chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, CSF glucose normal, CSF protein normal, Carbon dioxide normal, Computerised tomogram head abnormal
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cytomegalovirus test, Enterovirus test negative, Fraction of inspired oxygen, Glycosylated haemoglobin, Haematocrit decreased
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Haemorrhage intracranial, Herpes simplex test negative, High density lipoprotein, Hyperreflexia
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Inflammation, International normalised ratio increased, Low density lipoprotein, Magnetic resonance imaging head normal
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Musculoskeletal disorder, Myelitis transverse, Non-high-density lipoprotein cholesterol, PCO2
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: PO2, Quadriparesis, Red blood cell count decreased, Scan with contrast normal, Spinal osteoarthritis
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid gland injury, Thyroid mass, Troponin, Troponin I, Troponin T
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Varicella virus test, West Nile virus test, White blood cell count increased, pH body fluid
Clinical narrative: Acute inflammation of the Cervical Spine , inability to move her legs, numbness in her fingertips, hand weakness/unable to grip anything .
Age: 77.0
Sex: M
Vaccine: FLUA4
Symptoms: Injection site bruising, Injection site haemorrhage
Clinical narrative: Patient reported blue/bruised area around his injection site and he did bleed after the vaccine and he put his shirt down right away while the pharmacist was getting a bandaid so blood got on his shirt so he thought he was bleeding a lot.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nasal congestion
Clinical narrative: Symptoms first began approximately 12.5 hours after receiving the vaccine. Symptoms include mild nausea that comes and goes, chills that lasted about 4 hours, nasal congestion, constant sore arm, tiredness, headache, and muscle aches. Treated with ibuprofen and then Tylenol, which relieved the headache and muscle aches slightly.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Symptoms first began approximately 12.5 hours after receiving the vaccine. Symptoms include mild nausea that comes and goes, chills that lasted about 4 hours, nasal congestion, constant sore arm, tiredness, headache, and muscle aches. Treated with ibuprofen and then Tylenol, which relieved the headache and muscle aches slightly.
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 24° after shot ~2" round/raised/red/swollen/itchy area away from injection site. 48° after shot - same area but now larger/redder ~2"x4"
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Back pain, Injection site pain, Joint swelling, Muscle tightness
Clinical narrative: Had vaccine 10/9/23. By 3:00pm muscle pain starting. By 10/10/23 muscle pain was extreme in upper arms, back, hands. Bending right elbow still very painful by 10/19/23. I do have arthritis but knuckles increased in size/pain not subsiding. Cannot get ring off of wedding finger. Back muscles staying very tight/painful. Pain still remains in upper arms.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: Had vaccine 10/9/23. By 3:00pm muscle pain starting. By 10/10/23 muscle pain was extreme in upper arms, back, hands. Bending right elbow still very painful by 10/19/23. I do have arthritis but knuckles increased in size/pain not subsiding. Cannot get ring off of wedding finger. Back muscles staying very tight/painful. Pain still remains in upper arms.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Fatigue, Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: Redness and inflammation at injection site. Itchy where red. Also had fatigue.
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Peripheral swelling
Clinical narrative: swollen arm; lt
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Flushing, Heart rate increased
Clinical narrative: Shortness of breath while speaking was noted, slight elevation in pulse rate 100-113 bpm, flushed appearance.  Employee/student was instructed to not obtain vaccines outside provider office due to reactions and adverse affects noted.   Student agreed to remain on site under observation for 30 minutes or until the end of classroom time.  Student refused to seek medical attention at the local hospital.
Age: 69.0
Sex: F
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Welts on bilateral upper and back. both legs have  welts, but not as much as my arms. See other doc.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Minor rash around collar bone. Noticed 3 days after vaccine. No other logical causes.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error, Underdose
Clinical narrative: An employee noticed two unopened vials of lyophilized vaccine component (ActHIB vaccine) without the liquid vaccine component (DTaP-IPV component). We cannot say with 100% certainty which two out of five patients were effected by the error and which MA is responsible. Vaccines with Lot #UJ876AA was entered into (EMR) on 06/21/2023. We narrowed our search down to the five patients that were given the Pentacel after 06/21/2023. Five vials come in a box. Two were missing the liquid component, one was given to a patient on the day the incident was discovered and two remained in the box. According to a report that was pulled, it shows commercial vaccines were given where state should have been given or it was documented incorrectly. An action plan has been put into place to prevent future errors. There will be inventory checks performed bi-weekly with an inventory check list and sign off for accountability. The staff is also keeping a log of vaccine administration to cross check the administration of the vaccines are accurate and match in the EMR. Dr. reviewed the patients chart and she is up to date with her vaccines and revaccination is not required for this patient.
