chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Chest pain, Electrocardiogram T wave abnormal, Muscle tightness, Paraesthesia, Pyrexia
Clinical narrative: Patient developed chest pain  on 5/9 and had an EKG read as Normal sinus rhythm  Deep S in V2, consider posterior hypertrophy, Nonspecific T wave abnormality.  on 5/10 developed a low grade fever of 100.4 and patchy vesicular rash on the left arm that is neither painful or itchy.  Complaining of "pins and needles" feeling on arm and  tense bicep mucsle.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Rash vesicular
Clinical narrative: Patient developed chest pain  on 5/9 and had an EKG read as Normal sinus rhythm  Deep S in V2, consider posterior hypertrophy, Nonspecific T wave abnormality.  on 5/10 developed a low grade fever of 100.4 and patchy vesicular rash on the left arm that is neither painful or itchy.  Complaining of "pins and needles" feeling on arm and  tense bicep mucsle.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY HYPOTENSION
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE PERICARDITIS, UNSPECIFIED
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On May 5, I had a slight sore throat in the morning, the symptoms persisted throughout the weekend. It felt like a head cold.  On May 8, 2023, I used a home COVID-19 test that came back positive. I called my doctor to have a telehealth visit. We discussed my taking the Paxlovid antiviral since I do have a heart condition. He prescribed the Paxlovid that I was able to start that day. I will be taking the last dose tomorrow morning.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Guillain-Barre syndrome, Respiratory failure
Clinical narrative: GUILLAIN BARRE SYNDROME ACUTE RESPIRATORY FAILURE CHRONIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 0.67
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: CONTACTED AND INFORMED PARENTS  OF THE ISSUE AND GIVEN THE OPTION TO REVACCINATE THEIR CHILD, THEY WERE CONSULTED TO CONTACT THEIR PEDIATRICIAN.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear pain, Eustachian tube dysfunction, Headache, Pain in extremity
Clinical narrative: I did not have an adverse event after the vaccine other than a sore arm, however in 07MAR2023 I started to develop a new health problem, I had a pain in my left ear that started as a headache and then centralized more in the left ear. I called my PCP on 21MAR2023 when the pain became to great and was told I have a Eustachian tube dysfunction. I was treated with antibiotics and steroids but the problem is still ongoing and I have been referred to an ENT, I have not seen that provider yet.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Symptom recurrence
Clinical narrative: RIGHT BELLS PALSY 11/21/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 76.0
Sex: M
Vaccine: UNK
Symptoms: Axillary mass, Biopsy lymph gland, Biopsy lymph gland abnormal, Blood test, Bronchoscopy abnormal
Clinical narrative: Multiple lung nodules were seen on CT of Abd/Pelvia done on 11/28/2022 (previous Abd/Pelvis CT did not show in 4/2022).  Follow-up chest CT showed nodules ccoalesced into larger mass.  PET scan 12/19/2022 showed "Intensely hypermetabolic innumerable lung lesions that demonstrate rapid interval growth and formation of new foci, involving the parenchyma and pleura, as well as lesions in the left neck, thoracic and left axilla."  Diagnosed by bronchoscopy 12/26/2022 as Diffuse large B Cell lymphoma.  Patient started having fevers and was initiall admitted to hospital from 1/6/23-1/10/23.  Was then admitted to hospital 1/16/2023 and expired 2/25/2023 after many complications and one failed chemotherapy treatment. Patient expired 2/25/2023. Patient had initial series of Pfizer-BioNTech COVID 19 vaccine on 1/20/21 & 2/1/2021 with booster 10/19/2021 and bivalent vaccine booster 9/12/2022.   He was in good health with no infection of COVID prior to findings on CT 11/28/2022.  Was the lymphoma caused by or exacerbated by COVID and/or Flu Vaccine?
Age: 76.0
Sex: M
Vaccine: UNK
Symptoms: Chemotherapy, Computerised tomogram, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Culture
Clinical narrative: Multiple lung nodules were seen on CT of Abd/Pelvia done on 11/28/2022 (previous Abd/Pelvis CT did not show in 4/2022).  Follow-up chest CT showed nodules ccoalesced into larger mass.  PET scan 12/19/2022 showed "Intensely hypermetabolic innumerable lung lesions that demonstrate rapid interval growth and formation of new foci, involving the parenchyma and pleura, as well as lesions in the left neck, thoracic and left axilla."  Diagnosed by bronchoscopy 12/26/2022 as Diffuse large B Cell lymphoma.  Patient started having fevers and was initiall admitted to hospital from 1/6/23-1/10/23.  Was then admitted to hospital 1/16/2023 and expired 2/25/2023 after many complications and one failed chemotherapy treatment. Patient expired 2/25/2023. Patient had initial series of Pfizer-BioNTech COVID 19 vaccine on 1/20/21 & 2/1/2021 with booster 10/19/2021 and bivalent vaccine booster 9/12/2022.   He was in good health with no infection of COVID prior to findings on CT 11/28/2022.  Was the lymphoma caused by or exacerbated by COVID and/or Flu Vaccine?
