chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: HIBV
Symptoms: Expired product administered, No adverse event
Clinical narrative: administered ACTHIB that has an expiration date of 24Mar2024 with no reported adverse event; Initial information received on 27-Mar-2024 regarding an unsolicited valid non-serious case received from a other health professional.  This case involves an unknown age and unknown gender patient who was administered HIB (PRP/T) vaccine [ACT-HIB] that has an expiration date of 24mar2024 with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On 27-Mar-2024, the patient was administered an expired dose of suspect HIB (PRP/T) vaccine Powder and solvent for solution for injection (total dose) (lot UJ862AA, expiry date- 24-MAR-2024) via unknown route in unknown administration site for Immunization; with no reported adverse event (expired product administered) (latency- same day).  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Sudden death
Clinical narrative: Online report of sudden death in 25-year-old male recipient of Moderna EUA COVID-19 countermeasure. Victim was extremely active on social media, until March 07, 2024. On March 09. 2024 his spouse and frieds made post implying his death occurred on March 09, 2024. Victim was obese, consumed alcohol and drank sugary drinks like soda. Victim was inoculated at a dialysis center known by one name but with a different business name. A social mediai from a friend mentions the 5th floor When dialysis started, (before or after inoculation is unknown). Dates of subsequent doses are unknown but could be found through extensive research. DOSE#1 03/26/21 LOT#017B21A.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sudden death
Clinical narrative: Online report of sudden death in 47-year-old EAU countermeasure recipient deemed fully vaccinated against COVID-19. Post from 08/23/21 dead recipient posted got my second on May 1st. DOSE#1 date 03/17/21 LOT#ER8727, DOSE#2 date 05/01/21 LOT# UNK. Review of social media posts don't indicate any adverse events prior to sudden death.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Condition aggravated, Dyspnoea, Hypoaesthesia, Mobility decreased
Clinical narrative: Patient woke the following morning unable to move her arm because it hurt so badly.  This lasted for days.  After approximately 5 days, the pain and ache also affected her elbow and moved down into her fingers and caused numbness in the 4th and 5th fingers of the left hand.  Numbness is persisting .  She ahs also been having more difficulty breathing than normal which is making it harder for her to get around.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity
Clinical narrative: Patient woke the following morning unable to move her arm because it hurt so badly.  This lasted for days.  After approximately 5 days, the pain and ache also affected her elbow and moved down into her fingers and caused numbness in the 4th and 5th fingers of the left hand.  Numbness is persisting .  She ahs also been having more difficulty breathing than normal which is making it harder for her to get around.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral
Clinical narrative: Neuropathy
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperaesthesia, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging abnormal
Clinical narrative: The soreness from the injection was immediate and lasted much longer than previous COVID vaccination. The injection site was higher than previous as well.  Then, within weeks, I noticed that when I hyper-extended my right arm or placed pressure on either shoulder I would experience a radiating pain that would last several seconds before desisting. It was only after several months of the pain increasing and my arm losing its usual range of motion that I realized that this was not a transitory injury and sought medical treatment. After that, due to medical insurance malfeasance, it took several more months to get the necessary evaluations and testing. My MRI from February of this year (2024) revealed extensive muscle and tissue damage, but nothing like a tendon rupture that could be fixed by surgery. Thus it is likely that I will be afflicted by pain and an inability to properly move my right arm for the rest of my life.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle injury, Pain, Tissue injury, X-ray
Clinical narrative: The soreness from the injection was immediate and lasted much longer than previous COVID vaccination. The injection site was higher than previous as well.  Then, within weeks, I noticed that when I hyper-extended my right arm or placed pressure on either shoulder I would experience a radiating pain that would last several seconds before desisting. It was only after several months of the pain increasing and my arm losing its usual range of motion that I realized that this was not a transitory injury and sought medical treatment. After that, due to medical insurance malfeasance, it took several more months to get the necessary evaluations and testing. My MRI from February of this year (2024) revealed extensive muscle and tissue damage, but nothing like a tendon rupture that could be fixed by surgery. Thus it is likely that I will be afflicted by pain and an inability to properly move my right arm for the rest of my life.
Age: 86.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The RSV vaccine was administered twice on 1/6/24 and 3/5/24. No adverse events.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Central nervous system lesion, Demyelination, Hypoaesthesia, Magnetic resonance imaging head abnormal, Paraesthesia
Clinical narrative: Facial and arm numbness and tingling on right side.  New onset of dymelination in brain mri.
