chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angiogram peripheral abnormal, COVID-19 pneumonia, Condition aggravated, Iliac artery stenosis, Pain in extremity
Clinical narrative: Patient is a 81 y.o. male with history of PVD,T2DM, CKD Stage III, hypertension, AAA rupture w/ open repair, iliac artery stenosis s/p R iliac artery stent (2006), and left popliteal artery psa s/p angiogram, who presented to Hospital 9/22/2023 for left foot pain found to have LLE popliteal artery occlusion. Vascular surgery and peripheral cardiology evaluated, s/p angiogram on 9/25/23 showed extensive chronic limb threatening ischemia in the L popliteal and proximal PT arteries, as well as left external iliac artery stenosis. Course was complicated by COVID PNA on 9/28 for which he completed a 3 day course of Remdesivir. Vascular surgery initially planned for left femoral to posterior tibial bypass with saphenous vein and iliac stenting but procedure was re-scheduled due to patient being in COVID isolation. Patient will be discharged on Eliquis, has follow up with Vascular surgery on 10/12/23.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Peripheral arterial occlusive disease, Peripheral artery occlusion, Peripheral ischaemia
Clinical narrative: Patient is a 81 y.o. male with history of PVD,T2DM, CKD Stage III, hypertension, AAA rupture w/ open repair, iliac artery stenosis s/p R iliac artery stent (2006), and left popliteal artery psa s/p angiogram, who presented to Hospital 9/22/2023 for left foot pain found to have LLE popliteal artery occlusion. Vascular surgery and peripheral cardiology evaluated, s/p angiogram on 9/25/23 showed extensive chronic limb threatening ischemia in the L popliteal and proximal PT arteries, as well as left external iliac artery stenosis. Course was complicated by COVID PNA on 9/28 for which he completed a 3 day course of Remdesivir. Vascular surgery initially planned for left femoral to posterior tibial bypass with saphenous vein and iliac stenting but procedure was re-scheduled due to patient being in COVID isolation. Patient will be discharged on Eliquis, has follow up with Vascular surgery on 10/12/23.
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Blood glucose decreased, Dyspnoea, Pharyngeal swelling, Swollen tongue
Clinical narrative: Patient was given High Dose Fluad, at time of administration, patient advise feeling sensation of throat and tongue swelling, trouble breathing, nurse practitioner assessed, and provided IM  50mg of Benadryl and started patient on oxygen 2ml. Patient continued to experience shortness of breath, throat and tongue swelling even after Benadryl administration. Patient was verbal, alert, oriented at all times. EMS was called and patient was transported to Hospital.
Age: 63.0
Sex: M
Vaccine: PNC13
Symptoms: Product administration error, Wrong product administered
Clinical narrative: Prevnar 20 ordered but Prevnar 13 given by mistake.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: pain  at site ,and can not lift arm .
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Induration, Pruritus, Skin warm
Clinical narrative: Client stated, after receiving vaccine her arm started to itch and  she took Benadryl and placed a warm compress towel on the arm. The following morning around 6:30 a.m. she noticed it was red, warm to touch and hard.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Lymph node pain, Lymphadenopathy, Mammogram normal
Clinical narrative: Employee received flu shot in L arm on Sept 26 2023 and having reactive lymph node enlargement R axilla every time she gets flu vaccine; + tenderness and swelling occurs 2-10 days after vaccination. It started after she received her 2nd COVID-19 vaccine Jan 26 2021 and every time she gets the flu and  allergy vaccination;  tenderness and lymph node enlargement lasting up to 3 months.  Initially saw PCP in 2021.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Brachial plexus injury, Hypoaesthesia, Pain in extremity
Clinical narrative: Brachial plexus injury. Numbness and pain in the arm. Weakness.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Atrial fibrillation, Bone sarcoma, Condition aggravated, Critical illness
Clinical narrative: She remained critically ill throughout the majority of her hospitalization.  She required ongoing oxygen support.  She had recurrent episodes of dyspnea and underwent thoracentesis on September 27th. She had intermittent episodes of atrial fibrillation with rapid ventricular response. She had recurrent sepsis with concern of ongoing infection in the wound the prompted her admission due to dehiscence.   As she continued to fail to make any progress and actually continued to decline with recurrent sepsis and respiratory failure her family eventually decided for comfort care. She died on October 2nd at 5:36 a.m.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Debridement, Dyspnoea, Femur resection, General physical health deterioration
Clinical narrative: She remained critically ill throughout the majority of her hospitalization.  She required ongoing oxygen support.  She had recurrent episodes of dyspnea and underwent thoracentesis on September 27th. She had intermittent episodes of atrial fibrillation with rapid ventricular response. She had recurrent sepsis with concern of ongoing infection in the wound the prompted her admission due to dehiscence.   As she continued to fail to make any progress and actually continued to decline with recurrent sepsis and respiratory failure her family eventually decided for comfort care. She died on October 2nd at 5:36 a.m.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Infection, Pelvic resection, Pleomorphism, Procedural complication, Respiratory failure
Clinical narrative: She remained critically ill throughout the majority of her hospitalization.  She required ongoing oxygen support.  She had recurrent episodes of dyspnea and underwent thoracentesis on September 27th. She had intermittent episodes of atrial fibrillation with rapid ventricular response. She had recurrent sepsis with concern of ongoing infection in the wound the prompted her admission due to dehiscence.   As she continued to fail to make any progress and actually continued to decline with recurrent sepsis and respiratory failure her family eventually decided for comfort care. She died on October 2nd at 5:36 a.m.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Wound dehiscence
Clinical narrative: She remained critically ill throughout the majority of her hospitalization.  She required ongoing oxygen support.  She had recurrent episodes of dyspnea and underwent thoracentesis on September 27th. She had intermittent episodes of atrial fibrillation with rapid ventricular response. She had recurrent sepsis with concern of ongoing infection in the wound the prompted her admission due to dehiscence.   As she continued to fail to make any progress and actually continued to decline with recurrent sepsis and respiratory failure her family eventually decided for comfort care. She died on October 2nd at 5:36 a.m.
