chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: He received his first influenza vaccine at approximately 1315 on 1010/24.  He was observed for 15 minutes following vaccine administration and did well.  They then went to the supermarket, and mom states that patient looked more tired than usual.  In the car on the way back home, he continued to look more tired.  By the time he got home it was a little less than 1 hour post-vaccine and he had a large episode of NBNB emesis.  He also started having a couple episodes of coughing and sneezing and overall appeared very fatigued with decreased responsiveness and paleness.  He was very limp.  Mom tried to breast-feed and he would not latch to the breast which mom states is never happened before.  She also notes that he started breathing faster.  He had no wheezing, no difficulty breathing, no rash, no itching, no swelling of his lips or tongue, no shaking of his extremities, and did not return back to his baseline during this time.    They drove him over to urgent care, and he had an additional episode of emesis in the car.  At urgent care he was noted to have cyanosis around his nose, he was afebrile, HR 163, RR 40, SpO2 99% on RA, no BP taken at this time.  Given concern for anaphylaxis he was given epinephrine intramuscular 0.15 mg at 1545 and subsequently they called 911 so that he could be transported to emergency department.  Mom states that following the epinephrine, he was more alert awake and woke up crying. His color improved.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Heart rate increased, Injection site pruritus, Migraine
Clinical narrative: rapid heartbeat, arm aches, migraine, fatigue, itchy at vaccine site, and loss of appetite
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: rapid heartbeat, arm aches, migraine, fatigue, itchy at vaccine site, and loss of appetite
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Child was 11 years old and was mistakenly given 12 years and older dose of spikevax.
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Mass, Pruritus, Urticaria
Clinical narrative: Pt developed a lump with a large, itchy hive within 2 minutes of receiving vaccine
Age: 1.75
Sex: M
Vaccine: FLU3
Symptoms: Gaze palsy, Pyrexia, Seizure, Tremor
Clinical narrative: Pt became febrile (38.3) ~6h after vaccine administration; experienced 5 convulsive episodes w/ b/l extremity shaking and upward eye deviation overnight (each 10-15 seconds in duration), c/f seizure
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: WRONG DOSE:    Pt given children's dose, not Adult dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pruritus, Injection site urticaria, Migraine, Oropharyngeal pain
Clinical narrative: Hive at injection site, migraine, body aches, nausea, itchy at injection, fatigue, and sore throat
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Hive at injection site, migraine, body aches, nausea, itchy at injection, fatigue, and sore throat
Age: 11.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received the 12 years and older 0.5mL COVID vaccine instead of the 5 through 11 years 0.25mL COVID vaccine. Vaccines were given at 0830 on 10/11/2024. Parent was called via telephone regarding the medication error at 1104 on 10/11/2024 and no adverse events or side effects had occurred from this vaccine at this time.
Age: 25.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Confusional state, Disorientation, Dizziness, Loss of consciousness, Posture abnormal
Clinical narrative: Vaccines were administered to patient at 10:20 am and she sat down in chairs outside the pharmacy to wait. At 10:23 she stated she was feeling lightheaded and requested water. At 10:24 the patient slumped over in the chair and lost consciousness for approximately 30 seconds. She thens sat back up but was disoriented and confused. She requested water again at 10:26 and was able to drink and became more coherent. She was then able to state her name and remembered where she was and what happened. The paramedics were called and arrived to evaluate her at 10:35. She refused transportation to the hospital. She was advised not to drive and called someone to pick her up, and left the store escorted by her friend at 11:09am.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Accidentally gave patient High Dose Flu Vaccine,  she is 62 years old and vaccine is for 65+ and older.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Face injury, Feeling hot, Swelling face, Syncope
Clinical narrative: Mom called our office stating patient received her 2nd dose of the HPV vaccine and then when she got home up until she went in to shower. She got dizzy and fainted, she hit bathroom floor. Mom went in and was able to get her up and talking. Patient said she felt really hot and dizzy. She bumped her chin which caused some swelling. EMS was called and assessed her, she is doing well now.  This all happened 2 hours after the administration of HPV.
Age: 85.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient states that on Monday (10/7) after receiving vaccines she was more fatigued than normal and shortly after (~5 hours) noticed that there was some redness on her arm. Patient states that now (10/9) her arm is red, swollen, itchy and warm to the touch from where the vaccines were given all the way down to her elbow.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EVENTTS AS OF YET. PATIENT WASNTED THE COVID VACCINE AND GOT THE FLUBLOK. NOT ONLY WAS THAT INCORRECT BUT HE SHOULD HAVE RECEIEVE THE FLUARIX FLU SHOT.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: Shortly after my 2nd shot, began experiencing a "pins and needles" feeling 24/7 all over my entire body which continues to this day - 3 years later.