Age: 0.25
Sex: F
Vaccine: IPV
Symptoms: Injection site erythema, Injection site swelling, Petechiae, Pyrexia, Rash
Clinical narrative: Reaction to IPV vaccine given on 10/11/23, injection on right thigh per record, both legs became red and swollen. Patient went with parents to ER and was given an Albuterol breathing treatment, Prednisolone PO, and Benadryl PO. The patient was also prescribed medications Prednisone and Benadryl, but meds were not given yet per parent. The swelling and redness went down in 1 hour. The patient had a mild fever of 100 F at the ER and the above previously mentioned medications were given. Petechiae rash on bilateral lower extremities worse on the left leg. No other petechiae anywhere else. Adverse event logged into the patient's chart. The patient was seen in office post event for an ER follow up on 10/13/2023 and is doing well with fading rash, will refer to investigate possible allergies.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: no adverse events
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error
Clinical narrative: An employee noticed two unopened vials of lyophilized vaccine component (ActHIB vaccine) without the liquid vaccine component (DTaP-IPV component). We cannot say with 100% certainty which two out of five patients were effected by the error and which MA is responsible. Vaccines with Lot #UJ876AA was entered into (EMR) on 06/21/2023. We narrowed our search down to the five patients that were given the Pentacel after 06/21/2023. Five vials come in a box. Two were missing the liquid component, one was given to a patient on the day the incident was discovered and two remained in the box. According to a report that was pulled, it shows commercial vaccines were given where state should have been given or it was documented incorrectly. An action plan has been put into place to prevent future errors. There will be inventory checks performed bi-weekly with an inventory check list and sign off for accountability. The staff is also keeping a log of vaccine administration to cross check the administration of the vaccines are accurate and match in the EMR. Dr. reviewed the patients chart and she is up to date with her vaccines and revaccination is not required for this patient.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Musculoskeletal disorder, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Left arm -Pain with lifting arm, tingling, disfunction with ability to move arm (almost like when your arm falls asleep), isn't tracking smoothly. It started around 1730 on the day of her injection.   Under section 21. Disability or permanent damage was selected due to unknown outcome at this time as patient is currently still experiencing symptoms/signs.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations Racing heartbeat
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error
Clinical narrative: An employee noticed two unopened vials of lyophilized vaccine component (ActHIB vaccine) without the liquid vaccine component (DTaP-IPV component). We cannot say with 100% certainty which two out of five patients were effected by the error and which MA is responsible. Vaccines with Lot #UJ876AA was entered into (EMR) on 06/21/2023. We narrowed our search down to the five patients that were given the Pentacel after 06/21/2023. Five vials come in a box. Two were missing the liquid component, one was given to a patient on the day the incident was discovered and two remained in the box. According to a report that was pulled, it shows commercial vaccines were given where state should have been given or it was documented incorrectly. An action plan has been put into place to prevent future errors. There will be inventory checks performed bi-weekly with an inventory check list and sign off for accountability. The staff is also keeping a log of vaccine administration to cross check the administration of the vaccines are accurate and match in the EMR. Dr. reviewed the patients chart and he needs to catch up most likely. Might need a HIB alone and a DTap alone if preferred by parents. The patient has a follow up appointment on 12/04/2023 to discuss further.
