chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Posture abnormal, Resuscitation, Wheelchair user
Clinical narrative: Manufacturer of COVID booster and RSV vaccines administered on 9/28/2023 are UNKNOWN at this time. Patient had his seasonal influenza vaccination "3 to 4 weeks" prior to receiving a COVID booster and RSV vaccine.  He was in his usual state of health on 9/28/2023 when the COVID booster and RSV vaccines were administered in his deltoids.  According to his wife (who is my sister) his arms were sore afterward, then 24 to 48 hours later on Saturday, 9/30/2023, he "didn't feel well" and felt worse as the evening progressed, so she took him to their local hospital ED for evaluation.  On arrival, he was triaged immediately and his vital signs were checked and an EKG was done which was grossly "abnormal".  As they rushed him back to an ED treatment room, he slumped in his wheelchair and he was transferred to a stretcher in cardiac arrest.  ACLS was initiated and he was unable to be resuscitated, and he was pronounced in the ED.  To my knowledge, he has no cardiac history and he had a "routine" cardiac work up "a couple of months ago" which was unremarkable.  He had routine follow up scheduled in the coming months.  I will attempt to obtain further details at his funeral on this Friday, October 13 including the name of his PCP and the hospital where he was taken.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia, Rash
Clinical narrative: Fever up to 103.4; chills; body aches; nausea; rash on neck and left arm.   Treated with extra strength Tylenol and Benadryl.  Fever lasted approximately 12 hours.  Rash on neck and arm appeared 36 hours after shot and still remains at the time of this report.
Age: 75.0
Sex: F
Vaccine: COVID19, FLUA4, RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received a flu shot at our facility 1 week after receiving a flu shot at a different facility. Patient received 2 flu shots this season. Patient did not inform us of any adverse effects. Counseled her on possible adverse effects and that staff re-training would take place.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Basal ganglia stroke
Clinical narrative: I63.9 ACUTE STROKE OF BASAL GANGLIA, UNSPECIFIED TYPE AND ARTERY 8/20/2023 ACUTE STROKE OF BASAL GANGLIA, UNSPECIFIED TYPE AND ARTERY
Age: 31.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chest pain, Pain, Painful respiration, Sleep disorder
Clinical narrative: Myocarditis: On 10/7/2023 around 11:00pm (a little over 1 day after the injection), I started getting chest pain on the left side of my chest below my pectoral muscle. It felt like a sharp pain in my heart; I felt squeezing or spazzing in my heart if I tried to move, but then the pain would relieve if I kept still.  The pain was intense (4 on a 1-5 scale) if I took a deep breath. I went to sleep and the next morning I did not notice it. Then on 10/8/2023, the next day around 4:30pm I felt the pain again. I felt it most intensely around 10pm when it woke me up from sleeping. It was always on my left at my heart. It continued through the night. It got intense if I moved or tried to take a deep breath, but with shallow breathing I was able to fall asleep. It is now 10/9/23 at 11am and I still notice some pain, but it is less intense.  This was after my third COVID 19 shot, the booster. I believe a similar pain occurred after my second dose of the COVID Moderna vaccine in December 2021, but I did not make the mental connection to my shot until now. Last time the pain subsided after 3-5 days.
Age: 51.0
Sex: F
Vaccine: FLUR4, PNC20, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity, Pruritus
Clinical narrative: Left arm swelling, redness including circle around vaccination site, high level of soreness/pain and itching of the left arm. Patient stated that they received two vaccines in the left arm, but that was not what was documented on file. Follow-up to occur with immunizer regarding this. Patient was told to consult doctor upon worsening symptoms and counseled that potentially Benadryl could assist with itching symptoms. This has occurred since receiving vaccination on Friday, October 6th, 2023.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Disorientation, Mobility decreased, Muscular weakness, Pyrexia
Clinical narrative: The night she received the vaccine she remembers feeling a little feverish when she went to bed, but that was all she remembers.  She woke up with all her clothes off, on the floor, disoriented, her legs were so weak and arms so weak she could not get herself up.  The next morning the house cleaner knocked on her door and helped along with another person to get her up in her rollator walker.  She slept almost all day long the next day.  The day after that she felt fine.
Age: 72.0
Sex: M
Vaccine: RSV
Symptoms: Pain in extremity
Clinical narrative: Patient experienced arm soreness that has since resolved
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pain, Facial pain, Pain in jaw, Pyrexia
Clinical narrative: Fever/ chills that night and lessened during next day but skin still sensitive.  Right sides facial skin. Tenderness  yesterday  with now stabbing facial pain right cheek/ jaw and ear.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: Fever/ chills that night and lessened during next day but skin still sensitive.  Right sides facial skin. Tenderness  yesterday  with now stabbing facial pain right cheek/ jaw and ear.