Age: 76.0
Sex: M
Vaccine: UNK
Symptoms: Death, Diffuse large B-cell lymphoma, Disease complication, Hypermetabolism, Magnetic resonance imaging head
Clinical narrative: Multiple lung nodules were seen on CT of Abd/Pelvia done on 11/28/2022 (previous Abd/Pelvis CT did not show in 4/2022).  Follow-up chest CT showed nodules ccoalesced into larger mass.  PET scan 12/19/2022 showed "Intensely hypermetabolic innumerable lung lesions that demonstrate rapid interval growth and formation of new foci, involving the parenchyma and pleura, as well as lesions in the left neck, thoracic and left axilla."  Diagnosed by bronchoscopy 12/26/2022 as Diffuse large B Cell lymphoma.  Patient started having fevers and was initiall admitted to hospital from 1/6/23-1/10/23.  Was then admitted to hospital 1/16/2023 and expired 2/25/2023 after many complications and one failed chemotherapy treatment. Patient expired 2/25/2023. Patient had initial series of Pfizer-BioNTech COVID 19 vaccine on 1/20/21 & 2/1/2021 with booster 10/19/2021 and bivalent vaccine booster 9/12/2022.   He was in good health with no infection of COVID prior to findings on CT 11/28/2022.  Was the lymphoma caused by or exacerbated by COVID and/or Flu Vaccine?
Age: 76.0
Sex: M
Vaccine: UNK
Symptoms: Mass, Neck mass, Neoplasm, Positron emission tomogram abnormal, Pulmonary mass
Clinical narrative: Multiple lung nodules were seen on CT of Abd/Pelvia done on 11/28/2022 (previous Abd/Pelvis CT did not show in 4/2022).  Follow-up chest CT showed nodules ccoalesced into larger mass.  PET scan 12/19/2022 showed "Intensely hypermetabolic innumerable lung lesions that demonstrate rapid interval growth and formation of new foci, involving the parenchyma and pleura, as well as lesions in the left neck, thoracic and left axilla."  Diagnosed by bronchoscopy 12/26/2022 as Diffuse large B Cell lymphoma.  Patient started having fevers and was initiall admitted to hospital from 1/6/23-1/10/23.  Was then admitted to hospital 1/16/2023 and expired 2/25/2023 after many complications and one failed chemotherapy treatment. Patient expired 2/25/2023. Patient had initial series of Pfizer-BioNTech COVID 19 vaccine on 1/20/21 & 2/1/2021 with booster 10/19/2021 and bivalent vaccine booster 9/12/2022.   He was in good health with no infection of COVID prior to findings on CT 11/28/2022.  Was the lymphoma caused by or exacerbated by COVID and/or Flu Vaccine?
Age: 76.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia, Treatment failure
Clinical narrative: Multiple lung nodules were seen on CT of Abd/Pelvia done on 11/28/2022 (previous Abd/Pelvis CT did not show in 4/2022).  Follow-up chest CT showed nodules ccoalesced into larger mass.  PET scan 12/19/2022 showed "Intensely hypermetabolic innumerable lung lesions that demonstrate rapid interval growth and formation of new foci, involving the parenchyma and pleura, as well as lesions in the left neck, thoracic and left axilla."  Diagnosed by bronchoscopy 12/26/2022 as Diffuse large B Cell lymphoma.  Patient started having fevers and was initiall admitted to hospital from 1/6/23-1/10/23.  Was then admitted to hospital 1/16/2023 and expired 2/25/2023 after many complications and one failed chemotherapy treatment. Patient expired 2/25/2023. Patient had initial series of Pfizer-BioNTech COVID 19 vaccine on 1/20/21 & 2/1/2021 with booster 10/19/2021 and bivalent vaccine booster 9/12/2022.   He was in good health with no infection of COVID prior to findings on CT 11/28/2022.  Was the lymphoma caused by or exacerbated by COVID and/or Flu Vaccine?
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE STABLE ANGINA
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest X-ray abnormal, Dysphonia, Oropharyngeal pain, Pneumonia
Clinical narrative: 10/29/2022 I began having a raspy voice. I went to the ENT doctor and they prescribed Flonase and nose drops with an antihistamine in it. I have continued to have the raspy voice since. In April I still was experiencing the raspy voice but developed a sore throat. I had a COVID test which was positive. I had an x-ray and was diagnosed with Pneumonia.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 10/29/2022 I began having a raspy voice. I went to the ENT doctor and they prescribed Flonase and nose drops with an antihistamine in it. I have continued to have the raspy voice since. In April I still was experiencing the raspy voice but developed a sore throat. I had a COVID test which was positive. I had an x-ray and was diagnosed with Pneumonia.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE OBSTRUCTIVE SLEEP APNEA
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LEFT ARM- Red swollen, and hot to the touch at the injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Obstructive sleep apnoea syndrome, Pulmonary embolism
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE OBSTRUCTIVE SLEEP APNEA ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN ACUTE PULMONARY EMBOLISM
Age: 16.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Asthenopia, Blood pressure increased, Injection site reaction, Rash erythematous
Clinical narrative: Patient stated she was at school when she started feeling her eyes get "heavy." She went to the nurse and her blood pressure was elevated, although patient only remembers that the bottom number was 95. She denies any blurry vision or syncope at the time, and the episode only last around 10-15 minutes. She also reports a red rash on her right arm near the site of injection during this time as well. Provider was notified around 09:30 PM on 5/9/23. By that time, patient was back to baseline and no rash.