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error
Clinical narrative: An employee noticed two unopened vials of lyophilized vaccine component (ActHIB vaccine) without the liquid vaccine component (DTaP-IPV component). We cannot say with 100% certainty which two out of five patients were effected by the error and which MA is responsible. Vaccines with Lot #UJ876AA was entered into (EMR) on 06/21/2023. We narrowed our search down to the five patients that were given the Pentacel after 06/21/2023. Five vials come in a box. Two were missing the liquid component, one was given to a patient on the day the incident was discovered and two remained in the box. According to a report that was pulled, it shows commercial vaccines were given where state should have been given or it was documented incorrectly. An action plan has been put into place to prevent future errors. There will be inventory checks performed bi-weekly with an inventory check list and sign off for accountability. The staff is also keeping a log of vaccine administration to cross check the administration of the vaccines are accurate and match in the EMR. Dr. reviewed the patients chart and she is up to date with her vaccines and revaccination is not required for this patient.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: persistent and worsening edema, erythema, and pain to L upper arm x 2 weeks
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error
Clinical narrative: An employee noticed two unopened vials of lyophilized vaccine component (ActHIB vaccine) without the liquid vaccine component (DTaP-IPV component). We cannot say with 100% certainty which two out of five patients were effected by the error and which MA is responsible. Vaccines with Lot #UJ876AA was entered into EMR on 06/21/2023. We narrowed our search down to the five patients that were given the Pentacel after 06/21/2023. Five vials come in a box. Two were missing the liquid component, one was given to a patient on the day the incident was discovered and two remained in the box. According to a report that was pulled, it shows commercial vaccines were given where Vaccines should have been given or it was documented incorrectly. An action plan has been put into place to prevent future errors. There will be inventory checks performed bi-weekly with an inventory check list and sign off for accountability. The staff is also keeping a log of vaccine administration to cross check the administration of the vaccines are accurate and match in the EMR. Dr. reviewed the patients chart and she is up to date with her vaccines and revaccination is not required for this patient.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Muscular weakness, Myalgia, Pain in extremity
Clinical narrative: Pain in shoulder to hand, started in muscle then achy joints, weakness in strength in that wrist.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Pt came with parents to clinic for immunizations.  Pt was prescreened and On order form it was written in to  receive the  new pfizer updated covid vaccine for 4 yrs old, when vaccines were filled for patient, a vial for the age 5yrold was placed on vaccination tray pfizer updated comirnaty lot # HE2391. vaccinator administered it yesterday 10/18/23..
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Skin reaction, Skin warm
Clinical narrative: Patient received shot in right deltoid on October 16, 2023. She came back to the pharmacy on October 19, 2023 to report an adverse reaction and this was the first time she made contact with the pharmacy after the shot. Her forearm and a bit of the area above the elbow on the upper arm was red and inflamed and, she said, hot to the touch. The area around the injection site appeared normal. Patient also received a flu shot in the other arm and there was no reaction in that arm. Patient said she had been self-treating with Tylenol. When I asked if she took Benadryl, she stated she hadn't. I told her to seek immediate help with her primary care provider or at an urgent care/emergency room as soon as possible.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient returned to pharmacy and and had a swollen, warm to touch, tender large bruise from shoulder down to elbow. Patient took an aspirin to help with pain. Offered to call primary doctor for treatment (steroid tabs) patient declined and would rather wait. No respiratory/ systemic symptoms reported
Age: 1.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The single dose vial is labeled 0.25 mL, a pediatric dose is 0.25 mL, but the vial contains 0.5 mL of vaccine. The whole vial was drawn and administered to the patient.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Muscular weakness, Tremor
Clinical narrative: Pt stated that the morning after the vaccine, she had trouble breathing. Weak shaking knees. Unknown if caused by the vaccine.
Age: 26.0
Sex: M
Vaccine: PNC20
Symptoms: Dizziness, Syncope
Clinical narrative: feeling dizziness and lightheaded.  fainting briefly
Age: 78.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Condition aggravated
Clinical narrative: Patient complained of increase in  left knee pain after getting the Arexvy vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Hyperhidrosis, Immediate post-injection reaction, Injection site pain
Clinical narrative: Immediate nausea, sweats/chills, lost color in face, blurry vision (similar to fainting, but did not pass out), felt weak.  Pain at injection site.  Arm felt tingly and weak.  Stayed in chair, deep breathing, drank water and Gatorade, placed head between knees.  Stayed on site for approximately 25 min until symptoms decreased to normal.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Nausea, Pallor, Paraesthesia, Vision blurred
Clinical narrative: Immediate nausea, sweats/chills, lost color in face, blurry vision (similar to fainting, but did not pass out), felt weak.  Pain at injection site.  Arm felt tingly and weak.  Stayed in chair, deep breathing, drank water and Gatorade, placed head between knees.  Stayed on site for approximately 25 min until symptoms decreased to normal.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Immediate nausea, sweats/chills, lost color in face, blurry vision (similar to fainting, but did not pass out), felt weak.  Pain at injection site.  Arm felt tingly and weak.  Stayed in chair, deep breathing, drank water and Gatorade, placed head between knees.  Stayed on site for approximately 25 min until symptoms decreased to normal.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Vaccination site pain, Vision blurred
Clinical narrative: Immediate nausea, sweats/chills, lost color in face, blurry vision (similar to fainting, but did not pass out), felt weak.  Pain at injection site.  Arm felt tingly and weak.  Stayed in chair, deep breathing, drank water and Gatorade, placed head between knees.  Stayed on site for approximately 25 min until symptoms decreased to normal.
