chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Blood urine present, Brain natriuretic peptide normal, C-reactive protein increased, Carbon dioxide decreased, Chest X-ray normal
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Chlamydia test negative, Complement factor C3, Complement factor C4, Differential white blood cell count abnormal, Eosinophil count normal
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Glomerular filtration rate normal, Glucose urine absent, Granulocyte percentage, HIV antibody negative, HIV antigen negative
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Haematocrit normal, Haemoglobin normal, Herpes simplex test negative, Herpes virus test, Influenza virus test negative
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: International normalised ratio normal, Liver function test normal, Lymphocyte count, Lymphocyte count decreased, Lymphopenia
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Metabolic function test abnormal, Monocyte count
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Mononucleosis heterophile test negative, Neisseria test negative, Neutrophil count, Oral mucosal eruption, Pain
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Pharyngeal enanthema, Platelet count normal, Polymerase chain reaction, Protein urine present, Prothrombin time normal
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Red blood cell count decreased, Red blood cell nucleated morphology, Red blood cell sedimentation rate increased, Red blood cells urine positive
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Red cell distribution width normal, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Specific gravity urine normal, Staphylococcus test negative
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Stevens-Johnson syndrome, Streptococcus test negative, Treponema test negative, Urinary sediment present, Urine abnormality
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Urine analysis abnormal, Urine ketone body present, Urobilinogen urine, Vulval disorder, Vulvovaginal rash
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: White blood cell count normal, White blood cells urine positive, pH urine normal
Clinical narrative: Diagnosed with Steven Johnson Syndrome. Hospitalized for severe rash across body, in mouth, throat, and vaginal area. Urgent care in Oct 10th 2023, again on the 12th. ER visits on Oct 13th and 14th. Oct 14th transferred and admitted to Hospital after SJS diagnosis at another hospital.  Received steroids, antibiotics, and pain management until Oct 22nd 2023.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Anoxia, Anxiety, Asthenia, Cyanosis, Dizziness
Clinical narrative: My 12 year old son received a second gardasil vaccination and had (afebrile) seizure like activity with syncopal episode which included temporary contracture/tetany of upper body muscles and perceived anoxia as this writer observed circumoral cyanosis. This event occurred 10 min after receiving the vaccination and not more than 30 minutes after the vaccination. I am a RN, studying for my doctorate. I have seen and help many patients with syncopal episodes and this was not mere ?fainting? or ?needle anxiety.? This should have been reported to VAERS but instead was dismissed by the attending pediatric provider. No one in the office witnessed the first 45 seconds to minute of the episode. I was in the room with my child, was able to keep him safe (not falling off table, turned to side, chest rub to breathe) then yelling for help as he became too heavy and stiff. My provider is provaccine; I am pro-vaccine. However, fair and accurate reporting needs to take place so children are not injured and accurate data can be given to drive decision making.  It took over 45 minutes for my son to ambulate out of the office as he was too dizzy and weak to move. At home, he experienced nausea, vomiting, and extreme fatigue. He slept 15 hours that day - this is not normal behavior. Since the vaccination, he has lowered stamina and decrease in heat tolerance; this was evident in activities a week to two weeks following the vaccination reaction. In addition to physical symptoms, he has had extreme anxiety and worry. He has been a mildly anxious child but it has heightened ten fold since his response to the vaccination. My concerns have been dismissed by the pediatric provider though unwitnessed the event. As VAERS does not accept patient reporting, there is nowhere for the voices of parents to be heard. I hope this can be addressed. There was no work up but only a blood pressure taken after the reaction.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Exercise tolerance decreased, Fatigue, Muscle contracture, Nausea, Seizure like phenomena