Age: 53.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Erythema, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: pt explaines redness and swelling of entire arm from shoulder to the elbow. she complains of tenderness and warmth. she said she took tylenol/motrin and used cold compresses.
Age: 53.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test, Injection site cellulitis, Injection site erythema, Ultrasound scan
Clinical narrative: pt explaines redness and swelling of entire arm from shoulder to the elbow. she complains of tenderness and warmth. she said she took tylenol/motrin and used cold compresses.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given COVID-19 vaccine in error whereas patient requested Influenza vaccine.  No adverse event occurred.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient requested second seasonal flu shot and it was given. After speaking to patient, no adverse reactions occurred.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling of eyelid
Clinical narrative: Severe swelling of eye lids 24 hours after receiving the vaccine
Age: 0.17
Sex: M
Vaccine: RV1
Symptoms: Colitis, Diarrhoea
Clinical narrative: Diarrhea and then colitis for one week
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The pharmacy immunization team was conducting a clinic at a retirement facility that also contained a memory unit with patients who were facilitated by nurses and aides. The team started the clinic in a dining hall providing shots to the general population whose average age was 70 and above.  The next step took two pharmacist down to the locked down memory care unit.  The staff arrived with the patients to a general area where the 2 pharmacists had completed consent forms.  The staff were being asked to confirm the patients names and then confirming which shots (Covid and or Flu) the patients were to receive.  When the patient who was 63 years old came to the table the pharmacist first confirmed the name of the patient and looked at the consent form where both Covid and Flu were checked off. While not looking at  the patients date of birth or a processed vaccine label the pharmacist accidentally provided an over 65 vaccine as there was only 1 patient in the entire clinic who was not over 65.  The consent form did have the age circled on the top, but no notation next to the box checked flu to specify that it would be different from the other vaccines from the day.
Age: 77.0
Sex: F
Vaccine: PNC15
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: Immediately following shot in muscle,  muscle in arm became painful. Gave it a month to ease.  It is now 7 months and still hurts.
Age: 35.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Fatigue, Injection site pain, Injection site pruritus, Malaise, Polymenorrhoea
Clinical narrative: Menstrual cycle 6-7 days early, arm pain at injection site for 4 days, itching at injection site on day 4, fatigue and malaise on the evening of vaccination
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood folate, Dizziness, Full blood count, Influenza like illness, Iron binding capacity total
Clinical narrative: Following vaccine administration, experienced vertigo/lightheadedness, body aches, flu-like symptoms. Most symptoms resolved. Continues to have vertigo/lightheadedness.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Pain, Serum ferritin, Vertigo, Vitamin B12
Clinical narrative: Following vaccine administration, experienced vertigo/lightheadedness, body aches, flu-like symptoms. Most symptoms resolved. Continues to have vertigo/lightheadedness.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: given Fluad when should have received Afluria for under age 65.
Age: 9.0
Sex: F
Vaccine: YF
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was administered the Varicella vaccine instead of an MMR vaccine. No treatment required and no side effects noted. Parent was notified that the wrong vaccination was given.  Patient will receive  the MMR vaccine on 10/23/2024 with the correct interval spacing between live vaccines. Assessed how this error happened to ensure it will not happen again, and held meeting with immunization staff regarding error.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Erythema, Headache, Nausea, Pain
Clinical narrative: Redness, swelling, burning, pain, rash, nausea, headaches
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Swelling
Clinical narrative: Redness, swelling, burning, pain, rash, nausea, headaches
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong product administered
Clinical narrative: FLuad was given when should have gotten Afluria.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia
Clinical narrative: had vaccine on 10/9/2024, felt very fatigued and muscle aches on 10/10/2024, symptoms improved by 10/11/2024.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Urticaria
Clinical narrative: flu shot NOT administered by our office - day after flu shot developed generalized rash/hives on BUE/BLE
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient got a senior dose flu (for over 65) in error and is not yet 65.
Age: 0.17
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flu vaccine given in error at 2 months of age - No difficulties per mother
Age: 1.92
Sex: M
Vaccine: MMR
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Redness, localized swelling, welt
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Fluad was given when patient should have received afluria.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Wrong vaccine given per patient's age.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: given fluad instead of Afluria
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient mistakenly recieved dose for over 65, and is in fact only 61.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Member was given the pediatric dose instead of the adult dose.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: given fluad instead of afluria
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: According to mom, child woke up the next morning with full body hives. She is treating him with Benadryl.