Age: 44.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Pain, Pyrexia, Swelling face
Clinical narrative: Patient complaint of whole body fever, bodyaches, swollen face, and abdominal pain 1 day after receiving Heplisav-B. Patient came to pharmacy on 5/12/23 and shown me his face and it looks much better, but still swelling
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Asteatosis, Chronic left ventricular failure, Respiratory failure
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 5/8/2021 ASTEATOSIS CUTIS J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/8/2021 ASTEATOSIS CUTIS I21.4 ACUTE NON ST ELEVATION MI 5/8/2021 DIASTOLIC HEART FAILURE, CHRONIC J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/8/2021 DIASTOLIC HEART FAILURE, CHRONIC
Age: 59.0
Sex: F
Vaccine: MMR
Symptoms: Facial pain, Pain in jaw, Trigeminal neuralgia
Clinical narrative: I was fine and got the vaccine because of a suspected measles outbreak on the island tha cause travel restrictions and I have atrip planned.  About 8 hours after the vaccine I noted a sharp, intermittent pain in my left jaw area.  At first I thought I had an ear infection or a damaged tooth.  However, the pain is very intermittent and sharp and unpredicable, cosnsistent with trigeminal neuralgia.  I am awaiting an appoint ment with a MD for evaluation.  The episodes of sharp pain are rapidly increasing and now I have this sharp pain in my left jaw/face right below my ear 50-60 times a day.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: High blood pressure, prescription given was Losartin 50 mg,  raised mg to 100mg Now under control.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Central cord syndrome, Fall, Gait disturbance, Head injury, Hypoaesthesia
Clinical narrative: I had a sore arm for about a day after receiving the vaccine. On 11/23/2022, I tripped and fell hitting my head. I had no feeling from my shoulders down and unable to move which lasted about half an hour. Afterwards I had great difficulty walking. I was admitted to the hospital for two days and rehabilitation for twelve days.  I was diagnosed with central cord syndrome.  As of today, I am not able to lift heavy things. I am able to walk and run but I'm not 100% back. The feeling in my hands and feet are different now.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Mobility decreased, Pain in extremity, Sensory disturbance
Clinical narrative: I had a sore arm for about a day after receiving the vaccine. On 11/23/2022, I tripped and fell hitting my head. I had no feeling from my shoulders down and unable to move which lasted about half an hour. Afterwards I had great difficulty walking. I was admitted to the hospital for two days and rehabilitation for twelve days.  I was diagnosed with central cord syndrome.  As of today, I am not able to lift heavy things. I am able to walk and run but I'm not 100% back. The feeling in my hands and feet are different now.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Dementia
Clinical narrative: Pfizer vaccine was administered outside of Facility- reported by patient- ? NO LOT NUMBER WERE SUPPLIED -------------------------------------------------------------------------------------------------------------------------------- J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/23/2022 UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, WO BEHAVIORAL DISTURBANCE
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Moderna Bivalent came from our central fill facility. On paperwork, beyond use date was labeled 4/5/23, but on bag that vaccine came in, beyond use date was labeled 5/15/23. Patient received vaccine on 4/21/23.  Clinical pharmacist checked with the manufacturer and determined the doses that were administered were valid.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute respiratory failure, Deep vein thrombosis, Hypotension
Clinical narrative: I95.9 HYPOTENSION 3/6/2022 DIASTOLIC HEART FAILURE, ACUTE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 1/19/2022 DIASTOLIC HEART FAILURE, ACUTE I95.9 HYPOTENSION 3/6/2022 CHRONIC DVT OF RIGHT LEG, UNSPECIFIED VEIN J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 1/19/2022 CHRONIC DVT OF RIGHT LEG, UNSPECIFIED VEIN
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: On 5/1/2023, this individual received a 0.3 mL (30 mcg) dose of the Pfizer Monovalent COVID-19 Vaccine, mRNA (Comirnaty) for primary series vaccination.  The administration of this vaccine occurred after the CDC Committee announcement that monovalent (original) COVID-19 mRNA COVID-19 vaccines will no longer be recommended for use in the country.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, Dyspnoea exertional, Fatigue, Laboratory test abnormal, Lung disorder
Clinical narrative: My COVID-19 symptoms started on 02/20/2023 in the morning. I had a sore throat, lungs were bad condition. I am now diagnosed with Bronchitis.   I went to my doctor's office on 02/21/2023 . My right arm to leg is swollen up my doctor said if it doesn't go down I will be getting more testing done but as of now its getting better. My doctor prescribed me with Prednisone, Arnuity  inhaler, Benzonatate ,  Albuterol,  Vitamin C .After running some tests my doctor as having upper respiratory infections. I still have exhaustion and muscles pain. My lungs are weak because I can't walk up the stairs I get shortness of breath.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Myalgia, Oropharyngeal pain, Peripheral swelling, Upper respiratory tract infection
Clinical narrative: My COVID-19 symptoms started on 02/20/2023 in the morning. I had a sore throat, lungs were bad condition. I am now diagnosed with Bronchitis.   I went to my doctor's office on 02/21/2023 . My right arm to leg is swollen up my doctor said if it doesn't go down I will be getting more testing done but as of now its getting better. My doctor prescribed me with Prednisone, Arnuity  inhaler, Benzonatate ,  Albuterol,  Vitamin C .After running some tests my doctor as having upper respiratory infections. I still have exhaustion and muscles pain. My lungs are weak because I can't walk up the stairs I get shortness of breath.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Moderna Bivalent came from our central fill facility. On paperwork, beyond use date was labeled 4/5/23, but on bag that vaccine came in, beyond use date was labeled 5/15/23. Patient received vaccine on 4/21/23.  Clinical pharmacist checked with the manufacturer and determined the doses that were administered were valid.