chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Cold sweat, Dizziness, Injection site pain, Nausea
Clinical narrative: dizziness, lightheaded, nausea, chills, clammy , soreness to injection site,  vitals 137/82, HR 73, temp. 98.7, monitored in medical office symptoms persist approx. 1 hour after injection given, employee/patient was encouraged to seek medical care if symptoms persist or worsen , patient instructed to have someone pick  them up from work and to not drive since she was still experiencing mild symptoms
Age: 6.0
Sex: F
Vaccine: DTPPVHBHPB, HEPA, MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received vaxselis which is prescribed or 6 months to 5 years and the patient was 6 years old.
Age: 62.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient aware with no reaction.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation error
Clinical narrative: Pt was given Covid 6month- 4yr vaccine that was not diluted. Spoke with clinical pharmacist and they state that the CDC websites states that has a higher risk of systemic or local reaction and to inform the family of this.   Provider informed and family informed.
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Chills, Decreased appetite, Dizziness, Headache, Myalgia
Clinical narrative: Low fever, chills, headache, muscle aches, lightheadedness, loss of appetite, in bed for 2 days
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Pyrexia
Clinical narrative: Low fever, chills, headache, muscle aches, lightheadedness, loss of appetite, in bed for 2 days
Age: 81.0
Sex: F
Vaccine: COVID19, FLU4, RSV
Symptoms: Asthenia, Death, Hypotonia, Unresponsive to stimuli
Clinical narrative: 11/20/23: significant change noted with resident: noted that resident was unusually weak, nurse noted that resident was completely flaccid and unresponsive. Admitted to hospice that evening. 11/22/23 resident found to be deceased. Date of death: 11/22/2023
Age: 74.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Skin warm, Weight bearing difficulty
Clinical narrative: ON 11/28/23, patient saw me for testosterone injection. patient reported possible side effects/adverse effects from Arexvy RSV vaccine on right shoulder. For the past 2 weeks, right shoulder pain has been getting worse, the most sore it's been was on 11/27/23 where patient couldn't carry a gallon milk jug.    today 11/28/23  it's not as bad regarding pain, but it's constant per patient.   Photo taken of right shoulder and added to patient's chart.    Skin of right shoulder felt slightly warmer than the rest of patient's right arm.    According to immunization records, Pfizer covid 2023 formula was given same day as Arexvy vaccine. Arexvy vaccine was given on right deltoid and pfizer covid vaccine was given on left deltoid on 10/16/23.    Patient verbally gave their consent for me to report the effects to VAERS - Vaccine Adverse Event Reporting System.   note in EMR sent to PCP to advise and notify patient via secure message in chart per patient's request.
Age: 5.0
Sex: F
Vaccine: FLU4, HEPA, MMRV
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Hepatitis A vaccine inadvertently given to patient too early at vaccine appointment.  Patient aunt, made aware that it was given too soon and that she will need to have regular 2nd dose in February 2024.  Aunt did not state that patient was c/o of any ill feeling.  Aunt made aware that she cannot overdose on vaccines and that she should do just fine given the extra dose.
Age: 45.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Patient was given the adolescent dose of the Hepatitis B vaccine, Engerix-B
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Patient was given Flu vaccine that remained in clinic from the 2022-23 season by employee that just returned from maternity leave. All  vaccines were to be moved to our Pyxis machine in October 2023  by our hospital pharmacy. These vaccines were not removed from the clinic and relocated to the Pyxis machine; however, have been continually temp monitored.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient had already received a dose of this vaccine on 11/7/23, when it was given again on 11/27/23. No local or systemic reaction noted. Physician has called patient, who has not experienced any further adverse reactions.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Blood test, Chest X-ray, Chest pain, Cough
Clinical narrative: She got her vaccine, it really hurt bad.  Aside from that it was just a typical sore arm that lasted for a few days and some tiredness.   SHe went to visit a friend in the hospital and possibly caught what she had.  She got sick then and has not been able to get well since then.  She has been back and forth to the doctor many times.  She has been on 5 coures of antibiotics (heavy duty stuff) for pneumonia, which she's okay for a day or two after she finishes it, then within a couple of days she comes down with something else.  When she comes down with something else it is worse than the previous reactions.  She is down to 108#, and hard to gain weight as she also has gatroparesis from hiatal hernia surgery and is no suffering from that.  She coughs so much that she throws up now.  It started as an annoying continuous dry cough, felt miserable. She has gone through nausea, and could not eat or drink as she was throwing it up.  She felt that she had a hernia and did a sonogram.  She just feels completely miserable, has no energy at all, takes 3 times to do dishes.  She is a volunteer at church and at the shelter and after she takes care of her animals she does not have the energy to take care of herself or feed herself.  The doctor says that it will take a while for her immune system to build back up.  Her immune system has been completely wiped out.  She is also on Prednisone and this keeps her awake at night.  She had some sort of steroid in her hip from the doctors.  She is also on zinc, garliq, probiotic, vitamin C, vitamin B.  She is now on so many things that she gets nauseated when she takes them, and varies them throught out the day and the combination just makes her nauseous.  