Age: 84.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Pain in extremity
Clinical narrative: Patient came to the Flu POD event, and did not inform us that she had received a High Dose Flu vaccine from her Pharmacy 4 days prior to getting this Flu vaccine. It was discovered the next morning, while we were adding this vaccine into our state vaccine database that we noticed her previous High Dose Flu vaccine. I contacted the patient and she stated that she only had a mild sore arm, and no other symptoms. She stated that she forgot she got the flu vaccine 4 days prior.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Aphonia, Epstein-Barr virus test positive, Erythema, Eye irritation, Fatigue
Clinical narrative: The next week i got cold sores in my nose mid week, and a cold sore on my lip. By friday my throat started to get a little irritated. Saturday 10/20/23 I woke up with no voice at all which continued through the weekend, Tuesday it started to come back but I was extremely tired.  Wednesday I woke up and felt horrible, my throat hurt, my neck and neck glands were swollen and painful to the touch from bottom of my ears down the front of my neck. I felt so tired but went to work, where i continued to feel run down. Wasn't until about noon my cheeks were so red my co workers asked if i had a fever. I decided to leave and go straight to an urgent care. IN the waiting room i started to feel warm and burning behind my eyes ( feverish). they had a head thermometer which only registered slightly high but she didn't even touch me. I tried it with their machine by the end of my visit and it registered 104.5 another time 102.9.  COVID- Negative, Monostat- Negative, Flu- Negative. So i remembered reading about Flu vaccine sometime causing Epstien barr in autoimmune compromised patients. With my hoshimotos being  evaluated at the time, i asked the dr to test me for it as it didnt occur to me it could have been from the flu vaccine. So i am reporting it here because i just received the results and it was positive/ High.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling hot, Full blood count, Influenza virus test negative, Lymph node pain, Lymphadenopathy
Clinical narrative: The next week i got cold sores in my nose mid week, and a cold sore on my lip. By friday my throat started to get a little irritated. Saturday 10/20/23 I woke up with no voice at all which continued through the weekend, Tuesday it started to come back but I was extremely tired.  Wednesday I woke up and felt horrible, my throat hurt, my neck and neck glands were swollen and painful to the touch from bottom of my ears down the front of my neck. I felt so tired but went to work, where i continued to feel run down. Wasn't until about noon my cheeks were so red my co workers asked if i had a fever. I decided to leave and go straight to an urgent care. IN the waiting room i started to feel warm and burning behind my eyes ( feverish). they had a head thermometer which only registered slightly high but she didn't even touch me. I tried it with their machine by the end of my visit and it registered 104.5 another time 102.9.  COVID- Negative, Monostat- Negative, Flu- Negative. So i remembered reading about Flu vaccine sometime causing Epstien barr in autoimmune compromised patients. With my hoshimotos being  evaluated at the time, i asked the dr to test me for it as it didnt occur to me it could have been from the flu vaccine. So i am reporting it here because i just received the results and it was positive/ High.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Metabolic function test, Nasal herpes, Oral herpes, Oropharyngeal pain
Clinical narrative: The next week i got cold sores in my nose mid week, and a cold sore on my lip. By friday my throat started to get a little irritated. Saturday 10/20/23 I woke up with no voice at all which continued through the weekend, Tuesday it started to come back but I was extremely tired.  Wednesday I woke up and felt horrible, my throat hurt, my neck and neck glands were swollen and painful to the touch from bottom of my ears down the front of my neck. I felt so tired but went to work, where i continued to feel run down. Wasn't until about noon my cheeks were so red my co workers asked if i had a fever. I decided to leave and go straight to an urgent care. IN the waiting room i started to feel warm and burning behind my eyes ( feverish). they had a head thermometer which only registered slightly high but she didn't even touch me. I tried it with their machine by the end of my visit and it registered 104.5 another time 102.9.  COVID- Negative, Monostat- Negative, Flu- Negative. So i remembered reading about Flu vaccine sometime causing Epstien barr in autoimmune compromised patients. With my hoshimotos being  evaluated at the time, i asked the dr to test me for it as it didnt occur to me it could have been from the flu vaccine. So i am reporting it here because i just received the results and it was positive/ High.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, SARS-CoV-2 test negative, Swelling, Throat irritation, Vaginal pH normal
