chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.58
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No additional AE/PQC.; I just looked a label bin labled Prevnar 13 and grab a vaccine. In the bins was prevnar 13 and HPV I didn't notice until after I administered the HPV vaccine; product storage error; This spontaneous report was received from a consumer and refers to a 19-month-old male patient. No information on patient's medical history and current conditions was provided. Concomitant therapies included diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (DTAP) and hib vaccine (HIB).  On 24-JUL-2024 the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) lot # 1965035 and expiration date 20-SEP-2025, 0.5 milliliter, subcutaneously (also reported as intramuscularly) in the right thigh for prophylaxis (dose number was not provided) instead of pneumococcal vaccine conj 13v (crm197) (PREVNAR 13) as result of mistake (wrong product administered).  It was indicated that the medication error occurred at storage in clinical practice. The vaccine administrator looked at bin labeled as Prevnar 13 and grabbed the vaccine. In the bin was Prevnar 13 and HPV vaccine. The administrator didn't notice until after administration that the incorrect vaccine was given (product storage error). No additional adverse events were reported (no adverse event).
Age: 1.58
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Medication error, No adverse event, Product storage error, Wrong product administered
Clinical narrative: No additional AE/PQC.; I just looked a label bin labled Prevnar 13 and grab a vaccine. In the bins was prevnar 13 and HPV I didn't notice until after I administered the HPV vaccine; product storage error; This spontaneous report was received from a consumer and refers to a 19-month-old male patient. No information on patient's medical history and current conditions was provided. Concomitant therapies included diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (DTAP) and hib vaccine (HIB).  On 24-JUL-2024 the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) lot # 1965035 and expiration date 20-SEP-2025, 0.5 milliliter, subcutaneously (also reported as intramuscularly) in the right thigh for prophylaxis (dose number was not provided) instead of pneumococcal vaccine conj 13v (crm197) (PREVNAR 13) as result of mistake (wrong product administered).  It was indicated that the medication error occurred at storage in clinical practice. The vaccine administrator looked at bin labeled as Prevnar 13 and grabbed the vaccine. In the bin was Prevnar 13 and HPV vaccine. The administrator didn't notice until after administration that the incorrect vaccine was given (product storage error). No additional adverse events were reported (no adverse event).
Age: 18.0
Sex: M
Vaccine: HPV9, HPV9, MNQ
Symptoms: Arthralgia, Computerised tomogram thorax, Culture positive, Echocardiogram, Injected limb mobility decreased
Clinical narrative: I had instant pain after HPV shot and had to stay after shot for observation. Pain progressed to left shoulder and clavicle chest area. Went to urgent care for pain. Went to ER same evening for pain. Went to PC, back to Er and was finally admitted on thirs ER visit with bacterial blood infection.
Age: 18.0
Sex: M
Vaccine: HPV9, HPV9, MNQ
Symptoms: Magnetic resonance imaging, Scan with contrast, Staphylococcus test positive, Ultrasound scan, X-ray
Clinical narrative: I had instant pain after HPV shot and had to stay after shot for observation. Pain progressed to left shoulder and clavicle chest area. Went to urgent care for pain. Went to ER same evening for pain. Went to PC, back to Er and was finally admitted on thirs ER visit with bacterial blood infection.
Age: 18.0
Sex: M
Vaccine: HPV9, HPV9, MNQ
Symptoms: X-ray limb
Clinical narrative: I had instant pain after HPV shot and had to stay after shot for observation. Pain progressed to left shoulder and clavicle chest area. Went to urgent care for pain. Went to ER same evening for pain. Went to PC, back to Er and was finally admitted on thirs ER visit with bacterial blood infection.
Age: 18.0
Sex: M
Vaccine: HPV9, HPV9, MNQ
Symptoms: Bacteraemia, Blood culture, C-reactive protein, Chest pain, Computerised tomogram
Clinical narrative: I had instant pain after HPV shot and had to stay after shot for observation. Pain progressed to left shoulder and clavicle chest area. Went to urgent care for pain. Went to ER same evening for pain. Went to PC, back to Er and was finally admitted on thirs ER visit with bacterial blood infection.
Age: 18.0
Sex: M
Vaccine: HPV9, HPV9, MNQ
Symptoms: Echocardiogram, Full blood count, Immediate post-injection reaction, Injection site pain, Laboratory test
Clinical narrative: I had instant pain after HPV shot and had to stay after shot for observation. Pain progressed to left shoulder and clavicle chest area. Went to urgent care for pain. Went to ER same evening for pain. Went to PC, back to Er and was finally admitted on thirs ER visit with bacterial blood infection.