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: On 5/4/2023, this individual received a 0.3 mL (30 mcg) dose of the Pfizer Monovalent COVID-19 Vaccine, mRNA (Comirnaty) for primary series vaccination.  The administration of this vaccine occurred after the CDC Committee announcement that monovalent (original) COVID-19 mRNA COVID-19 vaccines will no longer be recommended for use in the Country.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered 0.25ml of the  moderna vaccine ndc 80777-282-99 instead of 0.2ml of the moderna vaccine ndc 80777-283-99 as booster dose. Patient had completed primary series with moderna.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Moderna Bivalent came from our central facility. On paperwork, beyond use date was labeled 4/5/23, but on bag that vaccine came in, beyond use date was labeled 5/15/23. Patient received vaccine on 4/21/23.  Clinical pharmacist checked with the manufacturer and determined the doses that were administered were valid.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pediatric patient given 12+ dose of Pfizer
Age: 0.33
Sex: M
Vaccine: PNC13
Symptoms: Syringe issue, Underdose
Clinical narrative: Pt seen in office for 4 month well visit. Prevnar 13 vaccine administered in patient's RVL per order. During administration, an unmeasurable amount of the vaccine leaked out of the syringe and an unmeasurable amount was administered in patient's RVL. RN contacted CDC and notified CRNP and Lead RN.  Per CDC recommendations, RN to re-administer Prevnar today. CRNP aware. Patient's mom and dad understanding and agreed with plan of care.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Ear congestion, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: On 3/5/2023, I got up at around 7 AM. About an hour later, I noticed my left ear was stopped up. At about 4 PM, my nose started dripping. Early in the evening, I took a home antigen test and got a positive result. I then went to an urgent care clinic to have my test results confirmed. I was tested at the clinic, and I also got a positive result on that test. I asked them about taking PAXLOVID, but they told me there were contraindications with modafinil, but they told me I could take remdesivir instead. I took the remdesivir infusions on 3/8/2023, 3/9/2023, and 3/10/2023. I had no negative reaction to the infusions. On 3/7/2023, when I consulted with my doctor via email about my clogged ear, runny nose, minor cough, and minor sore throat, he suggested that I try taking MUCINEX D. After I took the MUCINEX D, the runny nose, cough, and sore throat went away on 3/8/2023, but the clogged ear persisted. On 3/15/2023, I tested myself again and got a negative result.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On 3/5/2023, I got up at around 7 AM. About an hour later, I noticed my left ear was stopped up. At about 4 PM, my nose started dripping. Early in the evening, I took a home antigen test and got a positive result. I then went to an urgent care clinic to have my test results confirmed. I was tested at the clinic, and I also got a positive result on that test. I asked them about taking PAXLOVID, but they told me there were contraindications with modafinil, but they told me I could take remdesivir instead. I took the remdesivir infusions on 3/8/2023, 3/9/2023, and 3/10/2023. I had no negative reaction to the infusions. On 3/7/2023, when I consulted with my doctor via email about my clogged ear, runny nose, minor cough, and minor sore throat, he suggested that I try taking MUCINEX D. After I took the MUCINEX D, the runny nose, cough, and sore throat went away on 3/8/2023, but the clogged ear persisted. On 3/15/2023, I tested myself again and got a negative result.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, IPV, MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This writer noted that patient accidently received 2 doses of IPV  when lot numbers were entered in electronic medical chart.  This writer notified mother of error immediately and assessed patient for adverse reaction. Noted that patient did not have adverse reaction while in clinic. Pt was assessed by provider 40 minutes after this writer administered vaccines.  Provider reviewed s/sx mother is to report to clinic.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Angina unstable, Hypotension
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE UNSTABLE ANGINA HYPOTENSION
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Muscular weakness, Swelling face, Tremor
Clinical narrative: I woke with chest pressure, my arm and legs were weak and shaky I felt like I had a foot in my lower and my face was swollen on my left side. I was taking metformin and also pravastatin at this time in addition to what I was taking at the time of the vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: RESPIRATORY FAILURE, UNSPECIFIED ACUITY
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE TRANSIENT CEREBRAL ISCHEMIA
Age: 30.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient was given Pfizer bivalent vaccine which had been expired/exceeded beyond use date/time since first puncture to vial on 5.2.2023. Vaccine was delivered to patient on 5.3.2023.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Biopsy kidney, Blood test, Fluid retention, General symptom, Hypotonia
Clinical narrative: Around March 2023, I went in for a kidney biopsy. At this time, I was diagnosed with Pneumonia and the Flu. I was in the hospital for a whole week. They treated the symptoms. I retained a lot of water. I shredded 20 liters of water the week I was in the hospital. I was on oxygen. I was on bed rest and moved around as much as I could. I did not have any surgeries or go into ICU. They were constantly drawing my blood. I was discharged to home oxygen, I had home occupational therapy and home physical therapy for 10 days. I was not steady on my feet and physical therapy helped get some of my muscle tone back. I followed up with Dr.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Influenza, Pneumonia, Rest regimen
Clinical narrative: Around March 2023, I went in for a kidney biopsy. At this time, I was diagnosed with Pneumonia and the Flu. I was in the hospital for a whole week. They treated the symptoms. I retained a lot of water. I shredded 20 liters of water the week I was in the hospital. I was on oxygen. I was on bed rest and moved around as much as I could. I did not have any surgeries or go into ICU. They were constantly drawing my blood. I was discharged to home oxygen, I had home occupational therapy and home physical therapy for 10 days. I was not steady on my feet and physical therapy helped get some of my muscle tone back. I followed up with Dr.