Clinical narrative: The next week i got cold sores in my nose mid week, and a cold sore on my lip. By friday my throat started to get a little irritated. Saturday 10/20/23 I woke up with no voice at all which continued through the weekend, Tuesday it started to come back but I was extremely tired.  Wednesday I woke up and felt horrible, my throat hurt, my neck and neck glands were swollen and painful to the touch from bottom of my ears down the front of my neck. I felt so tired but went to work, where i continued to feel run down. Wasn't until about noon my cheeks were so red my co workers asked if i had a fever. I decided to leave and go straight to an urgent care. IN the waiting room i started to feel warm and burning behind my eyes ( feverish). they had a head thermometer which only registered slightly high but she didn't even touch me. I tried it with their machine by the end of my visit and it registered 104.5 another time 102.9.  COVID- Negative, Monostat- Negative, Flu- Negative. So i remembered reading about Flu vaccine sometime causing Epstien barr in autoimmune compromised patients. With my hoshimotos being  evaluated at the time, i asked the dr to test me for it as it didnt occur to me it could have been from the flu vaccine. So i am reporting it here because i just received the results and it was positive/ High.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Loss of consciousness, Malaise
Clinical narrative: During patient observation period, patient passed out. She stood up to notify someone that she wasn?t feeling well then fell and hit her head on a shelf . Duration of unconsciousness was about 10 sec.  She regained consciousness and was shaken but appeared recovered. Called paramedics to evaluate any possible head injury due to the fall. She was cleared and was allowed to go home. She called someone to drive her home
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Neuropathy peripheral
Clinical narrative: The morning after I received the vaccine, I woke up with Neuropathy in both feet and both hands. I saw my PCP on Oct 24 and he prescribed Gabapentin 100mg 2x daily. It has not helped. Nothing I have tried over the counter has helped. It has been 1 month since my symptoms first developed. I have no underlying medical reason such as diabetes to  have neuropathy.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Staff was not aware that Pfizer vaccine was administered after the bud.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Cardiac arrest, Cardiac telemetry abnormal, Cardio-respiratory arrest, Catheter removal
Clinical narrative: He initially presented to Hospital densely encephalopathic minimally responsive requiring hemodialysis. He made gradual recovery in renal function and was able to be liberated from hemodialysis approximately 2 weeks after his transfer his dialysis catheter was removed his mental status slowly improved and he was allowed to begin oral diet although with limited desire to eat. He remained confused but became more interactive conversant and more participatory in his care. He did have persistent diarrhea and a been found to have C. difficile positive stools prior to transfer felt this represented relapse infection and he was treated with a course of oral vancomycin for 10 days. His diarrhea had resolved he was progressing towards discharge. His physical exam had remained stable vital signs were unremarkable on the night of his death telemetry alerted to the presence of bradycardia followed by asystole CODE BLUE was called he was found unresponsive ACLS was provided but despite multiple rounds of CPR he could not be resuscitated.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Clostridium test positive, Condition aggravated, Confusional state, Coronary artery bypass, Coronary artery disease
Clinical narrative: He initially presented to Hospital densely encephalopathic minimally responsive requiring hemodialysis. He made gradual recovery in renal function and was able to be liberated from hemodialysis approximately 2 weeks after his transfer his dialysis catheter was removed his mental status slowly improved and he was allowed to begin oral diet although with limited desire to eat. He remained confused but became more interactive conversant and more participatory in his care. He did have persistent diarrhea and a been found to have C. difficile positive stools prior to transfer felt this represented relapse infection and he was treated with a course of oral vancomycin for 10 days. His diarrhea had resolved he was progressing towards discharge. His physical exam had remained stable vital signs were unremarkable on the night of his death telemetry alerted to the presence of bradycardia followed by asystole CODE BLUE was called he was found unresponsive ACLS was provided but despite multiple rounds of CPR he could not be resuscitated.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Decreased appetite, Diarrhoea, Encephalopathy, Haemodialysis