Age: 0.33
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Wrong product administered
Clinical narrative: 4 vaccines given total. 1 correct 3 incorrect Incorrect vaccines are: HEP A MMR Varicella MMR GSK Lot # 3247X 0.5ml Expires 5/11/2024 Subq Varicella GSK Lot# W039697 0.5ml Expires 12/13/2024 Subq LPN administered the 3 vaccines and reallized error. She immeidalty notifed the physician and practice manager. LPN owned error and stated that she just had given 12 mo shots working with another provider and didnt pay attention. PM and provider spoke with parents while they were still in an exam room, explained the error and provider reassured there wouldnt be any harm. However gave examples of what to look for and how to notify the practice. PM present during conversation and parents were understanding of the error. PM advised LPN to call family today 6/13 to follow up on the baby. GSK Rep will be notified of the error should there be any recommendations from the manufacture. Parents will not be charged for the vaccines. In summary,   LPN was working with a 12 month old pt prior to seeing this pt for a 4 month old well check. LPN pulled 12 month old vaccines without looking at the current pt chart/order and administered 12 month old vaccines to a 4 month old pt. Pt received 3 incorrect vaccines.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: OTHER ISSUE: I took the SPIKEVAX vaccine. I was reading about the SPIKEVAX vaccine and they have the following warning: "Vaccination with SPIKEVAX may not protect all people who receive the vaccine."   I contacted the company because I wanted to know how to tell if I was protected or not. I was told that they did not know and that information was not available.  Could you please tell me or direct me to someone that can answer my question? Your help will be greatly appreciated.d
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Polyneuropathy, Rectal cancer
Clinical narrative: G62.0 DRUG INDUCED POLYNEUROPATHY 2/10/2023 RECTAL CANCER J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/30/2022 RECTAL CANCER R09.02 HYPOXIA 11/30/2022 RECTAL CANCER
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Peripheral swelling
Clinical narrative: Patient called in regards to a Fluzone quad flu vaccine she received on 10/8. Following the injection, she experienced itching, redness and swelling around the injection site as well as down the rest of her arm. She took some ibuprofen which releived it but the symptoms have returned today. Advised the patient to try an antihistamine, advise their doctor, and go to the ER if she experiences any throat tightness or difficulty breathing.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: Patient called in regards to a Fluzone quad flu vaccine she received on 10/8. Following the injection, she experienced itching, redness and swelling around the injection site as well as down the rest of her arm. She took some ibuprofen which releived it but the symptoms have returned today. Advised the patient to try an antihistamine, advise their doctor, and go to the ER if she experiences any throat tightness or difficulty breathing.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A Fluzone High Dose vaccine was administered to a patient under 65 years old.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site vesicles
Clinical narrative: Blisters near injection site. Then blister breakouts six months later and still continue to happen to current day.
Age: 72.0
Sex: M
Vaccine: COVID19-2, RSV
Symptoms: Atrial fibrillation
Clinical narrative: Basically I went into Afib, it happened Friday a few hours after I got the vaccine. Then it happened again at 5:15am this morning, and I am still in afib right now, I just checked and my heart rate is at 117. When I checked it Friday, it was about 120. Normally my medication controls that, but it's not doing it now. It just seems odd that I had the vaccine on Friday and now I am getting afib.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient is a nurse by trade and she stated that she felt the shot was given too high on her shoulder.  She believes that the needle "hit a nerve and triggered a panic state in her body."  She felt an aching in her arm.
Age: 64.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Limb discomfort, Pruritus, Scratch, Urticaria
Clinical narrative: He got his vaccine, felt good, had to wait in the store for about 15 minutes.  Then he left and he had walked there and walked back home, about 15 minutes.  He felt fine as far as he knew.  The next morning his hands felt itchy, almost the inside of his hand, and then spread to the outside.  Then the bottom of his feet were itching, and it spread to the top part.  Then he was breaking out in hives, and got worse and worse and worse.  He was breaking out in hands everywhere he could see.  He was breaking out on his back, inner thighs, legs, feet, and could not stop scratching.  He went to the ER at Community Hospital.  They gave him Triamcinolone and Prednisone.  Yesterday he felt that he was getting better, but this morning he woke up itching again and putting on whatever ointment he had left, he finished off 2 bottles of ointment, and lives alone and cannot reach his back.  The pharmacist did his back and feels that he is going to scratch off his skin.  He feels that it is definitely better, but still there and not nearly as bad as it was.  He is continuing to take the Prednisone.  He will start noticing other areas of hives on his body, and just wants some relief.  He has taken all of his COVID, flu and both shingles shots, and has not had any reaction to any of them before.   This time his shoulder felt like an elephant sat on it, and it hurt even more.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Noted that employee had red rash to chest, neck, face, right upper back. Employee describes it as itching. Employee used Benadryl to help with symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Headache, Herpes zoster, Hypertension
Clinical narrative: I requested Moderna but was given Pfizer which is very upsetting. I got RSV and Shingles. I have numbness in my arm and I have headaches, dizzy spells, and intense anxiety. I have had shingles twice since I received the vaccine. I went to Urgent care 10/1/2023 and was diagnosed with Shingles. Anxiety has taken me to urgent care where I had high blood pressure and I was taken to the Emergency room twice for anxiety as well.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: I requested Moderna but was given Pfizer which is very upsetting. I got RSV and Shingles. I have numbness in my arm and I have headaches, dizzy spells, and intense anxiety. I have had shingles twice since I received the vaccine. I went to Urgent care 10/1/2023 and was diagnosed with Shingles. Anxiety has taken me to urgent care where I had high blood pressure and I was taken to the Emergency room twice for anxiety as well.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A Fluzone High Dose vaccine was administered to a patient under 65 years old.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Pruritus, Rash
Clinical narrative: Immediately after vaccine injection site red, itching and small circular area around injection site.  Left arm and chest rash and itching.