Age: 31.0
Sex: F
Vaccine: COVID19, MMRV, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: None. Pt. came in with out of state records and a note from her employer saying she needed, TDAP, 1 Varicella, and 1 MMR to be employed with them. Writer also recommended Pfizer Bivalent booster, to which patient wanted. Writer took MMRV instead of separated them. Writer called employee at the the local DOH to which writer was told to create a VAERS and contact patient. No adverse events at this time.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Thalamic stroke, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA ACUTE STROKE OF THALAMUS, UNSPECIFIED TYPE AND ARTERY
Sex: U
Vaccine: COVID19-2
Symptoms: Abscess drainage, COVID-19, Cough, Dental operation, Fatigue
Clinical narrative: On 04/21/2023 I  was shaking at lunch time. I did 2 home testes which were negative.  I had night sweats , cough , fatigue, sore throat and body aches. I went to the clinic on 05/02/2023.  I was tested  positive for  COVID-19 infection.  I was  prescribed Paxlovid for 5 days, and Z-pack for 5 days. Prior testing positive  for COVID-19  I had some dental work  done. I had an abscess on my tooth which had to be drained  for that reason  the dentist had prescribed   Amoxicillin  Since,  it happened around the same time  I am not sure if there's any correlation just thought it might be something to note down.
Sex: U
Vaccine: COVID19-2
Symptoms: Night sweats, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Tooth abscess
Clinical narrative: On 04/21/2023 I  was shaking at lunch time. I did 2 home testes which were negative.  I had night sweats , cough , fatigue, sore throat and body aches. I went to the clinic on 05/02/2023.  I was tested  positive for  COVID-19 infection.  I was  prescribed Paxlovid for 5 days, and Z-pack for 5 days. Prior testing positive  for COVID-19  I had some dental work  done. I had an abscess on my tooth which had to be drained  for that reason  the dentist had prescribed   Amoxicillin  Since,  it happened around the same time  I am not sure if there's any correlation just thought it might be something to note down.
Sex: U
Vaccine: COVID19-2
Symptoms: Tremor
Clinical narrative: On 04/21/2023 I  was shaking at lunch time. I did 2 home testes which were negative.  I had night sweats , cough , fatigue, sore throat and body aches. I went to the clinic on 05/02/2023.  I was tested  positive for  COVID-19 infection.  I was  prescribed Paxlovid for 5 days, and Z-pack for 5 days. Prior testing positive  for COVID-19  I had some dental work  done. I had an abscess on my tooth which had to be drained  for that reason  the dentist had prescribed   Amoxicillin  Since,  it happened around the same time  I am not sure if there's any correlation just thought it might be something to note down.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Patient received a Pfizer Booster shot that was left over from the day before.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, No adverse event, SARS-CoV-2 test positive
Clinical narrative: No adverse effect from the vaccine.  Please update this form.  All I wanted to do was report that I contacted covid-19 on 5/10/2023.  I signed up  for V-safe checkins when I received my first covid vaccine shot and have been responding to the email check ins.   They said  to report new symptoms can be reported to VAERS.  There's nothing in this form to enter this information. or that I started taking Paxlovid on 5/11/2023 that my doctor called in to the pharmacy.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acoustic stimulation tests abnormal, Condition aggravated, Conductive deafness, Ear congestion, Ear discomfort
Clinical narrative: My left ear had been clogged since 3/5/2023, which is the day that I tested positive for COVID-19. I also developed other symptoms during my bout with COVID-19, but they eventually went away after treatment with MUCINEX D and remdesivir. However, the clogged ear persisted afterwards. I saw my doctor on 4/5/2023, and he prescribed me oral methylprednisolone and azelastine nasal spray. In his comments, he mentioned that I had Meniere's disease in the left ear, plus he diagnosed me with chronic mucoid otitis media of the left ear. I also underwent a hearing test that day and was diagnosed with conductive hearing loss induced by L-based middle-ear effusion. His notes also read that I had "L. hydrops otherwise stable." In conjunction with the medications he prescribed, the doctor also recommended that I use an ear popper. The ear congestion went away maybe a week or two later. The congestion returned in the same ear on 5/6/2023, though. I saw the doctor again on 5/10/2023. At that point, my ear was still congested, and I was then diagnosed with a sinus infection after I was tested. He treated my infection by prescribing more methylprednisolone, plus cefdinir. I was also told to continue taking the azelastine nasal spray and using the ear popper. As of today, the ear congestion is 90% gone, and I am still taking the prescribed medications.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Meniere's disease, Middle ear effusion, Otitis media chronic, Sinusitis