Age: 18.0
Sex: M
Vaccine: HPV9, HPV9, MNQ
Symptoms: Magnetic resonance imaging, Metabolic function test, Pain, Red blood cell sedimentation rate, X-ray
Clinical narrative: I had instant pain after HPV shot and had to stay after shot for observation. Pain progressed to left shoulder and clavicle chest area. Went to urgent care for pain. Went to ER same evening for pain. Went to PC, back to Er and was finally admitted on thirs ER visit with bacterial blood infection.
Age: 63.0
Sex: F
Vaccine: MMR
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Caller states the patient did not report at symptoms or side effects. No additional AE; a patient was given their second dose of MMR II one day earlier than the indicated 4-week interval. First dose was administered 06/23/2024 and second dose was administered 07/20/2024; This spontaneous report was received from a pharmacist and referred to a 63-year-old female patient.  The patient's medical, concurrent conditions and concomitant therapies were not reported.  On 23-JUN-2024, the patient was vaccinated with the first dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) injection, administered for prophylaxis (strength, dose, lot #, expiry date, and route of administration were not provided). On 20-JUL-2024, the patient was vaccinated with the second dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live recombinant Human albumin (rHA) (M-M-R II) injection, 0.5 milliliter, administered for prophylaxis lot# x019102 (expiration date: 16-JUL-2025) (strength and route of administration were not provided). Therefore, the patient was given their second dose of this vaccine one day earlier than the indicated 4-week interval (Inappropriate schedule of product administration). The patient did not report at symptoms or side effects. No further information provided. No additional adverse event (AE) (No adverse event)/ No product quality complaint (PQC).  Lot # is being requested and will be submitted if received.
Age: 22.0
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No additional AEs or PQC; Caller reported PROQUAD administered to 22 year old instead of VARIVAX.; This spontaneous report was received from a Nurse and refers to a 22-year-old patient of unknown gender.  The patient's medical history, drug reactions or allergies, concurrent conditions and concomitant therapies were not reported.  On 02-AUG-2024, the patient was vaccinated with measles, mumps, rubella and varicella (oka-merck) virus vaccine live (recombinant Human Albumin) (PROQUAD) injection, 0.5 milliliter, lot #X019557, expiration date: 19-JAN-2025, administered for prophylaxis (strength, and route of administration were not provided) instead of varicella virus vaccine live (oka/merck) (VARIVAX) (strength, lot #, expiry date, and route of administration were not provided) (Wrong product administered) for prophylaxis. Operator of device was reported as health professional. No symptoms were reported. No additional adverse events or product quality complaint were reported.
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Rash, Rash erythematous
Clinical narrative: and the rash has gotten worse and spread to the left side of my chest; I first noticed the rash the day I got the GARDASIL 9 vaccine, and it is red, itchy, and bumpy, and the rash has gotten worse and spread to the left side of my chest; I first noticed the rash the day I got the GARDASIL 9 vaccine, and it is red, itchy, and bumpy, and the rash has gotten worse and spread to the left side of my chest; I first noticed the rash the day I got the GARDASIL 9 vaccine, and it is red, itchy, and bumpy, and the rash has gotten worse and spread to the left side of my chest; I first noticed the rash the day I got the GARDASIL 9 vaccine, and it is red, itchy, and bumpy, and the rash has gotten worse and spread to the left side of my chest; This spontaneous report was received from pharmacist and refers to a 26-year-old female patient. The patient's pertinent medical history was not reported. She was with birth control.   On 03-AUG-2024, the patient was vaccinated with the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) pre-filled syringe injection 0.5 milliliter, lot number: W013165, expiration date: 14-DEC-2024 reported and upon internal review stablished as valid for hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) pre-filled syringe, administered on her left upper arm as prophylaxis (strength not provided).  Later on the same day after the administration of her first dose, she noted her arm was red, itchy and bumpy, and had gotten worse and spread on the left (conflicting, also reported as right) side of her chest (rash, vaccination site rash, vaccination site mass, vaccination site pruritus, vaccination site erythema). The reporter mentioned that the patient did not sought medical attention, no laboratories or diagnostic procedures were performed, and did not mention if any treatment was administered due to the events. By the reporting time, she had not recovered from the events.  The causal relationship between the events and hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) pre-filled syringe was not provided.