Age: 8.0
Sex: M
Vaccine: HEPA
Symptoms: Wrong product administered
Clinical narrative: On Friday 10.06.2023, during a routine office visit as a new patient, pt. was administered Hep A instead of Hepatitis B. Medical assistant grabbed incorrect Hepatitis vaccine and administered to patient. Parents were notified as soon as vaccine was being documented, shortly after immunization was given. As per pt.'s father, he would like for Hepatitis B vaccine to be administered on Saturday 10.07.2023. On Saturday 10.07.2023, pt. returned for correct Hepatitis vaccine, pt. did not have any side effects, reactions or any other concerns.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: for two days, has redness, swelling from both left and right arm where injections where given. It is warm to the touch, admits has been scratching at site of injections. Patient was seen today on 10/06/2023 and was prescribed medication which mother will start giving to patient. Called today 10/09/2023  to follow up and there was no answer.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Nausea
Clinical narrative: THE PATIENT DEVELOPED NAUSEA AND DIZZINESS ON THE SAME DAY THE VACCINE WAS ADMINISTERED, SHE DID NOT USE ANYTHING TO TREAT THE SYMPTOMS, WHICH LASTED 3 DAYS.
Age: 13.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: FLUBLOK ADMINISTERED TO PATIENT UNDER AGE 18, NO KNOWN ADVERSE EVENT
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Injection site pain, Pain, Vomiting
Clinical narrative: Pain at injection site started approx. 3 hrs after injection, body aches & headache started approx. 5hrs after injection, upset stomach, vomiting 1 time 16hrs after injection. Continued body aches, headache & upset stomach for 24hrs post injection
Age: 0.92
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: Vaccine not diluted prior to administration.  No adverse reaction noted
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Headache, Heart rate increased, Palpitations
Clinical narrative: HPI from ED visit on 9/26: Patient is a 77 y.o. female presenting to the ED with heart palpitations.  Patient notes that she woke up at 3 AM feeling like her heart was beating fast and hard.  She denies any specific chest pain or shortness of breath.  No fever.  She notes a mild headache but no runny nose or sore throat.  No vomiting or diarrhea.  No pain with urination.  No weakness or numbness of arms or legs.  She does note that she got an RSV shot yesterday.  She thinks this all happened after she got her RSV shot.  She denies being on any blood thinners other than aspirin.  She did not hit her head or lose consciousness.
Age: 76.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Rash, Rash erythematous, Rash pruritic, Swelling
Clinical narrative: Many red, itchy swellings/ bumps mostly on left groin but some on right groin.  Some new bumps further down legs a few days later.  I sent Dr photos of the bumps.
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Haematoma, Immediate post-injection reaction, Peripheral swelling
Clinical narrative: pt arm swelled up immediately in a hematoma
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Malaise, Tremor, Vomiting
Clinical narrative: I woke up in the night trembling so hard I was vibrating. I got sick and threw up twice. I felt beat up the next day.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Malaise, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Body aches, fever, malaise for 3 days.  This is being reported because she has had swelling in her right arm and very itchy hives in a localized area around the injection site on the upper part of her right arm.  This was  after being given the Moderna monovalent Fall vaccine.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia
Clinical narrative: patient had sudden onset of dizziness, lightheadedness and difficulty in standing. Sx lasted about 30 seconds
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, No adverse event
Clinical narrative: The patient came with a brochure for the RSV vaccine and asked if it was recommended to be given to her. The pharmacist stated that the RSV vaccine is recommended for her since she is over 60 years old and has asthma. The vaccine was processed through the insurance for zero copay and there was no rejection stating it was a duplicate. After the vaccine was administered and the patient left the store, it was found in the health tab that she already received the vaccine on 9/1/23. The patient was contacted to inform her of the error. The patient has not reported any adverse side effects from the duplicate dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Enzyme level decreased, Faecal elastase concentration abnormal, Food intolerance, Gluten sensitivity
Clinical narrative: Developed allergy to:  gluten (moderate to severe) tingling fingers, skin sensitivity.  Depleted of enzymes and very low on potassium .  Pancreatic issues (producing little enzymes).  Taking CREON to help with these issues.  Over time intolerance to other foods (grapes as an example) are emerging.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Pancreatic enzymes decreased, Pancreatic failure, Paraesthesia, Sensitive skin
Clinical narrative: Developed allergy to:  gluten (moderate to severe) tingling fingers, skin sensitivity.  Depleted of enzymes and very low on potassium .  Pancreatic issues (producing little enzymes).  Taking CREON to help with these issues.  Over time intolerance to other foods (grapes as an example) are emerging.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Severe pain at the site of injection.