Age: 13.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: I gave the patient the 6mo to 11yr old dose instead of the 11yr and older.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: given fluad instead of afluria
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was administered and Varicella vaccine instead of an MMR vaccine. No treatment required and no side effects noted. Parent was notified that the wrong vaccination was given. Patient will receive the MMR vaccine on 10/30/2024 with the correct interval spacing between live vaccines. Assessed how this error happened to ensure it will not happen again, and held meeting with immunization staff regarding error.
Age: 38.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Chest pain, Headache, Myalgia
Clinical narrative: severe headache, muscle pain, chest pain
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal discomfort, Diarrhoea, Muscle spasms, Nausea, Pain in extremity
Clinical narrative: I noticed a sore arm last night before bed, which i know is common with other vaccines i have had in the past. And this morning around 10AM , i have had an upset stomach feeling a little crampy and nauesous. I have had a loose stoll around 11:30AM.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: given fluad instead of afluria
Age: 68.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Swelling
Clinical narrative: Redness and swelling
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: gave fluad instead of afluria
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Member was given the pediatric dose of the vaccine.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Bursitis, Joint range of motion decreased, Product administered at inappropriate site, Rotator cuff syndrome
Clinical narrative: Shoulder pain from vaccine administration being too high per orthopedic doctor/clinician listed above and per head pharmacist. Pain with Arc, Impingement via Hawkins test, Bursitis via testing by the orthopedic clinic. No imaging - yet.  The problems (pain and range of motion) began within a approximately a couple of hours of the vaccination. The vaccine administrator at store stated "wow that was tight" as I felt a very strong pressure sensation.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: arm became sore after injection. Over a 3 week period soreness increased, pain is worsened by lifting arm to the side.  pain is muscular in nature.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Tinnitus
Clinical narrative: Constant ringing in both ears since vaccination
Age: 47.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Arthralgia, Back pain, Injection site erythema, Injection site mass, Malaise
Clinical narrative: This patient was vaccinated on 9/22 and called our office a few weeks later to report ongoing symptoms post vaccination. They reported pain in the arm, radiating to shoulder, back and down to the fingers as well as general malaise, body aches and joint pain for 24 hours post vaccination. The arm pain has persisted, although is feeling better today 10/11/2024. She also reported muscle spasms in the arm and loss of sleep due to the pain. She noted a red area surrounding the vaccination site and a palpable lump under the skin.
Age: 47.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Muscle spasms, Pain, Pain in extremity, Sleep disorder
Clinical narrative: This patient was vaccinated on 9/22 and called our office a few weeks later to report ongoing symptoms post vaccination. They reported pain in the arm, radiating to shoulder, back and down to the fingers as well as general malaise, body aches and joint pain for 24 hours post vaccination. The arm pain has persisted, although is feeling better today 10/11/2024. She also reported muscle spasms in the arm and loss of sleep due to the pain. She noted a red area surrounding the vaccination site and a palpable lump under the skin.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site infection, Injection site swelling
Clinical narrative: per pt It has been swollen and getting worse for 6 days . Patient visited my doctor and I was diagnosed with an infection at the injection site with a possible abscess. Per pt she has been on antibiotics.
Age: 4.0
Sex: F
Vaccine: COVID19, DTAPIPV, FLU3, MMRV
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: office gave covid vaccine with no dilution added
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Patient called on 10/11/2024 and stated that her arm still painful to touch, pain started the next day after the administration on 09/06/2024  and never resolved, no  pain with movement , no shoulder injury, can't tell if it's red or warm to touch .
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: The vaccine was not viable due to a temperature excursion.  The patient was administered a non-viable dose.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient relates that she was fatigued the night after vaccine.  She slept from 9:30 pm - 9:30 am 10/09/2024.  She woke up on 10/09/2024 with a frontal headache, shortness of breath even at rest, chills and a sore neck left of the spine.  She also related that she feels a bubble in her chest that is causing her to cough to "clear it".  She continues with shortness of breath with activity, headache and neckache.  She continues to feel a "bubble in her chest" and nagging cough.  Her Dr. closes today 10/11/2024 at noon.  I strongly advised her to seek medical attention but she related that she "will if it gets worse".
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Spinal pain
Clinical narrative: Patient relates that she was fatigued the night after vaccine.  She slept from 9:30 pm - 9:30 am 10/09/2024.  She woke up on 10/09/2024 with a frontal headache, shortness of breath even at rest, chills and a sore neck left of the spine.  She also related that she feels a bubble in her chest that is causing her to cough to "clear it".  She continues with shortness of breath with activity, headache and neckache.  She continues to feel a "bubble in her chest" and nagging cough.  Her Dr. closes today 10/11/2024 at noon.  I strongly advised her to seek medical attention but she related that she "will if it gets worse".