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Rash pruritic
Clinical narrative: and the rash has gotten worse and spread to the left side of my chest; I first noticed the rash the day I got the GARDASIL 9 vaccine, and it is red, itchy, and bumpy, and the rash has gotten worse and spread to the left side of my chest; I first noticed the rash the day I got the GARDASIL 9 vaccine, and it is red, itchy, and bumpy, and the rash has gotten worse and spread to the left side of my chest; I first noticed the rash the day I got the GARDASIL 9 vaccine, and it is red, itchy, and bumpy, and the rash has gotten worse and spread to the left side of my chest; I first noticed the rash the day I got the GARDASIL 9 vaccine, and it is red, itchy, and bumpy, and the rash has gotten worse and spread to the left side of my chest; This spontaneous report was received from pharmacist and refers to a 26-year-old female patient. The patient's pertinent medical history was not reported. She was with birth control.   On 03-AUG-2024, the patient was vaccinated with the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) pre-filled syringe injection 0.5 milliliter, lot number: W013165, expiration date: 14-DEC-2024 reported and upon internal review stablished as valid for hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) pre-filled syringe, administered on her left upper arm as prophylaxis (strength not provided).  Later on the same day after the administration of her first dose, she noted her arm was red, itchy and bumpy, and had gotten worse and spread on the left (conflicting, also reported as right) side of her chest (rash, vaccination site rash, vaccination site mass, vaccination site pruritus, vaccination site erythema). The reporter mentioned that the patient did not sought medical attention, no laboratories or diagnostic procedures were performed, and did not mention if any treatment was administered due to the events. By the reporting time, she had not recovered from the events.  The causal relationship between the events and hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) pre-filled syringe was not provided.
Sex: F
Vaccine: MMR
Symptoms: Viral titre decreased
Clinical narrative: Consumer stated "I had some blood work done for my new job about 2 months ago and they said that my Measles titer was low and they are telling my that I need to be revaccinated with MMR to bring my immunity up; This spontaneous report was received from a consumer, referring to herself a 46-year-old non-pregnant female patient.   Information regarding the patient's medical history, past drug history, drug reactions or allergies, and concomitant medications was not reported. Concurrent condition included Celiac disease (gluten allergy).  On an unspecified date (when she was young), the patient was vaccinated with Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II) injection (strength, dose, vaccination scheme, anatomical site, lot number and expiry date were not reported), intramuscularly for prophylaxis.  On an unspecified date in June 2024 (also reported as "about two months ago"), she had some blood work done for her new job and they said that her Measles titer was low (Viral titre decreased) and they were telling her that she needed to be revaccinated to bring her immunity up for her job in the hospital working with equipment. She did not directly work with patients, and she was not a healthcare worker. She did not have her medication records to see what vaccine she was given, but she knew that she did not have any reactions. Currently she did not have a primary care physician but would send her physician information when she would get one.  At the reporting time, the outcome of the event was not known.  The causality assessment between the event and Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II) was not provided.  Lot number is being request and would be submitted if available.
Age: 0.17
Sex: F
Vaccine: HEP, HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Inappropriate schedule of vaccine administration VAQTA (second dose 3 years after first dose); Inappropriate schedule of vaccine administration RECOMBIVAX (second dose at 2 months old); This spontaneous report was received from an unspecified health professional, via medical records from a case in litigation for HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) (MARRS #  2402USA009423), concerning to a 10 week old female patient.      On 11-AUG-2004, the patient was vaccinated with the second dose of hepatitis b vaccine (recombinant)(RECOMBIVAX HB) (at 10 weeks, reported as at 2 months (2M)) (lot # 0449N, expiration date reported as February 2006, in the left leg (LL). On 03-AUG-2009, the patient was vaccinated with the first dose of hepatitis a vaccine, inactivated (VAQTA) lot # 02064, expiration date reported as December 2011, in the left arm (LA); and on 18-JUN-2012, she received the second dose of hepatitis a vaccine, inactivated (VAQTA) (3 years later) (lot # 0325AE confirmed as valid, expiration date reported as December 2014 but upon internal validation established as 09-DEC-2014) in the LA (strength, route of administration not provided for any vaccine and any dose) as prophylaxis (inappropriate schedule of product administration for both vaccines).  Lot number 0449N is an invalid lot number for hepatitis b vaccine (recombinant)(RECOMBIVAX HB). Lot number 02064 is an invalid lot number for hepatitis a vaccine, inactivated (VAQTA).; Sender's Comments:  US-009507513-2402USA009423:
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Exposure during pregnancy, Induration, Nodule, Pain in extremity
Clinical narrative: Adacel: Arthus reaction in third trimester. Hot, red and very painful arm for several days with firm nodule. Firm nodule at vaccine site has persisted weeks after vaccination.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Skin warm, Type III immune complex mediated reaction, Vaccination site induration, Vaccination site nodule
Clinical narrative: Adacel: Arthus reaction in third trimester. Hot, red and very painful arm for several days with firm nodule. Firm nodule at vaccine site has persisted weeks after vaccination.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Brain fog, Memory impairment
Clinical narrative: i am on 52 years old now , and ever since my Pfizer vaccine shots on 4/29/21 my short term memory is terrible. i have brain fog all day long and it is hard to recall things from a few hours ago , let alone from a few days. my long term memory si fine. i believe this product pfizer BNT162b2 lot EW0150 has everything to dao with my sudden decline in short term memory.