Nothing seems to be working to build her immune system.  She is drinking orange juice which is causing reflux.  She is also eating a lot of kiwi as it has a lot of vitamin C, and doing everything that she possibly can to build up her immune system, and just not getting better.    They feel that the vaccine wiped out her immune system.  They want her to go to an allergies and a pulmonologist, and has an APT on 12/11/24 with allergist and pumonologist on 1/8/24.  She is also on a nasal wash.  She was at one time well for 5 days and then came down with something again.  That was longest period of feeling better since the vaccine.  She drinks vitamin water, regular water, and orange juice.  She does not drink any coffee, soda or anything caffeinated.    She is going to go to the ER tomorrow, and hopes that they admit her to see what is happening.  She is also having migraines, and takes migraine with that.  She is also taking Mucinex and this helps with her symptoms, and she cannot mask the symptoms and it only lasts for 4 hours and has to continue taking it.  The doctor won't give her any more antibiotics as she has had heavy duty stuff.  She cannot breath through her nose, chest is hurting from the congestion and plans on being admitted.  She is coughing up a lot of yellow crud.  She has also been feverish off and on, sweating and cold.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Migraine, Nasal congestion, Nausea, Pain in extremity, Pneumonia
Clinical narrative: She got her vaccine, it really hurt bad.  Aside from that it was just a typical sore arm that lasted for a few days and some tiredness.   SHe went to visit a friend in the hospital and possibly caught what she had.  She got sick then and has not been able to get well since then.  She has been back and forth to the doctor many times.  She has been on 5 coures of antibiotics (heavy duty stuff) for pneumonia, which she's okay for a day or two after she finishes it, then within a couple of days she comes down with something else.  When she comes down with something else it is worse than the previous reactions.  She is down to 108#, and hard to gain weight as she also has gatroparesis from hiatal hernia surgery and is no suffering from that.  She coughs so much that she throws up now.  It started as an annoying continuous dry cough, felt miserable. She has gone through nausea, and could not eat or drink as she was throwing it up.  She felt that she had a hernia and did a sonogram.  She just feels completely miserable, has no energy at all, takes 3 times to do dishes.  She is a volunteer at church and at the shelter and after she takes care of her animals she does not have the energy to take care of herself or feed herself.  The doctor says that it will take a while for her immune system to build back up.  Her immune system has been completely wiped out.  She is also on Prednisone and this keeps her awake at night.  She had some sort of steroid in her hip from the doctors.  She is also on zinc, garliq, probiotic, vitamin C, vitamin B.  She is now on so many things that she gets nauseated when she takes them, and varies them throught out the day and the combination just makes her nauseous.  Nothing seems to be working to build her immune system.  She is drinking orange juice which is causing reflux.  She is also eating a lot of kiwi as it has a lot of vitamin C, and doing everything that she possibly can to build up her immune system, and just not getting better.    They feel that the vaccine wiped out her immune system.  They want her to go to an allergies and a pulmonologist, and has an APT on 12/11/24 with allergist and pumonologist on 1/8/24.  She is also on a nasal wash.  She was at one time well for 5 days and then came down with something again.  That was longest period of feeling better since the vaccine.  She drinks vitamin water, regular water, and orange juice.  She does not drink any coffee, soda or anything caffeinated.    She is going to go to the ER tomorrow, and hopes that they admit her to see what is happening.  She is also having migraines, and takes migraine with that.  She is also taking Mucinex and this helps with her symptoms, and she cannot mask the symptoms and it only lasts for 4 hours and has to continue taking it.  The doctor won't give her any more antibiotics as she has had heavy duty stuff.  She cannot breath through her nose, chest is hurting from the congestion and plans on being admitted.  She is coughing up a lot of yellow crud.  She has also been feverish off and on, sweating and cold.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Vomiting, Weight gain poor
Clinical narrative: She got her vaccine, it really hurt bad.  Aside from that it was just a typical sore arm that lasted for a few days and some tiredness.   SHe went to visit a friend in the hospital and possibly caught what she had.  She got sick then and has not been able to get well since then.  She has been back and forth to the doctor many times.  She has been on 5 coures of antibiotics (heavy duty stuff) for pneumonia, which she's okay for a day or two after she finishes it, then within a couple of days she comes down with something else.  When she comes down with something else it is worse than the previous reactions.  She is down to 108#, and hard to gain weight as she also has gatroparesis from hiatal hernia surgery and is no suffering from that.  She coughs so much that she throws up now.  It started as an annoying continuous dry cough, felt miserable. She has gone through nausea, and could not eat or drink as she was throwing it up.  She felt that she had a hernia and did a sonogram.  She just feels completely miserable, has no energy at all, takes 3 times to do dishes.  She is a volunteer at church and at the shelter and after she takes care of her animals she does not have the energy to take care of herself or feed herself.  The doctor says that it will take a while for her immune system to build back up.  Her immune system has been completely wiped out.  She is also on Prednisone and this keeps her awake at night.  