, Ultrasound breast abnormal, Uterine infection
Clinical narrative: Within hours my beast milk stopped and I had horrible mastitis? a horrific ovary/uterine lining  infection kind of like yeast but it was not. Immediately got very heavy period for 5 months straight. My cycles are still off and I?m still having pain in my ovaries and discomfort like a yeast infection yet it is not. My entire reproductive system is totally off. I wanted to have another child but I?m not getting pregnant. The breast milk never returned in my right breast and it has never been the same since mastitis. It is very lumpy and not right. I just had cancer scare over the mass I had a ton of tests and now I watch it for changes. The second shot has been worse than a c section. 18 months later I am still uncomfortable and I fear my body will never go back to how it was before I took that shot. It was immediate. I?ve taken round after round of anti biotics for these issues but they do not improve.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder
Clinical narrative: loss use of left arm the next day; no shoulder movement;
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive, Sluggishness
Clinical narrative: I had fatigue. I felt sluggish and I had nose drainage the next day and tested positive for COVID-19. I went to the clinic they prescribed me PAXLOVID, but I did not take it because my symptoms were so minor. I still have a running nose.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I started coming down with Covid-19 symptoms on Dec 26, 2022, and tested positive with a home test on Dec 27.
Age: 7.0
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Kinrix out of age range, no adverse effects
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blood pressure increased, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Severe pain to entire left arm radiating to part of left back towards the left side two to three days after injection. Motrin helped very little prompting ER visit. Intermittent severe pain lasted until 12/27/2022 due to medication prescribed from ER Physician. Pain is gone at this time however, numbness and tingling remains throughout my left arm still to this date.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Ultrasound Doppler normal, X-ray limb normal
Clinical narrative: Severe pain to entire left arm radiating to part of left back towards the left side two to three days after injection. Motrin helped very little prompting ER visit. Intermittent severe pain lasted until 12/27/2022 due to medication prescribed from ER Physician. Pain is gone at this time however, numbness and tingling remains throughout my left arm still to this date.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acupuncture, Arthralgia, Back pain, Condition aggravated, Hyperaesthesia
Clinical narrative: I did not consider this an adverse event, but am reporting this following phoned instructions  today from the v-safe study. I contracted Covid-19 despite being fully vaccinated and boosted, plus always wearing a mask in public. The infection seemed mild, no fever, no respiratory symptoms. However, I developed acute sentivity to touch and for two weeks plus after testing negative, experienced random, intense nerve pains along with severe exacerbation of the pain in the area (lower back, buttocks, hip) affected by nerve roots caught as they exit lymbar spine on left. Acupuncture treatments plus prescribed home physical therapy exercises and medication listed above had previously kept the pain under control. My acupuncture doctor believes the acute pain response was related to Covid-caused inflammation of my peripheral nerves. The pain is reduced as of this writing, pursuant to a targeted acupuncture treatment 10 days ago, but is still more intense than prior to Covid infection.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neuralgia
Clinical narrative: I did not consider this an adverse event, but am reporting this following phoned instructions  today from the v-safe study. I contracted Covid-19 despite being fully vaccinated and boosted, plus always wearing a mask in public. The infection seemed mild, no fever, no respiratory symptoms. However, I developed acute sentivity to touch and for two weeks plus after testing negative, experienced random, intense nerve pains along with severe exacerbation of the pain in the area (lower back, buttocks, hip) affected by nerve roots caught as they exit lymbar spine on left. Acupuncture treatments plus prescribed home physical therapy exercises and medication listed above had previously kept the pain under control. My acupuncture doctor believes the acute pain response was related to Covid-caused inflammation of my peripheral nerves. The pain is reduced as of this writing, pursuant to a targeted acupuncture treatment 10 days ago, but is still more intense than prior to Covid infection.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chest pain
Clinical narrative: Acute left shoulder and chest pain occurring days after first and second dose. She went to the hospital for the first experience and was diagnosed with possible pericarditis.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Autopsy, Death
Clinical narrative: Death.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NURSE COLLECTING DEMOGRAPHIC INFO DID NOT CATCH THAT DOB WAS UNDER 18 YRS. NURSE ADMINISTERING SHOT OVERHEARD MOTHER OF PATIENT MENTION HER AGE AS 15 YRS AFTER INJECTION WAS GIVEN. PATIENT HAD STATED THAT SHE NEEDED THE VACCINE FOR A NEW JOB. NURSES INSIDE CLINIC HAD REFERRED HER TO THE OUTSIDE DRIVE THRU CLINIC, WHICH ONLY VACCINATES 18 AND OVER.