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus, Injection site reaction, Injection site swelling, Peripheral swelling
Clinical narrative: I got Norplant in the 1990s when it was first on the market through my then provider. It was very uncomfortable and after about a year I asked for it to be removed. This had been placed in my upper left arm. The scar never left and the area was always itchy. I did not think to have the vaccine for COVID done in my right arm because of this. But in 2020 when the COVID vaccine became available I had pfiser vaccine in my upper left arm which was my shoulder. On the first vaccine there wasnt much of an issues. On the second vaccine though, my upper left shoulder and arm swoll up and I had to call the medical advice nurse about this. She said to see a doctor if it became red, itchy or if I had a fever. The lump swelling area went down after a day or two and I never had any other symptoms. However, recently within the past month or two, my entire upper left arm has weird lines and lumps in it and is constantly itchy. Since I have never had thses symptoms before, I plan on talking to my PCP about them but sadly they always act foolish and pretend like there is nothing wrong I assume this is to avoid any liability. That is why I am filing a report first before I see them this time. That way if they act like my symptoms arent concerning to them as they are to me, there is a record of my concerns.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Urticaria
Clinical narrative: itchiness and hives appeared a few days after MMR injection
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: 13yr old boy, hard lump at injection site, hot to touch, red. 5 days after receiving hpv vaccine. Lump not getting smaller.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Headache, Myalgia
Clinical narrative: Headache, shivering, muscle pain, diarrhea
Age: 57.0
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events. Patient was 3 years under the recommended age for administration of RSV vaccines. Patients prescriber advised her to receive the vaccine before she was eligable.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEP, MMRV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Kinrix was given for 4th dose of DTAP and 3rd dose of IPV
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Detoxification, Disturbance in attention, Malaise, Prostate cancer, Starvation
Clinical narrative: PFIZER #1 1/20/2021 PFIZER #2 2/10/2021 PFIZER #3 2/16/2021 DEVELOPED VACCINE INDUCED POST EXERTIONAL MALAISE, LACK OF MENTAL CLARITY, WEIGHT LOSS, INANITION.   TREATED WITH PROLONGED IVM, NICOTINE PATCH,  PROTOCOL
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: PFIZER #1 1/20/2021 PFIZER #2 2/10/2021 PFIZER #3 2/16/2021 DEVELOPED VACCINE INDUCED POST EXERTIONAL MALAISE, LACK OF MENTAL CLARITY, WEIGHT LOSS, INANITION.   TREATED WITH PROLONGED IVM, NICOTINE PATCH,  PROTOCOL
Age: 57.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient was given his 2nd dose of Vaqta too soon. The original dose was given here on 2/9/24 and should not have been due until 8/9/24. No issues reported, just was given too early.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Injection site swelling, Joint swelling, Localised infection, Peripheral swelling
Clinical narrative: Patient's mother called on 8/19/24 and complained the her son who came to the clinic. She stated the her son came to the clinic for his Tdap and Meningococcal (MCV4) vaccines on 8/19/2024. She stated both vaccines where given in the left arm, and after the injections the arm swole up. Now the left arm is swollen from the shoulder joint to the fingers. ( whole left arm). The arm is red and warm. She took the child to the Hospital where she was told that the arm was infected. The child is being treated with antibiotics and still in the hospital.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Skin warm
Clinical narrative: Patient's mother called on 8/19/24 and complained the her son who came to the clinic. She stated the her son came to the clinic for his Tdap and Meningococcal (MCV4) vaccines on 8/19/2024. She stated both vaccines where given in the left arm, and after the injections the arm swole up. Now the left arm is swollen from the shoulder joint to the fingers. ( whole left arm). The arm is red and warm. She took the child to the Hospital where she was told that the arm was infected. The child is being treated with antibiotics and still in the hospital.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Mother reports a raise hive at injection site of ProQuad. Patient reports that it is warm to the touch, burns, and hurts. Mother has been using topical creams for the itching, and will start using ice packs for swelling.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The patient was given a dose a dose of Tdap and MCV4 that was not needed. The patient was vaccinated with MCV4 previously on 03/29/2023 and Tdap on 3/29/2024. No symptoms were presented by the patient.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Extra dose administered
Clinical narrative: pt received proquad and kinrix when it was administer 4 months ago , mother did not remember if pt had her 4 yr wcc and nurse confused shot record with sister due to her having 3 shot record in hand
Age: 38.0
Sex: F
Vaccine: VARCEL
Symptoms: Syncope
Clinical narrative: Patient experienced brief syncope
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Chest pain, Dizziness, Dysphagia, Dyspnoea
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Other Vaccines:  VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 946583; Route: muscle; BodySite: right arm; Dose: 1; VaxDate: 08/12/2024
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Other Vaccines:  VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 946583; Route: muscle; BodySite: right arm; Dose: 1; VaxDate: 08/12/2024
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Immunisation reaction, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: LARGE LOCALIZED REACTION TO VACCINE, ABOUT SOFTBALL-SIZED REDNESS, WITH SWELLING AND ITCHING - POSSIBLE CELLULITIS??