Age: 61.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Erythema, Fatigue, Injection site pain, Pruritus
Clinical narrative: Itchy, redness, pain at injection site.  Fatigue.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema
Clinical narrative: Skin redness at injection site and down to the elbow.  Patient stated she self treated with benadryl and hydrocortisone cream.
Age: 0.5
Sex: M
Vaccine: DTAP, DTAPIPVHIB, RV5
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Pt received Pentacel vaccine instead of HIB vaccine, which meant he got 2 doses of Dtap at this same visit
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Asthenia, Decreased appetite, Diarrhoea
Clinical narrative: Fatigue, lack of energy, abdominal pain, pain in knee joints, nausea, diarrhea, near fainting, lack of appetite.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Nausea
Clinical narrative: Fatigue, lack of energy, abdominal pain, pain in knee joints, nausea, diarrhea, near fainting, lack of appetite.
Age: 68.0
Sex: M
Vaccine: FLUA4
Symptoms: Syncope
Clinical narrative: Patient was found in clothing section of store from friendly person who noticed. Patient reports not hitting their head. Patient was moved back to pharamcy to sit at bench to assess them. Pt reports having this happen before after vaccination. Patient was conscious and aware of surroundings. Patient was instructed by wife to stay put until she got to the pharmacy. Patient appeared to be of sound mind after leaving pharmacy.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site irritation, Skin warm
Clinical narrative: Right shoulder Red, irritated, warm to touch x 3 days following injection.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Diarrhoea, Headache, Pain
Clinical narrative: Diarrhea started at midnight,     followed by chills, headache, and body aches about 3:00 am.  I took Pepto Bismol  for my stomach and Tylenol for my headache and body aches. Still have stomach issues at 11:30 this morning.  Chills and body aches are gone. Feeling a little weak.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Discomfort, Feeling abnormal, Magnetic resonance imaging head, Magnetic resonance imaging spinal
Clinical narrative: I stopped feeling present for many things, I don't seem to smell what is here, it's difficult thinking sometimes, and my mobility is off.  I feel like I'm walking with someone else's legs, and I feel weighted down.  Many different strange neurological symptoms overall.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nerve stimulation test, Thinking abnormal, X-ray
Clinical narrative: I stopped feeling present for many things, I don't seem to smell what is here, it's difficult thinking sometimes, and my mobility is off.  I feel like I'm walking with someone else's legs, and I feel weighted down.  Many different strange neurological symptoms overall.
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4, RSV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: patient recieved all 3 vaccines in same arm experienced swelling,and pain along with redness to upper arm,lasted 3-4 days,had appointment with ent doctor the following day,he put her on prednisone seemed to help patient is feeling better no complications.n/a
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aortic arteriosclerosis, Respiratory failure, Sepsis, Urinary retention
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 7/1/2023 URINARY RETENTION J96.02 ACUTE HYPERCAPNIC RESPIRATORY FAILURE 7/1/2023 URINARY RETENTION J96.00 ACUTE RESPIRATORY FAILURE 7/1/2023 SEPSIS WO ACUTE ORGAN DYSFUNCTION J96.02 ACUTE HYPERCAPNIC RESPIRATORY FAILURE 7/1/2023 SEPSIS WO ACUTE ORGAN DYSFUNCTION J96.00 ACUTE RESPIRATORY FAILURE 7/1/2023 ATHEROSCLEROSIS OF AORTA J96.02 ACUTE HYPERCAPNIC RESPIRATORY FAILURE 7/1/2023 ATHEROSCLEROSIS OF AORTA J96.00 ACUTE RESPIRATORY FAILURE 7/1/2023 ACUTE HYPERCAPNIC RESPIRATORY FAILURE J96.02 ACUTE HYPERCAPNIC RESPIRATORY FAILURE 7/1/2023 ACUTE HYPERCAPNIC RESPIRATORY FAILURE J96.00 ACUTE RESPIRATORY FAILURE 7/1/2023 ATHEROSCLEROSIS OF AORTA J96.02 ACUTE HYPERCAPNIC RESPIRATORY FAILURE 7/1/2023 ATHEROSCLEROSIS OF AORTA
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Swelling
Clinical narrative: Pt received vaccine in right arm and noticed redness and swelling several days later.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapporved storage unit
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Tinnitus  I have been experiencing mild Tinnitus since my first Covid vaccination. After this vaccination, it became much worse.