Age: 20.0
Sex: F
Vaccine: FLU4, HEP
Symptoms: Aspartate aminotransferase abnormal, Borrelia test negative, Guillain-Barre syndrome, Hypertransaminasaemia, Hyponatraemia
Clinical narrative: Started illness, fever, body aches 24 hours after vaccination. Seen in office and worsened and went to ER (10/12/23). She was hospitalized (10/14/23) and Dx with Guillan Barre during hospital stay. Labs done at hospital had sl elevation sgot, low plts and low wbc(higher than 2 days before). Put on naproxen and doxy to cover for anaplasmosis. Lyme and tick borne disease illnesses negative. Chemistries otherwise negative. Is hydrated. Treated with IGIV
Age: 20.0
Sex: F
Vaccine: FLU4, HEP
Symptoms: Illness, Immunoglobulin therapy, Laboratory test, Magnetic resonance imaging, Pain
Clinical narrative: Started illness, fever, body aches 24 hours after vaccination. Seen in office and worsened and went to ER (10/12/23). She was hospitalized (10/14/23) and Dx with Guillan Barre during hospital stay. Labs done at hospital had sl elevation sgot, low plts and low wbc(higher than 2 days before). Put on naproxen and doxy to cover for anaplasmosis. Lyme and tick borne disease illnesses negative. Chemistries otherwise negative. Is hydrated. Treated with IGIV
Age: 20.0
Sex: F
Vaccine: FLU4, HEP
Symptoms: Platelet count decreased, Pyrexia, Thrombocytopenia, White blood cell count decreased
Clinical narrative: Started illness, fever, body aches 24 hours after vaccination. Seen in office and worsened and went to ER (10/12/23). She was hospitalized (10/14/23) and Dx with Guillan Barre during hospital stay. Labs done at hospital had sl elevation sgot, low plts and low wbc(higher than 2 days before). Put on naproxen and doxy to cover for anaplasmosis. Lyme and tick borne disease illnesses negative. Chemistries otherwise negative. Is hydrated. Treated with IGIV
Age: 87.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Client came to clinic and got her flu vaccine. In entering paperwork into system realized that client had received a flu shot back on 10/5/23. Would be a second vaccine within weeks of each other. Called client once we noticed we had given a second vaccine to her and she couldn't recall getting a vaccine at store or not.  does have some memory issues she states.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness
Clinical narrative: Patient was alert and awake but felt dizzy.
Age: 60.0
Sex: F
Vaccine: FLUA4
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Impaired work ability
Clinical narrative: Woke up early with chills, headache, extreme body aches and feeling exhausted.  Lasted through the following day and had to take the day off of work.  I have never had a reaction to a flu shot before and have gotten them many times.  My whole body felt like a big bruise and I was so exhausted and miserable.  Day 2 was better but still very tired and achy.
Age: 60.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain
Clinical narrative: Woke up early with chills, headache, extreme body aches and feeling exhausted.  Lasted through the following day and had to take the day off of work.  I have never had a reaction to a flu shot before and have gotten them many times.  My whole body felt like a big bruise and I was so exhausted and miserable.  Day 2 was better but still very tired and achy.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: PATIENT COMPLAINED OF CONTINUED PAIN ON THE ARM AFTER THE VACCINE WAS ADMINISTERED ON 07/16/2023
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Underdose
Clinical narrative: Pt received 10mcg/0.5 ml instead of 20mcg/1cc. No untoward event however patient now requires redosing.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Decreased appetite, Headache, Musculoskeletal stiffness
Clinical narrative: Sore and swollen right arm, fever 101, chills, shaking, headache, muscle aches, nausea, no appetite, neck stiffness, no energy.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Sore and swollen right arm, fever 101, chills, shaking, headache, muscle aches, nausea, no appetite, neck stiffness, no energy.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Sore and swollen right arm, fever 101, chills, shaking, headache, muscle aches, nausea, no appetite, neck stiffness, no energy.
Age: 30.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hyperhidrosis, Impaired work ability
Clinical narrative: On 10/18/23, I developed very severe chest pain, chest pressure, dyspnea, diaphoresis, low grade fever, and all over body aches. Chest pain caused me to be unable to work and I had to leave work.