Clinical narrative: My 12 year old son received a second gardasil vaccination and had (afebrile) seizure like activity with syncopal episode which included temporary contracture/tetany of upper body muscles and perceived anoxia as this writer observed circumoral cyanosis. This event occurred 10 min after receiving the vaccination and not more than 30 minutes after the vaccination. I am a RN, studying for my doctorate. I have seen and help many patients with syncopal episodes and this was not mere ?fainting? or ?needle anxiety.? This should have been reported to VAERS but instead was dismissed by the attending pediatric provider. No one in the office witnessed the first 45 seconds to minute of the episode. I was in the room with my child, was able to keep him safe (not falling off table, turned to side, chest rub to breathe) then yelling for help as he became too heavy and stiff. My provider is provaccine; I am pro-vaccine. However, fair and accurate reporting needs to take place so children are not injured and accurate data can be given to drive decision making.  It took over 45 minutes for my son to ambulate out of the office as he was too dizzy and weak to move. At home, he experienced nausea, vomiting, and extreme fatigue. He slept 15 hours that day - this is not normal behavior. Since the vaccination, he has lowered stamina and decrease in heat tolerance; this was evident in activities a week to two weeks following the vaccination reaction. In addition to physical symptoms, he has had extreme anxiety and worry. He has been a mildly anxious child but it has heightened ten fold since his response to the vaccination. My concerns have been dismissed by the pediatric provider though unwitnessed the event. As VAERS does not accept patient reporting, there is nowhere for the voices of parents to be heard. I hope this can be addressed. There was no work up but only a blood pressure taken after the reaction.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Somnolence, Syncope, Temperature intolerance, Tetany, Vomiting
Clinical narrative: My 12 year old son received a second gardasil vaccination and had (afebrile) seizure like activity with syncopal episode which included temporary contracture/tetany of upper body muscles and perceived anoxia as this writer observed circumoral cyanosis. This event occurred 10 min after receiving the vaccination and not more than 30 minutes after the vaccination. I am a RN, studying for my doctorate. I have seen and help many patients with syncopal episodes and this was not mere ?fainting? or ?needle anxiety.? This should have been reported to VAERS but instead was dismissed by the attending pediatric provider. No one in the office witnessed the first 45 seconds to minute of the episode. I was in the room with my child, was able to keep him safe (not falling off table, turned to side, chest rub to breathe) then yelling for help as he became too heavy and stiff. My provider is provaccine; I am pro-vaccine. However, fair and accurate reporting needs to take place so children are not injured and accurate data can be given to drive decision making.  It took over 45 minutes for my son to ambulate out of the office as he was too dizzy and weak to move. At home, he experienced nausea, vomiting, and extreme fatigue. He slept 15 hours that day - this is not normal behavior. Since the vaccination, he has lowered stamina and decrease in heat tolerance; this was evident in activities a week to two weeks following the vaccination reaction. In addition to physical symptoms, he has had extreme anxiety and worry. He has been a mildly anxious child but it has heightened ten fold since his response to the vaccination. My concerns have been dismissed by the pediatric provider though unwitnessed the event. As VAERS does not accept patient reporting, there is nowhere for the voices of parents to be heard. I hope this can be addressed. There was no work up but only a blood pressure taken after the reaction.
Age: 42.0
Sex: F
Vaccine: HPV9
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: The patient noticed swelling and redness (exact location of symptoms unknown). Later that day the patient went to urgent care and was diagnosed with cellulitis; This spontaneous report was received from nurse and refers to a 42-year-old non-pregnant female patient. The patient's medical history, concurrent conditions, concomitant therapies were not reported.  On 14-JUN-2024, the patient was vaccinated with the third dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, 0.5 milliliter, lot #W033612, expiration date reported as 03-MAR-2025, administered intramuscularly for prophylaxis.  On 15-JUN-2024, the patient noticed swelling and redness (exact location of symptoms unknown). Later that day, the patient went to urgent care and was diagnosed with cellulitis. On 18-JUN-2024, the patient recovered from the event.   The causal relationship between the event and hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) was unknown.
Age: 87.0
Sex: F
Vaccine: MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 87 year old patient that had a Menveo shot yesterday; needed the vaccine because she is getting a cochlear implant; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of inappropriate age at vaccine administration in a 87-year-old female patient who received Men ACWY-CRM NVS (Menveo) for prophylaxis.   On 20-JUN-2024, the patient received Menveo. On 20-JUN-2024, an unknown time after receiving Menveo, the patient experienced inappropriate age at vaccine administration (Verbatim: 87 year old patient that had a Menveo shot yesterday) and drug use for unapproved indication (Verbatim: needed the vaccine because she is getting a cochlear implant). The outcome of the inappropriate age at vaccine administration and drug use for unapproved indication were unknown.   Additional Information: GSK receipt date: 21-JUN-2024 The pharmacist reported that the patient had received Menveo vaccine at the age of 87 year old which led to, inappropriate age at vaccine administration. The reporter reported that the patient needed the vaccine because she was getting a cochlear implant, which led to drug use for unapproved indication  The vaccine administration facility was the same as primary reporter. The reporter consented to follow up.