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Condition aggravated, Seizure
Clinical narrative: Patient had a seizure shortly after receiving vaccines.  Patient had been very anxious prior to receiving her vaccines.  The patient had a seizure and was placed on the floor on her side.  EMS was called, vitals obtained, patient monitored.  Patient transported by local EMS to local hospital.  Guardian said "It's not the vaccines, she has a seizure disorder".
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: A 5/8" needle was used to deliver and IM injection with no noticeable side effects noted by the patient.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapproved storage unit
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Product storage error
Clinical narrative: Vaccine may not have been effective, but would not be harmful.  On 9/14/23 had Temp Excursion in Med Refrig to 0* celcius.  Reported this on 9/15/23.  Vaccines were held, Vaccine companies contacted and on 9/18/23 was told by her these vaccines were safe to give including the DTAP/IVP.   But then on 9/29/23 she contacted me again at our office and said after 2nd review, the DTAP/IPV might be INEFFECTIVE after all and should contact anyone who had dose of this to notify them possibly INEFFECTIVE, but NOT HARMFUL. and that they should come back after a month to have vaccine repeated.    Called patient's mother and notified of this information. She chose to bring pt in for appt scheduled  11/3/23 at 10am to have this vaccine repeated, so appt still pending.  She did not sound upset on the phone.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapproved storage unit
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Paraesthesia oral, Taste disorder, Weight decreased
Clinical narrative: My tongue feels funny. Food doesn't taste as it used to and I have no appetite. I have lost 22 lbs. I am down to 100lbs.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Blood pressure increased, Chest discomfort, Dizziness, Feeling abnormal
Clinical narrative: About 10 minutes after receiving the vaccine, patient began feeling nauseous and started dry heaving.  She then complained of feeling dizzy and weak.  She repeatedly stated that she "just didn't feel right".  She then started with tremors in her arms and legs.  She laid down and grabbed the exam table stating she "just needed to hold on to something".  She complained of mild chest tightness.  She denied any difficulty breathing.  No rash.  She was unable to support her own body weight or walk.  Her pulse, resp rate and pulse ox remained stable.  Her blood pressure became mildly elevated.  EMS was called and she was transported to the ER.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Gait inability, Nausea, Retching, Tremor, Weight bearing difficulty
Clinical narrative: About 10 minutes after receiving the vaccine, patient began feeling nauseous and started dry heaving.  She then complained of feeling dizzy and weak.  She repeatedly stated that she "just didn't feel right".  She then started with tremors in her arms and legs.  She laid down and grabbed the exam table stating she "just needed to hold on to something".  She complained of mild chest tightness.  She denied any difficulty breathing.  No rash.  She was unable to support her own body weight or walk.  Her pulse, resp rate and pulse ox remained stable.  Her blood pressure became mildly elevated.  EMS was called and she was transported to the ER.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient received the regular quadrivalent vaccine (under 65 year old dose) and patient is 67 years old
Age: 13.0
Sex: F
Vaccine: FLU4, VARCEL
Symptoms: Erythema, Skin lesion
Clinical narrative: Shiny red lesions on right arm (multiple), stomach, and chin.
Age: 23.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Syncope
Clinical narrative: Patient fainted after vaccines while watching other family members get the vaccine. He did fall into a wall and and hit his head and then fell to the floor, but quickly regained consciousness. Out of caution, he was transported to a local ER for evaluation.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapproved storage unit
Age: 23.0
Sex: M
Vaccine: FLU4, HEPA, HPV9, TDAP
Symptoms: Consciousness fluctuating, Hyperhidrosis, Loss of consciousness, Pallor, Posture abnormal
Clinical narrative: Gave patient four vaccines, two in his right arm and two in his left arm. While in room patient tolerated the vaccines well. I walked him to the reception area to schedule his next vaccines. He stated he needed to sit down for a minute. As soon as he sat down, he passed out and all color drained from his face, he was also profusely sweating. Within a few seconds his body straightened out and I thought he was going to start having a seizure. I had the front staff call for help. One MA got a cold compress, another the BP machine and the third went and got the provider. He kept going in and out of consciousness for about two minutes. His first BP reading was 98/54. He was then given some apple juice and peanut butter crackers. His BP was repeated and was 117/74. He remained in the office until about 8:15 am. at that time he stated he felt well enough to drive two minutes to his home. He hadn't ate or drank before the vaccines. He also stated he has passed three other times during vaccines or blood draws.
Age: 72.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Back pain, Muscle spasms
Clinical narrative: About 5-10 minutes (11:10 to 11:15) after patient was given these two vaccinations, patient started to have what appeared severe painful back spasms/pain. This went on for about 5-10 minutes and it seemed to have slightly subsided, but pt appeared to be in alot of pain. Ambulance was called for patient (around 11:15 am) but patient refused to wait citing concerns of cost of treatment. Encouraged patient to stay to be evaluated by paramedics but patient left store against our advice.