Clinical narrative: He initially presented to Hospital densely encephalopathic minimally responsive requiring hemodialysis. He made gradual recovery in renal function and was able to be liberated from hemodialysis approximately 2 weeks after his transfer his dialysis catheter was removed his mental status slowly improved and he was allowed to begin oral diet although with limited desire to eat. He remained confused but became more interactive conversant and more participatory in his care. He did have persistent diarrhea and a been found to have C. difficile positive stools prior to transfer felt this represented relapse infection and he was treated with a course of oral vancomycin for 10 days. His diarrhea had resolved he was progressing towards discharge. His physical exam had remained stable vital signs were unremarkable on the night of his death telemetry alerted to the presence of bradycardia followed by asystole CODE BLUE was called he was found unresponsive ACLS was provided but despite multiple rounds of CPR he could not be resuscitated.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Hyporesponsive to stimuli, Infection, Life support, Mental status changes
Clinical narrative: He initially presented to Hospital densely encephalopathic minimally responsive requiring hemodialysis. He made gradual recovery in renal function and was able to be liberated from hemodialysis approximately 2 weeks after his transfer his dialysis catheter was removed his mental status slowly improved and he was allowed to begin oral diet although with limited desire to eat. He remained confused but became more interactive conversant and more participatory in his care. He did have persistent diarrhea and a been found to have C. difficile positive stools prior to transfer felt this represented relapse infection and he was treated with a course of oral vancomycin for 10 days. His diarrhea had resolved he was progressing towards discharge. His physical exam had remained stable vital signs were unremarkable on the night of his death telemetry alerted to the presence of bradycardia followed by asystole CODE BLUE was called he was found unresponsive ACLS was provided but despite multiple rounds of CPR he could not be resuscitated.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, Resuscitation, Stool analysis abnormal, Unresponsive to stimuli
Clinical narrative: He initially presented to Hospital densely encephalopathic minimally responsive requiring hemodialysis. He made gradual recovery in renal function and was able to be liberated from hemodialysis approximately 2 weeks after his transfer his dialysis catheter was removed his mental status slowly improved and he was allowed to begin oral diet although with limited desire to eat. He remained confused but became more interactive conversant and more participatory in his care. He did have persistent diarrhea and a been found to have C. difficile positive stools prior to transfer felt this represented relapse infection and he was treated with a course of oral vancomycin for 10 days. His diarrhea had resolved he was progressing towards discharge. His physical exam had remained stable vital signs were unremarkable on the night of his death telemetry alerted to the presence of bradycardia followed by asystole CODE BLUE was called he was found unresponsive ACLS was provided but despite multiple rounds of CPR he could not be resuscitated.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED AFTER BUD
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Nausea
Clinical narrative: Day 1 after vaccine Sight Bright red, hard and sore.  Day 4 sight looks normal but nauseated until  Day 6
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Culture, Death, Disseminated intravascular coagulation, Laboratory test abnormal, Mental status changes
Clinical narrative: Patient had a protracted hospitalization but overall made steady progress. Given her inability to tolerate decannulation, plans were made for transitioned to peritoneal dialysis to allow her to discharge home. However on the afternoon of 8/23 she developed abrupt change in mental status and laboratory evaluation that time was compatible with severe metabolic acidosis and DIC suspicious for severe sepsis. Cultures were obtained and antibiotics initiated. Unfortunately despite all aggressive efforts she expired on the morning of 8/24.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Metabolic acidosis, Sepsis, Tracheostomy tube removal
Clinical narrative: Patient had a protracted hospitalization but overall made steady progress. Given her inability to tolerate decannulation, plans were made for transitioned to peritoneal dialysis to allow her to discharge home. However on the afternoon of 8/23 she developed abrupt change in mental status and laboratory evaluation that time was compatible with severe metabolic acidosis and DIC suspicious for severe sepsis. Cultures were obtained and antibiotics initiated. Unfortunately despite all aggressive efforts she expired on the morning of 8/24.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain
Clinical narrative: Severe body aches continuing for 36 hours post-vaccination. Unable to do activities of daily living.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Death, Withdrawal of life support
Clinical narrative: Family arrived for withdrawal of life support. Will stop all heroic measures when they are  ready. Patient passed away on the 11th September 2023 at 2:22 AM while on comfort care measures
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Staff was not aware Pfizer vaccine was administered after the bud.