Sex: M
Vaccine: MENB
Symptoms: Extra dose administered
Clinical narrative: Bexsero third dose administration; This non-serious case was reported by a other health professional via call center representative and described the occurrence of extra dose administered in a 18-year-old male patient who received Men B NVS (Bexsero) (batch number ZH7SN, expiry date 31-JAN-2027) for prophylaxis.   Previously administered products included Bexsero (In August 2022, received dose number 1) and Bexsero (On an unknown date, received dose number 0).   On 21-JUN-2024, the patient received the 3rd dose of Bexsero. On 21-JUN-2024, an unknown time after receiving Bexsero, the patient experienced extra dose administered (Verbatim: Bexsero third dose administration). The outcome of the extra dose administered was unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK receipt date: 21-JUN-2024 Physician assistant reported that the patient received Bexsero third dose y error, which led to extra dose administered. Reporter reported that the doses were not given as closely together to, he had the dose 0 and dose 1, and 2nd dose was not reported to the stated so he received a third dose about 2 years later almost. In August 2022 was the last dose given and then in June 2024 was the third dose. The reporter consented to follow-up.
Sex: U
Vaccine: MNQ, TDAP
Symptoms: Diabetic ketoacidosis, Tachycardia, Type 1 diabetes mellitus
Clinical narrative: tachycardia; DKA; Type 1; Initial information received on 21-Jun-2024 regarding an unsolicited valid Social Media serious case received from a consumer/non-healthcare professional.  This case involves an unknown age and unknown gender patient who experienced tachycardia, dka and type 1 after receiving meningococcal A-C-Y-W135 (D CONJ) vaccine [Menactra] and TDAP.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received an unknown dose of suspect meningococcal A-C-Y-W135 (D CONJ) vaccine Solution for injection and unknown dose of suspect TDAP not produced by Sanofi Pasteur (unknown formulation) (lot number, expiry date, strength, was unknown) via unknown route in unknown administration site for prophylactic vaccination (Immunization). Information regarding batch number and expiration date corresponding to the one at time of event occurrence was requested.  On an unknown date the patient had tachycardia, dka (diabetic ketoacidosis) and type 1 (type 1 diabetes mellitus) (unknown latency) following the administration of meningococcal A-C-Y-W135 (D CONJ) vaccine [Menactra] and TDAP.  Action taken: not applicable for all events.  It was not reported if the patient received a corrective treatment for all events.  At time of reporting, the outcome was Unknown for all events.  Seriousness Criteria: Medically significant for events diabetic ketoacidosis and type 1 diabetes mellitus.; Sender's Comments: Sanofi Company Comment dated 27-Jun-2024: This case involves an unknown age and unknown gender patient who experienced tachycardia, dka and type 1 after receiving meningococcal A-C-Y-W135 (D CONJ) vaccine [Menactra] and TDAP. Further information on medical history, allergy history, family history, past or concomitant medication, laboratory investigation, previous laboratory investigations excluding alternative etiologies for the reported event are needed to fully assess this case. Based upon the limited reported information, the role of the individual suspect vaccine cannot be assessed.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Injection site inflammation, Pyrexia, Rash, Rash maculo-papular
Clinical narrative: pt developed injection site inflammation at site of varivax 6/18 then a full body macpap rash on 6/20 with low grade fever
Age: 20.0
Sex: M
Vaccine: ADEN_4_7
Symptoms: Extra dose administered
Clinical narrative: Patient was administered second lifetime dose of adenovirus. Patient had previously taken adenovirus vaccine on August 11th, 2022. Patient was instructed on side effects of vaccine. Nursing supervisor made aware. Patient in no visible distress. No pain, SOB, n/v, or visible reaction at time of administration.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Nausea, Syncope, Vomiting
Clinical narrative: Had a brief syncope episode after the last injection.  Applied cool compress to head. Experienced some N/V. Mother wanted her to be checked out at the ER
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypotension, Pneumonia, Sepsis
Clinical narrative: Hospitalization for persistent hypotension, sepsis likely due to pneumonia, COVID-19 on dates 6/21/2024- 6/27/2024. Treated with dexamethasone, baricitinib, Remdesivir.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chest pain, Encephalopathy, Panic attack