Age: 2.0
Sex: M
Vaccine: DTAPIPV, HEPA
Symptoms: Product storage error
Clinical narrative: Vaccine may not have been effective, but would not be harmful.  On 9/14/23 had Temp Excursion in Med Refrig to 0* celcius.  Reported this on 9/15/23.  Vaccines were held, Vaccine companies contacted and on 9/18/23 was told by her these vaccines were safe to give including the DTAP/IVP.   But then on 9/29/23 she contacted me again at our office and said after 2nd review, the DTAP/IPV might be INEFFECTIVE after all and should contact anyone who had dose of this to notify them possibly INEFFECTIVE, but NOT HARMFUL. and that they should come back after a month to have vaccine repeated.    Called patient's grandmother/guardian and notified of this information. She chose to bring pt in for appt scheduled  10/31/23 at 09am to have this vaccine repeated, so appt still pending.  She did not sound upset on the phone.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Self-limiting, delayed, hypersensitivity response to the Tdap vaccination; onset approx 27 hours post administration, resolve approx 96 hours post administration.; without need for medical treatment-urticaria of the anterior right upper arm.
Age: 83.0
Sex: F
Vaccine: FLUA4
Symptoms: Erythema, Pain, Peripheral swelling
Clinical narrative: whole arm swelling, redness, pain, lasting almost a week
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hot flush, Immediate post-injection reaction, Muscle spasms, Rash
Clinical narrative: immediate reaction-- became flush, back spasm, rash noted bilaterally on arms
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Diarrhoea, Headache, Influenza like illness, Injection site mass
Clinical narrative: She got her vaccine, she received it from the pharmacy manager, which it is usually the pharmacist but it was administered by the manager.  I put up her sleeve and she like stabbed her with her.  She has had a lot of injections and lab draws but it hurt.  She did really quick, and she felt that it hurt when she stabbed her, and it hurt while injecting the material, and it got worse and worse.  The knot got bigger and bigger.  She tried to distract herself and use it.  It was hurting her a lot, took some Tylenol as it was hurting.  She woke up in the middle of the night she felt feverish and had chills.  From that day, Wednesday she woke up with a runny nose, headache, nausea.  She tried to eat something bland and had had diarrhea.  She nausea was still there.  She kept pushing the knot down on Friday, Saturday and Sunday the same thing.  She went to chuch online as she was not well enough to go to church.  She finally started feeling better, the nausea was gone by this morning, and the diarrhea was gone by yesterday afternoon.  She felt like she had the flu.  She talked to her doctors office last year and she went to store as they had run out of the vaccine.  She was diagnosed last year with flu, but the symptoms were not as severe as it was with this vaccine.  She had never had the flu before last year, and she was able to compare to her symptoms from the vaccine, and felt that she had the flu.  she feels that there was something in the vaccine that did not agree with her.  She drank a lot of fluids and did not get a high fever.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Loss of personal independence in daily activities, Nausea, Pain in extremity, Pyrexia
Clinical narrative: She got her vaccine, she received it from the pharmacy manager, which it is usually the pharmacist but it was administered by the manager.  I put up her sleeve and she like stabbed her with her.  She has had a lot of injections and lab draws but it hurt.  She did really quick, and she felt that it hurt when she stabbed her, and it hurt while injecting the material, and it got worse and worse.  The knot got bigger and bigger.  She tried to distract herself and use it.  It was hurting her a lot, took some Tylenol as it was hurting.  She woke up in the middle of the night she felt feverish and had chills.  From that day, Wednesday she woke up with a runny nose, headache, nausea.  She tried to eat something bland and had had diarrhea.  She nausea was still there.  She kept pushing the knot down on Friday, Saturday and Sunday the same thing.  She went to chuch online as she was not well enough to go to church.  She finally started feeling better, the nausea was gone by this morning, and the diarrhea was gone by yesterday afternoon.  She felt like she had the flu.  She talked to her doctors office last year and she went to store as they had run out of the vaccine.  She was diagnosed last year with flu, but the symptoms were not as severe as it was with this vaccine.  She had never had the flu before last year, and she was able to compare to her symptoms from the vaccine, and felt that she had the flu.  she feels that there was something in the vaccine that did not agree with her.  She drank a lot of fluids and did not get a high fever.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Rhinorrhoea, Sleep disorder
Clinical narrative: She got her vaccine, she received it from the pharmacy manager, which it is usually the pharmacist but it was administered by the manager.  I put up her sleeve and she like stabbed her with her.  She has had a lot of injections and lab draws but it hurt.  She did really quick, and she felt that it hurt when she stabbed her, and it hurt while injecting the material, and it got worse and worse.  The knot got bigger and bigger.  She tried to distract herself and use it.  It was hurting her a lot, took some Tylenol as it was hurting.  She woke up in the middle of the night she felt feverish and had chills.  From that day, Wednesday she woke up with a runny nose, headache, nausea.  She tried to eat something bland and had had diarrhea.  She nausea was still there.  She kept pushing the knot down on Friday, Saturday and Sunday the same thing.  She went to chuch online as she was not well enough to go to church.  She finally started feeling better, the nausea was gone by this morning, and the diarrhea was gone by yesterday afternoon.  She felt like she had the flu.  She talked to her doctors office last year and she went to store as they had run out of the vaccine.  She was diagnosed last year with flu, but the symptoms were not as severe as it was with this vaccine.  She had never had the flu before last year, and she was able to compare to her symptoms from the vaccine, and felt that she had the flu.  she feels that there was something in the vaccine that did not agree with her.  She drank a lot of fluids and did not get a high fever.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pyrexia