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Local reaction
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: LARGE LOCALIZED REACTION TO VACCINE, ABOUT SOFTBALL-SIZED REDNESS, WITH SWELLING AND ITCHING - POSSIBLE CELLULITIS??
Age: 65.0
Sex: M
Vaccine: PNC20
Symptoms: Erythema, Inflammation, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Per pt, inflammation, redness, and pain started the day after vaccine administration, 8/7/24.  Pt did not feel the need to take ibuprofen until 8/12/24, at which point, he experienced some pain/inflammation relief.  As of 8/13/24, the area is still red. Pt was advised to take ibuprofen as needed for pain and if pain does not resolve after a couple days of taking ibuprofen then to see PCP.
Age: 65.0
Sex: M
Vaccine: PNC20
Symptoms: Pain
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Per pt, inflammation, redness, and pain started the day after vaccine administration, 8/7/24.  Pt did not feel the need to take ibuprofen until 8/12/24, at which point, he experienced some pain/inflammation relief.  As of 8/13/24, the area is still red. Pt was advised to take ibuprofen as needed for pain and if pain does not resolve after a couple days of taking ibuprofen then to see PCP.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Mild
Age: 17.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe
Age: 29.0
Sex: F
Vaccine: HPV9
Symptoms: Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: patient reported to the pharmacy with a rash and itching over her entire body after the hpv vaccine. patient said she has never had a reaction to any medication or vaccine before. sent patient home with benadryl and told to go to ER if trouble breathing, Other Vaccines:  VaccineTypeBrand: hpv gardasil 9; Manufacturer: merck; LotNumber: 1965046; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
Age: 29.0
Sex: F
Vaccine: HPV9
Symptoms: Rash
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: patient reported to the pharmacy with a rash and itching over her entire body after the hpv vaccine. patient said she has never had a reaction to any medication or vaccine before. sent patient home with benadryl and told to go to ER if trouble breathing, Other Vaccines:  VaccineTypeBrand: hpv gardasil 9; Manufacturer: merck; LotNumber: 1965046; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site pain, Nervous system disorder
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: shingles-Medium, Systemic: Neurological Disorder (diagnosed by MD)-Medium, Additional Details: pt got shingles, Other Vaccines:  VaccineTypeBrand: prevnar 20; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Confusional state, Dizziness, Fatigue, Lethargy, Loss of consciousness
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient fainted 10 min after receiving flu shot, was placed on the floor to avoid hitting the foor for 5 min until she regained consciousness.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient fainted 10 min after receiving flu shot, was placed on the floor to avoid hitting the foor for 5 min until she regained consciousness.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Additional Details: Red, itchy, hot patch on the inside of vaccine arm above elbow
Age: 51.0
Sex: F
Vaccine: FLUR4
Symptoms: Asthenia, Cold sweat, Fatigue, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium, Additional Details: full-body cold sweat
Age: 51.0
Sex: F
Vaccine: FLUR4
Symptoms: Lethargy, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium, Additional Details: full-body cold sweat
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Additional Details: pt had reaction to shingles vaccine, had shingles in january, dr told her to get vaccine, arm is painful to touch itching and very red, she will follow up with md if necessary, advised benadryl, hydrocortisone cream, and ice for now
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site pain, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Medium, Systemic: Unable to Sleep-Medium, Additional Details: Prolonged pain at and around injection site. Later in the day of getting her vaccine, she called to report radiating pain going up her arm. She reported that she can't sleep on that arm due to discomfort.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Sleep disorder
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Medium, Systemic: Unable to Sleep-Medium, Additional Details: Prolonged pain at and around injection site. Later in the day of getting her vaccine, she called to report radiating pain going up her arm. She reported that she can't sleep on that arm due to discomfort.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Peripheral swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Swelling of forearm from elbow half way down the forearm. not painful, not warm to touch.-Medium, Other Vaccines:  VaccineTypeBrand: Fluzone HD triv 2024-2025; Manufacturer: Sanofi; LotNumber: ut8419ba; Route: IM; BodySite: RD; Dose: 1; VaxDate: 08/15/2024