She had some sort of steroid in her hip from the doctors.  She is also on zinc, garliq, probiotic, vitamin C, vitamin B.  She is now on so many things that she gets nauseated when she takes them, and varies them throught out the day and the combination just makes her nauseous.  Nothing seems to be working to build her immune system.  She is drinking orange juice which is causing reflux.  She is also eating a lot of kiwi as it has a lot of vitamin C, and doing everything that she possibly can to build up her immune system, and just not getting better.    They feel that the vaccine wiped out her immune system.  They want her to go to an allergies and a pulmonologist, and has an APT on 12/11/24 with allergist and pumonologist on 1/8/24.  She is also on a nasal wash.  She was at one time well for 5 days and then came down with something again.  That was longest period of feeling better since the vaccine.  She drinks vitamin water, regular water, and orange juice.  She does not drink any coffee, soda or anything caffeinated.    She is going to go to the ER tomorrow, and hopes that they admit her to see what is happening.  She is also having migraines, and takes migraine with that.  She is also taking Mucinex and this helps with her symptoms, and she cannot mask the symptoms and it only lasts for 4 hours and has to continue taking it.  The doctor won't give her any more antibiotics as she has had heavy duty stuff.  She cannot breath through her nose, chest is hurting from the congestion and plans on being admitted.  She is coughing up a lot of yellow crud.  She has also been feverish off and on, sweating and cold.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Eye swelling, Fatigue, Full blood count normal, Headache, Metabolic function test normal
Clinical narrative: 24 h after the injection, the pain started  in the left side of the neck. Then the pain  migrated over time to the base of the skull, then behind the left ear and kept moving up to the top of the head, with extreme sensitivity to the touch of the skin, All this  over a 5 days period. In addition, I was feeling fatigue.  On day 7, I started to experience a  swelling of the forehead.  I went to see my PCP who thought that I may have shingles provoked by the vaccine. He started me on Valacyclovir. By Wednesday, I woke up with a swelling of my face (the forehead, the eyes and the cheeks).  I saw the PCP who discontinued the Valacyclovir and started a treatment with the Methylprednisolone pak and Cephalexin. By the evening, I went to the ER: vital signs were normal, blood work normal. No swelling of the throat, no signs of inflammatio of the throat. I was released with no conclusive diagnosis, but the doctors felt that the symptoms might have been related to the vaccine.  Today, Monday 11/28, most of the symptoms have resolved.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Neck pain, Pain of skin, Swelling face
Clinical narrative: 24 h after the injection, the pain started  in the left side of the neck. Then the pain  migrated over time to the base of the skull, then behind the left ear and kept moving up to the top of the head, with extreme sensitivity to the touch of the skin, All this  over a 5 days period. In addition, I was feeling fatigue.  On day 7, I started to experience a  swelling of the forehead.  I went to see my PCP who thought that I may have shingles provoked by the vaccine. He started me on Valacyclovir. By Wednesday, I woke up with a swelling of my face (the forehead, the eyes and the cheeks).  I saw the PCP who discontinued the Valacyclovir and started a treatment with the Methylprednisolone pak and Cephalexin. By the evening, I went to the ER: vital signs were normal, blood work normal. No swelling of the throat, no signs of inflammatio of the throat. I was released with no conclusive diagnosis, but the doctors felt that the symptoms might have been related to the vaccine.  Today, Monday 11/28, most of the symptoms have resolved.
Age: 1.67
Sex: M
Vaccine: DTAPIPVHIB, HEPA, UNK
Symptoms: Cough, Eye swelling, Rash
Clinical narrative: *note on PCV 15, pt had received 2 doses of Prevnar 13 in the past, this was the first time receiving prevnar 15.   While driving home from doctor's office, mom noticed that pt was coughing and started to develop swelling around his eyes and began to develop a rash. Mom took pt to local ER where they administered benadryl and epinephrine. Pt's status improved and was discharged home with refills of benadryl and epi pen jr sent into pt's pharmacy. Pt doing well today. Seeing provider later this afternoon.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Flu vaccine from 2022/23 season remained in temp monitored refrigerators. Vaccine given by employee recently returned from maternity leave. Change was put in place October 2023 that all vaccines given in our clinic need to be pulled from Pyxis utilizing the order and patient label for visit for the day. Pharmacy was to remove all vaccines from other locations in clinic before this processed changed. All remaining doses have been removed from clinic in all clinic areas and double checked by several people to ensure NO remaining doses of any medications or vaccines remain in clinic.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child of 10years old was given a COVID Pfizer vaccine for 12+ years on 11/22/2023.  Parent was contacted on 11/18/2023.  Reported to parent that child was given adult dose of vaccine and inquired as to well-being of child.  Parent reported that the child is not having any side effects and appreciated the phone call.
Age: 16.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Abdominal discomfort, Emotional distress, Vomiting
Clinical narrative: Client here with family. Reviewed immunization record. Screened for contraindications. Client stated that she "hates needles". After Hep A and Hep B vaccines, client appeared distressed and then vomited. She stated her stomach felt upset. She denied dizziness or other symptoms. After a few minutes she wanted to continue other immunizations. Administered other vaccines without incident or noted adverse reaction.