Age: 30.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Pain, Pyrexia
Clinical narrative: On 10/18/23, I developed very severe chest pain, chest pressure, dyspnea, diaphoresis, low grade fever, and all over body aches. Chest pain caused me to be unable to work and I had to leave work.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received the pneumovax vaccine, but should have received the prevnar 20 vaccine. The patient did not have any negative outcomes from receiving pneumovax. The PCP is aware and will administer prevnar in the future. This report is to indicate that the wrong vaccine was given, not necessarily an adverse effect
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: RN administered pediatric Engerix B 10mcg/0.5 ml instead if 29 mcg/1 ml IM
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Fatigue
Clinical narrative: patient claimed feeling exhausted after the vaccination, reported difficulty breathing and heart rate ranging from 43-50/min. EMS was contacted. BP 90/67 HR 44 T 36.7 RR 23.  SPO2 is 100 percent. patient went stable after nursing interventions,  informed employee and EMS response request  can be cancelled if patient stable.
Age: 38.0
Sex: U
Vaccine: HPV9
Symptoms: Lymphadenopathy
Clinical narrative: swollen nodule left armpit
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Delayed vasovagal reaction
Age: 68.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Arthralgia, Asthenia, Chills, Fall, Fatigue
Clinical narrative: Sore arm, tiredness, every joint ached including my head - a screaming headache., and even my skin hurt.  Also my kidneys hurt but could have been from the fall when I fainted. Chills & fever, weakness and fainted. Better by noon but still have a headache and no energy.  Sickest I?ve been in 30 years. Won?t get a 2nd dose!!
Age: 68.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Headache, Pain in extremity, Pain of skin, Pyrexia, Renal pain
Clinical narrative: Sore arm, tiredness, every joint ached including my head - a screaming headache., and even my skin hurt.  Also my kidneys hurt but could have been from the fall when I fainted. Chills & fever, weakness and fainted. Better by noon but still have a headache and no energy.  Sickest I?ve been in 30 years. Won?t get a 2nd dose!!
Age: 68.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Syncope
Clinical narrative: Sore arm, tiredness, every joint ached including my head - a screaming headache., and even my skin hurt.  Also my kidneys hurt but could have been from the fall when I fainted. Chills & fever, weakness and fainted. Better by noon but still have a headache and no energy.  Sickest I?ve been in 30 years. Won?t get a 2nd dose!!
Age: 65.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Dizziness, Fatigue, Headache, Injection site pain, Pain
Clinical narrative: PATIENT REPORTS EXTREME PAIN ALL OVER, SEVERE HEADACHE, INJECTION SITE FEELS LIKE IT IS ON FIRE.  WORST PAIN SHE HAS EVER FELT, REPORTS BEING "BESIDE HERSELF" IN PAIN AND SORE AND TIRED. ALSO DIZZINESS
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Deafness, Fatigue, Head discomfort, Influenza like illness
Clinical narrative: Flu like symptoms and fatigue first day. Tinnitus and hearing loss since first day. Tinnitus is extreme, feeling of "fullness" in head.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Flu like symptoms and fatigue first day. Tinnitus and hearing loss since first day. Tinnitus is extreme, feeling of "fullness" in head.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: High Dose vaccine given to teenager
Age: 76.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chills, Insomnia, Musculoskeletal stiffness, Tremor
Clinical narrative: Severe chills and shaking. At first I only had stiffness in both arms from the injections. Then, as I was going to bed at about 9 pm, I began to shake quite a lot with chills. I tried to sleep, but by 11:00, it was impossible. I put on warmer pajamas and an extra double layer wool blanket over me to get warm enough to sleep. I continued to shake for another hour or so until I was able to sleep more soundly. NOTE: At the time I received the Covid vaccine, I also got a flu shot injection in my other arm.
Age: 87.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event, Product administration error
Clinical narrative: Patient received Fluad Influenza vaccine from us at Flu Clinic conducted at a Care Home where the patient resides. Neither the patient, or the facility's staff disclosed to the vaccinating pharmacist that the patient had received a flu vaccine during our vaccination screening process. This vaccine duplication error was discovered when we were reporting our dose to the state immunization registry.  Upon our follow-up with the patient, the facility has not reported that the patient experienced any adverse effect since receiving the second flu shot.
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: High Dose Flu Vaccine given to teenager
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Fatigue, Feeling abnormal, Feeling hot, Hyperhidrosis
Clinical narrative: She got her vaccine, she was fine with the shot and did not feel anything.  She did her errands and after 24 hours that she started feeling miserable and started to feel hot and had 102.4 fever, which is unusual for her.  She was so  miserable that she did not want to take anything, and feeling feverish, chills and perspiration and took a Anacin, which lessened the fever a little bit.  It went back up and then checked it later is was 101.4, and then she continued to take the Anacin to see if it would go away and then it would peak again.  She has not rechecked it again.  She feels miserable, has very bad pain on the injection site, tender, swelling and itching.  It was realy itchy for the first 24-48 hours.  The priprimary feeling that makes her feel bad is the fever.  She never gets high fevers, chills and perspiring of her entire body, arms, legs, behind the knees.  She also has great fatigue and body aches.  The only pain is on the upper right arm where the shot was.  She has not contacted her doctor.  She has problems with her pancrease and her heart and was told if she has problems with any of that to go to the hospital, and she was considering to do that.  She decided to report it in the event she had to go to the hospital.    She had the over 65 Fluzone vaccine over 30 days ago with no reactions.