Sex: U
Vaccine: VARZOS
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain-Barre syndrome; This serious case was reported by a consumer and described the occurrence of guillain barre syndrome in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   On an unknown date, the patient received the 2nd dose of Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced guillain barre syndrome (Verbatim: Guillain-Barre syndrome) (serious criteria GSK medically significant). The outcome of the guillain barre syndrome was not reported.   The reporter considered the guillain barre syndrome to be related to Shingles vaccine.     The company considered the guillain barre syndrome to be related to Shingles vaccine.   Additional Information: GSK Receipt Date: 01-APR-2024 The patient developed Guillain-Barre syndrome from the shingles vaccine.
Age: 57.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Blood test normal, Computerised tomogram normal, Dyspnoea, Laboratory test normal, Pulmonary embolism
Clinical narrative: Vitamin D, Prilosec.  In early June 2023 I cut my left baby toe which required sutures.  The urgent care gave me a TD shot.   My son was having a baby and pediatrician recommended family receive tdap.  I called my family physician office to see if I could get tdap since only 30 days since td shot.  They said it would be ok so on 7/3or 7/5/23 I got the tdap vaccine.   2.5 months later I was short of breath and by 3 months I was hospitalized with 4 pulmonary embolisms.  I asked my physician if receiving td/tdap within 30 days could be cause of pe he indicated unlikely, but not impossible.  I contacted Glaskow (I believe this was the tdap I received, my doctor has my vaccine record with company, type of vaccine and lit number. I have requested a copy). for more info re boostrix administration in close proximity to TD and safety/reports of clotting disorders.  I was told there were no clinical trials to test safety if administered so close. So they could not comment on the adverse effect.  Their pkg insert indicated not administer before 5 yrs from last vaccination.  However the cdc site says no specific time interval needed between the two. Which clearly does not correlate with glaskows recommendation or safety trials.  Case # with Glasgow is 01977897.  I am requesting more information on if concomitant use within 30 days  of each other could result in dvt/pulomonary embolism due to high levels of vaccine in my system.  Since glaskow has no safety studies/trials on this.  Not sure how cdc can recommend it.  Seems like no data exists re safety of administration of tdap with in 30 days of tetanus.  Not sure this is what cause pulmonary embolisms bit I was healthy prior to vaccines, mo comorbids and had a healthy physical in April.  No safety data noted by glaskow.  No trials conducted by them from to test safety of admistration together or in such close proximity of each other.  Their insert recommends 5 yrs between doses as such.
Age: 57.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Dyspnoea, Pulmonary embolism
Clinical narrative: Vitamin D, Prilosec.  In early June 2023 I cut my left baby toe which required sutures.  The urgent care gave me a TD shot.   My son was having a baby and pediatrician recommended family receive tdap.  I called my family physician office to see if I could get tdap since only 30 days since td shot.  They said it would be ok so on 7/3or 7/5/23 I got the tdap vaccine.   2.5 months later I was short of breath and by 3 months I was hospitalized with 4 pulmonary embolisms.  I asked my physician if receiving td/tdap within 30 days could be cause of pe he indicated unlikely, but not impossible.  I contacted Glaskow (I believe this was the tdap I received, my doctor has my vaccine record with company, type of vaccine and lit number. I have requested a copy). for more info re boostrix administration in close proximity to TD and safety/reports of clotting disorders.  I was told there were no clinical trials to test safety if administered so close. So they could not comment on the adverse effect.  Their pkg insert indicated not administer before 5 yrs from last vaccination.  However the cdc site says no specific time interval needed between the two. Which clearly does not correlate with glaskows recommendation or safety trials.  Case # with Glasgow is 01977897.  I am requesting more information on if concomitant use within 30 days  of each other could result in dvt/pulomonary embolism due to high levels of vaccine in my system.  Since glaskow has no safety studies/trials on this.  Not sure how cdc can recommend it.  Seems like no data exists re safety of administration of tdap with in 30 days of tetanus.  Not sure this is what cause pulmonary embolisms bit I was healthy prior to vaccines, mo comorbids and had a healthy physical in April.  No safety data noted by glaskow.  No trials conducted by them from to test safety of admistration together or in such close proximity of each other.  Their insert recommends 5 yrs between doses as such.