Age: 20.0
Sex: M
Vaccine: FLU4, HPV9, MENB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: There was no adverse event that occured.  Patient was given the HPV vaccine instead of the Flu. The correct flu vaccine was administered and the patient was notified. He had no follow-up questions but was told to reachout to the clinic if he had any questions in the future. The event was resolved that day.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given a high dose flu vaccine when he should have had regular dose flu due to age.  No adverse reactions or outcomes at this time.
Age: 16.0
Sex: M
Vaccine: COVID19, FLU4, MENB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient had already received his influenza vaccine on 9/26/2023, another was accidentally given today.  Patient tolerated well with no side effects at this time
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose, Wrong product administered
Clinical narrative: Medical Assistant inadvertently pulled the wrong product from the freezer and administered the Moderna Pediatric dose 6m-11yrs old 0.25ml to patient instead of the Adult dose of 12 years and older (0.5ml). We reported it to our organization, Moderna and VAERS as well as called the CDC to get guidance on how to proceed with ensuring that patient should receive the full dose recommended.  Patient's father also notified.  After speaking with CDC, they stated to revaccinate the child with another dose of 0.25ml (6m-11yrs old) with no waiting period. Dose can be administered immediately.  We will contact parent back and schedule an appointment for revaccination.
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Allergic respiratory symptom, Aphasia, Dysphagia, Hyperhidrosis, Loss of consciousness
Clinical narrative: I was eating steak for dinner when suddenly I couldn?t swallow or talk. I passed out but by time the 911 response team arrived I had regained consciousness, got up and walked to a chair.  I was sweating.  Determining that I was fine and responding normally nothing further was done.  For the next 2-3 days I felt that I was experiencing symptoms of a bad seasonal allergy.  Then I was fine and returned to my normal daily activities? walking, lifting weights and spinning classes. I did not contact my medical provider because I felt normal.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 3 Year old was given an adult dose of Spikevax.  Contacted parent when the mistake was realized.  Mom reports no adverse effects.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Defaecation urgency, Dizziness, Malaise, Nausea, Pain
Clinical narrative: Several hours after the injection, I started to feel slightly feverish and achy, but those symptoms were not unexpected. However, about 15 hours later and about an hour after getting up the next morning, I started to feel really, really sick. I felt as though I was going to pass out, was trembling, and experienced a wave of severe nausea and an intense urge to defecate. I fought to stay conscious, but my husband was so alarmed he called for an ambulance. The episode passed in around 10-15 minutes, so we canceled the ambulance. But I did see my doctor a couple of hours later, and he said that what I had experienced was a result of the vaccine. The rest of the day I remained slightly feverish (about 100 F) and achy. By the next morning (today), I was perfectly fine. Just so you know, I am a healthy 73-year-old woman who has never had such a reaction to a vaccine before. I did have a COVID vaccine and a flu shot (simultaneously) 2.5 weeks before, on October 12, ie, 18 days before getting the RSV vaccine. My husband, by the way, was vaccinated with the same RSV vaccine and the COVID and flu shots at the same time and did not experience the episode I experienced, although he did feel achy and feverish.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Pyrexia, Tremor
Clinical narrative: Several hours after the injection, I started to feel slightly feverish and achy, but those symptoms were not unexpected. However, about 15 hours later and about an hour after getting up the next morning, I started to feel really, really sick. I felt as though I was going to pass out, was trembling, and experienced a wave of severe nausea and an intense urge to defecate. I fought to stay conscious, but my husband was so alarmed he called for an ambulance. The episode passed in around 10-15 minutes, so we canceled the ambulance. But I did see my doctor a couple of hours later, and he said that what I had experienced was a result of the vaccine. The rest of the day I remained slightly feverish (about 100 F) and achy. By the next morning (today), I was perfectly fine. Just so you know, I am a healthy 73-year-old woman who has never had such a reaction to a vaccine before. I did have a COVID vaccine and a flu shot (simultaneously) 2.5 weeks before, on October 12, ie, 18 days before getting the RSV vaccine. My husband, by the way, was vaccinated with the same RSV vaccine and the COVID and flu shots at the same time and did not experience the episode I experienced, although he did feel achy and feverish.
Age: 62.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site induration, Injection site irritation, Injection site pain
Clinical narrative: Injection site redness and irritation, area of induration, pain
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus
Clinical narrative: Patient's arm at site of injection was bruised (yellow, green) and below the injection site was red and itchy.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Left arm erythema (4x3 cm), edema, and pain below the injection sites.