Age: 16.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Asthenia, Headache, Loss of consciousness
Clinical narrative: Patient passed out briefly after receiving the vaccines. 911 was called. The fire department came and by that time she was conscious and alert. Vitals were normal. The patient was not taken via ambulance. Later the patient developed a headache and felt weak, visited her pediatrician and is currently awaiting treatment at the ER.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Received pediatric dose of the vaccine
Age: 4.0
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was administered the Hepatitis B vaccine dose # 3 earlier than the recommended interval between doses. No treatment required and no side effects noted. Parent was notified that the vaccination was given earlier than the recommended minimum interval between doses and the vaccination would be considered not valid and should be repeated. Parent has decided to have her child vaccinated elsewhere. Assessed how this error happened to ensure it will no happen again, and held meeting with immunization staff regarding error.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Catarrh, Cough, Dyspnoea
Clinical narrative: After receiving the vaccine patient is reporting persistent cough, dyspnea and mucus build up in airways for past 5 months.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt should have been given a Spikevax COVID vaccine. Received a flu shot instead. Pt reports receiving a high dose flu shot on 9/14/2024. No side effects noted as of 22 hours post vaccination.
Age: 6.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Client was to get Pediarix but instead received Kinrix. No adverse reaction or issues noted with client
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Received pediatric dose
Age: 76.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Electrocardiogram ambulatory, Heart rate increased, Tachycardia
Clinical narrative: Beginning on the evening of vaccine, significantly elevated heart rate and by next day tachycardia continues today (+9 days).  Due to taking Metoporol for several years my resting heart rate is typically 49-54 BPM but consistently since the date of the vaccine has been elevated to 95-120 BPM averaging approximately 100 BPM.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Peripheral swelling, Pyrexia
Clinical narrative: REDNESS, SWELLING OF THE ARM, FEVER AND BODY ACHES; TOOK ALEEVE 220 MG - 2 TABLETS AT NIGHT AND 1 TABLET APPROXIMATELY 10 HOURS LATER
Age: 79.0
Sex: F
Vaccine: UNK
Symptoms: Anaphylactic shock, Central venous catheterisation
Clinical narrative: Anaphylactic shock one day after influenza vaccination. Requiring admission w/ central line placement and continuous epinephrine infusion.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Chills, Headache, Pain in extremity, Peripheral swelling
Clinical narrative: Headache, fever, chills, arm soreness and slightly swollen, chest ache
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Headache, fever, chills, arm soreness and slightly swollen, chest ache
Age: 41.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Immediate post-injection reaction, Injection site haematoma
Clinical narrative: Instant hematoma in left deltoid after administration of Spikevax. No raised area after 15min post injection. Bandage was not saturated.  Denies discomfort and is able to move arm without any issues. Advised patient to let us know if she develops a hard lump or any excessive pain and ice injection site as necessary.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Received pediatric dose instead of the adult dose.
Age: 12.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Rash
Clinical narrative: The patient received four vaccines including the Influenza Vaccine, Tdap Vaccine, Meningococcal ACWY, and HPV.  About two minutes after the vaccine was given, the patient noticed that he was having a small rash reaction to the upper vaccine on the right arm (Tdap). I kept an eye on the pt while giving his siblings other vaccines. After done with the siblings, I checked on the patient's arms. The rash caused by the Tdap had not spread or worsened anymore but I then noticed a reaction on his left upper arm (influenza). Pt stated he was not having any other reactions so I grabbed the pt's PCP who checked on his arms. Dr. stated that he was okay to go home as he had now waited the correct amount of time (15 minutes).  He advised the pt to use Benadryl as needed. I then released the patients letting them know that a low grade fever, tenderness, and flu-like symptoms are normal. Patient's and mom stated understanding and were sent one their way.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Wrong product administered
Clinical narrative: Hep B was giving but Men B was prescribed.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Received pediatric dose instead of the adult dose
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Influenza vaccine given 2 months apart.  No adverse affects.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Member received the pediatric dose instead of the adult dose.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Pyrexia
Clinical narrative: Headache, loss of appetite, extreme fatigue, chills and fever
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Pt experienced unresponsive, vasovagal syncope for 30 seconds prior to recovery.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism
Clinical narrative: I developed a deep vein thrombosis with no apparent cause or history, discovered after going to ER with pulmonary embolus. Dr recommended I file this repot.