Age: 11.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Injection site pain, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Medium
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Medium
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Pt called to inform that he noticed his arm is a little swollen this morning after receiving the shingrix vaccine yesterday (8/17). I informed him it can be a normal reaction to the vaccine. I also told him that he could take a benadryl. I told the pt that if the swelling continues to get worse he should go to urgent care to get his arm looked at.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Dermatitis allergic
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Dermatitis allergic, Rash
Clinical narrative: Systemic: Allergic: Rash Generalized-Mild, Additional Details: selected flucelvax quadrivalent above because flucelvax trivalent was not available to select. patient received flucelvax trivalent 2024-2025 vaccine (not flucelvax quadrivalent), Other Vaccines:  VaccineTypeBrand: influenza (seasonal) flucelvax trivalent 2024-2025; Manufacturer: seqirus, inc; LotNumber: 946578; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: 08/16/2024
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Blister, Disorientation, Eye contusion, Fall, Haemorrhage
Clinical narrative: While at work site, I responded to the heat and humidity by drinking a icy cold 16 oz Gatorade in one long drink. I now recognize the signs of syncope as I had a disorienting reaction to the consumption and I leaned on a nearby golf cart. Next sensation was looking at the scene sideways(I was laying on the ground) wondering where I was and what as going on. Then I noted blood dripping from some injury to my head. Recovered within a minute or so to stand up on my own and seek treatment and recovery from fainting. I also noted several pin sized white blisters on my fingers on the left hand which came and went within a 30 minute time frame but several instances separated by hours.
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Head injury, Syncope
Clinical narrative: While at work site, I responded to the heat and humidity by drinking a icy cold 16 oz Gatorade in one long drink. I now recognize the signs of syncope as I had a disorienting reaction to the consumption and I leaned on a nearby golf cart. Next sensation was looking at the scene sideways(I was laying on the ground) wondering where I was and what as going on. Then I noted blood dripping from some injury to my head. Recovered within a minute or so to stand up on my own and seek treatment and recovery from fainting. I also noted several pin sized white blisters on my fingers on the left hand which came and went within a 30 minute time frame but several instances separated by hours.
Age: 10.0
Sex: M
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, pain, lump at injection site
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cough, Ocular hyperaemia, Sneezing, Tongue pruritus
Clinical narrative: 8/21/24 PATIENT 4 YEARS OF AGE, 10:35 AM KINRIX, MMR, VAR (VIA DOC IN ITEM 17). PATIENT BEGINS TO SNEEZE AND COUGH AFTER VACCINATION AND AFTER TOUCHING PLASTIC PLANT WITH DUST IN THE OFFICE. PATIENT COMPLETES OBSERVATION PERIOD OF 15 MIN. MOTHER GOES TO THE NURSING OFFICE REFERRING MINOR REPORTS ITCHING ON THE TONGUE. PHYSICAL EXAMINATION WAS PERFORMED, PATIENT DID NOT PRESENT EDEMA, RASH, INTERNAL ORAL TISSUE AND TONGUE WITHOUT THE PRESENCE OF REDNESS OR EDEMA. PATIENT SHOWS SLIGHTLY RED EYES. VITAL SIGNS ARE TAKEN 10:59 AM, STABLE 101/60 BPM 101. PEDIATRICIAN INVESTIGATES SITUATION, WE REFER OBSERVATION. IT IS CONCLUDED THAT EVERYTHING IS FINE AND WE SUGGEST TO MOTHER THAT ANY SYMPTOMS OF INFLAMMATION, RASH, REDNESS OR RESPIRATORY DIFFICULTY GO TO THE NEAREST EMERGENCY ROOM AND WE ESTIMATE NOT A MAXIMUM OF 72 HOURS FOR ANY SYMPTOMS RELATED TO THE VACCINE. MOTHER REPORTS UNDERSTANDING
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Blister, Burning sensation, Erythema, Mobility decreased, Pain in extremity
Clinical narrative: Received vaccines - MenQuadfi in right arm and Bexsero in left arm. Reaction began within 3-4 hours of vaccine administration with itching, followed by difficulty moving arm due to swelling and pain. Redness and blister started the next day. Burning sensation at the blister sight.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: Received vaccines - MenQuadfi in right arm and Bexsero in left arm. Reaction began within 3-4 hours of vaccine administration with itching, followed by difficulty moving arm due to swelling and pain. Redness and blister started the next day. Burning sensation at the blister sight.