Clinical narrative: My left ear had been clogged since 3/5/2023, which is the day that I tested positive for COVID-19. I also developed other symptoms during my bout with COVID-19, but they eventually went away after treatment with MUCINEX D and remdesivir. However, the clogged ear persisted afterwards. I saw my doctor on 4/5/2023, and he prescribed me oral methylprednisolone and azelastine nasal spray. In his comments, he mentioned that I had Meniere's disease in the left ear, plus he diagnosed me with chronic mucoid otitis media of the left ear. I also underwent a hearing test that day and was diagnosed with conductive hearing loss induced by L-based middle-ear effusion. His notes also read that I had "L. hydrops otherwise stable." In conjunction with the medications he prescribed, the doctor also recommended that I use an ear popper. The ear congestion went away maybe a week or two later. The congestion returned in the same ear on 5/6/2023, though. I saw the doctor again on 5/10/2023. At that point, my ear was still congested, and I was then diagnosed with a sinus infection after I was tested. He treated my infection by prescribing more methylprednisolone, plus cefdinir. I was also told to continue taking the azelastine nasal spray and using the ear popper. As of today, the ear congestion is 90% gone, and I am still taking the prescribed medications.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Hypotension, Polymyalgia rheumatica
Clinical narrative: I95.9 HYPOTENSION 2/4/2022 ANEMIA I95.9 HYPOTENSION 2/4/2022 POLYMYALGIA RHEUMATICA
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Pneumonia aspiration
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 4/29/2022 ASPIRATION PNEUMONIA R09.02 HYPOXIA 4/29/2022 ASPIRATION PNEUMONIA
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Neurological examination, Peripheral sensory neuropathy
Clinical narrative: Sudden onset numbness of feet and to a lesser extent fingers and perioral region, felt to be acute sensory neuropathy by neurologist
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Cardiac failure congestive, Chronic respiratory failure, Obstructive sleep apnoea syndrome, Respiratory failure
Clinical narrative: Pfizer vaccine was administered outside of clinic- reported by patient- ? NO LOT NUMBER WERE SUPPLIED ---------------------------------------------------------------------------------------------------------  ADULT OBSTRUCTIVE SLEEP APNEA 4/16/2021 ANEMIA  CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 2/23/2021 ANEMIA  ADULT OBSTRUCTIVE SLEEP APNEA 4/16/2021 ANEMIA  CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 2/23/2021 ANEMIA  ADULT OBSTRUCTIVE SLEEP APNEA 4/16/2021 RESPIRATORY FAILURE, UNSPECIFIED ACUITY  CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 2/23/2021 RESPIRATORY FAILURE, UNSPECIFIED ACUITY  ADULT OBSTRUCTIVE SLEEP APNEA 4/16/2021 ACUTE CHF W LVEF UNKNOWN, UNSPECIFIED  CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 2/23/2021 ACUTE CHF W LVEF UNKNOWN, UNSPECIFIED
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Hypotension
Clinical narrative: I95.9 HYPOTENSION 1/24/2022 COVID-19 PNEUMONIA J96.00 ACUTE RESPIRATORY FAILURE 2/3/2022 COVID-19 PNEUMONIA
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chills, Cough, Dysstasia, Eye movement disorder
Clinical narrative: I had a scratchy throat, I was achy, started feeling feverish, chill, fatigue. Each day I experienced a new symptom, by day two I could not stand, open my eyes. I took a home COVID-19 test, it came back positive. I had a telehealth visit and was prescribed Paxlovid. My throat really started hurting then, I tried using an over the medication, it did not help. I had to get lidocaine viscous. The next day I started to cough uncontrollably, I called my doctor, was prescribed a cough syrup with codeine that I only needed to take for a day.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Fatigue, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a scratchy throat, I was achy, started feeling feverish, chill, fatigue. Each day I experienced a new symptom, by day two I could not stand, open my eyes. I took a home COVID-19 test, it came back positive. I had a telehealth visit and was prescribed Paxlovid. My throat really started hurting then, I tried using an over the medication, it did not help. I had to get lidocaine viscous. The next day I started to cough uncontrollably, I called my doctor, was prescribed a cough syrup with codeine that I only needed to take for a day.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Throat irritation
Clinical narrative: I had a scratchy throat, I was achy, started feeling feverish, chill, fatigue. Each day I experienced a new symptom, by day two I could not stand, open my eyes. I took a home COVID-19 test, it came back positive. I had a telehealth visit and was prescribed Paxlovid. My throat really started hurting then, I tried using an over the medication, it did not help. I had to get lidocaine viscous. The next day I started to cough uncontrollably, I called my doctor, was prescribed a cough syrup with codeine that I only needed to take for a day.