Clinical narrative: Patient felt a102 degree fever, he experienced fatigue, chills, pain in the injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Melanocytic naevus, Pruritus, Rash
Clinical narrative: Redness, discoloration, swelling, rash, hotness, itching , and a new mole appeared.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Swelling
Clinical narrative: Redness, discoloration, swelling, rash, hotness, itching , and a new mole appeared.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site induration, Injection site mass
Clinical narrative: Found to have 1cm diameter hard lump, nontender, at site of DTaP vmonthaccine given 1  prior, Right Thigh, on 10/4/23
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapprved storage unit
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Rash
Clinical narrative: Right arm rash , facial rash, right leg numbness
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unapproved storage unit
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site pain, Nausea
Clinical narrative: Very Dizzy, vertigo,  very sore at injection site, nausea, chills, headache.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Very Dizzy, vertigo,  very sore at injection site, nausea, chills, headache.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pollakiuria
Clinical narrative: Frequent urination through the first night and the following morning. Frequency was almost hourly during the night.  Also experienced nausea and severe chills.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Eyelid ptosis, Magnetic resonance imaging
Clinical narrative: Left eyelid ptosis, mild. Stable. Evaluation in progress.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash erythematous, Rash maculo-papular, Urticaria
Clinical narrative: maculopapular erythematous and urticarial rash on upper chest, bilateral UE
Age: 29.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling, itching, pain at injection site, covering entire deltoid
Age: 71.0
Sex: F
Vaccine: TYP
Symptoms: Diarrhoea
Clinical narrative: Patient started taking oral vaccine on Friday, 9/1/23 starting with the first dose. on 97/23, patient started having diarrhea. Patient denies having experienced any other symptoms but still continues to have diarrhea . Patient saw medical care on 09/26/23 in which the medical provider recommended Imodium which helped improve symptoms however, patient is still experiencing symptoms today.
Age: 67.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Blindness, Blood pressure decreased, Dehydration, Dizziness
Clinical narrative: Patient received the vaccine on Friday and Saturday morning while attending a football game patient became very dizzy, everything went dark, and her blood pressure kept dropping upon rising. Patient was taken by ambulance to the hospital. She was given a bag of fluids for dehydration and discharged
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored in an unaproved  storage unit
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: L upper thigh- 15 x 10 cm area of redness, warmth, and tightness
Age: 34.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: pt called today saying she has a rash and hot to touch at injection site. pt received both spikevax and flucelvax in the left arm
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Abscess drainage, Culture wound negative, Injection site abscess
Clinical narrative: Patient received PedvaxHIB in the right thigh on 9/21 and about 9 days later developed a right thigh abscess. Parent was offered I&D  on 10/2 but parent opted to do warm compresses and abscess drained on its own on 10/3. Patient was prescribed antibiotics but due to supply chain issues, did not start antibiotics.    Patient previously had a sterile abscess after her 4 month old shots in June of 2022. Wound culture showed no organism. Prescribed clindamycin at that time. She received her 6 month old and 12 month old vaccines without any complications.  Patient has an appointment with Allergy to evaluate for delayed hypersentivity to aluminum on 10/30/23.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Autoimmune disorder, Exfoliative rash, Immunosuppressant drug therapy, Lip swelling, Psoriasis
Clinical narrative: This patient first received the Pfizer COVID vaccination in April of 2021. In May of 2021, he developed a scaly rash on the elbows that was diagnosed by his PCP as psoriasis. He was unable to achieve clearance of his psoriasis with topical steroids alone, and had to be put on IV steroids for worsening symptoms such as swelling in the lips and tightness in the throat. He then saw our office for discussion and management of psoriasis, which  we explained to him that psoriasis is an autoimmune condition that can flare with various stressors or infections, and that it is not certain whether a COVID infection or the COVID vaccine could have induced a dermal autoimmune hypersensitivity response, however, it is possible that the COVID vaccine could have induced this autoimmune response. He was started on narrow band UVB light therapy for treatment and he has a history of immunosuppressive drug use for psoriasis management with CellCept.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness, UV light therapy
Clinical narrative: This patient first received the Pfizer COVID vaccination in April of 2021. In May of 2021, he developed a scaly rash on the elbows that was diagnosed by his PCP as psoriasis. He was unable to achieve clearance of his psoriasis with topical steroids alone, and had to be put on IV steroids for worsening symptoms such as swelling in the lips and tightness in the throat. He then saw our office for discussion and management of psoriasis, which  we explained to him that psoriasis is an autoimmune condition that can flare with various stressors or infections, and that it is not certain whether a COVID infection or the COVID vaccine could have induced a dermal autoimmune hypersensitivity response, however, it is possible that the COVID vaccine could have induced this autoimmune response. He was started on narrow band UVB light therapy for treatment and he has a history of immunosuppressive drug use for psoriasis management with CellCept.