Sex: F
Vaccine: VARZOS
Symptoms: Immunisation reaction
Clinical narrative: Reaction to Shingles vaccine; This spontaneous report was received from a consumer referring to herself, a 79-year-old female patient.  The patient's medical history included rheumatic fever. The patient's concurrent conditions included overactive bladder and heart specialist consultation once a year (cardiac disorder). Concomitant medications included metformin and glimepiride.   On an unknown date, the patient was vaccinated with zoster vaccine live (ZOSTAVAX) subcutaneous injection (strength, vaccination scheme, anatomical site of vaccination, route of administration, lot #, and expiration date were not provided) as prophylaxis.  On an unknown date, the patient experienced a reaction to shingles vaccine (Vaccination adverse reaction). At the time of reporting, the outcome of the event was not provided.   The reporter considered the event to be related to zoster vaccine live (ZOSTAVAX).; Sender's Comments:  US-009507513-2402USA008617: case
Sex: U
Vaccine: RV5
Symptoms: Expired product administered, No adverse event
Clinical narrative: No additional AE; HBP called to report AE for ROTATEQ. Caller reported one patient was inadvertently administered an expired dose of ROTATEQ on 03/14/2024. The expiration date on the product is 03/10/2024. No additional information provided. Permission given to contac; This spontaneous report was received from a healthcare business professional (HBP) concerning a patient of unspecified age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported.  On 14-MAR-2024, the patient was vaccinated with rotavirus vaccine, live, oral, pentavalent (ROTATEQ) oral liquid, 1 dose, lot #1918226, expiration date: 10-MAR-2024, administered orally for prophylaxis (dose, dose number, and strength were not provided) (Expired product administered). No adverse events were reported.
Sex: U
Vaccine: COVID19
Symptoms: Cardiac disorder, Respiratory disorder
Clinical narrative: HEART ISSUES; LUNGS COULD NOT ADAPT ELEVATION CHANGE WHILE GOING FROM SEA LEVEL TO 6K FEET; This spontaneous report received from a J&J managed social media site concerned a patient of unspecified age and sex, reporting self The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (dose number in series 1) (suspension for injection, route of admin, and batch number were not reported) dose, start therapy date were not reported for covid-19 prophylaxis. The batch number was not reported. The company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the patient experienced heart issues, and lungs could not adapt elevation change while going from sea level to 6k feet (dose number in series 1). The action taken with covid-19 vaccine ad26.cov2.s (dose number in series 1) was not reported. The outcome of the heart issues and lungs could not adapt elevation change while going from sea level to 6k feet was not reported. This report was non-serious.
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound scan
Clinical narrative: BAD BLOOD CLOT IN HIS LEFT LEG; This spontaneous report received from a patient concerned a 55 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (dose series 1) (suspension for injection, intramuscular, batch number was not reported) dose was not reported, administered on 24-MAR-2021 for covid-19 prophylaxis. Batch number was not provided and have been requested. No concomitant medications were reported. On DEC-2021, the patient experienced bad blood clot in his left leg (dose series 1).  The patient received a lot of treatment; and he had gone through four surgeries and countless ultrasounds. The patient family was helping him do some research, which included why the vaccine is no longer on the market; and this was because it gave some people blood clots. The patient said that he had not experienced blood clots before; and there are no blood clots in his family includes mother, father, and sister who didn't have blood clots and said that this was too coincidental. The patient said that there was no doubt in his mind about the correlation between the vaccine and his situation, which wasn't good and referred to report his situation. According to the consumer, he was not crying. The patient said it was what it was; and he was trying to deal with it. However, he added that it's been a ton of money and time and said that he experienced a ton of discomfort from the catharizing of his veins. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of bad blood clot in his left leg was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0:  Thrombosis. The event shows an incompatible temporal relationship (9 months post vaccination). Therefore, this event is considered inconsistent with vaccine administration.
Age: 1.0
Sex: M
Vaccine: HIBV
Symptoms: Expired product administered, No adverse event
Clinical narrative: accidentally administered an expired dose of act-hib vaccine to a patient with no reported adverse event; Initial information received on 29-Mar-2024 regarding an unsolicited valid  non-serious case received from a other health professional (Nurse).  This case involves a 1 years old male patient who was accidentally administered an expired dose of HIB (PRP/T) Vaccine [ACT-HIB] to a patient with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included Diphtheria Vaccine Toxoid, Pertussis Vaccine Acellular, Tetanus Vaccine Toxoid (Dtap) and PCV vaccine.  On 27-Mar-2024, the patient received a dose of 0.5 ml of suspect HIB (PRP/T) Vaccine (Powder and solvent for solution for injection) (lot UJ863AA,Expiry date:25-Mar-2024, strength was unknown) via intramuscular route in unknown administration site for Prophylactic vaccination (Immunization) and accidentally administered an expired dose of act-hib vaccine to a patient with no reported adverse event (expired product administered) (latency : same day).   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 7.0
Sex: M
Vaccine: FLUX
Symptoms: Vaccination site erythema, Vaccination site induration
Clinical narrative: The child suffered a 'baseball's size red and firm mark on his arm the flu vaccine was administered. Lasted weeks. The redness appeared to have gone away. No lasting effects known after it was gone.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Condition aggravated, Dyspnoea, Hypersensitivity
Clinical narrative: The Johnson and Johnson Vaccine. The university campus I attend claims to need a record that I had that vaccine. That for some reason this vaccine are linked to some form of negative side effect. Unsure what. I have had nothing except sporadic blood pressure readings based by variations between time and or machine. Also allergies, during peak season that effect breathing more than in the past. I currently use albuterol to open the airways.
Sex: M
Vaccine: MNQ
Symptoms: Expired product administered
Clinical narrative: Vaccine expiration date was 3/31/24, the vaccine was administered on 04/01/24
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Decreased appetite, Diarrhoea, Fatigue, Headache
Clinical narrative: Patient's report of reaction via message to her provider:  "I received the shingles vaccine shot on Thursday and my arm developed a very large red/bruised raised swollen reaction and I was sick with headache, nausea Stomach cramping with bathroom issues and had no appetite and so tired. I am feeling a little better today and the swelling at injection site looks better today but is this a reaction to the shot and do I need to come in. The last 4 days have been hellish. Breathing has been fine."   RN's documentation of patient's report from phone call with the patient: "Patient reports that she received her shingrix vaccination at the office on Thursday, 3/21/2024. She reports developing sx of pain, fever, headache, nausea, diarrhea by the end of the day on Thursday and continued over the weekend. She reports improved sx by Monday, enough so she could go to work on Monday, but she is still noticing a pink discoloration, at the injection site of her right deltoid. She reports some residual tenderness to touch and swelling. She reports that she is able to move her arm now freely with full ROM.   Patient reports that she received her vaccine in the morning and by the afternoon, started to notice swelling, redness and pain at the injection site. She reports that the swelling, redness, and pain worsened by Friday and was at its worse Saturday and Sunday. She reports that the color was a deep red- maroon- purple. She reports that the swelling was significant and looked like she had a cupping technique used at the injection site. She reports that the swelling was also hard to the touch and extremely warm. Other sx included fever, decreased appetite, nausea, and diarrhea. She reports also decreased mobility in her arm as well. She reports that she considered going to urgent care due to the pain and GI related sx. "
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site bruising, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Patient's report of reaction via message to her provider:  "I received the shingles vaccine shot on Thursday and my arm developed a very large red/bruised raised swollen reaction and I was sick with headache, nausea Stomach cramping with bathroom issues and had no appetite and so tired. I am feeling a little better today and the swelling at injection site looks better today but is this a reaction to the shot and do I need to come in. The last 4 days have been hellish. Breathing has been fine."   RN's documentation of patient's report from phone call with the patient: "Patient reports that she received her shingrix vaccination at the office on Thursday, 3/21/2024. She reports developing sx of pain, fever, headache, nausea, diarrhea by the end of the day on Thursday and continued over the weekend. She reports improved sx by Monday, enough so she could go to work on Monday, but she is still noticing a pink discoloration, at the injection site of her right deltoid. She reports some residual tenderness to touch and swelling. She reports that she is able to move her arm now freely with full ROM.   Patient reports that she received her vaccine in the morning and by the afternoon, started to notice swelling, redness and pain at the injection site. She reports that the swelling, redness, and pain worsened by Friday and was at its worse Saturday and Sunday. She reports that the color was a deep red- maroon- purple. She reports that the swelling was significant and looked like she had a cupping technique used at the injection site. She reports that the swelling was also hard to the touch and extremely warm. Other sx included fever, decreased appetite, nausea, and diarrhea. She reports also decreased mobility in her arm as well. She reports that she considered going to urgent care due to the pain and GI related sx. "
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Nausea, Pyrexia
Clinical narrative: Patient's report of reaction via message to her provider:  "I received the shingles vaccine shot on Thursday and my arm developed a very large red/bruised raised swollen reaction and I was sick with headache, nausea Stomach cramping with bathroom issues and had no appetite and so tired. I am feeling a little better today and the swelling at injection site looks better today but is this a reaction to the shot and do I need to come in. The last 4 days have been hellish. Breathing has been fine."   RN's documentation of patient's report from phone call with the patient: "Patient reports that she received her shingrix vaccination at the office on Thursday, 3/21/2024. She reports developing sx of pain, fever, headache, nausea, diarrhea by the end of the day on Thursday and continued over the weekend. She reports improved sx by Monday, enough so she could go to work on Monday, but she is still noticing a pink discoloration, at the injection site of her right deltoid. She reports some residual tenderness to touch and swelling. She reports that she is able to move her arm now freely with full ROM.   Patient reports that she received her vaccine in the morning and by the afternoon, started to notice swelling, redness and pain at the injection site. She reports that the swelling, redness, and pain worsened by Friday and was at its worse Saturday and Sunday. She reports that the color was a deep red- maroon- purple. She reports that the swelling was significant and looked like she had a cupping technique used at the injection site. She reports that the swelling was also hard to the touch and extremely warm. Other sx included fever, decreased appetite, nausea, and diarrhea. She reports also decreased mobility in her arm as well. She reports that she considered going to urgent care due to the pain and GI related sx. "
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC20, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt was given MMRV and Varicella at same visit in error. No adverse effects yesterday as writer followed up at the end of the day.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Pain in extremity
Clinical narrative: Pain in arm that received injection
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Presyncope
Clinical narrative: Pt had a vasovagal reaction almost immediately after getting Gardisil-9. She had also received Menveo vaccine right before Gardisil.
Age: 5.0
Sex: F
Vaccine: HEP
Symptoms: Circumstance or information capable of leading to medication error, Exposure via skin contact, Underdose
Clinical narrative: The patient came in for a nurse visit to receive three vaccines. Unfortunately, during the administration of the last vaccine, the patient moved, causing the needle to come out and spill the vaccine over her leg. The mother was informed that the vaccine needed to be repeated as per the manufacturer's instructions. She will return sometime within the next week.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none
Age: 38.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Peripheral swelling
Clinical narrative: R arm swelling and redness
Age: 2.0
Sex: F
Vaccine: DTAP, FLU4, HEPA, HIBV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: The mother reported that the child developed redness and swelling of the left thigh in the afternoon on 03/29/24 after the vaccines were given. The mother took the child to Urgent Care on 03/30/24 where she was diagnosed with cellulitis. The patient was prescribed Keflex 250mg/5mL 4mL PO TID and OTC ibuprofen. The patient followed up here on 04/01/24 and no erythema, warmth, or tenderness were noted. Swelling was noted on left thigh but is improving.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Chills, Feeling abnormal, Foreign travel, Full blood count normal
Clinical narrative: Vaccine administered at Pharmacy.  Cannot find vaccine card. Stated felt "out of body", not like his usual self for about a week.  No fever or chills.  No sore throats or nausea. No adenopathy. States has had about every month to two months of several days with fever up to 103, chills, no nausea, sweats, chills.  Treatment with Tylenol knocks down fever.  Frequency takes him down for 4 to 5 days. When has had fever has been tested for COVID-19 and flu, with negative results (Urgent Care and at Hospital).  No foreign travel since 2013.  No history of malaria, dengue, auto-immune disorders. Prior HIV, Rheumatoid Factor Negative. CBC and urinalysis prior unremarkable. Pending are ANA.  On no medications.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: HIV test, Hepatitis viral test negative, Hyperhidrosis, Influenza virus test negative, Military service
Clinical narrative: Vaccine administered at Pharmacy.  Cannot find vaccine card. Stated felt "out of body", not like his usual self for about a week.  No fever or chills.  No sore throats or nausea. No adenopathy. States has had about every month to two months of several days with fever up to 103, chills, no nausea, sweats, chills.  Treatment with Tylenol knocks down fever.  Frequency takes him down for 4 to 5 days. When has had fever has been tested for COVID-19 and flu, with negative results (Urgent Care and at Hospital).  No foreign travel since 2013.  No history of malaria, dengue, auto-immune disorders. Prior HIV, Rheumatoid Factor Negative. CBC and urinalysis prior unremarkable. Pending are ANA.  On no medications.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rheumatoid factor negative, SARS-CoV-2 test negative, Treponema test, Urine analysis normal
Clinical narrative: Vaccine administered at Pharmacy.  Cannot find vaccine card. Stated felt "out of body", not like his usual self for about a week.  No fever or chills.  No sore throats or nausea. No adenopathy. States has had about every month to two months of several days with fever up to 103, chills, no nausea, sweats, chills.  Treatment with Tylenol knocks down fever.  Frequency takes him down for 4 to 5 days. When has had fever has been tested for COVID-19 and flu, with negative results (Urgent Care and at Hospital).  No foreign travel since 2013.  No history of malaria, dengue, auto-immune disorders. Prior HIV, Rheumatoid Factor Negative. CBC and urinalysis prior unremarkable. Pending are ANA.  On no medications.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Cough, Diarrhoea, Hand-foot-and-mouth disease, Injection site swelling, Pyrexia
Clinical narrative: 3/28/24: Fever and diarrhea two times. 3/29/24: Fever, cough, runny nose, two swollen spots on thigh - ER visit temp at 103.8 - given Tylenol and Ibuprofen ever 4 hours rotating.   3/30/24: Pediatrician visit in morning and at night fever was up to 104.7. 03/31/24: No fever during the day, 102.4 at night. 04/01/24: Spots all over face and belly. Went back to pediatric doctor. Diagnosed with hand foot and mouth disease; however, no spots on hands or feet.  04/02/24: Spots almost complete gone when he woke up and face spots got worse thru the day. 04/03/24:  face spots appear lighter today
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash, Rhinorrhoea
Clinical narrative: 3/28/24: Fever and diarrhea two times. 3/29/24: Fever, cough, runny nose, two swollen spots on thigh - ER visit temp at 103.8 - given Tylenol and Ibuprofen ever 4 hours rotating.   3/30/24: Pediatrician visit in morning and at night fever was up to 104.7. 03/31/24: No fever during the day, 102.4 at night. 04/01/24: Spots all over face and belly. Went back to pediatric doctor. Diagnosed with hand foot and mouth disease; however, no spots on hands or feet.  04/02/24: Spots almost complete gone when he woke up and face spots got worse thru the day. 04/03/24:  face spots appear lighter today
Age: 0.75
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: child not affected by vaccine
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered past the Beyond Use Date of 3/13/2024. No symptoms/reactions reported from patient. Patient has been contacted for revaccination.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient came in for Men B vaccine. System stated she was due for MenB. Patient was given Menveo and should have gotten Bexsero. Another team member caught this error and advised that patient should still receive the Bexsero (MenB). Verified with MA lead that patient would be eligible for Bexsero at any time (did not have to wait as it is not a live vaccine). Patient contacted and is coming back in on 4/3/24 to receive correct Men B vaccine. Mom stated that patient did not have any reactions/symptoms following the Menveo injection.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered past the Beyond Use Date of 3/13/24. No symptoms/reactions reported from patient. Patient has been contacted for revaccination.
Age: 34.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Injection site erythema, Injection site rash, Pain, Pyrexia
Clinical narrative: chills, body ache, fever: 4/1/24-4/3/2024; rash/redness at injection site 4/3/2024
Age: 1.67
Sex: M
Vaccine: TDAP
Symptoms: Wrong product administered
Clinical narrative: Patient given TDAP vaccine instead of DTAP. When error was found phone call was placed to check on patient for adverse reactions or concerns. Patient doing well when nursing staff spoke with mom at 1115AM.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PATIENT WAS GIVEN 1 FULL VIAL OF THE PFIZER COVID19 VACCINE. NO SYMPTOMS BEFORE DISCHARGE NOTED.
Age: 1.5
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse affects noted, vaccine given out of age range
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given the wrong vaccine. Parent of patient was informed by provider and parent brought patient back in to get correct vaccine. Patient had no symptoms after getting incorrect vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthritis, Asthenia, Balance disorder, Cervical radiculopathy, Chest pain
Clinical narrative: Extreme L side weakness and decrease in sensation - approx 1 month after first injection. Treatment ongoing. Aug 2022, inflammation concerns in neck, causing pain and decreased sensation down L arm. MRI done, scans show no sign of obvious reason for pain or decreased sensation.   Jan 2023, Inflammation of major joints and neck 6 days after second injection. Resulted in ER visit due to radiating pain down to L upper arm. Concerns of blood clot. Ultrasound showed no clot at that time, gabapentin given and DX of cervical radiculopathy.  Aug 2023, went back to Dr due to weakness and added chest pain. Dec 2023 instructed to begin taking gabapentin 300. Stopped in Jan 2024 due to increase in chest pain, significant loss of balance in legs. No longer on medications, leg weakness is increasing, no reduction in loss of sensation. EKG and EEG upcoming 04/12/2024
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hemiparesis, Inflammation, Magnetic resonance imaging normal, Muscular weakness, Pain
Clinical narrative: Extreme L side weakness and decrease in sensation - approx 1 month after first injection. Treatment ongoing. Aug 2022, inflammation concerns in neck, causing pain and decreased sensation down L arm. MRI done, scans show no sign of obvious reason for pain or decreased sensation.   Jan 2023, Inflammation of major joints and neck 6 days after second injection. Resulted in ER visit due to radiating pain down to L upper arm. Concerns of blood clot. Ultrasound showed no clot at that time, gabapentin given and DX of cervical radiculopathy.  Aug 2023, went back to Dr due to weakness and added chest pain. Dec 2023 instructed to begin taking gabapentin 300. Stopped in Jan 2024 due to increase in chest pain, significant loss of balance in legs. No longer on medications, leg weakness is increasing, no reduction in loss of sensation. EKG and EEG upcoming 04/12/2024
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Sensory loss, Ultrasound Doppler normal
Clinical narrative: Extreme L side weakness and decrease in sensation - approx 1 month after first injection. Treatment ongoing. Aug 2022, inflammation concerns in neck, causing pain and decreased sensation down L arm. MRI done, scans show no sign of obvious reason for pain or decreased sensation.   Jan 2023, Inflammation of major joints and neck 6 days after second injection. Resulted in ER visit due to radiating pain down to L upper arm. Concerns of blood clot. Ultrasound showed no clot at that time, gabapentin given and DX of cervical radiculopathy.  Aug 2023, went back to Dr due to weakness and added chest pain. Dec 2023 instructed to begin taking gabapentin 300. Stopped in Jan 2024 due to increase in chest pain, significant loss of balance in legs. No longer on medications, leg weakness is increasing, no reduction in loss of sensation. EKG and EEG upcoming 04/12/2024
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: 10 minutes after vaccine patient developed hives on face and neck. Took 25 mg of Benadryl and patient was observed for an hour. Vital signs normal. Hives subsided.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Child had previously received a flu vaccine already this season, on 09/21/2023. She inadvertently, received an additional flu vaccine this same season on 04/03/2024
Age: 0.83
Sex: M
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Vaccine prepared and administered by this RN on 04/02/2024. After administration this RN noticed expiration date was 03/22/2024. Vaccine administered 04/02/2024. PCP to patient. Vaccine Unit notified. Spoke w/ nurse from vaccine unit. No harm from giving expired vaccine but vaccine will need to be re-administered at least 28 days after vaccine was administered. I called and spoke with mother and explained situation. Plan to repeat this Hib vaccine given the vaccine administered on 04/02/2024 will not count towards vaccine series.
Age: 60.0
Sex: F
Vaccine: HEP, PNC20, HEP, PNC20
Symptoms: Acute respiratory failure, Guillain-Barre syndrome, Immunoglobulin therapy, Intensive care
Clinical narrative: Guillian-Barre Syndrome causes acute respiratory failure leading to extended hospitalization for treatment with IVIG and other means. Patient still hospitalized in Neuro ICU.
Age: 60.0
Sex: F
Vaccine: HEP, PNC20, HEP, PNC20
Symptoms: Acute respiratory failure, Guillain-Barre syndrome, Immunoglobulin therapy
Clinical narrative: Guillian-Barre Syndrome causes acute respiratory failure leading to extended hospitalization for treatment with IVIG and other means. Patient still hospitalized in Neuro ICU.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Dyspnoea, Hypotension, Loss of consciousness, Nausea
Clinical narrative: Dizziness, nausea , lightheadedness, and fainted, she pass out doesn't know how long she was  out didn't call EMS and took her husband medication midadrine after 2 pills which made her feel better and increase her blood pressure and after the next pill she much better  , trouble breathing , low pressure, very weak pause , pulse 65/40, temparature 99 , headache no pulse.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Prescription drug used without a prescription, Pulse abnormal, Syncope
Clinical narrative: Dizziness, nausea , lightheadedness, and fainted, she pass out doesn't know how long she was  out didn't call EMS and took her husband medication midadrine after 2 pills which made her feel better and increase her blood pressure and after the next pill she much better  , trouble breathing , low pressure, very weak pause , pulse 65/40, temparature 99 , headache no pulse.
Age: 1.25
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC20
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine given with date of 03/15/2024-  no problems reported
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash macular, Rash pruritic
Clinical narrative: Itching, red spots in back , abdomen, belly button, stomack
Age: 1.5
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Inadvertently administered vaccine, not age appropriate.  No adverse reactions noted.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Antineutrophil cytoplasmic antibody, Blood immunoglobulin A, Blood immunoglobulin G, Blood immunoglobulin M, Blood thyroid stimulating hormone
Clinical narrative: Extreme and constant fatigue (no longer able to work out, travel, or walk for more than 30 min) since October 6 pm. Went to see my doctor, did the blood test she requested, then saw Dr., immunologist, for more blodd tests.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Exercise tolerance decreased, Fatigue, Full blood count, Impaired work ability
Clinical narrative: Extreme and constant fatigue (no longer able to work out, travel, or walk for more than 30 min) since October 6 pm. Went to see my doctor, did the blood test she requested, then saw Dr., immunologist, for more blodd tests.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Metabolic function test, Red blood cell sedimentation rate increased, SARS-CoV-2 test, Streptococcus test
Clinical narrative: Extreme and constant fatigue (no longer able to work out, travel, or walk for more than 30 min) since October 6 pm. Went to see my doctor, did the blood test she requested, then saw Dr., immunologist, for more blodd tests.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine free, Vitamin B12
Clinical narrative: Extreme and constant fatigue (no longer able to work out, travel, or walk for more than 30 min) since October 6 pm. Went to see my doctor, did the blood test she requested, then saw Dr., immunologist, for more blodd tests.
Age: 2.0
Sex: M
Vaccine: UNK, UNK, UNK, UNK
Symptoms: Body temperature increased, Dyspnoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Noticed that on his left thigh was red and swollen. Temp of 101.5. I drew a circle around it. Another injection sight below the first swelled up too. Very hot to the touch. No appetite. 3 injection sites out of the 4 injections given are red, hot, and swollen. He is breathing fine but a little heavier. No pulling in his ribs or neck. High fever and the injection sites are red and swollen.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Medication error discovered.  10 year old patient who received incorrect vaccine and dose for the indicated age.  Received a dose indicated for patients 12 years and older.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Radiculitis brachial, Shoulder injury related to vaccine administration, Ultrasound scan
Clinical narrative: Injection was administered too deep, causing ongoing Brachial Neuritis. Shoulder pain is common the first couple days, but this was lasting years. Some days were worse than others. Some days I couldn't even lift my arm. Exercises using my shoulders had to be at a minimum to not flare it up. Massaging the area made it much worse. In looking it up, I was experiencing SIRVA.  Finally in Oct 2023, 2 years after the initial vaccine administration, I went to see a shoulder specialist in city. She gave me an ultrasound of the area, and said it was flared up. She then gave me a steroid shot. This shot then made me menstruate for 2 months straight! I was regretting getting the steroid at first, but now about 6 months later my shoulder has been much better because of the steroid shot.
Age: 84.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm red, warm, swollen, rash.  Used a warm washcloth
Age: 0.67
Sex: F
Vaccine: DTAPIPVHIB, FLU4, HIBV, PNC20
Symptoms: Crying, Decreased appetite, Pyrexia
Clinical narrative: Patients mother states that at approximately 12:00 PM patient has not had an appetite, febrile, and crying a lot. Mother states that patient felt fine up until 12:00PM today (04/03/2024).
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Muscular weakness, Pyrexia
Clinical narrative: Complained of light headed, weak to the legs and fever.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Anisocoria, Arthralgia, Binocular eye movement disorder, Cerebral small vessel ischaemic disease, Computerised tomogram head abnormal
Clinical narrative: Patient reported feeling intense fatigue 2 days post vaccination. On days 3-4 post vaccine, she reports increased fatigue with pain throughout her body including sharp joint pain as well as "skin, scalp, and nerve endings throughout body extremely enervated and painful." She reports a "dull but intense headache on left side above left eye" that persisted despite taking aspirin and ibuprofen. She developed an unproductive dry cough with "severe coughing fits" and "right ribcage pain" when taking deep breaths. By day 4 post vaccine, Patient reports the overall pain had subsided 70% but continued to have persistent ribcage pain when coughing or deep breathing as well as persistent left frontal and parietal headache and scalp pain. On day 7 post vaccine Patient noted left sided eye droop. Days 8-14 post vaccine the patient reported a slow decrease in symptoms with persistent left eye droop and persistent left frontal and parietal headache. Patient presented to our office on 12/20/2023 for the first time since receiving the vaccine on 12/06/2023. Her physical examination at that time revealed LEFT eye ptosis NOT affecting eyebrow or forehead, pupils responsive to light but unequal (L>R), convergence insufficiency, paresthesia with sensitivity to touch in a distribution affecting the CNV1 opthalmic CNV2 maxillary branches of the trigeminal nerve (CNV3 mandibular branch unaffected), 1+ bilateral achilles, patellar, radial, and brachial reflexes (patient reports constitutional diminished reflexes), 2+ bilateral muscle strength. The patient was then seen in the emergency department to which an MRI and CT scan were done. CT of the head showed multifocal small vessel disease without acute cortical infarct. MRI  of the brain with and without contrast ultimately showed no acute features as well. Labs were reassuring without leukocytosis. Labs also showed slightly elevated platelets at 612. INR unremarkable. Chemistry was normal. Troponin negative. No ischemic changes or other concerns on EKG. Ultimately, trigeminal neuralgia is suspected with symptoms. One month post Shingrix vaccine, Patient repots pain at 1.5-2/10 with 10 being the worst that it was. At that time she reported ongoing mild LEFT eye ptosis and LEFT tongue elevation.