Age: 40.0
Sex: F
Vaccine: MMR, PNC20, TDAP, VARCEL
Symptoms: Erythema, Pruritus
Clinical narrative: erythematous, pruritic to back of R arm, Rx'd hydrocortisone 1% and diphenhydramine
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Received vaccine 2/3/23. Pt reports being dizzy and lightheaded after vaccine as well as sore arm later in day. On 2/4/23, pt reports arm was red. Arm was still red on 2/5/23. Pt came to pharmacy on 2/6/23 to speak to pharmacist. Pt's arm is pink and warm to touch down to the patient's elbow, but does not start until well below injection site. Based on pictures from 2/4/23, it appears to be lower than the previous day. Pharmacist advised patient to watch for further spreading, itching, and heat and to go to the urgent care if it worsens. Pharmacist advised to use loratadine and ice for relief.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Cardiac operation, Cardiac stress test abnormal, Catheterisation cardiac abnormal, Computerised tomogram coronary artery abnormal
Clinical narrative: I had progressive dyspnea beginning 4-6 months after first vaccine.    My nightly 2 mile walk became more difficult and I could barely manage one mile.  Symptoms progressed until I was found to have an oxygen saturation of 83% during a stress test in July of 2022.  Diagnosed with CTEPH, with a large saddle embolus.  I am very thin - 6 ft tall, 160 pounds -- no source for embolus ever found.   I was on oxygen and sent to hospital for pulmonary endarterectomy of my segmental and subsegmental pulmonary vessels -- hypothermic cardiac arrest and open-heart surgery.   Doing much better now, off oxygen and improving hemodynamics.   All tests show normal clotting function;  I'm now on coumadin for life.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cor pulmonale, Dyspnoea, Exercise tolerance decreased, Heart sounds abnormal, Loss of personal independence in daily activities
Clinical narrative: I had progressive dyspnea beginning 4-6 months after first vaccine.    My nightly 2 mile walk became more difficult and I could barely manage one mile.  Symptoms progressed until I was found to have an oxygen saturation of 83% during a stress test in July of 2022.  Diagnosed with CTEPH, with a large saddle embolus.  I am very thin - 6 ft tall, 160 pounds -- no source for embolus ever found.   I was on oxygen and sent to hospital for pulmonary endarterectomy of my segmental and subsegmental pulmonary vessels -- hypothermic cardiac arrest and open-heart surgery.   Doing much better now, off oxygen and improving hemodynamics.   All tests show normal clotting function;  I'm now on coumadin for life.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary embolism, Pulmonary endarterectomy, Pulmonary hypertension, Pulmonary mass, Right ventricular failure
Clinical narrative: I had progressive dyspnea beginning 4-6 months after first vaccine.    My nightly 2 mile walk became more difficult and I could barely manage one mile.  Symptoms progressed until I was found to have an oxygen saturation of 83% during a stress test in July of 2022.  Diagnosed with CTEPH, with a large saddle embolus.  I am very thin - 6 ft tall, 160 pounds -- no source for embolus ever found.   I was on oxygen and sent to hospital for pulmonary endarterectomy of my segmental and subsegmental pulmonary vessels -- hypothermic cardiac arrest and open-heart surgery.   Doing much better now, off oxygen and improving hemodynamics.   All tests show normal clotting function;  I'm now on coumadin for life.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Therapeutic hypothermia, Ultrasound chest, Ventilation/perfusion scan abnormal
Clinical narrative: I had progressive dyspnea beginning 4-6 months after first vaccine.    My nightly 2 mile walk became more difficult and I could barely manage one mile.  Symptoms progressed until I was found to have an oxygen saturation of 83% during a stress test in July of 2022.  Diagnosed with CTEPH, with a large saddle embolus.  I am very thin - 6 ft tall, 160 pounds -- no source for embolus ever found.   I was on oxygen and sent to hospital for pulmonary endarterectomy of my segmental and subsegmental pulmonary vessels -- hypothermic cardiac arrest and open-heart surgery.   Doing much better now, off oxygen and improving hemodynamics.   All tests show normal clotting function;  I'm now on coumadin for life.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Tinnitus
Clinical narrative: Ringing in ears, eye twitching
Age: 72.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, Product administration error
Clinical narrative: Patient received pediatric dose of Havrix 720 U/ 0.5ml; claim was processed and accepted fine through pharmacy system.  When patient came back to pharmacy in Jan 2023, an additional claim for second dose was processed, but rejected by computer system.  This is when error was noted.  Patient reports no issues, concerns.  Pharmacy verified with GSK that patient will need to restart Hep A vaccine series.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Activated partial thromboplastin time normal, Arthralgia, C-reactive protein increased, Full blood count normal
Clinical narrative: Patient was hospitalized at local hospital and diagnosed with henoch schonlein purpura on 2/1/23 after presenting with abdominal pain, refusal to walk due to joint pain and rash.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Gait disturbance, Henoch-Schonlein purpura, Prothrombin time normal, Rash, Red blood cell sedimentation rate increased
Clinical narrative: Patient was hospitalized at local hospital and diagnosed with henoch schonlein purpura on 2/1/23 after presenting with abdominal pain, refusal to walk due to joint pain and rash.