Age: 66.0
Sex: F
Vaccine: COVID19, FLUA4, RSV
Symptoms: Tinnitus
Clinical narrative: Extreme tinnitus in both ears
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Nausea, Pain in extremity, Sensitive skin
Clinical narrative: PATIENT REPORT A REACTION TO THE SPIKEVAX VACCINE SHE RECEIVED ON 11/14/23. HER ARM WAS SORE AND HYPERSENSITIVE TO TOUCH FOR 5 DAYS BUT HAS SINCE RECOVERED. SHE ALSO REPORTED NAUSEA, VOMITING, AND SEVERE DIARRHEA. SHE SUFFERED FROM DEHYDRATION AND HAD TO GO TO THE ER FOR IV FLUIDS.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: PATIENT REPORT A REACTION TO THE SPIKEVAX VACCINE SHE RECEIVED ON 11/14/23. HER ARM WAS SORE AND HYPERSENSITIVE TO TOUCH FOR 5 DAYS BUT HAS SINCE RECOVERED. SHE ALSO REPORTED NAUSEA, VOMITING, AND SEVERE DIARRHEA. SHE SUFFERED FROM DEHYDRATION AND HAD TO GO TO THE ER FOR IV FLUIDS.
Age: 72.0
Sex: M
Vaccine: FLUA4
Symptoms: Nasopharyngitis, Pruritus, Rash
Clinical narrative: cold like symptoms, rash with itching on arms and legs
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Death, Decreased appetite, Dyskinesia, Feeling abnormal
Clinical narrative: 11/20/2023 Change of Condition charted: Resident has had no intake of meals, fluids, or medications. Resident layed in bed before supper for a rest and refused to get up. Resident seems to be in a daze or a flat affect. Every time you touch or move resident, she starts to scream or yell out. Staff attempted to get resident to take pain medication but refused all three attempts made. Resident is not talking but response to verbal stimuli, and unable to follow commands. 11/21/23 chart note: Resident was seen in urgent care this morning. Resident has not had any fluid intake in over 24 hours. Resident has not eaten a meal since 10/24/23, would only eat chocolate. Resident was seen by PCP on 10/25/23 and ordered ensure twice a day d/t weight loss and TSH was drawn. Resident is a patient od Dr. and started on Zyprexa 2.5mg 11/14/23 and have seen a change in condition. Resident was doing well, only drinking vital chocolate shakes until 11/18/23. She stopped fluid intake, only took with medications/ As of 11/19/23, resident has refused taking medication here and there last evening and this morning resident refused to take medication and has had no fluid intake. Resident has been resistive with care, vitals, and even movement. Resident will yell or scream like she is in pain but when offered pain medication, refused to take it. Resident has been moving continuously, like she is uncomfortable. Resident seen, orders to contact guardian and discuss end of life care or comfort cares. Scheduled Friday 11/24/23 at 1:30pm. Bring documentation from guardian if they agree to the comfort cares. ER if worsening.  11/22/2023 chart note: Hospice here to admit resident to hospice care. All oral medications stopped. Morphine and ativan will be started. Morphine 2mg every 4 hours around the clock and 2 mg every 1 hour as needed. Ativan 0.5mg every 4 hours around the clock, Glycopyrrolate 1mg every 8 hours.  11/22/23 chart note: Admit with Gastrointestinal Hemorrhage per Dr. Comfort measures and medications are ordered.  11/24/2023:  Resident passed at 0250am.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Flat affect, Fluid intake reduced, Gastrointestinal haemorrhage, General physical health deterioration, Hypophagia
Clinical narrative: 11/20/2023 Change of Condition charted: Resident has had no intake of meals, fluids, or medications. Resident layed in bed before supper for a rest and refused to get up. Resident seems to be in a daze or a flat affect. Every time you touch or move resident, she starts to scream or yell out. Staff attempted to get resident to take pain medication but refused all three attempts made. Resident is not talking but response to verbal stimuli, and unable to follow commands. 11/21/23 chart note: Resident was seen in urgent care this morning. Resident has not had any fluid intake in over 24 hours. Resident has not eaten a meal since 10/24/23, would only eat chocolate. Resident was seen by PCP on 10/25/23 and ordered ensure twice a day d/t weight loss and TSH was drawn. Resident is a patient od Dr. and started on Zyprexa 2.5mg 11/14/23 and have seen a change in condition. Resident was doing well, only drinking vital chocolate shakes until 11/18/23. She stopped fluid intake, only took with medications/ As of 11/19/23, resident has refused taking medication here and there last evening and this morning resident refused to take medication and has had no fluid intake. Resident has been resistive with care, vitals, and even movement. Resident will yell or scream like she is in pain but when offered pain medication, refused to take it. Resident has been moving continuously, like she is uncomfortable. Resident seen, orders to contact guardian and discuss end of life care or comfort cares. Scheduled Friday 11/24/23 at 1:30pm. Bring documentation from guardian if they agree to the comfort cares. ER if worsening.  11/22/2023 chart note: Hospice here to admit resident to hospice care. All oral medications stopped. Morphine and ativan will be started. Morphine 2mg every 4 hours around the clock and 2 mg every 1 hour as needed. Ativan 0.5mg every 4 hours around the clock, Glycopyrrolate 1mg every 8 hours.  11/22/23 chart note: Admit with Gastrointestinal Hemorrhage per Dr. Comfort measures and medications are ordered.  11/24/2023:  Resident passed at 0250am.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Refusal of treatment by patient, Screaming, Weight decreased