Age: 74.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Death
Clinical narrative: He was fine when he left the clinic.   I saw his obituary in the paper.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient complaints of rashes on her bilateral feet,ankles and lower legs after flu shot at the wellness center .Patient received flu shot on 10/08/24 3pm at the left arm.  10/09/24- she felt the itchiness on affected areas and self medicated with hydrocortisone cream with relieved. She was in the tower but did not follow up at the wellness center. She send an email the wellness center inbox about her symptoms later that night about her rashes. She took benadryl  to help with the itching and make her sleep. She also took Ibuprofen that day.  10/10/24- Nurse follow up on her health status upon receiving the email. She is currently in the building and willing to go to the center not until 3:30pm. Raised pimple like , no pus rashes on both  lower legs and ankles.She denies any shortness of breath, fever or muscle weakness. She mentioned that she just completed antibiotic last 10/6/2024 for UTI and cold symptoms 2 weeks ago. RN took the bandiad out from flu shot site on the left arm, no visible rashes noted at all.She denies any history of allergic reactions to vaccines prior to her rashes now.  Referred to Dr for further assesment and evaluation. Case reported to VAERS. Pt made aware. Advised to follow up with her PCP for further evaluation.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: I accidently gave the incorrect dosage for the Covid-19 vaccine.
Age: 1.67
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Eye movement disorder, Hyperhidrosis, Musculoskeletal stiffness, Seizure like phenomena
Clinical narrative: Around 130 this morning mom noticed that she woke up, was stiff and shaking, the right arm was moving up and down, and the eyes rolled to the back of the head.  It lasted about 60 seconds.  After this episode she had emesis.  Additionally she was sleepier than normal.  This episode lasted approximately 60 seconds.  Has been at daycare, has had cold recently and multiple sick contacts.  Additionally yesterday she got her 2nd COVID vaccine. On EMS arrival, had a temperature of a 100.7°.  Transported to ED for concerns for seizure like activity.  Since being in the ED she has been afebrile but has been sweaty and warm to touch per mom. Patient was evaluated, alert and oriented, and appeared well in ED. No further seizure activity and given PO challenge, tolerated well. Patient was discharged home with instructions and when/if needs to return to ED.
Age: 1.67
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Somnolence, Tremor, Vomiting
Clinical narrative: Around 130 this morning mom noticed that she woke up, was stiff and shaking, the right arm was moving up and down, and the eyes rolled to the back of the head.  It lasted about 60 seconds.  After this episode she had emesis.  Additionally she was sleepier than normal.  This episode lasted approximately 60 seconds.  Has been at daycare, has had cold recently and multiple sick contacts.  Additionally yesterday she got her 2nd COVID vaccine. On EMS arrival, had a temperature of a 100.7°.  Transported to ED for concerns for seizure like activity.  Since being in the ED she has been afebrile but has been sweaty and warm to touch per mom. Patient was evaluated, alert and oriented, and appeared well in ED. No further seizure activity and given PO challenge, tolerated well. Patient was discharged home with instructions and when/if needs to return to ED.
Age: 70.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Anion gap, Blood chloride decreased, Blood creatinine increased, Blood lactic acid, Blood potassium normal
Clinical narrative: 70 y.o.  male with a PMH significant for chronic systolic HF (EF<20%) status post AICD secondary to ATTR amyloid , type 2 diabetes, Atrial fibrillation, cardiorenal syndrome who presented to HMH with rectal bleeding. He was ready to discharge but was exposed to monkey pox by a healthcare worker and he consented to receive Jynnoes.  8/26: 11am ? patient is awake and alert x 3. Limited ability to sit up in bed. Weak extremities 8/26: Approximately 4 hours after the first dose was administered, the patient was noted to be lethargic with blood pressure of 94/63, 95% oxygen saturation on room air, awake and oriented x1. Naloxone was given and he was reported to be awake and oriented x 3, BP 107/68, HR 107, O2=94%. Head CT ordered.  8/27: Patient developed altered mental status and was in respiratory distress. He was intubated and transferred to ICU. He was found to be in cardiogenic shock. Norepinephrine initiated.  Neurology consulted: acute metabolic encephalopathy
Age: 70.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Blood sodium decreased, Blood urea increased, Carbon dioxide normal, Cardiogenic shock, Computerised tomogram head normal
Clinical narrative: 70 y.o.  male with a PMH significant for chronic systolic HF (EF<20%) status post AICD secondary to ATTR amyloid , type 2 diabetes, Atrial fibrillation, cardiorenal syndrome who presented to HMH with rectal bleeding. He was ready to discharge but was exposed to monkey pox by a healthcare worker and he consented to receive Jynnoes.  8/26: 11am ? patient is awake and alert x 3. Limited ability to sit up in bed. Weak extremities 8/26: Approximately 4 hours after the first dose was administered, the patient was noted to be lethargic with blood pressure of 94/63, 95% oxygen saturation on room air, awake and oriented x1. Naloxone was given and he was reported to be awake and oriented x 3, BP 107/68, HR 107, O2=94%. Head CT ordered.  8/27: Patient developed altered mental status and was in respiratory distress. He was intubated and transferred to ICU. He was found to be in cardiogenic shock. Norepinephrine initiated.  Neurology consulted: acute metabolic encephalopathy
