chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Local reaction, Product administered at inappropriate site
Clinical narrative: There is a large local reaction to the vaccine. The vaccine was administered too low and appears to have been given subcutaneous instead of intramuscular in deltoid. The injection site is red, bruised, warm to the touch, is hardened/raised, and painful. Healthcare provider recommended antihistamine treatment, cold compress for 20 min. If symptoms do not get better within a few days, return for follow up.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: 10X 13 cm area of erythema/inflammation at site, non cellulitic
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: The patient never presented with adverse events from the expired vaccine
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: The patient never presented with adverse events from the expired vaccine
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: Unevaluable event
Clinical narrative: Patient had came into the office on 9/25/23 and the patient father had a form form the school stating the patient needed Men B.  We did not have the vaccine in stock at the visit. On 10/30/2023 the patient returned with his father and Men B (Bexsero) was administered.  On 11/14/23 patient and his father returned to clinic to receive MenQuadFi.
Age: 41.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Aphonia, Bed sharing, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Tickling couch beginning 48hr hour vaccine, loss of voice beginning 52hr post vaccine, 101 fever beginning 72hr post vaccine, tested positive for covid 96hr post vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Throat irritation
Clinical narrative: Tickling couch beginning 48hr hour vaccine, loss of voice beginning 52hr post vaccine, 101 fever beginning 72hr post vaccine, tested positive for covid 96hr post vaccine.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Atrial fibrillation, Cardioversion, Chills, Condition aggravated, Dehydration
Clinical narrative: Patient is a 75 y.o. female with paroxysmal atrial fibrillation on xarelto, orthostatic hypotension, chronic asthma/cough, hyperlipidemia and history of TIA who presents from home on 11/17/23 with palpitations. Pt states she received her RSV vaccine 11/16/23 then around midnight developed chills and palpitations so decided to present to ED for evaluation. Pt found to be in Afib with RVR, started on cardizem gtt. Pt states this happens occasionally, usually related to dehydration. Pt HR drastically improved and rhtyhm converted back into sinus with cardizem and gtt has been stopped.    Pt follows with Dr. of cardiology. Has had multiple admissions for afib RVR over the past year which generally resolves quickly with Cardizem or spontaneously. Most recently, Pt was admitted to Medical Center 10/30/2023-11/1/2023.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Palpitations
Clinical narrative: Patient is a 75 y.o. female with paroxysmal atrial fibrillation on xarelto, orthostatic hypotension, chronic asthma/cough, hyperlipidemia and history of TIA who presents from home on 11/17/23 with palpitations. Pt states she received her RSV vaccine 11/16/23 then around midnight developed chills and palpitations so decided to present to ED for evaluation. Pt found to be in Afib with RVR, started on cardizem gtt. Pt states this happens occasionally, usually related to dehydration. Pt HR drastically improved and rhtyhm converted back into sinus with cardizem and gtt has been stopped.    Pt follows with Dr. of cardiology. Has had multiple admissions for afib RVR over the past year which generally resolves quickly with Cardizem or spontaneously. Most recently, Pt was admitted to Medical Center 10/30/2023-11/1/2023.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Headache, Hyperhidrosis, Lymphadenopathy
Clinical narrative: She got her vaccine, she didn't notice anything until about an hour or so later of a severe headache.  The top of her head is where the headache was, and her eyes, had trouble with her vision focusing.  When she got home she had severe chills no matter what she did, she could not get warm.  Also her glands in her neck swelled and they are still swollen, and pressure in her ears, and aches all over as if she had the flu.  She got the flu shot last month, she did not have any reaction to that.  Last night about 4:30 she took a Tylenol quick release, and after she took that about 20 minutes or so she broke out into a sweat, and once she started sweating then the chills abated.  She still has a headache, not as bad, but
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vision blurred
Clinical narrative: She got her vaccine, she didn't notice anything until about an hour or so later of a severe headache.  The top of her head is where the headache was, and her eyes, had trouble with her vision focusing.  When she got home she had severe chills no matter what she did, she could not get warm.  Also her glands in her neck swelled and they are still swollen, and pressure in her ears, and aches all over as if she had the flu.  She got the flu shot last month, she did not have any reaction to that.  Last night about 4:30 she took a Tylenol quick release, and after she took that about 20 minutes or so she broke out into a sweat, and once she started sweating then the chills abated.  She still has a headache, not as bad, but
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Significant redness, erythema, warmth at and below injection site, wrapping around arm.  Small amount of swelling noted early this morning around 0800, swelling and redness progressed as day went on.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Patient  reporting today symptoms of vomiting and  diarrhea the day after receiving the  Hep B vaccine.
Age: 85.0
Sex: F
Vaccine: RSV
Symptoms: Product preparation issue
Clinical narrative: Patient may have received 0.5 ml of diluent and not diluent mixed with powder
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: none- administered 12+ dose instead of 5-11 dose. parent contacted to inform of dose error and informed of what symptoms to look for.