Clinical narrative: Hospitalization for acute encephalopathy, syncope and collapse, r/o CVA/TIA, right shoulder pain, recent COVID infection, chest pain suspected due to panic attack on dates 6/22/2024- 6/26/2024. Treated with dexamethasone, vitamin C 500 mg PO daily, vitamin D3 50mcg PO daily, zinc 50 mg PO daily.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Hospitalization for acute encephalopathy, syncope and collapse, r/o CVA/TIA, right shoulder pain, recent COVID infection, chest pain suspected due to panic attack on dates 6/22/2024- 6/26/2024. Treated with dexamethasone, vitamin C 500 mg PO daily, vitamin D3 50mcg PO daily, zinc 50 mg PO daily.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Fall, Injury
Clinical narrative: Hospitalization for syncope, r/o CVA, generalized weakness, normocytic anemia, thrombocytopenia, AKI, possible cellulitis RLE, COVID-19, fall injury, history of BOOP on dates 6/20/2024- 6/24/2024. Treated with dexamethasone, baricitinib, Remdesivir.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Normocytic anaemia, Organising pneumonia, Syncope, Thrombocytopenia
Clinical narrative: Hospitalization for syncope, r/o CVA, generalized weakness, normocytic anemia, thrombocytopenia, AKI, possible cellulitis RLE, COVID-19, fall injury, history of BOOP on dates 6/20/2024- 6/24/2024. Treated with dexamethasone, baricitinib, Remdesivir.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Respiratory failure
Clinical narrative: Hospitalization for shortness of breath/COVID-19/ hypoxic respiratory on dates 6/27/2024- 6/30/2024. Treated with dexamethasone, Remdesivir.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Blood glucose normal, Dizziness, Presyncope
Clinical narrative: 1:25pm client reported feeling faint, suffered vasovagal episode. ammonia towelette used client regained consciousness; 1:30pm BP 60/30 p 52 SpO2 98% moved to lying position feet elevated; 1:35pm BP 88/48 P72 SpO2 98% mother offered emergency services refused stating client has done this before with needles, client reports has not eaten today; 1:40pm BP 99/62 P69 SpO2 98%; 1:45pm BP 101/49 P87 SpO2 98%; 1:50pm client moved to seated position BP 118/76 P91 SpO2 98% Fingerstick glucose 108, client requesting to go to restroom; 1:55pm standaing BP 119/88 P91 SpO2 98% client assisted to restroom mother stayed with client, client assisted back into lab; 2:00pm BP 115/69 P91 SpO2 98%; 2:05pm BP 105/71 P91: 2:10pm BP104/70 P 91 SpO2 98% mother states this is within client's normal range; client reports feeling much better at this time  07/02/2024 8:45am spoke with client's mother she reports client is fine today, she went home yesterday ate and rested and feels much better.
Age: 1.42
Sex: M
Vaccine: MMRV
Symptoms: Pain, Pruritus, Screaming, Urticaria
Clinical narrative: started having a reaction within 20 minutes of leaving office. She reports child was screaming in pain and pulling at clothes. She took his clothes off and noticed "hives" to neck, face, and chest. States he was itching at the area, and she gave Benadryl and used hydrocortisone cream. She reports that it seemed to help and noticed it started to flare up again around 2 am.
Sex: M
Vaccine: HEP, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: tdap was pulled from dispensing machine insteada of Hep B and administered.  Hep B was later given and Dr. notified of error.  No adverse reactions noted.
Age: 64.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Pain, Peripheral swelling, Skin warm
Clinical narrative: PER PATIENT - ON FRIDAY EVENING 6/28/24 - SWOLLEN ARM DOWN TO FINGER TIPS AND ARM WAS WARM TO THE TOUCH AND BODY ACHES BUT PATIENT REPORTS NO FEVER.  PATIENT WAS ADVISED TO TAKE TYLENOL AND ICE THE AREA.  ON 7/2/24 - SWELLING APPEARS BETTER FROM ELBO DOWN BUT STILL HAS SLIGHT SWELLING IN UPPER ARM.  PATIENT ON 7/2/24 WAS ADVISED TO FOLLOW UP WITH HER PCP.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Unevaluable event
Clinical narrative: Unknown
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Diarrhoea, Fatigue, Injection site erythema, Malaise, Nausea
Clinical narrative: Pt experienced nausea, diarrhea, and fatigue following pneumonia vaccination 6/26/24. Pt reported injection site redness and swelling in the R arm and started to not feel well.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Peripheral swelling
Clinical narrative: Pt experienced nausea, diarrhea, and fatigue following pneumonia vaccination 6/26/24. Pt reported injection site redness and swelling in the R arm and started to not feel well.