Age: 70.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Electrocardiogram PR prolongation, Electrocardiogram abnormal, Endotracheal intubation, Intensive care, Lethargy
Clinical narrative: 70 y.o.  male with a PMH significant for chronic systolic HF (EF<20%) status post AICD secondary to ATTR amyloid , type 2 diabetes, Atrial fibrillation, cardiorenal syndrome who presented to HMH with rectal bleeding. He was ready to discharge but was exposed to monkey pox by a healthcare worker and he consented to receive Jynnoes.  8/26: 11am ? patient is awake and alert x 3. Limited ability to sit up in bed. Weak extremities 8/26: Approximately 4 hours after the first dose was administered, the patient was noted to be lethargic with blood pressure of 94/63, 95% oxygen saturation on room air, awake and oriented x1. Naloxone was given and he was reported to be awake and oriented x 3, BP 107/68, HR 107, O2=94%. Head CT ordered.  8/27: Patient developed altered mental status and was in respiratory distress. He was intubated and transferred to ICU. He was found to be in cardiogenic shock. Norepinephrine initiated.  Neurology consulted: acute metabolic encephalopathy
Age: 70.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Mental status changes, Metabolic encephalopathy, Mobility decreased, Muscular weakness, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: 70 y.o.  male with a PMH significant for chronic systolic HF (EF<20%) status post AICD secondary to ATTR amyloid , type 2 diabetes, Atrial fibrillation, cardiorenal syndrome who presented to HMH with rectal bleeding. He was ready to discharge but was exposed to monkey pox by a healthcare worker and he consented to receive Jynnoes.  8/26: 11am ? patient is awake and alert x 3. Limited ability to sit up in bed. Weak extremities 8/26: Approximately 4 hours after the first dose was administered, the patient was noted to be lethargic with blood pressure of 94/63, 95% oxygen saturation on room air, awake and oriented x1. Naloxone was given and he was reported to be awake and oriented x 3, BP 107/68, HR 107, O2=94%. Head CT ordered.  8/27: Patient developed altered mental status and was in respiratory distress. He was intubated and transferred to ICU. He was found to be in cardiogenic shock. Norepinephrine initiated.  Neurology consulted: acute metabolic encephalopathy
Age: 70.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Respiratory distress, Troponin T increased, White blood cell count increased
Clinical narrative: 70 y.o.  male with a PMH significant for chronic systolic HF (EF<20%) status post AICD secondary to ATTR amyloid , type 2 diabetes, Atrial fibrillation, cardiorenal syndrome who presented to HMH with rectal bleeding. He was ready to discharge but was exposed to monkey pox by a healthcare worker and he consented to receive Jynnoes.  8/26: 11am ? patient is awake and alert x 3. Limited ability to sit up in bed. Weak extremities 8/26: Approximately 4 hours after the first dose was administered, the patient was noted to be lethargic with blood pressure of 94/63, 95% oxygen saturation on room air, awake and oriented x1. Naloxone was given and he was reported to be awake and oriented x 3, BP 107/68, HR 107, O2=94%. Head CT ordered.  8/27: Patient developed altered mental status and was in respiratory distress. He was intubated and transferred to ICU. He was found to be in cardiogenic shock. Norepinephrine initiated.  Neurology consulted: acute metabolic encephalopathy
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Arthritis, Blood calcium, Blood iron, C-reactive protein
Clinical narrative: Arthritis / Arthralgia / Myalgia mainly right lower extremity ,  bilateral scapulae, right arm and shoulder.  Started gradually within 2 days of the injection. Generalized inflammatory reaction was expected but continued and worsened over the next several months, migratory but mainly concentrated in the right upper and lower extremities. Severity:  prevented driving, prolonged sitting longer than 1/2 hour, prevented sleeping.  6 months before improvement on medications.  Significant interference with activities of daily living.  Prednisone dosepaks  x 4 in succession necessary to improve to tolerance of regular  activities. Pain particularly in right hip and bilateral ankles has never fully resolved.  Now 1 year post vaccine.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Complement factor C3, Complement factor C4, Full blood count, Impaired driving ability, Inflammation
Clinical narrative: Arthritis / Arthralgia / Myalgia mainly right lower extremity ,  bilateral scapulae, right arm and shoulder.  Started gradually within 2 days of the injection. Generalized inflammatory reaction was expected but continued and worsened over the next several months, migratory but mainly concentrated in the right upper and lower extremities. Severity:  prevented driving, prolonged sitting longer than 1/2 hour, prevented sleeping.  6 months before improvement on medications.  Significant interference with activities of daily living.  Prednisone dosepaks  x 4 in succession necessary to improve to tolerance of regular  activities. Pain particularly in right hip and bilateral ankles has never fully resolved.  Now 1 year post vaccine.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Liver function test, Loss of personal independence in daily activities, Magnetic resonance imaging joint, Magnetic resonance imaging spinal, Mobility decreased