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Gave the patient teen pfizer instead of booster, notified management. no adverse effects
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Hemiparesis, Pain in extremity
Clinical narrative: 52-year-old male presenting with right arm pain that began 2 days ago. Patient is concerned because he received his COVID vaccine in his right arm 4 days ago. Denies headache, fever, nausea, emesis. He states that he has history of stroke in August of 2019. His previous symptoms felt with his stroke are not similar to his current symptoms. pt had stroke on 08/2019 with mild right side weakness pt states this feels different. no focal deficits noted in triage.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Face injury, Fall, Lip injury, Swelling face
Clinical narrative: Patient fell on the floor few minutes after administration of 2nd doe of HPV (gardisil). Patient hit her face on the floor. Burst her lips and  swollen forehead.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC13, VARCEL, MMRV, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site irritation, Injection site swelling, Rash
Clinical narrative: Spoke to mother of patient on 2/06/23. Patient's mother stated patient had a localized reaction of swelling and induration to one or more of his vaccines administered on 01/20/23. The reaction was characterized by mother as a "large, red mark" on his right thigh. Patient's mother stated the skin was "super irritated" and had a "large red bump". Patient's mother stated that the site was irritated for about 2 days. Patient did not have a fever and patient was acting normally according to patient's mother. Patient's mother stated the site is now "normal" except for the skin having a "texture change" where the "rash" used to be. Patient's mother stated she has no concerns at this time and declined an appointment with a provider to assess the injection site.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC13, VARCEL, MMRV, VARCEL
Symptoms: Skin texture abnormal
Clinical narrative: Spoke to mother of patient on 2/06/23. Patient's mother stated patient had a localized reaction of swelling and induration to one or more of his vaccines administered on 01/20/23. The reaction was characterized by mother as a "large, red mark" on his right thigh. Patient's mother stated the skin was "super irritated" and had a "large red bump". Patient's mother stated that the site was irritated for about 2 days. Patient did not have a fever and patient was acting normally according to patient's mother. Patient's mother stated the site is now "normal" except for the skin having a "texture change" where the "rash" used to be. Patient's mother stated she has no concerns at this time and declined an appointment with a provider to assess the injection site.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC13, VARCEL, MMRV, VARCEL
Symptoms: Vaccination error
Clinical narrative: Spoke to mother of patient on 2/06/23. Patient's mother stated patient had a localized reaction of swelling and induration to one or more of his vaccines administered on 01/20/23. The reaction was characterized by mother as a "large, red mark" on his right thigh. Patient's mother stated the skin was "super irritated" and had a "large red bump". Patient's mother stated that the site was irritated for about 2 days. Patient did not have a fever and patient was acting normally according to patient's mother. Patient's mother stated the site is now "normal" except for the skin having a "texture change" where the "rash" used to be. Patient's mother stated she has no concerns at this time and declined an appointment with a provider to assess the injection site.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: I had a headache and really tired. I tested positive for COVID-19 at the facility I work at. I called my doctor and he prescribed me an antiviral.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: Two days after vax, patient started breaking out on lt arm. Noticed a rash and worsened overtime. Had a feeling it was the vax, because she does not have allergies. Pharmacist advised going to PCP, and doctor said it's an allergy. However, nothing indicated the cause of the rash. Gave her medication cream Triamcinolone Acetonide Creme, and patient used peroxide to clean it and the cream 2x a day. After 3 weeks, cream made rash worse and patient stopped using the cream. Rash still there and patient using Witch Hazel spray and Neosporin for pain relief. Patient tired of treating herself. Some drying up but still prevalent.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Pruritus, Skin atrophy
Clinical narrative: PT STATED SKIN TISSUE ATROPHY OF THE LEFT ARM WAS FIRST NOTICED BY HER BOYFRIEND IN OCTOBER.  SINCE THEN IS BEEN ACHY AND ITCHY AND PROGRESSLY GOTTEN WORSE.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain stem infarction, Cerebral infarction, SARS-CoV-2 antibody test negative
Clinical narrative: Per Dr.: Patient: Patient had multiple diffuse areas of infarcts of brain and brainstem  of unknown etiology. Covid antibiody profile done:SARS CoV-2Ab, Nucleocapsid- negative; SARS CoV2 Semi-Quant Total: See Dilution; SARS CoV2 Spike Ab Dilution: 11806 (with reference range being negative <0.8).
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Seizure like phenomena, Syncope
Clinical narrative: Patient had a syncopal episode followed by a brief seizure-like episode (5-10 seconds long). Was back to baseline after.
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Pulmonary embolism
Clinical narrative: Pulmonary embolism. First noticed shortness of breath in early to mid December.   Was traveling for the holidays.  Got an appt with cardiologist on 1/3.  He diagnosed and sent for CT scan.  Confirmed triple PE.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Headache, Hypertension
Clinical narrative: High BP. Headache
Age: 64.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Arthralgia, Blood test abnormal, Connective tissue disorder, Gait disturbance, Immunology test abnormal
Clinical narrative: About the week of 09/09/2022 I got a really bad pain in my right knee. It was so painful I could barely walk and it came out of no where. This was the first time it was so extreme. It lasted for a couple of weeks, and I went to go get it checked out. I went to see a PA in an urgent care setting. They ran some blood tests and the results came back with markers high for Lupus and Rheumatoid Arthritis. I was referred to the rheumatologist and I've been seeing him since mid to late September. He did a thorough exam and he wasn't sure what happened. The markers were high, but he could not rule it to be RA or Lupus. He diagnosed me with an undifferentiated connective tissue disorder. There's pain in my arms, wrists, knees, my shoulders. It was on both sides, so he thought it could be RA. Since then, he's been treating me. My symptoms were getting worse and worse so he prescribed Hydroxychloroquine. He prescribed me that medication and said it takes about 6 months to kick in.  It didn't seem to help at first and the joint pain became worse and worse. I let him know that it wasn't helping and the pain is chronic. The Rheumatologist has me taking injections of Methotrexate. I finally started getting relief after a few weeks with this medication from the joint pain. In the mean time, I've also seen information on Hydrochlorothiazide triggering this autoimmune response. I called my PCP and he noted to stop taking that medication for the mean time. My rheumatologist noted to keep taking Methotrexate for another month and to retest if the inflammation has gone down.
Age: 64.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Pain in extremity
Clinical narrative: About the week of 09/09/2022 I got a really bad pain in my right knee. It was so painful I could barely walk and it came out of no where. This was the first time it was so extreme. It lasted for a couple of weeks, and I went to go get it checked out. I went to see a PA in an urgent care setting. They ran some blood tests and the results came back with markers high for Lupus and Rheumatoid Arthritis. I was referred to the rheumatologist and I've been seeing him since mid to late September. He did a thorough exam and he wasn't sure what happened. The markers were high, but he could not rule it to be RA or Lupus. He diagnosed me with an undifferentiated connective tissue disorder. There's pain in my arms, wrists, knees, my shoulders. It was on both sides, so he thought it could be RA. Since then, he's been treating me. My symptoms were getting worse and worse so he prescribed Hydroxychloroquine. He prescribed me that medication and said it takes about 6 months to kick in.  It didn't seem to help at first and the joint pain became worse and worse. I let him know that it wasn't helping and the pain is chronic. The Rheumatologist has me taking injections of Methotrexate. I finally started getting relief after a few weeks with this medication from the joint pain. In the mean time, I've also seen information on Hydrochlorothiazide triggering this autoimmune response. I called my PCP and he noted to stop taking that medication for the mean time. My rheumatologist noted to keep taking Methotrexate for another month and to retest if the inflammation has gone down.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: MODERNA BIVALENT BOOSTER DOSE GIVEN INSTEAD OF MODERNA PRIMARY MONOVALENT DOSE.  OPTION IN 17 WOULD NOT ALLOW ME TO SELECT BIVALENT BOOSTER DOSE. NO ADVERSE EVENT WAS NOTICED
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pain and loss of mobility in left arm within first 12 hours and became worse over next 3-4 days.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Productive cough, SARS-CoV-2 test positive
Clinical narrative: In November when temperature change started having burning in chest shortness of breath and phlegm coming up diagnosed as upper respiratory infection. Lasted until 1st December. Prescribed doxycycline. Symptoms returned 12/12/2020 positive for Covid.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Upper respiratory tract infection
Clinical narrative: In November when temperature change started having burning in chest shortness of breath and phlegm coming up diagnosed as upper respiratory infection. Lasted until 1st December. Prescribed doxycycline. Symptoms returned 12/12/2020 positive for Covid.
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: It was discovered that children under the age of 5 are not eligible for a booster of a different brand.  Thais patient had 3 pfizer vaccines for the initial series and received a modena bivalent booster.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: pharmacist failed to fill out the patient's VAR form instead just writing "same info" on mom's var
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient 24 years old male was suppose to receive his Bivalent booster but instead a third dose of Pfizer was given.  Contacted patient 3 times, 3 different day, no answer. Left messsage. Per CDC guidelines: Providers may administer 1 bivalent booster dose as a repeat dose based on clinical judgement and patient preference. In this case, space the repeat dose after the dose given in error by at least 2 month.
Age: 79.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented at a mobile clinic for her flu vaccination. When our billing team was processing the claim, we were informed she had already received a flu vaccination for the 22-23 season on 9/6/22. Patient did not require this vaccination. On 2/1/23, s/w the head nurse for the facility. She states patient is doing well and has had no issues or side effects.
Age: 96.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented for her flu shot at a mobile vaccination clinic. Upon billing the claim, we discovered patient had already received her flu vaccine for the 2022-2023 season. I spoke with patient on 2/1/2023 and patient reports no side effects or issues.
Age: 73.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient presented for a flu vaccination at our mobile clinic. Upon billing the claim, we discovered patient had already received their flu vaccine on 9/6/22. On 2/1/23, s/w nurse at the facility who stated she would notify us with any issues. Unable to contact patient directly.
Age: 74.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient presented for a flu vaccination at our mobile clinic. Upon billing the claim, we discovered patient had already received their flu vaccine on 9/6/22. On 2/1/23, s/w nurse at the facility who stated she would notify us with any issues. Unable to contact patient directly.
Age: 1.08
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received two pfizer primary series vaccines and a moderna bivalent vaccine.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Heart rate increased, Wheezing
Clinical narrative: trouble breathing, rapid heart rate, wheezing
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy breast abnormal, Breast cancer female, Breast discharge, Intraductal proliferative breast lesion, Magnetic resonance imaging abnormal
Clinical narrative: Onset of red nipple discharge 5/7/2022. Cause of red nipple discharge in estigated by Breast Care Specialiats. Eventually diagnosed with Ductal Cell Carcinoma In Situ (Stage 0 breast cancer) on 1/9/2023.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Arthritis, Computerised tomogram abnormal, Condition aggravated, Fatigue, Inflammation
Clinical narrative: I had a sinus infection, and I went to the doctor. They did a CAT scan and found swollen lymph nodes in my neck and chest. I was diagnosed with sarcoidosis. It also could be from my medication I am taking called SIMPONI. They are still trying to figure out how to treat this. I have inflammation, fatigue, and more arthritis.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Lymphadenopathy, Sarcoidosis, Sinusitis
Clinical narrative: I had a sinus infection, and I went to the doctor. They did a CAT scan and found swollen lymph nodes in my neck and chest. I was diagnosed with sarcoidosis. It also could be from my medication I am taking called SIMPONI. They are still trying to figure out how to treat this. I have inflammation, fatigue, and more arthritis.
Age: 82.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented for a flu vaccination at our mobile clinic. Upon billing the claim, we discovered patient had already received their flu vaccine on 10/20/22. On 2/2/23, s/w caregiver at care home. Caregiver states they were not aware she had received a flu vaccine at another facility. Patient is doing okay, no issues.
Age: 82.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Patient presented for a flu vaccination at our mobile clinic. Upon billing the claim, we discovered patient had already received their flu vaccine on 10/20/22. On 2/2/23, s/w caregiver at care home. Caregiver states they were not aware she had received a flu vaccine at another facility. Patient is doing okay, no issues.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient was given vaccine with an expired beyond use date of 2/3/23
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: DTAP given per parent request to complete series as needed for school, DTAP at clinic for age 6weeks-7 years. No TDAP for under 10 years available at clinic. Phone call made to parent, voicemail left, waiting for parent to call back.
Age: 71.0
Sex: U
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient was given vaccine with an expired beyond use date of 2/3/23
Age: 23.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Pallor, Presyncope, Syncope, Tremor
Clinical narrative: Patient  received both the Boostrix and Fluzone Quad vaccinations administered by pharmacy intern. Sat in a chair outside the pharmacy for his 15 minute observation. after less than a minute, his friend yelled for help as he was visibly fainting and very pale. I responded to help the patient and lowered him flat on the floor and elevated his feet. He came to and started responding within 30 seconds to 1 minute after I got out to him. While I was taking care of him, my other pharmacist called EMS. I started conversing with him and he was coherent. He reported feeling a bit shaky still. I explained that it was likely a vasovagal response and that I would stay with him until he felt better. EMS arrived After about 5 minutes and took vitals, which were normal. Patient opted to decline ambulance transportation. They did decide to go to urgent care to be seen after the event. When patient left he had his color back and was conversing normally and his shakes had gone away.  15-20 minutes after event patient felt back to normal and left the store.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Pain, Pain in extremity, X-ray normal
Clinical narrative: The next day all of my joints started to hurt. 2 days after the injection my right leg (knee and ankle) started throbbing and hurting when I would walk or take steps. When o do steps now my right leg starts to ache at the joints. Now when I stand for a long period of time! Bend over to pick anything up or do steps my right knee hurts. If I extend my right foot my ankle hurts as well. I have done home exercise in case it was something I can prevent or treat alone that did not help.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: PHARMACIST IN CHARGE INCORRECTLY PREPARED VACCINE.  SHE FAILED TO DILUTE COVID-19 VACCINE BIVALENT UPDATED BOOSTER 4 -11 YEARS OF AGE.  PATIENT RECEIVED  0.2ML IM OF CONCENTRTATED VACCINE.   15 MINUTES AFTER ADMINISTRATION PARENT WAS CALLED AND REPORTED NO ADVERSE REACTIONS.  PARENT WAS ADVISED TO CALL WITH ANY FINDINGS AND CONTACT DOCTOR AS SOON AS POSSIBLE.    AT THIS PREWSENT TIME WE HAVE NOT HEARD FROM PARENT OR DOCTOR.
Age: 23.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: Vertigo, n/v
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: PHARMACIST IN CHARGE FAILED TO BOTH DILUTE CONCENTRATED COVID-19 BIVALENT UPDATED BOOSTER FOR 4 11 YEARS.  ALSO THE  VACCINE  SELECTION WAS NOT APPROPRIATE FOR AGE.   PHARMACIST ADMINISTERED  0.2 ML  IM TO PATIENT.  RESULTING IN 28.6 MCG GIVEN.    NO REPORTED ADVERSE REACTION REPORTEDC AT THIS TIME FROM PARENT.   PARENT ADVISED TO NOTIFY DOCTOR AT THERE EARLIEST CONVIENENCE.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient wanted to be vaccinated with the bivalent Pfizer COVID vaccine.  We accidentally ordered the monovalent Pfizer COVID vaccine, and because the vials are nearly identical, gave the patient the monovalent dose instead.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient wanted to be vaccinated with the bivalent Pfizer COVID vaccine.  We accidentally ordered the monovalent Pfizer COVID vaccine, and because the vials are nearly identical, gave the patient the monovalent dose instead.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient wanted to be vaccinated with the bivalent Pfizer COVID vaccine.  We accidentally ordered the monovalent Pfizer COVID vaccine, and because the vials are nearly identical, gave the patient the monovalent dose instead.