Clinical narrative: 11/20/2023 Change of Condition charted: Resident has had no intake of meals, fluids, or medications. Resident layed in bed before supper for a rest and refused to get up. Resident seems to be in a daze or a flat affect. Every time you touch or move resident, she starts to scream or yell out. Staff attempted to get resident to take pain medication but refused all three attempts made. Resident is not talking but response to verbal stimuli, and unable to follow commands. 11/21/23 chart note: Resident was seen in urgent care this morning. Resident has not had any fluid intake in over 24 hours. Resident has not eaten a meal since 10/24/23, would only eat chocolate. Resident was seen by PCP on 10/25/23 and ordered ensure twice a day d/t weight loss and TSH was drawn. Resident is a patient od Dr. and started on Zyprexa 2.5mg 11/14/23 and have seen a change in condition. Resident was doing well, only drinking vital chocolate shakes until 11/18/23. She stopped fluid intake, only took with medications/ As of 11/19/23, resident has refused taking medication here and there last evening and this morning resident refused to take medication and has had no fluid intake. Resident has been resistive with care, vitals, and even movement. Resident will yell or scream like she is in pain but when offered pain medication, refused to take it. Resident has been moving continuously, like she is uncomfortable. Resident seen, orders to contact guardian and discuss end of life care or comfort cares. Scheduled Friday 11/24/23 at 1:30pm. Bring documentation from guardian if they agree to the comfort cares. ER if worsening.  11/22/2023 chart note: Hospice here to admit resident to hospice care. All oral medications stopped. Morphine and ativan will be started. Morphine 2mg every 4 hours around the clock and 2 mg every 1 hour as needed. Ativan 0.5mg every 4 hours around the clock, Glycopyrrolate 1mg every 8 hours.  11/22/23 chart note: Admit with Gastrointestinal Hemorrhage per Dr. Comfort measures and medications are ordered.  11/24/2023:  Resident passed at 0250am.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: broke out with bumps all over my body, itching
Age: 33.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blood test, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Approximately 12-18 hours after the Varicella vaccine, Patient had a skin reaction to her left upper dorsal arm at the injection site. A 2x3x0.25cm red, indurated, warm, painful and itchy spot appeared to the dorsal aspect of the left upper arm. Over the next 12-24 hours, the redness and pain spread to the surrounding tissues of the injection site; now measures 24cm x14cm x 0.25cm.
Age: 33.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site warmth
Clinical narrative: Approximately 12-18 hours after the Varicella vaccine, Patient had a skin reaction to her left upper dorsal arm at the injection site. A 2x3x0.25cm red, indurated, warm, painful and itchy spot appeared to the dorsal aspect of the left upper arm. Over the next 12-24 hours, the redness and pain spread to the surrounding tissues of the injection site; now measures 24cm x14cm x 0.25cm.
Age: 22.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site pain
Clinical narrative: Sharp muscle pain around injection site.
Age: 0.58
Sex: F
Vaccine: RSV
Symptoms: Decreased appetite, Irritability, Screaming
Clinical narrative: My daughter 2 days after the vaccine has been extremely fussy (a scream I have not heard before) ever since. Day 2, she did not eat as much as normal- only consumed 9oz. when she normally consumes 16oz to 20 oz.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Nerve injury, Pain in extremity, Sleep disorder
Clinical narrative: Patient reported having pain in left arm lasting for multiple weeks after injection. She reported having trouble sleeping at night due to the pain.
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Death, Diarrhoea, Lung assist device therapy, Multiple organ dysfunction syndrome, Multisystem inflammatory syndrome in adults
Clinical narrative: Pt developed non-specific nausea/diarrhea that progressed to multi-system organ failure thought to be secondary to MIS-A requiring ECMO.  Patient ultimately died on 11/11/2023
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea
Clinical narrative: Pt developed non-specific nausea/diarrhea that progressed to multi-system organ failure thought to be secondary to MIS-A requiring ECMO.  Patient ultimately died on 11/11/2023
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Inflammation, Pain, Periarthritis
Clinical narrative: Patient reported every joint in body hurting after the vaccine was administered. Her doctor said she had "frozen shoulder" and was prescribed prednisone to help with the inflammation/pain. She reported this adverse event to us on 11/24/23.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Concussion, Loss of consciousness, Skull fracture
Clinical narrative: lost consciousness, cranial fractures, concussion, syncope
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, X-ray
Clinical narrative: lost consciousness, cranial fractures, concussion, syncope
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna Covid 19 12yrs and older. No adverse events, symptoms were observed.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient was given Moderna Covid 19.  No adverse events, symptoms were observed.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Rash macular, Skin burning sensation
Clinical narrative: Two days after receiving the vaccine, I started having a progression of skin issues. #1 -- my face felt like it was burning after washing with a face wash I've used for years. #2 -- started developing red, painful bumps on the inside of my left index and pinky fingers. #3 -- red splotchy rash started on my chest, #4 -- my neck started itching intensely. #5 -- developed a few hive-like spots on my neck and under my chin. #6 -- not skin related but developed 2 sores on the tip of my tongue.  I started taking Claritin on Nov 26, 2023 and have experienced some slight improvement.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Skin disorder, Stomatitis, Urticaria
Clinical narrative: Two days after receiving the vaccine, I started having a progression of skin issues. #1 -- my face felt like it was burning after washing with a face wash I've used for years. #2 -- started developing red, painful bumps on the inside of my left index and pinky fingers. #3 -- red splotchy rash started on my chest, #4 -- my neck started itching intensely. #5 -- developed a few hive-like spots on my neck and under my chin. #6 -- not skin related but developed 2 sores on the tip of my tongue.  I started taking Claritin on Nov 26, 2023 and have experienced some slight improvement.