Age: 0.42
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Abdominal X-ray, Apnoea, Blood culture, Bradycardia, Chest X-ray normal
Clinical narrative: A baby received the Vaxelis vaccination yesterday afternoon. Overnight, the infant appeared sleepier per parents and had a few self-resolving A/B/D events. Throughout the morning, the infant became progressively lethargic with apneic spells and significant desaturations requiring blow-by, PPV, and ultimately NIPPV. A partial sepsis workup was completed, which was unremarkable. RVPCR negative. CXR and AXR were wnl as well. Blood and urine cultures are pending. By late afternoon, the patient had improved, and we were able to wean respiratory support and slowly restart feeds.    Prior to receiving the vaccination, the infant was PO'ing well, on RA, and preparing for discharge. On review of the vaccine information, it reports:  "Apnea following intramuscular vaccination has been observed in some infants born prematurely. Consider the individual infant?s medical status and potential benefits and possible risks of intramuscular vaccination in deciding when to administer VAXELIS to an infant born prematurely." Somnolence is also frequently reported (>40%).
Age: 0.42
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Culture urine, Immunisation reaction, Laboratory test normal, Lethargy, Mechanical ventilation
Clinical narrative: A baby received the Vaxelis vaccination yesterday afternoon. Overnight, the infant appeared sleepier per parents and had a few self-resolving A/B/D events. Throughout the morning, the infant became progressively lethargic with apneic spells and significant desaturations requiring blow-by, PPV, and ultimately NIPPV. A partial sepsis workup was completed, which was unremarkable. RVPCR negative. CXR and AXR were wnl as well. Blood and urine cultures are pending. By late afternoon, the patient had improved, and we were able to wean respiratory support and slowly restart feeds.    Prior to receiving the vaccination, the infant was PO'ing well, on RA, and preparing for discharge. On review of the vaccine information, it reports:  "Apnea following intramuscular vaccination has been observed in some infants born prematurely. Consider the individual infant?s medical status and potential benefits and possible risks of intramuscular vaccination in deciding when to administer VAXELIS to an infant born prematurely." Somnolence is also frequently reported (>40%).
Age: 0.42
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Meningitis bacterial, Meningitis viral, Oxygen saturation decreased, Pneumonia, Positive airway pressure therapy
Clinical narrative: A baby received the Vaxelis vaccination yesterday afternoon. Overnight, the infant appeared sleepier per parents and had a few self-resolving A/B/D events. Throughout the morning, the infant became progressively lethargic with apneic spells and significant desaturations requiring blow-by, PPV, and ultimately NIPPV. A partial sepsis workup was completed, which was unremarkable. RVPCR negative. CXR and AXR were wnl as well. Blood and urine cultures are pending. By late afternoon, the patient had improved, and we were able to wean respiratory support and slowly restart feeds.    Prior to receiving the vaccination, the infant was PO'ing well, on RA, and preparing for discharge. On review of the vaccine information, it reports:  "Apnea following intramuscular vaccination has been observed in some infants born prematurely. Consider the individual infant?s medical status and potential benefits and possible risks of intramuscular vaccination in deciding when to administer VAXELIS to an infant born prematurely." Somnolence is also frequently reported (>40%).
Age: 0.42
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Respiratory viral panel, Somnolence, Urinary tract infection, X-ray normal
Clinical narrative: A baby received the Vaxelis vaccination yesterday afternoon. Overnight, the infant appeared sleepier per parents and had a few self-resolving A/B/D events. Throughout the morning, the infant became progressively lethargic with apneic spells and significant desaturations requiring blow-by, PPV, and ultimately NIPPV. A partial sepsis workup was completed, which was unremarkable. RVPCR negative. CXR and AXR were wnl as well. Blood and urine cultures are pending. By late afternoon, the patient had improved, and we were able to wean respiratory support and slowly restart feeds.    Prior to receiving the vaccination, the infant was PO'ing well, on RA, and preparing for discharge. On review of the vaccine information, it reports:  "Apnea following intramuscular vaccination has been observed in some infants born prematurely. Consider the individual infant?s medical status and potential benefits and possible risks of intramuscular vaccination in deciding when to administer VAXELIS to an infant born prematurely." Somnolence is also frequently reported (>40%).