Age: 54.0
Sex: M
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECEIVED VACCINE AT AGE 54 NOT AGE 60 HAD NO ADVERSE EVENTS FROM INJECTION/VACCINATION
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose, Wrong product administered
Clinical narrative: Medical Assistant inadvertently pulled the wrong product from the freezer and administered the Moderna Pediatric dose 6m-11yrs old 0.25ml to patient instead of the Adult dose of 12 years and older (0.5ml) on 10/30/2023. We reported it to our organization, Moderna and VAERS as well as called the CDC to get guidance on how to proceed with ensuring that patient should receive the full dose recommended.  Patient's father also notified.  After speaking with CDC, they stated to revaccinate the child with another dose of 0.25ml (6m-11yrs old) with no waiting period. Dose can be administered immediately.  We will contact parent back and schedule an appointment for revaccination.
Age: 5.0
Sex: M
Vaccine: HIBV
Symptoms: Extra dose administered
Clinical narrative: PATIENT WAS GIVEN 4TH DOSE OF HIB ON 7/7/2023.  IT WAS BROUGHT TO OUR ATTENTION TODAY ON 11/1/2023 THAT HE DID NOT IN FACT NEED THE 4TH DOSE OF HIB DUE TO HIS AGE.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY VACCINE SERIES
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Rash across wrists , elbows, chest, and behind knees
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Fatigue, Flushing, Gastrointestinal disorder, Heart rate increased
Clinical narrative: Pt developed dizziness, lightheadedness and fast heart rate.  Was flushed and nauseated.  Vomited and was ill with GI complaints and fatigue for 24 hours.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Nausea, Vomiting
Clinical narrative: Pt developed dizziness, lightheadedness and fast heart rate.  Was flushed and nauseated.  Vomited and was ill with GI complaints and fatigue for 24 hours.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral, Sudden hearing loss
Clinical narrative: Sudden acute hearing loss in left ear approximately 28 hours post-vaccination. Assessment at urgent care including  visual inspection of ears and both air and bone conduction hearing test. 10-day course of 60 mg po prednisone started approx 20 hours after hearing loss onset. Extensive audiology exam showing 4k notch hearing loss of greater significance in left ear.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COPMLETION OF PRIMARY COVID VACCINE SERIES
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discomfort, Gait disturbance, Groin pain, Peripheral swelling, Ultrasound Doppler normal
Clinical narrative: 2 hrs afterwards I set out for my walk, after 20 steps I experienced sharp pain  deep in my right groin?making it difficult to walk, pain remained for the evening and at my shower that night I noticed the top half of my right leg was swollen down to the knee. The pain was a bit better the following morning so I saw my gp who recommended an ultrasound to rule out a blood clot.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Pfizer/mcg/.03/mg  age 5 to 12 years given in error.  Pfizer contacted instructed nurse to give full dose 30mcg/.3  for proper immunity.  No adverse reaction occurred . Pfizer Covid lot# HG7557  given in Rt Deltoid.  Pt was observed for 30 minutes after second administration.   Dr medical officer was contacted about the error, no new instruction give at this time.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 72.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: patient states she had swelling, redness and itching at the injection site on left arm.  she took benadryl and used cold pack and its getting better.  started around 6:30 pm.
Sex: M
Vaccine: HEPA
Symptoms: Wrong product administered
Clinical narrative: I, mistakenly obtained the Hepatitis A vaccination from the fridge as opposed to the ordered Hepatitis B vaccination per the chart.  I prepared the vaccine as per the instructions and administered it to the patient to the left thigh.  After administrating the vaccination, I observed that the vile I obtained was the wrong vaccination.  I immediately informed the provider, who discussed the mistake with the family.  Families questions were answered during the visit.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Feeling abnormal, Hypertension, Influenza like illness
Clinical narrative: A few hours after the new Comirnaty vax from Pfizer, I began to get flu-like symptoms and felt so tired I could barely move from Friday night-Monday morning. I haven't felt "back to normal" since the vax (my 5th Pfizer vax), and my blood pressure has been higher since taking it.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: A few hours after the new Comirnaty vax from Pfizer, I began to get flu-like symptoms and felt so tired I could barely move from Friday night-Monday morning. I haven't felt "back to normal" since the vax (my 5th Pfizer vax), and my blood pressure has been higher since taking it.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pediatric (6month/11year old) Moderna Covid Booster 0.5mL immunization given instead of Moderna/Spikevax covid booster 0.5mL (full dose). PCP notified and stated patient would be ok and do not need further action since patient has received the adult dose. Patient has been notified as well and verbalized understanding. No further questions or concern from the patient. Pediatric (6month/11year old) Moderna Covid Booster's formulation vials are overfilled 0.5mL. Patient received the full dose 0.5mL.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Asthenia, Blood pressure increased, Gait inability, Heart rate increased
Clinical narrative: Weakness, unable to walk on their own, elavated blood pressure and heart rate.  Treatment: extended monitoring, standard treatment for syncope.  Husband was called for assistance and recommended trip to emergency room. Recomended rest and time off work. Patient's place of employment will give 2 days to recover.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Erythema, Flushing
Clinical narrative: Difficulty breathing, Red/Flush face. Epi pen administered, Benadryl, prednisone.  Patient was monitored for 1 hours post inccident.
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Asthenia, Brain fog, Chills, Dizziness, Headache
Clinical narrative: Chills, severe headache, hives on neck, chest, shoulders, back, hairline on right side of body. Mental fog, dizzy/weak feeling, no temperature, no reaction at the site.
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Urticaria
Clinical narrative: Chills, severe headache, hives on neck, chest, shoulders, back, hairline on right side of body. Mental fog, dizzy/weak feeling, no temperature, no reaction at the site.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: she had bad headaches for 2 days had to give Tylenol to help the headache
Age: 43.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Brain fog, Fatigue, Muscle spasms
Clinical narrative: brain fog, fatigue, constant muscle spasms in right eyelid and brow
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia
Clinical narrative: PT HAD NUMBNESS IN THE LEFT ARM, LAST 2 FINGERS WERE NUMB
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Injection site discolouration, Injection site pain, Tearfulness
Clinical narrative: PT. RECIEVED FLUAD AND SPIKEVAX IN THE SAME ARM ON 10.25.23. PT. REPORTED THE INJECTION SITE WAS VERY PAINFUL AND BROUGHT THE PT. TO TEARS. THE PATIENT ALSO REPORTED DISCOLORATION (POSSIBLE REDNESS) AT THE INJECTION SITE AS WELL. THE PHARMACY WAS MADE AWARE OF THE ADVERSE EFFECTS ON 10.31.23.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site erythema, Vaccination site irritation, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: Patient has a red, irritating, itchy bump on arm several inches below where vaccine was given
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given an extra flu vaccine this season. One on 10/13/2023 and one on 10/31/2023. Patient has not had any adverse reactions per mom. Dr. patients provider was notified and mom and dad.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Patient came into pharmacy on 11/1/23 at 3:15 pm requesting a flu shot. My techniciansaid no problem and I prepared the vaccine. Patient filled out paper work that stating "FOR FLU VACCINES ONLY" on the top of both sides of the paperwork. She completed the paperwork handed it back to us. Our tech rung out her flu shot where she agreed to the pin pad agreement of knowledge of what she is receiving and if she has any questions. When I the pharmacist went to our vaccine area with the flu vaccine. I started the conversation as I do with every vaccine that I administer. With "Good Afternoon/Morning Today you are receiving BLANK Vaccine today." So today I went up to her at 3:20 pm and said " Today you are receiving the senior flu shot. These are the side effects that you may experience. Do you have any more questions regarding the senior flu shot today" which the patient responded "no thank you" after administering the senior flu shot she requested I fill out her covid vaccine card. I stated that she received the senior flu shot like she requested and I reiterated multiple times. She said "oh no I meant the covid vaccine I already received the flu shot. I made a mistake. I meant covid not flu."  I called pharmacy to confirm she did receive a senior flu shot on 10/1/23. I assured the patient she will be ok. I refunded the flu shot back to insurance and deleted the rx and made appropriate notation. I went ahead and billed and vaccinated her for Moderna which was her original intent. She has our phone number to reach out if she feels unwell. She said sorry for her mistake and realizes that she shoulders the blame because she does understand she asked for a flu shot and I reiterated senior flu shot at least 3 times before administering.
Age: 67.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Foaming at mouth, Nausea, Syncope
Clinical narrative: Patient fainted in the aisles while shopping at store. A customer caught the patient. The patient said she was sick to her stomach and an associate said they seen her frothing at the mouth. Staff came to the patient and rested her on the floor and used a pillow to support her head. EMS was called immediately and came to escort the patient to the hospital.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure increased, Chest discomfort, Flushing, Hypopnoea, Respiratory rate increased
Clinical narrative: patient became flushed, felt like something sitting on her chest, respirations and blood pressure were elevated @ 180/138 @ time of evaluation. pt stated she could breath (was rapid and shallow) and could swallow. stated lips and mouth did not feel tingling or swollen. administered 25mg diphenhydramine po and called EMS.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Decreased appetite, Dehydration, Hypophagia, Oral disorder, Otitis media
Clinical narrative: Developed fever the night of the vaccine which persisted. T max 103. Patient was not easily consolable since the vaccine was administered. He had decreased appetite as well along with decreased intake. Presented to UC without sx of dehydration. Otitis media dx. Returned  the next day with herpetic like lesions in the mouth and posterior pharynx as well as dehydration.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Pharyngeal lesion, Pyrexia
Clinical narrative: Developed fever the night of the vaccine which persisted. T max 103. Patient was not easily consolable since the vaccine was administered. He had decreased appetite as well along with decreased intake. Presented to UC without sx of dehydration. Otitis media dx. Returned  the next day with herpetic like lesions in the mouth and posterior pharynx as well as dehydration.
Age: 16.0
Sex: F
Vaccine: HEP, HEPA, HPV9, IPV, MNQ, TD
Symptoms: Abdominal discomfort, Dyspnoea, Muscular weakness, Pallor
Clinical narrative: 0945 AM Pt c/o 0f difficulty breathing and weak arms and legs.  Observed pt's face pale and some abdomen discomfort.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: no reaction
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Fatigue    headache     muscle and joint pain,          diarrhea
Age: 43.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received a Varicella vaccine to close to MMR vaccine. Patient is aware of the situation and is coming back in 4 weeks to get the varicella.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no reaction
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none at this time
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Herpes simplex encephalitis, Lumbar puncture, Magnetic resonance imaging head, Pyrexia
Clinical narrative: Patient had a COVID-19 vaccine on 10/27/2023 at Pharmacy. The next day he was confused,  febrile, admitted to the hospital. Ultimately diagnosed with HSV encephalitis.  May or may not be related but wanted to file VAERS
Age: 71.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Facial pain, Injection site pain, Neck pain, Pain, Pain in jaw
Clinical narrative: Patient experienced significant pain in his right shoulder following the Influenza vaccine and the pain radiates to the top of his shoulder, into the right side of his neck, jaw, and face. He has been taking Ibuprofen 400 mg a day for pain, with minimal relief. Patient has not seen a provider for this matter.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none at this time
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Rash
Clinical narrative: Patient developed a rash after receiving vaccines. Patient  has a rash on his face, back, arm, hand leg, and abdomen. .
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5ml of vaccine instead of 0.25ml.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Abdominal pain, Headache, Neck pain, Syncope
Clinical narrative: Patient's mother states that he awoke in the early am of 10/31 complaining of abdominal pain.  He went to school on 10/31 but called mom because of a severe headache and neck pain.  Mom says that shortly after he arrived home that he had an episode of syncope.    Patient's mom was advised by PNP to take patient to either Urgent Care or ED for further evaluation.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: no reaction
Age: 84.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Chills, Pain, Pneumonia, Pulmonary hypertension, Pyrexia
Clinical narrative: pt reports soreness and aches that started 10/17.  by midday the chills were uncontrollable and fever reported.  ended up with pneumonia and newly diagnosed pulmonary hypertension.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5ml of vaccine rather than the recommended 0.25ml dose.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Blood potassium abnormal, Blood pressure increased, Blood sodium decreased, COVID-19
Clinical narrative: Patient is an 80-year-old gentleman who is a patient with a history of chronic hyponatremia, HTN,  presents with lethargy and weakness and nausea; noted to have hyponatremia, in the setting of a week of COVID-19 related GI symptoms. He had no respiratory symptoms, saturated well on RA, did not require COVID specific therapy. Sodium slowly improved with IV hydration and holding hydrochlorothiazide. BP has been elevated in the hospital, but patient reports good control at home, and typically has elevated BP at doc appointments. He is medically stable for discharge.   Hyponatremia Hypokalemia + Suspect secondary to dehydration and poor oral solute due to COVID - admitted with Na 118, now at 130, with IV hydration; baseline per him is in mid-high 120s - continue to hold hydrochlorothiazide at discharge - nausea due to COVID improved and appetite is improving - K improved to normal   Covid infection - Presented with: Nausea, mild diarrhea, anorexia - Symptom onset: 10/1/2023 - Positive COVID-19: 10/3/2023 at home, 10/9  - Vaccination status: Moderna SARS-CoV-2 Vaccination     01/29/2021, 02/26/2021, 10/29/2021, 04/14/2022 - CXR on admission showed Nonacute two-view chest with chronic postsurgical changes. - Oxygen status: Room air - Decadron: Does not qualify without pneumonitis - Remdesivir: Does not qualify without pneumonitis - DVT prophylaxis: Xarelto   PAF  Sinus node dysfunction PPM in place + Status post dual-chamber Medtronic pacemaker 3/2/2022; follows with OPG electrophysiology - cont Flecainide for rhythm control, Metoprolol for rate control, and Xarelto for AC   Insulin-dependent diabetes mellitus + Levemir 10 units nightly, Janumet twice daily, pioglitazone daily -8 units nightly with sliding scale holding p.o. meds - BG well-controlled; resume home regimen at discharge - diabetic diet Essential hypertension - BP elevated but patient states all his home readings are well-controlled; his BP at doctors appointments is typically high due to "white coat HTN" - cont Losartan and Metoprolol; hold hydrochlorothiazide