Age: 74.0
Sex: M
Vaccine: RSV
Symptoms: Product preparation issue
Clinical narrative: Patient may have received 0.5 ml of diluent and not diluent mixed with powder
Age: 2.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Local leg swelling, warmth, redness within 1 day of vaccination, worsened 48hrs after vaccination then improving by day 4 after vaccination. Swelling and redness measured 8 inches x 5.25 inches in office 48hrs after vaccination
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, sore throat
Age: 52.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Anxiety, Chest discomfort, Dizziness, Gait disturbance, Head discomfort
Clinical narrative: 11am day after shot/ uneasy wanted to lie down. 1pm went home from work. 2pm. extreme dizziness, fever -pressure in head and chest. 230pm slept until 430pm. dizziness lessened and I could walk again but closing eyes/ opening them again (on purpose) re-adjustment holding of wall / chair required. sat at computer checking to see symptoms / whether I needed to call an ambulance. 6pm pressure and fever relented dizziness dropped to mildly dizzy. went to bed at 11:30pm. Mild dizziness has been consistent since awake now all day friday. Still not feeling well enough to drive. called out sick at 530am. mobile in house but feeling see-sick like dizzy still at 1pm. Still have mild pressure in head and wobbly.
Age: 52.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Impaired work ability, Malaise, Motion sickness, Pyrexia
Clinical narrative: 11am day after shot/ uneasy wanted to lie down. 1pm went home from work. 2pm. extreme dizziness, fever -pressure in head and chest. 230pm slept until 430pm. dizziness lessened and I could walk again but closing eyes/ opening them again (on purpose) re-adjustment holding of wall / chair required. sat at computer checking to see symptoms / whether I needed to call an ambulance. 6pm pressure and fever relented dizziness dropped to mildly dizzy. went to bed at 11:30pm. Mild dizziness has been consistent since awake now all day friday. Still not feeling well enough to drive. called out sick at 530am. mobile in house but feeling see-sick like dizzy still at 1pm. Still have mild pressure in head and wobbly.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Instead of giving the Fluzone Quadrivalent for the patient's age group, I accidently gave the High Dose
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Syncope
Clinical narrative: Per patient her "family has a history of passing out when receiving vaccines. Per patient she knew in her gut to mention but did not mention. This would be her first time. Syncope episode
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Groin pain, Mobility decreased, Myalgia, Pain in extremity
Clinical narrative: By the 3rd day i started getting leg pain really bad. I felt it down in the bone and muscle of both legs and felt like someone was cutting them up or chopping them up. Severe pain in the right side of the groin muscle. Basically there's pain from my middle down the legs. The groin pain is just in the right side but the rest of the pain was in my legs and i was incapcitated for almost a week.
Age: 20.0
Sex: M
Vaccine: ANTH, HEP, JEV1, TYP
Symptoms: Dizziness, Electrocardiogram normal, Myoclonus, Presyncope, Sinus rhythm
Clinical narrative: Patient was vaccinated at 1015am on 17 NOV23 in a sitting position (as listed above). Approximately 1 minute after receiving all 4 vaccinations he stated he felt lightheaded. The healthcare worker administering the vaccines went up to the patient and began laying him down while calling for help. Other workers began to assist, EMS was called, full set of vitals obtained. There was some myoclonic jerking that was witnessed however there was no tonic-clonic seizure-like activity seen. Patient came to immediately afterwards and was alert and oriented.  Patient did not have any preceding chest pain or difficulty breathing.  No history of similar symptoms in the past.  No known family history of cardiac dysrhythmias.  No bowel or bladder incontinence. Patient was in his normal baseline state of health without any preceding fevers, chest pain, difficulty breathing, respiratory symptoms, or GI symptoms. Patient was transported to the ER.  Patient did not sustain any trauma during the syncope to necessitate cross-sectional imaging of the head or C-spine. Suspect either vasovagal versus orthostatic but more likely the former and low suspicion for cardiogenic etiology.   follow-up with primary care provider as needed and return to ED for recurrent episodes of passing out or if there is persistent chest pains or difficulty breathing at rest.
Age: 20.0
Sex: M
Vaccine: ANTH, HEP, JEV1, TYP
Symptoms: Syncope
Clinical narrative: Patient was vaccinated at 1015am on 17 NOV23 in a sitting position (as listed above). Approximately 1 minute after receiving all 4 vaccinations he stated he felt lightheaded. The healthcare worker administering the vaccines went up to the patient and began laying him down while calling for help. Other workers began to assist, EMS was called, full set of vitals obtained. There was some myoclonic jerking that was witnessed however there was no tonic-clonic seizure-like activity seen. Patient came to immediately afterwards and was alert and oriented.  Patient did not have any preceding chest pain or difficulty breathing.  No history of similar symptoms in the past.  No known family history of cardiac dysrhythmias.  No bowel or bladder incontinence. Patient was in his normal baseline state of health without any preceding fevers, chest pain, difficulty breathing, respiratory symptoms, or GI symptoms. Patient was transported to the ER.  Patient did not sustain any trauma during the syncope to necessitate cross-sectional imaging of the head or C-spine. Suspect either vasovagal versus orthostatic but more likely the former and low suspicion for cardiogenic etiology.   follow-up with primary care provider as needed and return to ED for recurrent episodes of passing out or if there is persistent chest pains or difficulty breathing at rest.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Culture urine, Deafness, Ear discomfort
Clinical narrative: She got her vaccine, about a day later she had fever, chills, and body aches all over, especially her hips and thighs.  She got pictures where the front of her legs broke up that went from the knee to the top of her hip.  She then broke out to her butt crack.  She also had 5 cold sores on her mouth.  She also had bleeding right ear after a few days, and what was happening was lots of pressure like altitude pressure, which was happening while she was sitting in her living room.  Then on the 3rd day that happened with sharp pain and then the blood.  He went to the ENT and they put her on vitamins, dismissed that she felt it was related to the vaccine.    After a little over a year she did get all her hearing back.  She had intense ringing in her ears for close to a year and a half.  So that is now gone, but every now and then it will happen again and she can tell when it's flaring up she will get the ringing in her ears, her body aches, and will break out into shingles on her butt crack.  She did get antiviral medication from her doctor and takes it when she feels  an outbreak coming on.  It is a constant pain in her pelvic area, it never goes all the way again.  She never had any trouble before having the vaccine.    They want to do invasive testing of her like putting a camera in her bladder and look around.  She does not want to do that but feels that she has shingles all up inside of her.  She feels it is due to that as she had never had any problems prior to the vaccine, and has not had any vaccines.  This reaction has her set against having any other vaccines.  This started about 6-7 months after the COVID pandemic.    She just wants to find a way to get it fixed and not have these symptoms anymore.    When she told them how bad the pain was they felt as if she was drug seeking, which she informed them that she was not asking for pain medicine, she just wants the pain to go away.    She went to immediate care who would not see her because her BP was high, and they told her to go to the ER.  She did not feel it was an ER situation and did not go and stayed at home until she felt better, and then she started pursuing what was going on.    It comes and goes and has happened about 6-7 times, and feels like her insides in her hips is torn loose, and it comes back to the same areas.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Ear haemorrhage, Ear pain, Herpes zoster, Hypertension, Musculoskeletal discomfort
Clinical narrative: She got her vaccine, about a day later she had fever, chills, and body aches all over, especially her hips and thighs.  She got pictures where the front of her legs broke up that went from the knee to the top of her hip.  She then broke out to her butt crack.  She also had 5 cold sores on her mouth.  She also had bleeding right ear after a few days, and what was happening was lots of pressure like altitude pressure, which was happening while she was sitting in her living room.  Then on the 3rd day that happened with sharp pain and then the blood.  He went to the ENT and they put her on vitamins, dismissed that she felt it was related to the vaccine.    After a little over a year she did get all her hearing back.  She had intense ringing in her ears for close to a year and a half.  So that is now gone, but every now and then it will happen again and she can tell when it's flaring up she will get the ringing in her ears, her body aches, and will break out into shingles on her butt crack.  She did get antiviral medication from her doctor and takes it when she feels  an outbreak coming on.  It is a constant pain in her pelvic area, it never goes all the way again.  She never had any trouble before having the vaccine.    They want to do invasive testing of her like putting a camera in her bladder and look around.  She does not want to do that but feels that she has shingles all up inside of her.  She feels it is due to that as she had never had any problems prior to the vaccine, and has not had any vaccines.  This reaction has her set against having any other vaccines.  This started about 6-7 months after the COVID pandemic.    She just wants to find a way to get it fixed and not have these symptoms anymore.    When she told them how bad the pain was they felt as if she was drug seeking, which she informed them that she was not asking for pain medicine, she just wants the pain to go away.    She went to immediate care who would not see her because her BP was high, and they told her to go to the ER.  She did not feel it was an ER situation and did not go and stayed at home until she felt better, and then she started pursuing what was going on.    It comes and goes and has happened about 6-7 times, and feels like her insides in her hips is torn loose, and it comes back to the same areas.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes, Pain, Pain in extremity, Pelvic pain, Pyrexia
Clinical narrative: She got her vaccine, about a day later she had fever, chills, and body aches all over, especially her hips and thighs.  She got pictures where the front of her legs broke up that went from the knee to the top of her hip.  She then broke out to her butt crack.  She also had 5 cold sores on her mouth.  She also had bleeding right ear after a few days, and what was happening was lots of pressure like altitude pressure, which was happening while she was sitting in her living room.  Then on the 3rd day that happened with sharp pain and then the blood.  He went to the ENT and they put her on vitamins, dismissed that she felt it was related to the vaccine.    After a little over a year she did get all her hearing back.  She had intense ringing in her ears for close to a year and a half.  So that is now gone, but every now and then it will happen again and she can tell when it's flaring up she will get the ringing in her ears, her body aches, and will break out into shingles on her butt crack.  She did get antiviral medication from her doctor and takes it when she feels  an outbreak coming on.  It is a constant pain in her pelvic area, it never goes all the way again.  She never had any trouble before having the vaccine.    They want to do invasive testing of her like putting a camera in her bladder and look around.  She does not want to do that but feels that she has shingles all up inside of her.  She feels it is due to that as she had never had any problems prior to the vaccine, and has not had any vaccines.  This reaction has her set against having any other vaccines.  This started about 6-7 months after the COVID pandemic.    She just wants to find a way to get it fixed and not have these symptoms anymore.    When she told them how bad the pain was they felt as if she was drug seeking, which she informed them that she was not asking for pain medicine, she just wants the pain to go away.    She went to immediate care who would not see her because her BP was high, and they told her to go to the ER.  She did not feel it was an ER situation and did not go and stayed at home until she felt better, and then she started pursuing what was going on.    It comes and goes and has happened about 6-7 times, and feels like her insides in her hips is torn loose, and it comes back to the same areas.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Smear cervix, Tinnitus
Clinical narrative: She got her vaccine, about a day later she had fever, chills, and body aches all over, especially her hips and thighs.  She got pictures where the front of her legs broke up that went from the knee to the top of her hip.  She then broke out to her butt crack.  She also had 5 cold sores on her mouth.  She also had bleeding right ear after a few days, and what was happening was lots of pressure like altitude pressure, which was happening while she was sitting in her living room.  Then on the 3rd day that happened with sharp pain and then the blood.  He went to the ENT and they put her on vitamins, dismissed that she felt it was related to the vaccine.    After a little over a year she did get all her hearing back.  She had intense ringing in her ears for close to a year and a half.  So that is now gone, but every now and then it will happen again and she can tell when it's flaring up she will get the ringing in her ears, her body aches, and will break out into shingles on her butt crack.  She did get antiviral medication from her doctor and takes it when she feels  an outbreak coming on.  It is a constant pain in her pelvic area, it never goes all the way again.  She never had any trouble before having the vaccine.    They want to do invasive testing of her like putting a camera in her bladder and look around.  She does not want to do that but feels that she has shingles all up inside of her.  She feels it is due to that as she had never had any problems prior to the vaccine, and has not had any vaccines.  This reaction has her set against having any other vaccines.  This started about 6-7 months after the COVID pandemic.    She just wants to find a way to get it fixed and not have these symptoms anymore.    When she told them how bad the pain was they felt as if she was drug seeking, which she informed them that she was not asking for pain medicine, she just wants the pain to go away.    She went to immediate care who would not see her because her BP was high, and they told her to go to the ER.  She did not feel it was an ER situation and did not go and stayed at home until she felt better, and then she started pursuing what was going on.    It comes and goes and has happened about 6-7 times, and feels like her insides in her hips is torn loose, and it comes back to the same areas.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Acute onset vertigo, treated with meclizine and ondansetron for nausea. Improving with medications but not yet resolved.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: SWEATING, NAUSEA, VOMITING, DIZZINESS, FLUSHING APPROXIMATELY 32 HOURS AFTER INJECTION
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nasopharyngitis
Clinical narrative: Cold-like symptoms
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Deafness unilateral, Pyrexia
Clinical narrative: Approximately 24 hours after injection, low fever but intense chills.  These only lasted a few hours.  Approximately 48 hours after injection, experience sudden hearing loss in right ear.  I have experienced this before not associated with vaccination.  It was treated with prednisone and resolved.
Age: 0.33
Sex: M
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: dtap given instead of pediarix
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Contusion, Immune thrombocytopenia, Platelet count decreased
Clinical narrative: Bruising on shoulder, leg, stomach three weeks after vaccine Platelets dropped to 3 ITP diagnoses.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Influenza like illness, Memory impairment, Nausea
Clinical narrative: flu like symptoms, headache, fever, sore arm, body ache; dizzy, nauseous, memory issues
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: flu like symptoms, headache, fever, sore arm, body ache; dizzy, nauseous, memory issues
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site reaction
Clinical narrative: Injection site reaction spreading on to neck and eyelid
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site inflammation, Injection site pain
Clinical narrative: Patient received vaccine on11/15/2023 and reported adverse event to pharmacy on 11/17/2023. Patient reported injection site pain and inflamation.
Age: 1.0
Sex: M
Vaccine: DTAP
Symptoms: Diarrhoea, Vomiting
Clinical narrative: patient's mother claims "after every DTap shot Pt receives, he has vomiting and diarrhea about 48 hours later." patient's mother declines bloody vomit or stool, fevers, chills, loss of appetite, etc.
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: On 11/15/2023 pt contacted pharmacy to report redness and itching on same arm she received vaccination. Denied: swelling, warm to touch, difficulty breathing or swallowing, previous reaction to any other vaccination.  Later on 11/15/2023, presented to pharmacy and presented rash to RPH. Pt presented with flat erythematous lesion on left anterior arm region, initiating approximately half way between shoulder and elbow and extending diagnoally to posterior arm region roughly 6-8 inches above elbow. Pt contact PCP and was told to apply hydrocortisone cream to area.   On 11/17/2023, pt contacted pharmacy to seek further recommendation, reporting rash was still present but now warm to the touch and swollen, reported rash has decreased in size. Denied: difficulty breathing or swallowing, broken skin, elevated temperature. Pt inquired if she had a staph infection, pt was instructed to seek medical attention from PCP or urgent care.
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Skin lesion
Clinical narrative: On 11/15/2023 pt contacted pharmacy to report redness and itching on same arm she received vaccination. Denied: swelling, warm to touch, difficulty breathing or swallowing, previous reaction to any other vaccination.  Later on 11/15/2023, presented to pharmacy and presented rash to RPH. Pt presented with flat erythematous lesion on left anterior arm region, initiating approximately half way between shoulder and elbow and extending diagnoally to posterior arm region roughly 6-8 inches above elbow. Pt contact PCP and was told to apply hydrocortisone cream to area.   On 11/17/2023, pt contacted pharmacy to seek further recommendation, reporting rash was still present but now warm to the touch and swollen, reported rash has decreased in size. Denied: difficulty breathing or swallowing, broken skin, elevated temperature. Pt inquired if she had a staph infection, pt was instructed to seek medical attention from PCP or urgent care.
Age: 71.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling abnormal
Clinical narrative: Pharmacist asked the customer to wait around for 15 minutes after the vaccine was administered. She came to the pharmacist after 5 minutes and said she is feeling weird in her throat and asked for Benadryl so at 1:15 p.m. 2 tablets of 25 mg Benadryl was given to her. Her tongue was numbing so around 1:22 p.m.  1 dose of Epinephrine 0.3 mg pen was administered. The blood pressure at the time was 120/68 and at 1:29 p.m. ( 5 minutes after administration of EpiPen) was 131/73. By this time the EMT came and addressed the concern and since she wanted to  go to the ER she was taken there.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dizziness
Clinical narrative: dizziness
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Laboratory test normal
Clinical narrative: light headed, dizzy after 15 to 20 minutes,  lasted for 30 minutes.
Age: 71.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Patient accidentally administered child hep b vaccine since adult and child are in the same refrigerator.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Burning sensation, Urticaria
Clinical narrative: Approximately 7 minutes after receiving vaccine patient complained of burning, mom noted hives on chest, arms.  I notified provider and gave a dose of Benadryl.  Hives and burning resolved within 5 minutes.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: COLD SYMPTOMS: SORE THROAT, RUNNY NOES, CHEST CONGESTION.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: She got her vaccine, and did not have any reaction immediately.  Her reaction was a bruise on her arm and realized that it could have been her medication that she was taking, but after getting closer to October she started to see a bruise on her arm, but did not think nothing of it until she started to take the medication.  She was taking Bactrim at that time, which is not a reaction to that medicine, and found out she was allergic to it.  Was told that the mark on her had nothing to do with the reaction of Bactrim.  The reaction was right where the shot was given.  The bruise on it was small but red at first, but it never turned black until she started rubbing on it trying to figure out what it was.  She immediatey called and asked if they thought it was due to the Bactrim.  They informed her that it was due to a specific reaction to something in that arm, which was the vaccine.  She knew that it had to be a reaction from the shot she got in the arm.  The area then turned to be a big bruise, got swollen and after that it wasn't too much of a problem.  You can still see a blackish spot on the area of the vaccine.  The area does hurt every now and then on the inside of the arm she can feel a little pain though, but not all the time.    She has not done anything about the vaccine itself.   She did get COVID vaccines while pregnant with her daughter, and after getting the original two vaccines and they both got COVID.  She was born, and they both had COVID about 3 weeks after that.   Her symptoms of COVID lasted for a week or 2 and her daughter also caught it and child services took her from her due to the COVID and she is seeing therapist at this time, and that the decision has been appealed to see if she can get her child back.
Age: 40.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Flushing
Clinical narrative: Employee states feeling  flushed and dizzy approxiamtely 15-20 minutes after vaccination was given. Employee was provided with ice packs and instructed to sit in examination bed. After approximately 20 minutes flushing was no longer present, however still presented with dizziness.
Age: 55.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain in extremity
Clinical narrative: INTERMITTANT PAIN IN THE ARM
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Brain fog, Cough, Dizziness, Headache, Hot flush
Clinical narrative: light headed immediately post vaccination with fogginess, headache, sore throat, cough, chest congestion, hot flashes
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: light headed immediately post vaccination with fogginess, headache, sore throat, cough, chest congestion, hot flashes
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Client has received a Pfizer COVID vaccine on 10/27/2023 and then received a Moderna COVID vaccine on 11/17/2023. Client had no adverse reactions to vaccination after administration.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, FLU4, HEP, PNC20
Symptoms: Product administered to patient of inappropriate age, Somnolence
Clinical narrative: Fluzone PF quadrivalent dose was given in error to 2 month old infant on 11/15/23. When error caught, medical assistant notified physician immediately. Parent was notified. Follow up call with family on 11/16/23.  During follow up call mom stated  infant had temperature of 100 degrees and was a little sleepy  No worrisome side effects and temperature was down later in the day.  Mom is monitoring and will call clinic with concerns.
Age: 75.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Administered Fluzone HD on 11/14/2023 .  The patient had already received Fluad 65 + in October.  The patient did not report any adverse effects.
Age: 70.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Back pain
Clinical narrative: Significant muscle/joint pain lower back.
Age: 57.0
Sex: F
Vaccine: HEPAB, PNC20, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient has received an extra dose of Twinrix. No adverse reaction had been reported just yet. Awaiting response from patient.
Age: 80.0
Sex: M
Vaccine: RSV
Symptoms: Tremor
Clinical narrative: Patient shaking uncontrollably, trembling, ER visit
Age: 71.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Injection site irritation, Injection site swelling
Clinical narrative: Patient described unusual irritation at the site of injection. Both immunizations were given in the same arm and there was slight swelling and irritation after 1 month of administration
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium, Blood thyroid stimulating hormone, C-reactive protein, Full blood count, Laboratory test
Clinical narrative: Rash on face same day then resolved, then intermittent nerve pain over past few weeks
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Rash, Vitamin B12
Clinical narrative: Rash on face same day then resolved, then intermittent nerve pain over past few weeks
Age: 34.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product administered to patient of inappropriate age, Product use issue, Wrong product administered
Clinical narrative: 34 year old female G9P4043 at 36 weeks received Arexvy which is indicated for patients over 60 years of age and older rather than Abrysvo which is indicated for pregnant patients or 60 years of age and older. Likely a look alike sound alike error. Arexvy was ordered and verified instead of Abrysvo. No adverse effects identified.
Age: 81.0
Sex: F
Vaccine: FLUA4
Symptoms: Swelling of eyelid, Vision blurred
Clinical narrative: Patient's husband called on Tuesday saying his wife got a flu shot with us and is experiencing  side effects, He said she has blurred vision and swollen eyelid.. Recomended to see the doctor. He said they will check with their dr or go to ER
Age: 49.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Dyspnoea, Eye swelling, Lymphadenopathy
Clinical narrative: Patient noticed she felt short of breath after the vaccination, but didn't think too much of it. Thought maybe it was nerves. It went away. Then later that night, she developed very swollen lump in her armpit (lymph node) the size of a baseball. The following morning, she woke up with swollen eyes. She visited me on Monday and her eyes were still very swollen, and the swelling in her armpit was still very apparent and large (on the side she received the Comirnaty).
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Localised infection, Pain in extremity, Peripheral swelling
Clinical narrative: Patient said over first 4 days her arm continued to hurt and swell.  At day 4 it was swollen "twice its normal size" so she went to the dr.  He diagnosed an infection and prescribed antibiotics.  Over the nect few days her arm has been getting better.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site mass, Injection site pruritus, Injection site warmth
Clinical narrative: Patient reports experiencing fatigue, joint pain, aches, fever after her most recent Moderna shot administed on 11/13/2023, as well as after her previous four Moderna shots. Patient reports these symptoms have resolved.  However, she also reports feeling a warm itchy lump around the injection site that has persisted until today 11/17/2023 and has been using benadryl to help her sleep at night.  Advised the patient to use benadryl cream during the day, to continue with benadryl oral tablets at night, and to notify her dr on Monday if her condition persists or worsens.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Patient reports experiencing fatigue, joint pain, aches, fever after her most recent Moderna shot administed on 11/13/2023, as well as after her previous four Moderna shots. Patient reports these symptoms have resolved.  However, she also reports feeling a warm itchy lump around the injection site that has persisted until today 11/17/2023 and has been using benadryl to help her sleep at night.  Advised the patient to use benadryl cream during the day, to continue with benadryl oral tablets at night, and to notify her dr on Monday if her condition persists or worsens.
Age: 79.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Peripheral swelling
Clinical narrative: Swelling of arm within minutes of vaccine. RSV given first then spikevax.
Age: 59.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site swelling
Clinical narrative: Patient was given Spikevax and Fluzone Quad on the same arm. On the area of injection, patient's arm swelled and bruised immediately. I asked the patient to wait for 15 minutes and I placed an ice pack on her arm while she waited. An associated stayed with her just in case any further adverse reaction happens. Patient waited at least 10 minutes and the area seemed to reduce. She said she was fine and wanted to leave.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: Vaccine was mixed with wrong diluent-  Sterile Diluent/sterile water intended for live virus vaccines.  Lot# W035896  Exp 6/23/25  Manufactured by Merck and Company; dose 0.5 ml
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Abdominal distension, Brain fog, Confusional state, Cough, Fatigue
Clinical narrative: Vertigo. Brain fog. Palpitations. Cough. Muscle aches. Confusion. Insomnia.  Exhaustion. Bloating.
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Insomnia, Myalgia, Palpitations, Vertigo
Clinical narrative: Vertigo. Brain fog. Palpitations. Cough. Muscle aches. Confusion. Insomnia.  Exhaustion. Bloating.
Age: 60.0
Sex: F
Vaccine: RSV
Symptoms: Abdominal pain upper, Back pain, Decreased appetite, Dehydration, Diarrhoea
Clinical narrative: Starting November 10th around 8 pm  patient developed fever (over 100F), extreme back pain with pain all over the body and dehydration.  She took Tylenol and Ibuprofen.  Fever did not improve . The temperature was 98.99  degree with Tylenol but  again comes back at 100.5 to 100.9 F at night .She went to the ER on 11/13 and got Toradol and  tramadol for home for pain. She also has stomach cramps , diarrhea, and loss of appetite.  She is drinking Gatorade and alternating Tylenol and Ibuprofen. Symptoms still active as of 11/16/23
Age: 60.0
Sex: F
Vaccine: RSV
Symptoms: Pain, Pyrexia
Clinical narrative: Starting November 10th around 8 pm  patient developed fever (over 100F), extreme back pain with pain all over the body and dehydration.  She took Tylenol and Ibuprofen.  Fever did not improve . The temperature was 98.99  degree with Tylenol but  again comes back at 100.5 to 100.9 F at night .She went to the ER on 11/13 and got Toradol and  tramadol for home for pain. She also has stomach cramps , diarrhea, and loss of appetite.  She is drinking Gatorade and alternating Tylenol and Ibuprofen. Symptoms still active as of 11/16/23
Age: 82.0
Sex: M
Vaccine: FLUR4
Symptoms: Haematochezia
Clinical narrative: Patient experiencing blood in stool with no other symptoms.
Age: 73.0
Sex: F
Vaccine: UNK
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: Extended duration of left arm pain. Radiating down to hand (left) with decreased mobility.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Erythema, Induration, Injection site erythema, Injection site induration
Clinical narrative: R shoulder area painful, red, hot, indurated about 24 hours after vaccine. It is from acromion process to mid humerus (about 5 inches vertical) and 6 inches from mid-anterior arm to mid-posterior arm.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Injection site warmth, Skin warm
Clinical narrative: R shoulder area painful, red, hot, indurated about 24 hours after vaccine. It is from acromion process to mid humerus (about 5 inches vertical) and 6 inches from mid-anterior arm to mid-posterior arm.
Age: 40.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: At 10:25 AM patient stated, "I'm dizzy. " Patient began sweating. BP 120/80, P 56, R 20, equal and unlabored. T 97.7, Oxygen Saturation on room air 100%. Patient alert and oriented to person, place, and time. At 10:40, patient denied dizziness. Patient stopped sweating. Patient stated, " I feel better". BP 139/89, P 56, R 20, equal and unlabored, Oxygen Saturation on room air 100%. No signs and symptoms of distress. Notified provider and patient cleared for discharge. Instructed to follow up with primary care physician. Instructed to report to ER or call EMS if any symptoms of distress occur. Patient and wife verbalized understanding. Discharged from site at 10:52 AM.
Age: 83.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient requested and received a 2nd FLUAD immunization  2 months apart. Patient did not have any adverse reactions.
Age: 58.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine was administered to a patient that did not meet the criteria. She is not pregnant and is 58 years old. She is not 60 years or older.
Age: 56.0
Sex: F
Vaccine: FLU4, HEP, MMR, TDAP, VARCEL
Symptoms: Muscular weakness, Myalgia, Pain in extremity
Clinical narrative: Pt states since day of vaccination her left arm has had pain on and off. She states she feels pain the muscle. When she wakes up her arm feels weaker but feels better as the day goes by. Pain is still occurring 11/17/23. She feels it is starting to improve. No noted physical differences in arm or on skin where vaccines were given.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Lymph node pain, Myalgia, Pyrexia
Clinical narrative: I have received 5 other Covid vaccs.  The first 4 were fine no reactions. The 5th one I had 11-3-22 and had chills and joint pain. This one the (6th) had chills, fever of 100. muscle aches, lymph nodes were sore and tired. It lasted for several hours and then went away gradually.
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: patient fainted after receiving the above vaccine
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Arm swollen, red, and itchy around injection site and a couple inches down arm and around area. After 4 days symptoms still present but improved.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Due to limited space, 2 different doses of Moderna COVID 19 vaccine stored in same basket.  One dose was missing, leading the nurse to believe Spikevax (12yr+ vaccine) was the only pediatric vaccine.  She reviewed documentation and gave the appropriate 0.25ml dose.   Patient and parent given appropriate education and side effect information.
Age: 78.0
Sex: M
Vaccine: RSV
Symptoms: Muscle spasms
Clinical narrative: qleft foot muscle spasms
Age: 7.0
Sex: M
Vaccine: COVID19-2, DTAP, FLUC4, IPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Dtap (infanrix) was administered at 7 years of age. No reaction at time of injection. Reporting as vaccine was given after age 6.
Age: 78.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient came to me at pharmacy and said a few days after her RSV vaccine, the spot around her vaccination site became red and itched, burned at times. She said it comes and goes. I saw the site, and it was a tint of purplish-red around the site. I advised her it was a site reaction, and with time it will go away, but could possibly take a month. I told her ibuprofen would help if it is hurting, otherwise hydrocortisone or benedryl cream would help with swelling and itch, along with ice pack.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Scan with contrast abnormal
Clinical narrative: Appendicitis
Age: 80.0
Sex: M
Vaccine: RSV
Symptoms: Pyrexia
Clinical narrative: Patient reported to me at pharmacy 11/16/23 that he had a fever the night of his RSV vaccination. He said he called his doctor's office, and they told him to take tylenlol or ibuprofen. patient said he took a few doses of tylenol and was better the next day.
Age: 55.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Computerised tomogram thorax abnormal, Fibrin D dimer increased, Haemoptysis, Pleural effusion, Pleuritic pain
Clinical narrative: Pleuritic chest pain started 11 days following vaccinations and hemoptysis 13 days following vaccinations, with markedly elevated D-dimer. Right lower lobe segmental and sub-segmental pulmonary emboli and pulmonary infarction with pleural effusion diagnosed by contrast CT. Enoxaparin 1 mg/kg SQ q12 X 2 dosed followed by standard dose apixaban loading doses and therapy. Full symptomatic recovery after 1-2 weeks.
Age: 55.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Pulmonary embolism, Pulmonary infarction, Scan with contrast abnormal
Clinical narrative: Pleuritic chest pain started 11 days following vaccinations and hemoptysis 13 days following vaccinations, with markedly elevated D-dimer. Right lower lobe segmental and sub-segmental pulmonary emboli and pulmonary infarction with pleural effusion diagnosed by contrast CT. Enoxaparin 1 mg/kg SQ q12 X 2 dosed followed by standard dose apixaban loading doses and therapy. Full symptomatic recovery after 1-2 weeks.
Age: 81.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient did not have any adverse effect but  was  given 2nd dose of flu shot , 1 month apart each, due  to miscommunication. The first shot was given at the doctor's office and the second shot was given at the pharmacy.  The patient had no adverse effect what so ever even though he got 2 doses of the flu shot a moth apart from each other.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: administered the vaccine intended for younger group ages 5-11 instead of the vaccine for 12 and above.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Dizziness, Dysstasia, Eating disorder, Illness
Clinical narrative: Made me sicker than the flu ever has.  I threw up for 3 days, then it took me another week to get anywhere near back to normal. I was weak, dizzy, couldn't stand up and could hardly eat.  My arm swelled and turned very red and hot from the shot.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Vomiting
Clinical narrative: Made me sicker than the flu ever has.  I threw up for 3 days, then it took me another week to get anywhere near back to normal. I was weak, dizzy, couldn't stand up and could hardly eat.  My arm swelled and turned very red and hot from the shot.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Computerised tomogram head, Computerised tomogram head normal, Confusional state, Delirium, Fatigue
Clinical narrative: Patient developed low grade fever, fatigue, aches 11/14/23.  Morning of 11/15/23 acutely confused, vomited multiple times.  Sent to ED 11/15/23: CT head, MRI brain negative, labs, UA, chest x-ray without abnormal finding. Viral pathogen testing negative.  Dx with delirium, improved with time.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Laboratory test, Magnetic resonance imaging head normal, Pain, Pyrexia, Urine analysis
Clinical narrative: Patient developed low grade fever, fatigue, aches 11/14/23.  Morning of 11/15/23 acutely confused, vomited multiple times.  Sent to ED 11/15/23: CT head, MRI brain negative, labs, UA, chest x-ray without abnormal finding. Viral pathogen testing negative.  Dx with delirium, improved with time.