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Loss of personal independence in daily activities, Pain
Clinical narrative: She got her vaccine, she was fine with the shot and did not feel anything.  She did her errands and after 24 hours that she started feeling miserable and started to feel hot and had 102.4 fever, which is unusual for her.  She was so  miserable that she did not want to take anything, and feeling feverish, chills and perspiration and took a Anacin, which lessened the fever a little bit.  It went back up and then checked it later is was 101.4, and then she continued to take the Anacin to see if it would go away and then it would peak again.  She has not rechecked it again.  She feels miserable, has very bad pain on the injection site, tender, swelling and itching.  It was realy itchy for the first 24-48 hours.  The priprimary feeling that makes her feel bad is the fever.  She never gets high fevers, chills and perspiring of her entire body, arms, legs, behind the knees.  She also has great fatigue and body aches.  The only pain is on the upper right arm where the shot was.  She has not contacted her doctor.  She has problems with her pancrease and her heart and was told if she has problems with any of that to go to the hospital, and she was considering to do that.  She decided to report it in the event she had to go to the hospital.    She had the over 65 Fluzone vaccine over 30 days ago with no reactions.
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Pyrexia
Clinical narrative: She got her vaccine, she was fine with the shot and did not feel anything.  She did her errands and after 24 hours that she started feeling miserable and started to feel hot and had 102.4 fever, which is unusual for her.  She was so  miserable that she did not want to take anything, and feeling feverish, chills and perspiration and took a Anacin, which lessened the fever a little bit.  It went back up and then checked it later is was 101.4, and then she continued to take the Anacin to see if it would go away and then it would peak again.  She has not rechecked it again.  She feels miserable, has very bad pain on the injection site, tender, swelling and itching.  It was realy itchy for the first 24-48 hours.  The priprimary feeling that makes her feel bad is the fever.  She never gets high fevers, chills and perspiring of her entire body, arms, legs, behind the knees.  She also has great fatigue and body aches.  The only pain is on the upper right arm where the shot was.  She has not contacted her doctor.  She has problems with her pancrease and her heart and was told if she has problems with any of that to go to the hospital, and she was considering to do that.  She decided to report it in the event she had to go to the hospital.    She had the over 65 Fluzone vaccine over 30 days ago with no reactions.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Fatigue, Hypoaesthesia, Paraesthesia
Clinical narrative: I got an RSV shot on September 8th and for the first few days I was tired and my joints were hurting. I thought it was a reaction and it was going to go away but it didn't. I started feeling numbness and tingling on the left side of my body where I got the shot (face, hand, leg). It is still there, not all the time but every day.
Age: 44.0
Sex: M
Vaccine: FLU4
Symptoms: Vaccination site erythema, Vaccination site haemorrhage, Vaccination site induration, Vaccination site swelling
Clinical narrative: At time of vaccine administration, a small hard red bump formed and was approximately 2 cm across as well as minor bleeding that stopped after 1 min of direct pressure.  The patient did not report any pain nor did they report any symptoms of anaphylaxis type symptoms (itching/swelling of the face/neck/throat). No treatments were provided for the bump that formed. I monitored the patient for 15 minutes and patient did not complain of any further issues surrounding the swelling/bump formation. I advised the patient to monitor and seek medical care if swelling increased, new pain develops or if any other concerning symptoms developed. Patient did not need any assistance to their vehicle and seemed in well when leaving the clinic.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: The left arm where the shot was given hurt and that was expected.  My right arm between the shoulder and elbow was also very sore, more sore than the right arm.  It had not been that sore prior to the shot.   I wonder if that had something to do with the replacement surgery I had when I fell 2 and a half years ago.   The pain was relieved with Tylenol but did last longer than the pain in the arm where the shot was given.
