chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: PPV
Symptoms: Retching
Clinical narrative: 5 yr old was in office for back office visit to receive pneumococcal 23 vaccine per recommendations of the hematologist   The vaccine was given in the right deltoid   I was called into the room as patient begin becoming flushed, red in the face, sweaty and diaphoretic.   Pt. was coughing and gagging, no throwing up Breathing ok, in no distress Coughing and gagging continued for 1-2 minutes   Benadryl elixir ordered - 12.5 mg/5 mls - 7.5 mls given orally   The coughing and gagging resolved with in 1-2 minutes No further distress   Pulse ox thru out time was 96-97%   Patient was able to verbally reply "I am feeling better"   Patient was moved from sitting position on exam table w/ Mom standing next to her to the chair and was then sitting on Mom's lap   Continued to say she was feeling better   No coughing No gagging Breathing comfortably   Very pale and peaked looking   Continued to monitor and disc w/ mom sleepiness that may occur w/ the benadryl and need for close monitoring next 4-8 hours   Patient continued to be pale but comfortable and decision made to call EMS- to have child transported to ER for further evaluation and observation   Paramedics arrived and information regarding above given Vitals stable in office   Pt. able to stand up and walk to gurney where she was held by Mom for transport to ER   Asked which ER preferred   Patient left w/ paramedics about 5 pm
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Polyneuropathy
Clinical narrative: POLYNEUROPATHY 4/1/2023 POLYNEUROPATHY
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Epilepsy, Facial paresis
Clinical narrative: EPILEPSY, UNSPECIFIED 4/6/2023 EPILEPSY, UNSPECIFIED    LEFT FACIAL MUSCLE WEAKNESS LEFT FACIAL MUSCLE WEAKNESS 4/6/2023 EPILEPSY, UNSPECIFIED    LEFT FACIAL MUSCLE WEAKNESS
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Haematuria, Pulmonary embolism
Clinical narrative: MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE 4/4/2023 HEMATURIA ACUTE PULMONARY EMBOLISM 4/4/2023 HEMATURIA MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE 4/4/2023 MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE ACUTE PULMONARY EMBOLISM 4/4/2023 MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Product administered to patient of inappropriate age, Vaccination failure
Clinical narrative: shingles; she received her first Shingrix vaccine series at age 45; Suspected Vaccination failure; shingles; This serious case was reported by a consumer via call center representative and described the occurrence of vaccination failure in a 50-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included shingles (had shingles 4 times a year).   On an unknown date, the patient received the 2nd dose of Shingrix (intramuscular, unknown arm) .5 ml and the 1st dose of Shingrix (intramuscular, unknown arm) .5 ml. On 14-AUG-2023, more than 2 years after receiving Shingrix and Shingrix, the patient experienced vaccination failure (Verbatim: Suspected Vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: shingles). On an unknown date, the patient experienced shingles (Verbatim: shingles) and inappropriate age at vaccine administration (Verbatim: she received her first Shingrix vaccine series at age 45).     The outcome of the vaccination failure and inappropriate age at vaccine administration were unknown and the outcome of the shingles was not resolved and the outcome of the shingles was resolved.   It was unknown if the reporter considered the vaccination failure, shingles and shingles to be related to Shingrix and Shingrix.     It was unknown if the company considered the vaccination failure, shingles and shingles to be related to Shingrix and Shingrix.   Additional Information: GSK receipt date: 18-AUG-2023 The patient wanted to receive the Shingrix vaccine because since the age of 16, she had shingles 4 times a year.  The patient reported that her shingles always appears in the same exact spot on her face, right outside her left eye.   The patient reported that after receiving the Shingrix 2 series dose in 2018, she went three years without a case of shingles.  In 2022, she had just one mild case of shingles.  This week she had another mild case of shingles, again by her left eye.  The patient's reason for calling was to get a booster of Shingrix. This case was considered as suspected vaccination failure as details regarding laboratory confirmation regarding shingles were unknown at the time of reporting. The patient received 2 doses of Shingrix vaccine at inappropriate age, which led to inappropriate age at vaccine administration. The reporter consented to follow up.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Computerised tomogram, Dizziness, Electrocardiogram, Fall
Clinical narrative: Blurry vision, dizziness, loss of balance and falling to my left.  Seen to hospital directly from urgent care.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Blurry vision, dizziness, loss of balance and falling to my left.  Seen to hospital directly from urgent care.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse events. Wrong dose given to patient.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: Left arm, left shoulder, neck and back all in excruciating pain ? Arm and hand going numb, unable to turn head left, unable to lift arms, unable to sleep, unable to move, unable to operate in daily life
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Neck pain, Pain in extremity, Sleep disorder, X-ray
Clinical narrative: Left arm, left shoulder, neck and back all in excruciating pain ? Arm and hand going numb, unable to turn head left, unable to lift arms, unable to sleep, unable to move, unable to operate in daily life
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Fatigue, Gastrointestinal disorder
Clinical narrative: fatigue, temperature, gastro issues
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 7.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient has just turned 7 years old 6 days ago. Patient received Kinrix  instead of a single dose of DTap and IPV. No adverse events reported. Per provider, patient may come back for second dose 02/18/2024.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Reaction to previous exposure to any vaccine
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 35.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine given at wrong interval, unnecessary vaccine at this time
Age: 51.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: 30X30mm Area of redness, swollen and hard  around the site where injection was given.  Started as a little lump she said then grew.  She has not sought medical attention.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 1.5
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered, No adverse event
Clinical narrative: HiB vaccine administered on 08/15/2023 was expired on 08/12/2023. I explained to her that that vaccine dose cannot be counted so revaccination at any time is indicated. Mother confirmed child is doing well, no fever and no adverse effects from vaccine reported. Mother agreed to go to office on Monday 8/28/2023 at 11 am to revaccinate child.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling and pain to the left thigh.
Age: 37.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 22.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection.
Age: 19.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: COVID Breakthrough case Dose 1: Pfizer, EW0164, 04/17/2021 Dose 2: Pfizer, EW0179, 05/08/2021 Booster: Pfizer, FD0809, 01/12/2022
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Loss of personal independence in daily activities, Panic attack
Clinical narrative: Patient became profoundly anxious. She could not leave her home without having a panic attack. To this day, she continues to struggle to be able to go to the grocery store.
Age: 26.0
Sex: F
Vaccine: PNC15, VARZOS
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: On 8/21, patient reported both arms are still red and tender. The right arm especially (pneumococcal was injected) is still hard to touch localized to the injection site, red, warm and painful. Per patient, the redness had spread out over the weekend to a larger portion of the upper arm over the weekend. Patient reports, it looks like that redness may be improving around the site but the redness local to the site is remaining.  Patient reported taking  Tylenol for pain. Noted patient went to urgent care the following day and was prescribed an antibiotic for right arm cellulitis.
Age: 26.0
Sex: F
Vaccine: PNC15, VARZOS
Symptoms: Injection site warmth, Tenderness
Clinical narrative: On 8/21, patient reported both arms are still red and tender. The right arm especially (pneumococcal was injected) is still hard to touch localized to the injection site, red, warm and painful. Per patient, the redness had spread out over the weekend to a larger portion of the upper arm over the weekend. Patient reports, it looks like that redness may be improving around the site but the redness local to the site is remaining.  Patient reported taking  Tylenol for pain. Noted patient went to urgent care the following day and was prescribed an antibiotic for right arm cellulitis.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine after BUD
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received vaccine after BUD
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient had a morning appointment, 0900 and  MA recalls opening a new vial for this patient. However, on 7/14/2023, there were 2 doses extra left over in the same lot number, when there should have been 0 per internal inventory, Since it is not possible to pinpoint which doses caused the overage, it appears 1 or more doses given between 6/9/2023 and 7/7/2023 may have been expired- 12 hours after opening and reused, therefore all doses given during that period are considered to potentially be expired.  Spoke to patient on 8/25/203 at 2:45pm.  Patient had no adverse reactions and would like to be called when get the new Covid vaccine in this fall.
Age: 14.0
Sex: F
Vaccine: HEP, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Pain
Clinical narrative: Patient received listed vaccines on Wednesday 8/23/2023. Vaccines were administered to both the deltoid (IM), as well as to the fatty tissue on the posterior aspect of the upper arm above the triceps (Subcutaneous). Patient presented to Health Dept. on Friday 8/25/2023 complaining of an adverse reaction in the right arm in the area of the deltoid muscle. On assessment, the area presented with diffuse but mild redness. The injection site did not appear swollen, but was firm to the touch. The site was not noticeably warm to the touch. The patient reported no pain on palpation of the affected site, but reported pain at 2/10 when moving the affected arm. The left arm, which also received vaccines on 8/23/2023, present no adverse reaction or complaint from the patient. The subcutaneous site of the right arm also presented without adverse reactions. After assessing the patient, this RN advised the patient and her family that the site should be assessed by a physician. The patient reported not having a primary care provider. This RN stated that if the injection site did not improve promptly, or if it worsened such as becoming more swollen, tender to touch, or the redness spread, that the patient should seek medical attention immediately. Patient and family expressed understanding and departed the Health Department.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 50.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: PATIENT STATES SHE HAS LEFT SHOULDER PAIN AND LIMITED MOTION TO SHOULDER
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved storage unit
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event
Clinical narrative: There were no adverse reactions.
Age: 23.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: MA believes that she checked the expiration date prior to Administration. However, on 7/14/2023, there were 2 doses extra left over in the same lot number, when there should have been 0 per internal inventory, Since it is not possible to pinpoint which doses caused the overage, it appears 1 or more doses given between 6/9/2023 and 7/7/2023 may have been expired- 12 hours after opening and reused, therefore all doses given during that period are considered to potentially be expired.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site warmth, Rash
Clinical narrative: Patient presented at the pharmacy friday (8/25/23) with a rash covering his left arm.  He stated he received the Shingrix vaccine friday (8/18/23) at this pharmacy by another pharmacist and the next day (saturday 8/19/23) he woke up with a rash covering the left side of his trunk and left arm.  Patient also reported warmth at the injection site.   He stated that he had not taken anything to help with rash, nor had he alerted his physician.   The pharmacist on duty recommended that patient take Benadryl for a few days and to not receive the second vaccine of shingrix.  The patient was also instructed to call his physician if rash did not improve in 3 days.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma exercise induced, Blood test, Cardiac monitoring, Dizziness, Dyspnoea
Clinical narrative: Feeling asthmatic during the beginning of strenuous exercise and having difficulty breathing, never had this issue before. Becoming faint, dizzy, sleepy in the middle of the day often 2 hours after eating. Feeling a rapid heart beat.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram, Heart rate increased, Somnolence, Syncope
Clinical narrative: Feeling asthmatic during the beginning of strenuous exercise and having difficulty breathing, never had this issue before. Becoming faint, dizzy, sleepy in the middle of the day often 2 hours after eating. Feeling a rapid heart beat.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Pyrexia, Tenderness
Clinical narrative: Patient  called on 08/25/2023  to report side effects from administration given on 08/23/2023. Patient experienced itchiness on arm after administration and having fever of 101.F the next day, arm was tendor to the touch and  about 4.5 inches of redness.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved storage unit
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Injection site bruising, Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Patient called and reported that developed a bruise, swelling at the sight. It was described as hard spot that is now resolving. There was an itchy rash surrounding  the area that was described as that the size of a dollar bill. Pt had taken Tylenol and was using a cool compress to treat. Pt in no distress. Instructed patient to take an antihistamine and use OTC hydrocortisone to treat the rash, and to seek medical attention if it didn't resolve in the next day or two.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Periarthritis
Clinical narrative: Non stop arm pain  that was diagnosed as Frozen Shoulder by the doctor.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved storage unit
Age: 4.0
Sex: F
Vaccine: MNQ
Symptoms: Wrong product administered
Clinical narrative: Patient was given MenQuadFi instead of Quadracel
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patients mom stated the patient didn't have adverse reaction to the vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site reaction, Muscle twitching
Clinical narrative: Patient came into clinic with complaint of left arm twitching only where vaccine was given. Upon observation patient did have visible muscle twitching.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired.  NO  ISSUES REPORTED
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 3.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: age inappropriate, no need to repeat dose
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse reaction
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient had a morning appointment on 7/7/2023, LPN does not recall the details of the visit at this time. On 7/14/2023, there were 2 doses extra left over in the same lot number, when there should have been 0 per internal inventory, Since it is not possible to pinpoint which doses caused the overage, it appears 1 or more doses given between 6/9/2023 and 7/7/2023 may have been expired- 12 hours after opening and reused, therefore all doses given during that period are considered to potentially be expired.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 67.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site pain, Loss of personal independence in daily activities, Pain in extremity, Sleep disorder
Clinical narrative: I can't sleep on my right arm. I have to roll over and there's time in the night where I have to put something on it because it's hurting bad. I can't do yardwork with my right arm. It's not getting any better. The more I would use it the better it would get. If I touch that area where the shot was given and it hurts. Pain still remains.
Age: 67.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain in extremity
Clinical narrative: I can't sleep on my right arm. I have to roll over and there's time in the night where I have to put something on it because it's hurting bad. I can't do yardwork with my right arm. It's not getting any better. The more I would use it the better it would get. If I touch that area where the shot was given and it hurts. Pain still remains.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dosage of covid vaccine was given. Wrong age.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 0.42
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: There was no adverse reaction.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Diarrhoea, Fatigue, Incorrect dose administered, Muscle spasms
Clinical narrative: Patient received the adult dose of the bivalent COVID vaccine (Pfizer)  She had fatigue, low grade fever that have resolved. She has had some abdominal pain, light diarrhea, and cramping over the last 3 days.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Patient received the adult dose of the bivalent COVID vaccine (Pfizer)  She had fatigue, low grade fever that have resolved. She has had some abdominal pain, light diarrhea, and cramping over the last 3 days.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 1.67
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 1.75
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired dose of COVID-19 vaccine after the unfrozen date.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: AT INJECTION SITE RED ROUND SPOT 1 INCH THE SEPERATE  RED RAISED PATCH  4X6 INCH  UNDER INJECTION SITE ITCHUNG AND HOT
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Dry skin, Rash erythematous, Skin abrasion, Skin exfoliation
Clinical narrative: #non-specific rash erythematous, dry, scaly, excoriated rash, with regions of peeling appearing 1 day after varicella vaccine.  pt denies itchiness, pain, burning, or systemic sx.  Unclear etiology whether if rash 2/2 varicella vaccine or timing was coincidental. If were to treat with anti-viral, could stunt immune response to varicella vaccine. Given asx will do triamcinolone and have close f/u.  -triamcionlone .1% BID -f/u in 1 week-- > if no improvement consider valacyclovir.  -pt to send images to be imported in chart
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: rash on lt arm, bot sides of body
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 67.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Bacteraemia, Incision site discharge, Incision site erythema, Incision site rash, Incision site swelling
Clinical narrative: Indication of bacteremia. Patient went to doctor with symptoms of raised red rash, fever, and discharge at site of "incision." Patient was seen by doctor and given metronidazole.
Age: 67.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Skin warm
Clinical narrative: Indication of bacteremia. Patient went to doctor with symptoms of raised red rash, fever, and discharge at site of "incision." Patient was seen by doctor and given metronidazole.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 0.58
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: outside of recommended age range, no need to repeat
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacturer.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved storage unit
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 4.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received a dose from an expired vial. Vial had been expired for 2 days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved unit
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved vaccine storage unit
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: patient called to pharmacy 8/25/2023 1:57p and states that with her first dose she didn't have any issues other than a sore arm. she states with this dose she has a 3 to 4 inch bright red spot around the injection site, it is painful, hot, and itches.  i referred her to her dr since it was hot. i spoke with patient 8/25/2023 4:05p and she states that her provider's nurse  states that it is a normal reaction and for her to try benadryl, and ice packs and to draw a circle around the area to see if it grows or decreases in size.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccin stored in unapproved storage unit
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 23.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved storage unit
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 59.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia oral, Pruritus
Clinical narrative: patient stated her arm became itchy on the one opposite of her vaccine and it traveled up her arm and lips felt tingly
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved storage unit
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Limb girth increased, Vaccination site erythema, Vaccination site induration, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Diffuse erythematous swelling on the inner side of the right arm around the vaccine site. Non tender . Mildly firm and warm to touch. Increased girth of the arm due to the swelling ( 22 cms proximally and  19.5 cms distally ) . Swelling is rectangular, 6 inches long and 2.5 inches wide.
Age: 59.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: This writer recognized the Lot# of the given Hep B Vx was corresponding to pediatric Vx stock. This was verified with another nurse and brought to the attention of the HD. Pt was immediately contacted about dosage discrepancy and that administration of second 0.5mL dose of Hep B Vx would be necessary to complete a full adult dose (1 ml) of Hep B Vx. Pt arrived at clinic in timely fashion and received the additional Vx and has received full adult coverage for the Hep B (2) Vx. Pt has 3rd dose left to complete full 3 dose course for Hep B. Pt. tolerated administration well.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in unapproved unit
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT  RECEIVED VACCINE AFTER BUD.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT  RECEIVED VACCINE AFTER BUD.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 40.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Gave the second dose 2 months early.
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administration error
Clinical narrative: administration error
Age: 74.0
Sex: M
Vaccine: RSV
Symptoms: Chills, Headache, Nausea, Pyrexia, Vaccination site pain
Clinical narrative: Patient called the pharmacy to get the name of the vaccine and lot number. He said he was up all night with severe chills, fever, severe headache, and nausea. The site of the immunization was a little sore, but it was more the other side effects that bothered him most. Previously, he had 1 dose of Shingrix by the same manufacturer a few years ago and had a similar reaction to which his providers told him not to get the second vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Upon receiving Pfizer Bivalent, it was improperly stored in the freezer. This vaccine should have been stored in the refrigerator. Due to the incorrect storage patient received vaccine that was expired. NO ISSUES REPORTED.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine error- vaccine was administered past its beyond use date. The vaccine had been stored in the refrigerator beyond the time frame recommended by the manufacture.
Age: 59.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Underdose
Clinical narrative: This writer recognized the Lot# of the given Hep B Vx was corresponding to pediatric Vx stock. This was verified with another nurse and brought to the attention of the HD. Pt was immediately contacted about dosage discrepancy and that administration of second 0.5mL dose of Hep B Vx would be necessary to complete a full adult dose (1 ml) of Hep B Vx. Pt arrived at clinic in timely fashion and received the additional Vx and has received full adult coverage for the Hep B (2) Vx. Pt has 3rd dose left to complete full 3 dose course for Hep B. Pt. tolerated administration well.