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was seen at the office for a 18 month well visit. During the visit provider MD ordered the vaccine Hep A to be administered. CMA administered the vaccine.  But, overlooked that the 1st dose of Hep A was given less than 6 months ago. While double checking the immunization system to ensure all vaccine entered I noticed the adverse event. Patient was notified and will need to revaccinate.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Computerised tomogram, Dizziness, Fall
Clinical narrative: Noticable loss of balance beginning about 3 months after injection.  Falls over the past two years resulted in broken left wrist, broken nose, broken two on right foot, and disflodging of 3 teeth and stitches inner and ourter lip.  Have had MRIs, CAT scans, Xrays,  apptst wotj ENT, neurologist overover the last 2 years with no help.  It is a constant issue that has persisted.   Periodic dizzyness each day and diminished strength is noticable.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Foot fracture, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Tooth dislocation, Wound closure
Clinical narrative: Noticable loss of balance beginning about 3 months after injection.  Falls over the past two years resulted in broken left wrist, broken nose, broken two on right foot, and disflodging of 3 teeth and stitches inner and ourter lip.  Have had MRIs, CAT scans, Xrays,  apptst wotj ENT, neurologist overover the last 2 years with no help.  It is a constant issue that has persisted.   Periodic dizzyness each day and diminished strength is noticable.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Wrist fracture, X-ray
Clinical narrative: Noticable loss of balance beginning about 3 months after injection.  Falls over the past two years resulted in broken left wrist, broken nose, broken two on right foot, and disflodging of 3 teeth and stitches inner and ourter lip.  Have had MRIs, CAT scans, Xrays,  apptst wotj ENT, neurologist overover the last 2 years with no help.  It is a constant issue that has persisted.   Periodic dizzyness each day and diminished strength is noticable.
Sex: M
Vaccine: MNQ, UNK
Symptoms: Capillary nail refill test, Erythema, Fatigue, Immunisation reaction, Injection site erythema
Clinical narrative: BIB for reaction to vaccine given on 8/19/24  He received Menveo #1 in right upper arm  He has no history of allergy to any vaccines  No history of anaphylaxis   He woke up morning of 8/20/24 with redness , itching and swelling on left upper arm around the area where vaccine was given , It has increased in size  + itching but no pain  No fever  No wheezing or DIB  No swelling of lips or mouth  Mom placed cold rags on it to help with itching and swelling , did not help much  C/o feeling tired but no other sx  Physical Exam Vitals reviewed.  Constitutional:      General: He is active. He is not in acute distress.    Appearance: Normal appearance. He is well-developed. He is obese. He is not toxic-appearing.  HENT:     Head: Normocephalic and atraumatic.     Nose: No congestion or rhinorrhea.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Normal heart sounds. No murmur heard. Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    Capillary Refill: Capillary refill takes less than 2 seconds.     Comments: Left  lateral arm 23 cm x 21 cm area of erythema , swelling and induration noted extending from area around injection site [ superior upper arm ] to mid and inferior upper lateral arm   Neurological:     Mental Status: He is alert.            Assessment/Plan Diagnoses and all orders for this visit: Local reaction to immunization, initial encounter Other orders -     cetirizine (ZyrTEC) 1 mg/mL syrup; Take 10 mL (10 mg) by mouth in the morning for 15 days. -     cephalexin (Keflex) 250 mg/5 mL suspension; Take 10 mL (500 mg) by mouth in the morning, afternoon, and evening for 7 days. -     ibuprofen (Children's Ibuprofen) 100 mg/5 mL suspension; Take 20 mL (400 mg) by mouth every 8 (eight) hours if needed for mild pain (1-3) or moderate pain (4-6) for up to 5 days. -     EPINEPHrine (Epipen) 0.3 mg/0.3 mL injection syringe; Inject 0.3 mL (0.3 mg) as directed if needed for anaphylaxis for up to 1 dose. use as directed for allergic reaction and then call 911 Apply ice to area for 5-6 minutes 3-4 times per day  RTC in 2 days for recheck or earlier prn concerns  Asked CHARGE  nurse to report to CDC    Total time spent on day of encounter: 25  minutes
Sex: M
Vaccine: MNQ, UNK
Symptoms: Injection site induration, Injection site swelling, Local reaction, Peripheral swelling, Pruritus