Age: 58.0
Sex: F
Vaccine: FLU4, FLU4, UNK
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given two flu vaccines on the same day.  One private dose and one other was given.  One was given in left arm and one given in the right arm.  Patient forgot she had already received a flu shot.  No adverse reactions noted.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Erythema, Immediate post-injection reaction, Peripheral swelling, Skin warm
Clinical narrative: Right arm immediately became swollen, red, warm to the touch after giving vaccine
Age: 37.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Tinnitus
Clinical narrative: Tinnitus of the left ear.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: flu vaccine was administered per pt request when they were here for daughter's appt. When documenting that the vaccine was administered, it had showed pt had rec'd flu vaccine a week prior.  Message sent to pcp as FYI and to advise if any reactions that pt should look for
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Per mother are was red, warm to touch and swollen.  After 2 weeks little redness noted.
Age: 14.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Syncope
Clinical narrative: Within 2 minutes of administration, patient fainted.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Product administered at inappropriate site, Tenderness
Clinical narrative: Vaccine was administered too high and patient lost mobility of left arm for 2 days.  She regained mobility after 2 days but still has tenderness as she is reporting to the pharmacy.  Recommended to ice if needed and ibuprofen and to follow up with her pcp if it gets worse or doesn't start to get better.  Patient's pcp was also notified and stated they would follow up with her.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Cough, Discomfort, Economic problem, Food allergy
Clinical narrative: Since 2021-2023 I have had a peanut allergy after having Pfizer vaccines. It goes away but my throat feels sensitive/irritated/pressured and I cough and then it goes away.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypersensitivity, Throat irritation
Clinical narrative: Since 2021-2023 I have had a peanut allergy after having Pfizer vaccines. It goes away but my throat feels sensitive/irritated/pressured and I cough and then it goes away.
Age: 1.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PATIENT GIVEN MORE THAN PERSCRIBE DOSAGE,  10/19/23 @ 4:39 PM. NO SYMPTOMS TO REPORT
Age: 87.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: prt was administered vaccine in clinic by rn on 10/3/23, second dose administered in error 10/18/23 by RN. No adverse effects reported at time of vaccine prt was observed for 15 min after administration
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: Inflammation, Rash, Rash erythematous
Clinical narrative: LARGE RED INFALAMMED RASH 2' X 4' -  WITH RASH INVOLVED ON BICEP...SORE BUT FULL RANGE OF MOBILITY...
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Borrelia test negative, CSF cell count normal, CSF test, Computerised tomogram abdomen normal, Computerised tomogram head normal
Clinical narrative: Patient presented with transient fever and confusion 1 day after receiving COVID-19 booster (Moderna)  similar to his presentation last year in October 2022 1 day after COVID 19 booster (COVID 19- Pfizer at that time).
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram thorax normal, Confusional state, Herpes simplex test negative, Laboratory test normal, Pyrexia
Clinical narrative: Patient presented with transient fever and confusion 1 day after receiving COVID-19 booster (Moderna)  similar to his presentation last year in October 2022 1 day after COVID 19 booster (COVID 19- Pfizer at that time).
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory viral panel, Viral test, West Nile virus test negative
Clinical narrative: Patient presented with transient fever and confusion 1 day after receiving COVID-19 booster (Moderna)  similar to his presentation last year in October 2022 1 day after COVID 19 booster (COVID 19- Pfizer at that time).
Age: 31.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event, Product administration error
Clinical narrative: THE PATIENT RECIEVED PREVNAR 20 FROM US, HOWEVER PREVNAR 20 WAS GIVEN TO HER THE YEAR PRIOR IN DECAMBER. NO KNOWN ADVERSE OUTCOME, BUT SHE DID NOT NEED ANOTHER DOSE OF PREVNAR 20 AND IT WAS GIVEN TO HER IN ERROR
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Joint range of motion decreased, Shoulder injury related to vaccine administration
Clinical narrative: SIRVA. Pt presented with painful left shoulder. Decreased ROM.
Age: 98.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Injection site erythema, Injection site mass, Injection site reaction, Injection site swelling
Clinical narrative: Patient had injection site reaction: redness, swelling, and large ball on arm. Patient called Pharmacy for a different reason and mentioned adverse reaction. Pharmacy tried to contact patient for more information, but the patient was not reached.
Age: 26.0
Sex: F
Vaccine: FLUA4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt was given the wrong influenza vaccine based on age of patient. No adverse event or treatment needed.
Age: 1.25
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 15 month old child was administered a full adult dose of covid 19 Moderna vaccine
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: PT WANTED FLU SHOT. PATIENT RECEIVED SPIKEVAX VACCINE INSTEAD.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: REDNESS AND SWELLING AT INJECTION SITE
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Pulmonary embolism
Clinical narrative: ON 10/12/23 PATIENT EXPERIENCED SHORTNESS OF BREATH, CT SCAN SHOWED MULTIPLE BILATERAL PULMONARY EMBOLISM
Age: 11.0
Sex: M
Vaccine: HPV9, TDAP
Symptoms: Injection site rash, Injection site warmth, Pruritus, Rash papular
Clinical narrative: Mom called today, 10/19/2023, stating that patient has rash near immunization injection sites on bilateral upper arms. Patient seen in clinic on Monday, 10/16 and received Tdap in left deltoid and HPV #1 in right deltoid. Mom noticed rash last night 10/18/2023. Gave patient Benadryl at bedtime which seemed to help. This morning mom gave Claritin. Patient went to nurses office today as arms were itching. School applied hydrocortisone cream and he went back to class.   Rash is small, raised on left upper arm where Tdap was given (size of a needle per mom) and there are a few on right upper arm near HPV site. There are not as many on the right arm. Warm to touch but not swollen. Mom states they start on shoulder near injection site and go down about 5 inches. They are itchy.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 66.0
Sex: M
Vaccine: TYP
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Dizziness & Shortness of Breath
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Immobile, Impaired work ability, Inflammation, Inflammatory marker increased, Lumbar puncture normal
Clinical narrative: Patient developed severe foot pain on 10/07/23, was unable to complete the shift. Went to Urgent care , they recommended a specialist.  On 10/08/23 the pain radiated to the rest of the body, and was immobilizing. 10/11/23 Patient saw the primary care doctor , he prescribed medication for pain and inflammation and ordered spinal Tap, witch was negative.  10/14/23 patient went with the ambulance to the ER and they prescribed more medication  for pain and inflammation. Returned to the doctor 10/17/23  who kept patient on the same medication. The doctor did not give patient any diagnosis. the Blood results showed normal limits for inflammatory levers. At this time 10/19/23 patient  had a f-up appointment on 10/26/23, the doctor advised and excused her to stay home from work until the 26th of October.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient developed severe foot pain on 10/07/23, was unable to complete the shift. Went to Urgent care , they recommended a specialist.  On 10/08/23 the pain radiated to the rest of the body, and was immobilizing. 10/11/23 Patient saw the primary care doctor , he prescribed medication for pain and inflammation and ordered spinal Tap, witch was negative.  10/14/23 patient went with the ambulance to the ER and they prescribed more medication  for pain and inflammation. Returned to the doctor 10/17/23  who kept patient on the same medication. The doctor did not give patient any diagnosis. the Blood results showed normal limits for inflammatory levers. At this time 10/19/23 patient  had a f-up appointment on 10/26/23, the doctor advised and excused her to stay home from work until the 26th of October.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: increased warmth, redness and swelling of left upper arm
Sex: F
Vaccine: MMR
Symptoms: No adverse event, Occupational exposure to product
Clinical narrative: HCP reports a nurse from his clinic was trying to administer the vaccine to a child when the vaccine accidentally splashed her in the eye.; No side effects or symptoms reported. No additional AE; This spontaneous report has been received from a pharmacist, concerning a female patient of unknown age. The patient's concurrent conditions, medical history and concomitant therapies were not reported.  On 20-SEP-2023, the patient was vaccinated with measles, mumps, and rubella (wistar RA 27-3) virus vaccine, live rHA (recombinant human albumin) (M-M-R II) Injection, lot number W019423, expiration date not reported, but upon internal validation established as 20-JUN-2024, as prophylaxis (strength, dose, vaccination scheme, frequency, route of administration, and anatomical site of injection, were not reported).   On that same date, a nurse was trying to administer the vaccine to the patient when the vaccine accidentally splashed her in the eye (occupational exposure to product). No side effects or symptoms reported. No injuries reported. No additional AE. No other medical information known.
Sex: U
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: No other information provided.  No additional AEs or PQC reported.; Caller reported expired dose of MMR II was administered.; This spontaneous report has been received from  a certified medical assistant (CMA), referring to a patient of unknown age and gender. Information regarding the patient's pertinent medical history and concurrent condition was not provided. Concomitant therapy included sterile diluent (Lot Number: W000454 with expiration date: 25-JUL-2024).   On 20-SEP-2023, the patient was vaccinated with expired dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (recombinant human albumin) (M-M-R II) (lot # W011885 with expiration date: 04-SEP-2023, 0.5 milliliter, strength unknown), intramuscularly in the left thigh for prophylaxis (expired product administered). No other information provided. No additional adverse events (AEs) or product quality complaint reported.