Age: 52.0
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event, but patient was given RSV vaccine at 52 years of age when it is FDA approved for age 60 and older
Age: 37.0
Sex: M
Vaccine: FLU4
Symptoms: Bronchitis, Nausea, Productive cough, Sinus congestion
Clinical narrative: Started to feel slightly nauseous afterwards. felt worse the next day. started to cough up mucus a few days later and this has been ongoing ever since the vaccine (4 weeks). Went to urgent care and told i had mild broncidous and was give antibiotics and steroids which didnt do much. I still have stuffed up sinuses and still cough up occasionally though out the day still.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Discomfort, Injection site pain, Pain, Pain in extremity
Clinical narrative: Patient complains of pain/discomfort upon raising the right arm and when applying pressure to the deltoid area.  She likened it to the soreness after receiving the shot but like it never went away.  No other symptoms reported.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine had a "best use by date" of 11/19/23. Vaccine administered on 11/20/23. Called vaccine manufacture after administration. Manufacturer confirmed vaccine was safe and efficacious. Manufacturer advised completing a VARES for documentation purposes.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Presistant, annoying tinnitus
Age: 0.92
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine had a "best use by date" of 11/19/23. Vaccine administered on 11/21/23. Called vaccine manufacture after administration. Manufacturer confirmed vaccine was safe and efficacious. Manufacturer advised completing a VARES for documentation purposes.
Age: 1.08
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Expired product administered
Clinical narrative: Vaccine had a "best use by date" of 11/19/23. Vaccine administered on 11/21/23. Called vaccine manufacture after administration. Manufacturer confirmed vaccine was safe and efficacious. Manufacturer advised completing a VAERS for documentation purposes.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diplegia, Hypoaesthesia, Vertigo
Clinical narrative: Injection taken 11/20 at noon, numbing and temporary paralyzing in legs at 3am on 11/21, vertigo, loss of energy
Age: 1.25
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Member received 1st dose of covid vaccine on 11/27/2023 that 30-day refrigeration storage expiration date was 11/23/2023. Manufacturer expiration date 6/8/2024
Age: 0.5
Sex: F
Vaccine: COVID19-2, DTAPHEPBIP, HIBV, PNC13
Symptoms: Extra dose administered
Clinical narrative: There was no adverse event. Patient was stable, no reaction noted. Provider aware and parent aware.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Mobility decreased, Myalgia, Pyrexia
Clinical narrative: Fever (100.3), myalgia. Bad enough to stay in bed the following day.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Ageusia, Gait disturbance, Malaise, Pain in extremity
Clinical narrative: Patient called me at the pharmacy 12 days after receiving Fluad to report severe arm pain and difficulty walking.  She stated that she went to the hospital and received a muscle relaxer for the arm pain but was planning on returning due to difficulty walking.  We followed up with the patient on 11/27 and she stated that she still was not feeling well and also lost sense of taste.  She stated that she received a muscle relaxer as well as lidocaine patches from the hospital.  We told the patient that we would report the incident to VAERS.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: Patient came in for vaccines for school, MA print out report, report stated Tdap was not due until 10/13/2025, patient parent brought paper from stating he needed Dtap (Tdap) seeing that MA administrated Dtap due to report stating he was not due for Tdap. MA got confused and didn't realise he could off gotten a Tdap even though he was not due for.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient received 3rd dose of Moderna vaccine on 11/27/2023 that the 30-day refrigeration storage expiration date was 11/23/2023. Manufacturer expiration date 6/8/2024
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None. The vaccine administered is age-appropriate.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: patient given 3 dose vial undiluted in error, no symptoms post vaccine.