Age: 36.0
Sex: M
Vaccine: HPV9, HPV4, HPV9, HPV9
Symptoms: Anogenital warts, Squamous cell carcinoma
Clinical narrative: COHDYLOMA WITH SQUAII{OUS CELL CARCINOUA IN-SITU,
Age: 36.0
Sex: M
Vaccine: HPV9, HPV4, HPV9, HPV9
Symptoms: Acrochordon, Acrochordon excision, Anogenital warts, Biopsy skin abnormal, Inappropriate schedule of product administration
Clinical narrative: COHDYLOMA WITH SQUAII{OUS CELL CARCINOUA IN-SITU,
Age: 36.0
Sex: M
Vaccine: HPV9, HPV4, HPV9, HPV9
Symptoms: Interchange of vaccine products, Papilloma excision, Product administered to patient of inappropriate age, Product lot number issue, Skin cancer
Clinical narrative: COHDYLOMA WITH SQUAII{OUS CELL CARCINOUA IN-SITU,
Age: 36.0
Sex: M
Vaccine: HPV9, HPV4, HPV9, HPV9
Symptoms: Skin lesion, Squamous cell carcinoma
Clinical narrative: COHDYLOMA WITH SQUAII{OUS CELL CARCINOUA IN-SITU,
Age: 3.0
Sex: M
Vaccine: PNC20
Symptoms: Mouth swelling, Rash, Swollen tongue, Urticaria
Clinical narrative: "3 yo male s/p WCC on 6/27/24, at which time he had a pneumococcal vaccine.  The next day he began w/ bumpy rash all over body, also oral and tongue swelling, w/o trouble breathing.  Mom put child in the car and took him to the ED.  He  was seen at ED and received epinephrine, dexamethasone, and Benadryl.  Had no recurrence in 4 hrs, so was sent home to continue benadryl q 6 hr for 24 hrs.  Continues taking his daily loratadine.  Has cetirizine at home from when he had eczema in the past, which she gave at the time for the 3 days prescribed, but does not recall how effective it was.   This is the first time for pt having any vaccine reaction.  Vaccine given was PCV 20; prior to this he had PCV unspecified X 3 and more recently PCV 15 X 1 w/o incident.   Pt is only at home for now, but does spend time in daycare, when it reopens end August or early September." "Review of Systems  Constitutional:  Negative for activity change, appetite change and fever. HENT:  Negative for rhinorrhea, sore throat and trouble swallowing.  Oral and tongue swelling w/ recent reaction, now resolved.  Respiratory:  Negative for cough and wheezing. Gastrointestinal:  Negative for abdominal pain, diarrhea and vomiting. Skin:  Positive for rash. Hives, w/ 1-2 remaining resolving lesions. Allergic/Immunologic: Negative for food allergies." Documentation from MD note 07/01/2024.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 85.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Immediate post-injection reaction, Pain in extremity
Clinical narrative: Initial Shingles shot was on 22 Mar with no adverse effects. 2d Shingles shot was on 24 May (right arm) with immediate adverse effects (pain in my right arm). On 3 Jun I visited my family doctor for severe pain in my right arm and was prescribed Gabapentin 300mg, 60 ea to be taken twice a day. Will complete meds tomorrow but am still in severe pain. Looking for a remedy so I can get back to normal.
Age: 85.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain
Clinical narrative: Initial Shingles shot was on 22 Mar with no adverse effects. 2d Shingles shot was on 24 May (right arm) with immediate adverse effects (pain in my right arm). On 3 Jun I visited my family doctor for severe pain in my right arm and was prescribed Gabapentin 300mg, 60 ea to be taken twice a day. Will complete meds tomorrow but am still in severe pain. Looking for a remedy so I can get back to normal.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Immediate post-injection reaction, Loss of consciousness, Tremor, Vomiting
Clinical narrative: Passed out for 2 seconds after receiving HPV vaccine, patient had first received tdap and mcv vaccines, patient became alert after a few seconds and began vomiting and shaking . Patients vitals all within normal limits. Patient given water and observed for 15 minutes, with noted resolution of vomiting and shaking. Patient sent home with parent.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Computerised tomogram, Electroencephalogram, Generalised tonic-clonic seizure, Juvenile myoclonic epilepsy, Laboratory test
Clinical narrative: Patient had the Bexsero vaccination 10-24-23.  He started with myoclonic jerks within 1-2 weeks following this, which then progressed to a grand mal seizure on 12-22-24.  He had no history of myoclonic jerks or seizures prior to this.  He was diagnosed with juvenile myoclonic epilepsy following this vaccination.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Magnetic resonance imaging, Myoclonus
Clinical narrative: Patient had the Bexsero vaccination 10-24-23.  He started with myoclonic jerks within 1-2 weeks following this, which then progressed to a grand mal seizure on 12-22-24.  He had no history of myoclonic jerks or seizures prior to this.  He was diagnosed with juvenile myoclonic epilepsy following this vaccination.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Hypersensitivity, Injection site rash
Clinical narrative: Allergic reaction rash radiating around the injection site
Age: 18.0
Sex: F
Vaccine: YF
Symptoms: Dizziness, Injection site paraesthesia, Loss of consciousness, Nausea