Clinical narrative: BIB for reaction to vaccine given on 8/19/24  He received Menveo #1 in right upper arm  He has no history of allergy to any vaccines  No history of anaphylaxis   He woke up morning of 8/20/24 with redness , itching and swelling on left upper arm around the area where vaccine was given , It has increased in size  + itching but no pain  No fever  No wheezing or DIB  No swelling of lips or mouth  Mom placed cold rags on it to help with itching and swelling , did not help much  C/o feeling tired but no other sx  Physical Exam Vitals reviewed.  Constitutional:      General: He is active. He is not in acute distress.    Appearance: Normal appearance. He is well-developed. He is obese. He is not toxic-appearing.  HENT:     Head: Normocephalic and atraumatic.     Nose: No congestion or rhinorrhea.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Normal heart sounds. No murmur heard. Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Musculoskeletal:     Cervical back: Neck supple.  Lymphadenopathy:     Cervical: No cervical adenopathy.  Skin:    Capillary Refill: Capillary refill takes less than 2 seconds.     Comments: Left  lateral arm 23 cm x 21 cm area of erythema , swelling and induration noted extending from area around injection site [ superior upper arm ] to mid and inferior upper lateral arm   Neurological:     Mental Status: He is alert.            Assessment/Plan Diagnoses and all orders for this visit: Local reaction to immunization, initial encounter Other orders -     cetirizine (ZyrTEC) 1 mg/mL syrup; Take 10 mL (10 mg) by mouth in the morning for 15 days. -     cephalexin (Keflex) 250 mg/5 mL suspension; Take 10 mL (500 mg) by mouth in the morning, afternoon, and evening for 7 days. -     ibuprofen (Children's Ibuprofen) 100 mg/5 mL suspension; Take 20 mL (400 mg) by mouth every 8 (eight) hours if needed for mild pain (1-3) or moderate pain (4-6) for up to 5 days. -     EPINEPHrine (Epipen) 0.3 mg/0.3 mL injection syringe; Inject 0.3 mL (0.3 mg) as directed if needed for anaphylaxis for up to 1 dose. use as directed for allergic reaction and then call 911 Apply ice to area for 5-6 minutes 3-4 times per day  RTC in 2 days for recheck or earlier prn concerns  Asked CHARGE  nurse to report to CDC    Total time spent on day of encounter: 25  minutes
Age: 0.5
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV1
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No Adverse Event, No Signs, and Symptoms Noted. Reporting Only.
Age: 69.0
Sex: M
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Medication expired 8/12/24 vaccine given 8/14/24
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event
Clinical narrative: New Patient coming in for vaccines for school entry.  Patient tolerated the vaccines well. No  reports of adverse s/sx.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: pt received 2nd shingles vaccine and noted a rash to the left upper arm 3 days later.
Age: 32.0
Sex: M
Vaccine: JEV1, RAB
Symptoms: Crying, Cyanosis, Immediate post-injection reaction, Injection site pain, Injection site reaction
Clinical narrative: The patient came into the clinic directly after a high-intensity workout. The deltoid muscles were noticeably enlarged after the exercise. The rabies vaccines were administered in the left deltoid with no issue. The Japanese Encephalitis vaccine was then administered in the left deltoid 1 inch to the left and superior to the first injection. The patient immediately cried out in pain and grabbed his arm. The pain did not dissipate as expected but continued as the entire left deltoid cramped hard and began to twitch. Ice was applied and the physician was called in the room. The patient's fingers on the left hand began to turn blue/purple. The ice was kept on the arm and over approximately 10-12 minutes the muscle contraction began to ease, and his fingers returned to pink. No other symptoms were seen. There was no itching or dwelling of mouth or throat, and no itching or hives. The patient was monitored for another 15 minutes and left with extra ice packs to keep on the arm.
Age: 32.0
Sex: M
Vaccine: JEV1, RAB
Symptoms: Muscle spasms, Muscle swelling, Muscle twitching, Myosclerosis
Clinical narrative: The patient came into the clinic directly after a high-intensity workout. The deltoid muscles were noticeably enlarged after the exercise. The rabies vaccines were administered in the left deltoid with no issue. The Japanese Encephalitis vaccine was then administered in the left deltoid 1 inch to the left and superior to the first injection. The patient immediately cried out in pain and grabbed his arm. The pain did not dissipate as expected but continued as the entire left deltoid cramped hard and began to twitch. Ice was applied and the physician was called in the room. The patient's fingers on the left hand began to turn blue/purple. The ice was kept on the arm and over approximately 10-12 minutes the muscle contraction began to ease, and his fingers returned to pink. No other symptoms were seen. There was no itching or dwelling of mouth or throat, and no itching or hives. The patient was monitored for another 15 minutes and left with extra ice packs to keep on the arm.