Age: 83.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was given second dose in error, Patient also received Fluad on 9/23/23
Age: 29.0
Sex: F
Vaccine: UNK
Symptoms: Wrong product administered
Clinical narrative: patient presented to flu clinc received vaccine, went on online and noticed it was charted as received COVID patient filed a grievance.  Manager spoke with LVN who administered vaccine, LVN states she always scans vaccines and does not recall not scanning.  Patient received covid in error.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Impaired work ability, Influenza like illness, Pain, Pyrexia
Clinical narrative: Patient experienced mild fever, aches, pains (flu-like symptoms) night after vaccination (11/26/23). There were no symptoms the following day.  On 11/28/23, patient started experiences shortness of breath, such that they called out work.  Patient called pharmacy to discuss symptoms with pharmacist.  Patient voiced concerns that this might be related to the myocarditis experienced by younger male patients.  Pharmacist stated this might be possible, and if so, the symptoms will likely be temporary, but recommended that patient go to urgent care to assess if there was anything to be concerned about.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pain
Clinical narrative: Patient reports severe full body pain and nausea
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Cyanosis, Fatigue, Presyncope, Somnolence, Syncope
Clinical narrative: Patient coming in for her first school required vaccines to immunization clinic, accompanied by grandma, dad, and brother.  She had a vasovagal response about 5-10 min after receiving vaccines Immediately after administration patient appeared to have tolerated well: alert, talkative, laughing. Upon leaving clinic pt states feeling tired, and with dad carrying her she has 1-2 episodes of emesis, then begins to faint. Pt was given 1 dose of ammonia. Carried back to pt room where she was laid on her side on the exam table with HOB and feet elevated. . 1 L of oxygen administered, cold compress applied. Turned slightly cyanotic, became diaphoretic, still responsive, but drowsiness continued for about 5-7 min. BP checked 91/57. Paramedics called upon request of grandma. Arrived about 10 min shortly after, pt appeared to be awake alert and responsive, transported to hospital via gurney.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Vomiting
Clinical narrative: Patient coming in for her first school required vaccines to immunization clinic, accompanied by grandma, dad, and brother.  She had a vasovagal response about 5-10 min after receiving vaccines Immediately after administration patient appeared to have tolerated well: alert, talkative, laughing. Upon leaving clinic pt states feeling tired, and with dad carrying her she has 1-2 episodes of emesis, then begins to faint. Pt was given 1 dose of ammonia. Carried back to pt room where she was laid on her side on the exam table with HOB and feet elevated. . 1 L of oxygen administered, cold compress applied. Turned slightly cyanotic, became diaphoretic, still responsive, but drowsiness continued for about 5-7 min. BP checked 91/57. Paramedics called upon request of grandma. Arrived about 10 min shortly after, pt appeared to be awake alert and responsive, transported to hospital via gurney.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Pain
Clinical narrative: numbness in arm and thumb redness all down arm pain in torso
Age: 0.17
Sex: M
Vaccine: DTAPIPV
Symptoms: Incorrect dose administered
Clinical narrative: Patient's mom only wanted the Dtap- IPV combo- in system was a combo dosage so place order- the dose for a 4yr to 6 yr was given instead. Realized after the fact charting. Discussed event with mom- monitor baby for 30 min. Called and did a follow up check- no symptoms of any reactions noted at this time. Clinic learned a valuble lesson
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Pain
Clinical narrative: Patient had an unusually painful experience from the moment the vaccine was administered and continued into the evening.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site rash, Peripheral swelling, Skin warm, Vomiting
Clinical narrative: PATIENT SAID HER ARM WAS SWOLLEN AND HAD A RED RASH AROUND THE INJECTION SITE. ALSO PATIENT SAID HER ARM STARTED TO FEEL HOT TODAY.  PATIENT STATED SHE VOMITED AND FELT LIGHTHEADED ON SUNDAY. THESE SYMPTOMS PROGRESSED FROM SUNDAY, THE DAY AFTER HER INJECTIONS.  I COUNSELED PATIENT TO APPLY COLD COMPRESSION TO THE AREA AND TAKE SOME TYLENOL FOR THE PAIN IF NEEDED. I ALSO ADVISED PATIENT TO FOLLOW UP WITH HER MD SINCE THESE SYMPTOMS WERE PROGESSIVELY GETTING WORSE SINCE SUNDAY NOT BETTER. PATIENT WAS PRESCRIBED KEFLEX FOR POSSIBLE INFECTION BY DOCTOR.
Age: 91.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received flu vaccine during visit on 10/04/23. RN completed paper charting but did not enter into EMR. Patient is elderly and requested another flu shot on 11/20/23 after forgetting that she had already received one.  Due to the lack of documentation in EMR; patient received a 2nd high-dose flu shot on 11/20.
Age: 1.25
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient received full vial instead of diluted pediatric dose.  She received 3x the intended dose.
Age: 23.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Urticaria
Clinical narrative: Patient reported to immunizations clinic on 28 Nov 23 @ 0800 inquiring about a reaction he had after receiving the Anthrax shot in his left arm on 27 Nov 23. Patient said within 30 minutes of receiving the vaccine, his right arm broke out in hives and had redness, which only lasted for about 15 minutes. He did not report this to staff. The following day, 28 Nov 23, he broke out in hives again. He did not experience any other symptom during this time.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic, Skin discolouration
Clinical narrative: bad , itchy rash on left arm. rash left some discoloration on the arm
Age: 24.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient received a dose of Fluarix but came to pharmacy for Spikevax. Patient had already received a dose of Fluarix on 9/15/2023. Patient was immediately notified and received the correct vaccination. No treatment was necessary and the patient was comfortable still receiving the Spikevax.