Clinical narrative: Arthritis / Arthralgia / Myalgia mainly right lower extremity ,  bilateral scapulae, right arm and shoulder.  Started gradually within 2 days of the injection. Generalized inflammatory reaction was expected but continued and worsened over the next several months, migratory but mainly concentrated in the right upper and lower extremities. Severity:  prevented driving, prolonged sitting longer than 1/2 hour, prevented sleeping.  6 months before improvement on medications.  Significant interference with activities of daily living.  Prednisone dosepaks  x 4 in succession necessary to improve to tolerance of regular  activities. Pain particularly in right hip and bilateral ankles has never fully resolved.  Now 1 year post vaccine.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Myalgia, Red blood cell sedimentation rate, Sleep disorder, Synovial fluid analysis
Clinical narrative: Arthritis / Arthralgia / Myalgia mainly right lower extremity ,  bilateral scapulae, right arm and shoulder.  Started gradually within 2 days of the injection. Generalized inflammatory reaction was expected but continued and worsened over the next several months, migratory but mainly concentrated in the right upper and lower extremities. Severity:  prevented driving, prolonged sitting longer than 1/2 hour, prevented sleeping.  6 months before improvement on medications.  Significant interference with activities of daily living.  Prednisone dosepaks  x 4 in succession necessary to improve to tolerance of regular  activities. Pain particularly in right hip and bilateral ankles has never fully resolved.  Now 1 year post vaccine.
Age: 5.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Underdose
Clinical narrative: Administered 0.1 ml to the patient from the prefilled syringe formulation of Comirnaty 0.3ml for 12 years of age and older.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Death
Clinical narrative: expired
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Three days after the vaccine was given, patient developed redness, swelling, warmth, and bruising at the injection site.
Age: 0.67
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: The patient did not have an adverse event. Covid vaccine 6mnths-4years should be diluted with 1.1%ml of sodium chloride. Unfortunately the clinical member did not dilute the vaccine and the patient was given 0.3ml of covid vaccine undiluted.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received Fluad (65+) Influenza vaccine. No adverse side effects noted.
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient administered Arvexy on 9/28/2023. Patient also received another dose on 10/11/24. Duplicate dose. Next scheduled dose 6/23/2026
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Localized redness, warmth, and itching. Approximately 1 quarter in size.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Fatigue, Headache, Nausea, Stomatitis
Clinical narrative: Patient G3P1001 EDD 11/28/2024 received the vaccine on 10/9/24 and reports the next day 10/10 started vomiting (at least 5 times) had headache, fatigue and new onset of white sores on her tongue and mouth. (Denies throat swelling, SOB or difficulty breathing). 10/11, the N/V has resolved, but she still has a headache, fatigue and mouth sores.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Tongue ulceration, Vomiting
Clinical narrative: Patient G3P1001 EDD 11/28/2024 received the vaccine on 10/9/24 and reports the next day 10/10 started vomiting (at least 5 times) had headache, fatigue and new onset of white sores on her tongue and mouth. (Denies throat swelling, SOB or difficulty breathing). 10/11, the N/V has resolved, but she still has a headache, fatigue and mouth sores.
Age: 58.0
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Product preparation issue
Clinical narrative: NO adverse reactions noted during event. Pharmacy reported to patient that the vaccine administered was improperly reconstituted.
Age: 77.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received 1st dose on 12/5/2023, next scheduled dose in 3 years. Second dose administered on 10/11/24
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Comirnaty  age 12 years and older instead of the 5 years to 11 years formulation. No adverse signs and symptoms noticed or reported after injection.  Patient and mom was notified verbally in the office immediately after incident.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered at inappropriate site
Clinical narrative: The patient recieved an influenza vaccination at the pharmacy on 10/11/24 at 2:45 pm that was given by pharmacy intern supervised by pharmacist on duty. The patient immediately expressed concern about vaccine being placed too high. The patient did not immediately express she was experiencing any arm pain or discomfort and there was no obvious inflammation or redness around the area of injection.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm
Clinical narrative: arm became sore, extremely itchy, red, and warm to the touch within a day. The redness grew and bumps (like sun poisoning bumps) formed within two days. It is now about a week and a half later and my arm has not cleared up. I showed my arm to my physician who said it looks like contact dermatitis
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Headache, Hypertension, Laboratory test, Nausea, Vomiting
Clinical narrative: Patient reported headache, nausea, vomiting, hypertension.
Age: 16.0
Sex: M
Vaccine: HPV9
Symptoms: Blood pressure decreased, Heart rate decreased, Hyperhidrosis, Immediate post-injection reaction, Pallor
Clinical narrative: Patient received third dose of gardasil today while seated on an exam table. Before even removing needle patient began sweating, turned pale, and fainted. Patient was then laid down on exam table and his legs were raised. Patients BP lowered to 88/44 and HR decreased to 46 and RR 18. After lying down for 3 minutes patient regained consciousness and felt better and wanted to sit up on his own. Patient was then given some water and pediasure and has tolerated it fine with no symptoms. Patient remains in office for an hour resting also per request of his nervous mother. Patient now has BP 105/76 HR 77 RR 18 and o2 sat 98%I After 5 minutes of resting lying down patient stated he felt better.
Age: 16.0
Sex: M
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: Patient received third dose of gardasil today while seated on an exam table. Before even removing needle patient began sweating, turned pale, and fainted. Patient was then laid down on exam table and his legs were raised. Patients BP lowered to 88/44 and HR decreased to 46 and RR 18. After lying down for 3 minutes patient regained consciousness and felt better and wanted to sit up on his own. Patient was then given some water and pediasure and has tolerated it fine with no symptoms. Patient remains in office for an hour resting also per request of his nervous mother. Patient now has BP 105/76 HR 77 RR 18 and o2 sat 98%I After 5 minutes of resting lying down patient stated he felt better.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red arm below injection site, warm to touch
Age: 30.0
Sex: F
Vaccine: HEPA, PNC20
Symptoms: Computerised tomogram limb, Contusion, Injected limb mobility decreased, Pain in extremity, Product administered at inappropriate site
Clinical narrative: 9/23/24 Patient reports to family medicine seeking physical therapy for a chronic left shoulder injury that was recently re-injured. Clinic recommended routine vaccines during visit. PT and ortho follow-ups recommended.    Patient reported to pharmacy to get 3 recommended vaccinations: 2 in left arm and 1 in right arm. Pharmacist injected 2 vaccines above the tattoo covering the left upper arm without being aware of shoulder injury.   10/4/24 Patient returned to pharmacy stating continued pain and limited range of motion in left arm since vaccine injections. Pharmacist and pharmacy supervisor find small bruise high on the arm, above her tattoo, and inform the patient her pain could be the result of a high injection site. Patient is encouraged to go to ER to be checked for any damage.   10/5/24 ER performed exam and x-ray of effected shoulder and found no joint effusion or abnormality. ER evaluation was tendonitis due to injection location (high injection site on a shoulder that has a chronic injury). Patient was prescribed local pain relief while it resolves and encouraged to follow up with family medicine.   10/8/24 Patient returns to family medicine as a follow-up to her initial 9/23/24 visit. Patient reports increased pain since initial visit, likely due to vaccines. CT of shoulder is obtained.   10/9/24 CT findings: no acute shoulder findings, mild degeneration of spine. PT and orthopedic follow-ups still recommended.   10/10/24 Patient began PT for shoulder.
Age: 30.0
Sex: F
Vaccine: HEPA, PNC20
Symptoms: Spinal osteoarthritis, Tendonitis, X-ray limb normal
Clinical narrative: 9/23/24 Patient reports to family medicine seeking physical therapy for a chronic left shoulder injury that was recently re-injured. Clinic recommended routine vaccines during visit. PT and ortho follow-ups recommended.    Patient reported to pharmacy to get 3 recommended vaccinations: 2 in left arm and 1 in right arm. Pharmacist injected 2 vaccines above the tattoo covering the left upper arm without being aware of shoulder injury.   10/4/24 Patient returned to pharmacy stating continued pain and limited range of motion in left arm since vaccine injections. Pharmacist and pharmacy supervisor find small bruise high on the arm, above her tattoo, and inform the patient her pain could be the result of a high injection site. Patient is encouraged to go to ER to be checked for any damage.   10/5/24 ER performed exam and x-ray of effected shoulder and found no joint effusion or abnormality. ER evaluation was tendonitis due to injection location (high injection site on a shoulder that has a chronic injury). Patient was prescribed local pain relief while it resolves and encouraged to follow up with family medicine.   10/8/24 Patient returns to family medicine as a follow-up to her initial 9/23/24 visit. Patient reports increased pain since initial visit, likely due to vaccines. CT of shoulder is obtained.   10/9/24 CT findings: no acute shoulder findings, mild degeneration of spine. PT and orthopedic follow-ups still recommended.   10/10/24 Patient began PT for shoulder.