Age: 42.0
Sex: F
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt presented to clinic today 05/12/2023 with Family Planning needs. Gardasil 9 dose 3 was given to patient. Last known dose was administered 02/17/2023. Pt should not have received 3rd dose until July 2023
Age: 9.0
Sex: M
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 8 months younger than recommended 10 years old to recieve vaccine
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Aortic valve stenosis
Clinical narrative: I21.11 ACUTE ST ELEVATION MI, RIGHT CORONARY ARTERY 4/9/2022 ACUTE ST ELEVATION MI, UNSPECIFIED    AORTIC VALVE STENOSIS I21.3 ACUTE ST ELEVATION MI, UNSPECIFIED 4/9/2022 ACUTE ST ELEVATION MI, UNSPECIFIED    AORTIC VALVE STENOSIS
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site infection, Injection site rash, Injection site reaction, Rash erythematous, Skin infection
Clinical narrative: patient reported on 05/07/23 regarding red rash around injection site. no other symptoms were present at this time. advised patient that we will follow up in a day or two, to monitor for improvement/worsening of the rash. was informed by patient that the rash developed into an infection on 5/8/23. patient was treated for a skin infection with cephalexin 500mg, 1 capsule by mouth every 8 hours for 7 days
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Biopsy breast abnormal, Breast mass, Mammogram abnormal, Metastases to breast, Positron emission tomogram abnormal
Clinical narrative: I found a lump in my right breast. I immediately made an appointment to see my doctor for a mammogram, he also ordered a biopsy and ultrasound. He then ordered a PET scan that I had done on November 25, 2022, that showed that the lump had metastasized. I will not have a lumpectomy it will not affect the outcome. I am taking oral cancer treatment, bone strengthening medication.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ultrasound breast abnormal
Clinical narrative: I found a lump in my right breast. I immediately made an appointment to see my doctor for a mammogram, he also ordered a biopsy and ultrasound. He then ordered a PET scan that I had done on November 25, 2022, that showed that the lump had metastasized. I will not have a lumpectomy it will not affect the outcome. I am taking oral cancer treatment, bone strengthening medication.
Age: 67.0
Sex: M
Vaccine: PNC20
Symptoms: Acute respiratory distress syndrome, Biopsy lung, Chest pain, Interstitial lung disease, Laboratory test
Clinical narrative: Pt seen in clinic by me 3/31/2023. Feeling well. Given PCV 20 vaccine. Acute chest pain and respiratory symptoms develop around 10:30 pm 4/19/2023.  Prolonged respiratory failure with ARDS develops. Final lung biopsy path pending but suspected interstitial pneumonitis or even AIP on preliminary data.
Age: 67.0
Sex: M
Vaccine: PNC20
Symptoms: Respiratory failure, Respiratory symptom
Clinical narrative: Pt seen in clinic by me 3/31/2023. Feeling well. Given PCV 20 vaccine. Acute chest pain and respiratory symptoms develop around 10:30 pm 4/19/2023.  Prolonged respiratory failure with ARDS develops. Final lung biopsy path pending but suspected interstitial pneumonitis or even AIP on preliminary data.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Tinnitus - ongoing.0
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Gave COVID-19 BIV 12+ to an 11 y.o female instead of the 5-11 BIV. No symptoms or adverse reaction during her 15 minutes here. The CRNP spoke with family and informed of reactions and if she has symptoms to have her seen in office and or ER depending on severity of reaction.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site scab, Pain, Pruritus
Clinical narrative: pt reported severe redness in arm. when she presented to me 05/12/2023, there was a scab on her arm at the site, but she stated lots of pain and itching. i believe she scratched it on her own.
Age: 2.0
Sex: F
Vaccine: COVID19-2, HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Noted after immunization for COVID Moderna Bivalent had been administered and was being documented that dosage was not correctly administered (vial look to contain less than expected for a 2 dose vial). Confirmed with staff CMA that a 0.3 ml dose had been administered instead of 0.2 ml.   Immediately sought assistance and reported it to Dr. who consulted with staff. Was informed to follow proper incident protocols and can advise parent that there is no medical concern to the extra 0.1 ml. However, to please advise monitoring and to please let us know if anything comes about.
Age: 69.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Bell's palsy, Facial nerve disorder, Imaging procedure
Clinical narrative: Facial Nerve/Bell's Palsy
Age: 69.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Ear pain, Facial paralysis, Hypoaesthesia oral, Neck pain, Oral pain
Clinical narrative: Facial Nerve/Bell's Palsy
Age: 69.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Pain, Speech disorder, Temporomandibular joint syndrome, Tooth disorder, X-ray
Clinical narrative: Facial Nerve/Bell's Palsy
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Conjunctivitis, Oropharyngeal pain, Productive cough, Rhinorrhoea
Clinical narrative: My symptoms began on 04/18/2023 in the morning I had a really bad sore throat. It progressed to coughing mucus, and nasal drainage. I also had pink eyes. On 04/20/2023 I went to the pharmacy and got a COVID-19 test which was positive. I did a telehealth with my doctor on the same day. She prescribed me PAXLOVID for 5 days, and albuterol. I took over the counter cough syrup for cough. I contacted my eye doctor on the 04/25/2023. I was prescribed eye drop tobramycin for 3 weeks. As of now I have unproductive cough and other symptoms are gone.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: My symptoms began on 04/18/2023 in the morning I had a really bad sore throat. It progressed to coughing mucus, and nasal drainage. I also had pink eyes. On 04/20/2023 I went to the pharmacy and got a COVID-19 test which was positive. I did a telehealth with my doctor on the same day. She prescribed me PAXLOVID for 5 days, and albuterol. I took over the counter cough syrup for cough. I contacted my eye doctor on the 04/25/2023. I was prescribed eye drop tobramycin for 3 weeks. As of now I have unproductive cough and other symptoms are gone.