Age: 15.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Loss of consciousness, Posture abnormal
Clinical narrative: Patient received flu shot first and then after the second shot MODERNA Spikevax 12+ the patient passed out for 3 to 5 seconds. Patient slouched in seat and then recovered. Patient left with their mother. Per VAR filled out by mother they answered no to "have you ever had a reaction after receiving a vaccination, including fainting, or feeling dizzy?" but in the vaccination room the mother told the immunizing technician that the patient may get dizzy.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain in extremity
Clinical narrative: PATIENT DESCRIBED TO ME AND SHOWED ME A PICTURE OF A RED ARM THAT LOOKED LIKE A CELLULITIS AND SAID IT WAS SORE, ESPECIALLY AT NIGHT
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Chest pain, Dizziness
Clinical narrative: Started experiencing chest pain the morning after I received the moderna spikevax vaccine. Some palpitations or just off feelings around my heart. Some dizziness when up and about a lot. Still continuing almost 3 weeks after the fact.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electrocardiogram normal, Palpitations
Clinical narrative: Started experiencing chest pain the morning after I received the moderna spikevax vaccine. Some palpitations or just off feelings around my heart. Some dizziness when up and about a lot. Still continuing almost 3 weeks after the fact.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Generalised tonic-clonic seizure, Laboratory test, Lumbar puncture
Clinical narrative: Grand mal seizure took place around 12 noon on 11/17/23. lasted more than 10 minutes
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient inadvertently received an extra dose of the Shingrix vaccine, despite following standard procedures to prevent duplication.  Patient did not seem to experience any adverse events at the time of administration or during the recommended waiting period.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Rash
Clinical narrative: She developed a rash. It turned into blisters. She feels it might be related to the breast implants she had received as a result of mastectomy  related to breast cancer. Rash has resolved, but she is still healing from the blisters
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Tinnitus
Clinical narrative: I had COVID Pfizer vaccine and flu vaccine àt same time, I have tinnitus in both ears now can the foot nerve pain be related beside thing in the foot nerve pain on the side which I didn't have before be related
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Injection site swelling, Nausea
Clinical narrative: pain, swelling at injection site; mild nausea; low-grade temp 99.4 (my normal temp is 97.6)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Brain natriuretic peptide increased, Catheterisation cardiac normal, Chest pain, Dyspnoea
Clinical narrative: Onset of achiness and sore chest following the vaccine 11/13/23.  Developed worsening symptoms and dyspnea by 11/17/23.  Presented to Medical Center ED for evaluation at 3:27 am. EKG revealed T wave inversion of V1 - V3; troponin was 8202, BNP was found to be 1354, Elevated D-dimer.  CTA was negative for thrombosis.   Echo was unremarkable. Cardiac catheterization performed and found to be negative.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electrocardiogram T wave inversion, Fibrin D dimer increased, Myocarditis, Pain
Clinical narrative: Onset of achiness and sore chest following the vaccine 11/13/23.  Developed worsening symptoms and dyspnea by 11/17/23.  Presented to Medical Center ED for evaluation at 3:27 am. EKG revealed T wave inversion of V1 - V3; troponin was 8202, BNP was found to be 1354, Elevated D-dimer.  CTA was negative for thrombosis.   Echo was unremarkable. Cardiac catheterization performed and found to be negative.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Onset of achiness and sore chest following the vaccine 11/13/23.  Developed worsening symptoms and dyspnea by 11/17/23.  Presented to Medical Center ED for evaluation at 3:27 am. EKG revealed T wave inversion of V1 - V3; troponin was 8202, BNP was found to be 1354, Elevated D-dimer.  CTA was negative for thrombosis.   Echo was unremarkable. Cardiac catheterization performed and found to be negative.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Reported Symptoms:  10028322:MUSCLE PAIN;       Narrative:   Other Relevant HX:  Other:  MUSCLE PAIN
Age: 61.0
Sex: F
Vaccine: FLUA4
Symptoms: Unevaluable event
Clinical narrative: 0
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Expired product administered
Clinical narrative: Patient received Pneumovax 23 that had expired 9/30/23. Administered 11/27/23. Notified Vaccine Manager. Advised since not a live virus to revaccinate with Pneumovax 23 ASAP. Patient made aware and will be in when my new order comes in. He was given the option to go to the drug store to get it they have it. He chose to come back here.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received Pneumovax 23 that had expired 9/30/23. Administered 11/27/23. Notified Vaccine Manager. Advised since not a live virus to revaccinate with Pneumovax 23 ASAP. Patient made aware and will be in when my new order comes in. He was given the option to go to the drug store to get it they have it. He chose to come back here.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Investigation
Clinical narrative: Reported Symptoms:  10084401:COVID-19 RESPIRATORY INFECTION; Narrative:  Patent admitted for alternate reason and found COVID on ED screening.  Symptomatic treatment and issue