Clinical narrative: Patient checked in to receive her medications and vaccines from a travel directive on Friday 6/28/24. Patient was previously called to go over everything on the travel directive before coming in. Patient received the Vaxchora oral vaccine first, patient reported feeling a little nauseated from the solution. Patient was given a 10 minute break before receiving her YF-Vax vaccine. Patient did check on the consent form and she also informed the pharmacist on duty that she often experiences "light-headedness" post vaccine. Patient stated she never had any anaphylactic reaction to any vaccines before. Patient was offered to be monitored for at least 15 minutes post vaccine or however long patient wished to stay. Patient was accompanied by her mother and younger brother into the immunization room. After YF-Vax was given, patient was being advised not to leave the Vivotif out for too long since it needed to stay refrigerated and other side effects to look out for. After about 3-4 minutes post vaccine, while still in the immunization, she stated that she was starting to feel a little dizzy and patient immediately lost consciousness. Patient was still remained in seated position during this time, her head tilted back on the chair with her mom supporting head. I was prepared to call for emergency service, however; patient regained consciousness within 3 seconds. Patient asked for a sip of water and was provided with water. Patient stated that patient experiences this type of syncope with every vaccine and non-vaccine related event such as a blood draw. After an additional 10 minutes in the immunization room, patient requested to be monitored outside of the room "to get some air." Patient stayed for another 15 minutes after, she did not experience any other symptoms and wanted monitoring to stop. Patient was contacted for a follow up on 7/1/24 (Monday), beside a little tingling sensation at the injection site, patient stated that patient did not experience any other symptoms.
Age: 1.5
Sex: F
Vaccine: MMRV
Symptoms: Extra dose administered
Clinical narrative: Patient was mistakenly given an extra dose of MMR due to rushing through a busy morning and having multiple patients waiting. Immunization screen was only checked by myself and was not doubled check by anyone else prior to administering the vaccine. Given the incident, Doctor will be ordering the vaccines to avoid an additional mistakes with patient care going forward
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Coronavirus test, Dizziness, Dyspnoea exertional, Hypertension
Clinical narrative: Episodes of upon standing or minimal exertion ( walking, carrying) breathlessness, tachycardia, nausea, shaking, weakness, sometimes vomiting;  erratic blood pressure spiking as high lately as 211/95. After episode 125/80. Blurred vision but eyes checked fine, lately vertigo lying down or turn to left, dizziness, loss of muscle tone, debilitation,  inflamed lungs, lack of energy
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotonia, Nausea, Pneumonitis, Tachycardia, Tremor
Clinical narrative: Episodes of upon standing or minimal exertion ( walking, carrying) breathlessness, tachycardia, nausea, shaking, weakness, sometimes vomiting;  erratic blood pressure spiking as high lately as 211/95. After episode 125/80. Blurred vision but eyes checked fine, lately vertigo lying down or turn to left, dizziness, loss of muscle tone, debilitation,  inflamed lungs, lack of energy
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo positional, Vision blurred, Vomiting
Clinical narrative: Episodes of upon standing or minimal exertion ( walking, carrying) breathlessness, tachycardia, nausea, shaking, weakness, sometimes vomiting;  erratic blood pressure spiking as high lately as 211/95. After episode 125/80. Blurred vision but eyes checked fine, lately vertigo lying down or turn to left, dizziness, loss of muscle tone, debilitation,  inflamed lungs, lack of energy
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Abdominal pain, Crying, Irritability, Sleep disorder
Clinical narrative: Nonstop irritability/crying within 24 hours persisting 2 days, sleep regression since receiving vaccines and ongoing, tummy pain/problems including ongoing dairy intolerance. Has doctored and seen chiropractor to help with the above.
Age: 35.0
Sex: F
Vaccine: HEPAB
Symptoms: Myalgia, Pain
Clinical narrative: Pt got twinrix immunization on 06/04 and 06/11, using rapid schedule due to leaving the country. Pt got vaccine in separate arms each time and reports having pain and muscle soreness ever since getting both immunizations. Grad-intern recommended pt reach out to her doctor since it had been over a week.
Age: 38.0
Sex: F
Vaccine: TYP, YF
Symptoms: Swelling face, Throat clearing, Urticaria
Clinical narrative: Patient called our office around 12:10pm stating that she was covered in hives on her face, chest, back. She also was noted to be clearing her throat by the receptionist. She had left the office 30+ minutes prior but came back in to follow up on the reaction. It was noted she had hives on chest, face, some facial swelling and was clearing her throat when talking. She was immediately redirected to ER that was 1 minute away. Arrived there and was administer epinephrine. Spoke with patient about an hour later and she was recovering well but remained at hospital for observation.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 vaccine was given beyond the refrigerator BUD date. Dose was noted to be invalid per provider and manufacture collaboration. No side effects noted.
Age: 41.0
Sex: M
Vaccine: PNC20
Symptoms: Chills, Malaise, Pain, Pyrexia
Clinical narrative: Patient reported feeling unwell after vaccine, fever, aches, chills. Patient did not require any additional medical treatment.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Blood creatine phosphokinase, Blood lactic acid, Blood magnesium, Chest X-ray, Computerised tomogram head
Clinical narrative: Patient received the vaccines and a few minutes later as they were checking out he felt dizzy and fainted after we were able to get him back to the exam room. His vital signs were normal. We made him lay down for about 20 minutes and gave him crackers to eat and water to drink. He said he felt better so the family left. While driving home he began to feel dizzy again so he was taken to Emergency Department. He was given a work up for dizziness. He was given fluids intravenously. Pepcid, Antivert and Zofran because he was also having nausea. The patient said that the dizziness left but for the next 2 days afterwards he felt tired and slept a lot. He was prescribed Antivert and Zofran for home use but the mother says she only filled the Zofran but he didn't need to use it.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Dizziness, Electrocardiogram, Metabolic function test, Procalcitonin, Syncope
Clinical narrative: Patient received the vaccines and a few minutes later as they were checking out he felt dizzy and fainted after we were able to get him back to the exam room. His vital signs were normal. We made him lay down for about 20 minutes and gave him crackers to eat and water to drink. He said he felt better so the family left. While driving home he began to feel dizzy again so he was taken to Emergency Department. He was given a work up for dizziness. He was given fluids intravenously. Pepcid, Antivert and Zofran because he was also having nausea. The patient said that the dizziness left but for the next 2 days afterwards he felt tired and slept a lot. He was prescribed Antivert and Zofran for home use but the mother says she only filled the Zofran but he didn't need to use it.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Troponin T, Urine analysis
Clinical narrative: Patient received the vaccines and a few minutes later as they were checking out he felt dizzy and fainted after we were able to get him back to the exam room. His vital signs were normal. We made him lay down for about 20 minutes and gave him crackers to eat and water to drink. He said he felt better so the family left. While driving home he began to feel dizzy again so he was taken to Emergency Department. He was given a work up for dizziness. He was given fluids intravenously. Pepcid, Antivert and Zofran because he was also having nausea. The patient said that the dizziness left but for the next 2 days afterwards he felt tired and slept a lot. He was prescribed Antivert and Zofran for home use but the mother says she only filled the Zofran but he didn't need to use it.
Age: 54.0
Sex: M
Vaccine: YF
Symptoms: Injection site pain, Pain
Clinical narrative: Shot was given on my left tricep area. Sometimes when I use that muscle group I feel some pain in the past few weeks.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Mother called, said child returned home & experienced dizziness, nausea & vomiting.  Explained to mother that this could possibly be from HPV.  Encouraged mother to call and report symptoms to primary doctor.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse events.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Wrong product administered
Clinical narrative: PATIENT GIVEN HEPISLAV AND ASKED FOR GARDASIL
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: SWOLLEN AND REDNESS ON INJECTION SITE. (07/02/24)
Age: 17.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Crying, Dyskinesia, Head injury, Headache, Immediate post-injection reaction
Clinical narrative: Directly after administration of all 3 vaccines, patient slumped forward into MA, and then jerked toward the back R side and passed out for approx 10 seconds.  A and O x4 directly after event, was lying down on the exam table and crying. Head injury was not witnessed by MA or parent in the room, but the next day patient had soreness on R back side of head with mild h/a and some nausea, suspected hit head when she passed out.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Loss of consciousness, Nausea, Posture abnormal
Clinical narrative: Directly after administration of all 3 vaccines, patient slumped forward into MA, and then jerked toward the back R side and passed out for approx 10 seconds.  A and O x4 directly after event, was lying down on the exam table and crying. Head injury was not witnessed by MA or parent in the room, but the next day patient had soreness on R back side of head with mild h/a and some nausea, suspected hit head when she passed out.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Hypersensitivity
Clinical narrative: Reviewed images and spoke to parent by phone. Allergic reaction to the vaccine is confirmed although he has no signs of anaphylaxis or respiratory compromise. Provided parent with the correct dosing of Benadryl and instruction for care
Age: 17.0
Sex: F
Vaccine: MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse effect to report. EMR showed the patient was due for MMR and varicella vaccine.  MMRV was administrated without complications. The nurse staff noticed the patient had previously completed a series of these vaccines. The patient did not need the additional dose. The nurse reached out to the patient, who reported no adverse effects. The patient was advised to come to the clinic for further assessment if needed.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 6/30/2024.
Age: 19.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Arthralgia, Discoloured vomit, Pyrexia, Vomiting
Clinical narrative: Pt phoned and stated she began with sore arm evening of 7/1/24 and during night began with fever (reportedly 104 F) and continual vomiting of yellow and green vomitus. Pt did present to PMD. Was instructed to take Tylenol.
Age: 1.42
Sex: F
Vaccine: DTPPVHBHPB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The wrong vaccine was given on 7-1-24. The vaccine that was supposed to be given was Dtap but Vaxelis was instead. No issues were noted.
Age: 54.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Extra dose administered, Pain, Swelling
Clinical narrative: BAD SWEELING AND SORENESS . ADMITTED IN THE HOSPITAL AND BEING TREATED FOR OVERDOISNG VACCINES
Age: 26.0
Sex: M
Vaccine: HPV9
Symptoms: Fatigue, Feeling hot, Hyperhidrosis, Injection site pain, Nausea
Clinical narrative: Patient was instructed to remain seated following vaccine administration. Almost immediately following injection, 5 minutes or less, the patient became over - heated , nauseous, and sweating profusely. He asked for water and said he was hot. He began to kick off his shoes and take off outer layers of clothes. After drinking the water and drying the sweat off  his face . He said he had to lie down, I helped him onto the floor. He said he felt like he had ran a mile and was very tired. The effects lasted about 15 minutes. The patient received supportive treatment/ care for his symptoms and was monitored the entire time in the event emergency care would be needed. His symptoms lasted about 15 minutes and he remained in the pharmacy for and additional 15- 20 minutes after symptoms resolved as a precaution. He felt well enough to return to work . His supervisors were notified . He returned to work the next day and 24 hours later he reported no additional adverse events when I followed up with him. He said he felt energetic and had a good night sleeping. He said his arm was not overly sore at the injection site. He also wanted to confirm the time tablet for the last 2vaccinatiions in the series.
Age: 18.0
Sex: F
Vaccine: HPV9
Symptoms: Immediate post-injection reaction, Pallor, Seizure, Syncope
Clinical narrative: Patient received dose 2 of Gardasil 9 in the left deltoid; She became pale and fainted approximately 30 seconds thereafter.  She then recovered but fainted again approximately 5 minutes after the first fainting spell, and had a suspected seizure.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site pain, Neck pain, Pain in extremity
Clinical narrative: Soreness on the area of the vaccine.  Now it is pain from neck, shoulder & arm.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Syncope
Clinical narrative: The patient experienced syncope and fainted while at UT Health East Texas emergency department with her husband. The attending physician was (name withheld). At this time we do not have any further information on outcome.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Cellulitis
Clinical narrative: Cellulitis
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Lip swelling
Clinical narrative: swelling of left upper and lower lip 12hrs after vaccination (only left -- right lip remained normal) -- resolved almost completely after chewable Zyrtec 10mg, chewable famotidine (within 2hrs)
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Head injury, Syncope
Clinical narrative: The patient had syncope/fainting at home then was taken to the emergency room due to a head injury from fainting.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray normal
Clinical narrative: Patient described that she had an 'exploding pain' in her arm after her 3rd vaccination at HD. Patient stated she continues to have pain in her arm that worsens at night for the last 3 years.
Age: 17.0
Sex: F
Vaccine: HEP, IPV, VARCEL
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient was administered wrong Vaccines. Provider ordered the wrong vaccines thinking the patient was overdue for them. However vaccines were scanned in on patients chart.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine delivered to facility expired. Packaging and vial had different expiration dates
Age: 41.0
Sex: F
Vaccine: HEP, PNC20
Symptoms: Blood pressure decreased, Cold sweat, Malaise, Mydriasis, Pallor
Clinical narrative: Nurse gave patient Heplisav and Prevnar 20 .  A minute after patient received the second vaccine; pt became clammy, not feeling well, dilated pupils, pale.  This nurse did obtain a set of vitals.  BP reported low.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product expiration date issue
Clinical narrative: Vaccine delivered to facility expired. Packaging and vial had different dates.
Age: 18.0
Sex: F
Vaccine: MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given vaccine above acceptable age.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Product administered at inappropriate site
Clinical narrative: Patient presented to the pharmacy on 07/02/24 saying she has been doing physical therapy for the last 3 months because of a case of Bursitis.  Her orthopedic doctor told her it is from getting the vaccine too high on her arm.