Age: 56.0
Sex: M
Vaccine: COVID19-2, MMR
Symptoms: Pruritus, Skin wound, Wound secretion
Clinical narrative: The patient has weeping sores on his arms where the Dexcom G7 was attached.  But he was wearing them at the time of vaccination. He was in a hot tub as well and thought that might contribute  to the reaction. Patient is still treating the sores on the back of each arm with topical steroids,  Vitamin E oil, and fexofenadine for itching.
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No additional AE; received RECOMBIVAXHB "in December" 2022, but is receiving the second dose today, 4/21/2023.; This spontaneous report was received from a pharmacist, regarding a female patient who was a nursing student. Concomitant medications included Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II). The patient's concurrent conditions, pertinent medical history and drug reactions/ allergies were not provided.  In December 2022, the patient was vaccinated with the first dose of hepatitis b vaccine (recombinant) (RECOMBIVAX HB) 1 ml (strength, route, anatomical location, lot number and expiration date were not provided) for prophylaxis. On 21-APR-2023, the patient was vaccinated with the second dose of hepatitis b vaccine (recombinant) (RECOMBIVAX HB) 1 ml (strength, route, anatomical location, lot number and expiration date were not provided) for prophylaxis (inappropriate schedule of product administration). No other adverse event occurred (no adverse event).
Sex: U
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE reported; VARIVAX was administered to one patient after a temperature excursion.; This spontaneous report was received from a licensed visiting nurse (L.V.N) concerning to a patient of unspecified age and gender. The patient's medical history, historical drugs, known allergies, concurrent conditions, and concomitant therapies were not reported.  On 05-APR-2023, the patient was vaccinated with a varicella virus vaccine live (oka/merck) (VARIVAX) lot #W021743 (expiration date: 10-JUL-2024) 0.5 milliliter dose, administered for prophylaxis (strength, and route of administration were not provided) that had gone through a temperature excursion (Product storage error). No additional information or adverse events (AEs) were provided (No adverse event).
Age: 0.17
Sex: F
Vaccine: HIBV
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Hib (PRP-OMP) date given: 01-JUL-1999/Hib (PRP-OMP) date given: 23-AUG-1999/Hib (PRP-OMP) date given: 09-NOV-1999/Hib (PRP-OMP) date given: 29-AUG-2000; Hib (PRP-OMP) date given: 23-AUG-1999/Hib (PRP-OMP) date given: 09-NOV-1999; This spontaneous report has been received from a physician via medical records from a case in litigation for hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) (2303USA004466), concerning a 6-month-old, female patient. The patient's previous immunizations included: hepatitis b vaccine (recombinant) (2 doses, administered on 26-APR-1999 and 27-MAY-1999). The patient's medical history, concurrent conditions and concomitant therapies prior to vaccinations were not reported.  On 01-JUL-1999, the patient was vaccinated with the first dose of haemophilus b conjugate vaccine (meningococcal protein conjugate) (manufacturer unknown) (reported as "Hib (PRP-OMP)") (exact dose, lot #, expiration date, site and route of administration were not provided). On 23-AUG-1999, the patient was vaccinated with the second dose of haemophilus b conjugate vaccine (meningococcal protein conjugate) (manufacturer unknown) (reported as "Hib (PRP-OMP)") (exact dose, lot #, expiration date, site and route of administration were not provided). On 09-NOV-1999, the patient was vaccinated with the third dose of haemophilus b conjugate vaccine (meningococcal protein conjugate) (manufacturer unknown) (reported as "Hib (PRP-OMP)") (exact dose, lot #, expiration date, site and route of administration were not provided) (inappropriate schedule of product administered). On 29-AUG-2000, the patient was vaccinated with the fourth dose of haemophilus b conjugate vaccine (meningococcal protein conjugate) (manufacturer unknown) (reported as "Hib (PRP-OMP)") (exact dose, lot #, expiration date, site and route of administration were not provided) (extra dose administered). Between the vaccinations with haemophilus b conjugate vaccine (meningococcal protein conjugate) (manufacturer unknown), the patient received additional vaccinations on following dates: inactivated polio virus (IPV) vaccine (23-AUG-1999); hepatitis b vaccine (recombinant) (09-NOV-1999); inactivated polio virus (IPV) vaccine (29-AUG-2000).  This is one of three reports regarding the same patient.   All available medical records will be provided upon request.; Sender's Comments:  US-009507513-2303USA004466: US-009507513-2305USA001541: