chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: expired Daptacel vaccine was administered to a child/No AE; Initial information was received on 18-Feb-2020 regarding an unsolicited valid non-serious case from other health professional.  This case involves a 5-year-old female patient who received an expired dose of vaccine DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL].  Medical history, medical treatment, vaccination and family history were not provided.  Concomitant medications included IPV, MMR and Varicella vaccine.  On 17-Feb-2020, the patient received a 0.5 mL dose of suspect DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [lot C5367AA, expiry date: 30-Jan-2020] via an intramuscular route at the right side for prophylactic vaccination.  It was a case of actual medication error due to expired vaccine used.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 5.0
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: expired dose of Daptacel was administered, No AE; Initial information received on 18-Feb-2020 regarding an unsolicited valid non-serious case received from a other health professional.  This case involves a five years old female patient who was vaccinated with 0.5 ml 5th dose of vaccine DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number: C5367AA and expiry date: 30-Jan-2020) via intramuscular route in the right deltoid on 17-Feb-2020 for prophylactic vaccination.  Medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included HEPATITIS A VACCINE (HEPATITIS A) for Immunisation; MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3), VARICELLA ZOSTER VACCINE LIVE (OKA/MERCK) (PROQUAD) for Immunisation; and INFLUENZA VACCINE (INFLUENZA VACCINE) for Immunisation.  It was actual medication error due to Expired vaccine used.  At the time of report no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: an expired dose of Daptacel was inadvertently administered to patient/No AE; Initial information received on 18-Feb-2020 regarding an unsolicited valid non-serious case received from other health professional.  This case involves a two-month-old female patient who was vaccinated with an expired dose of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] inadvertently (expired product administered).  Medical history, medical treatment, vaccination and family history were not provided.  Concomitant medication received by the patient was ROTATEQ (no dosing details reported).  On 06-Feb-2020, the patient received a 0.5 mL first dose of suspect DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [lot C5367AA, expiry date: 30-Jan-2020] via an intramuscular route at the left thigh for prophylactic vaccination.  It was a case of actual medication error due to expired vaccine used.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: given expired Daptacel, No AE; Initial information was received on 18-Feb-2020 regarding an unsolicited valid non-serious case from a nurse.  This case is linked to case 2020SA046254, 2020SA046248 and 2020SA046250 (same reporter).  This case involves a 15-month-old female patient (patient: 01) who was vaccinated with 0.5 ml expired dose of vaccine DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number: C5366AA and expiry date: 07-Feb-2020) via intramuscular route in the left thigh on 11-Feb-2020 (Expired product administered).  Medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included 4th dose of HIB VACCINE CONJ (TET TOX) (ACT-HIB) on 11-Feb-2020.  It was actual medication error due to expired vaccine used.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received expired dose of deptacel vaccine/No AE; Initial information received on 18-Feb-2020 regarding an unsolicited valid non-serious case received from a nurse.  This case is linked to case 2020SA046254, 2020SA046245 and 2020SA046250. (same reporter)  This case involves a 15-month-old female patient (patient: 02) who was vaccinated with 0.5 ml expired dose of vaccine DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number: C5366AA and expiry date: 07-Feb-2020) via intramuscular route in the left thigh on 14-Feb-2020 for prophylactic vaccination (Expired product administered ).  Medical history, medical treatment, vaccination and family history were not provided.  On 14-Feb-2020, the patient received concomitant medications included HIB VACCINE CONJ (TET TOX) (ACT-HIB) (fourth dose).  It was case of actual medication error due to Expired vaccine used.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: given expired Daptacel, No Ae; Initial information received on 18-Feb-2020 regarding an unsolicited valid non-serious case received from a nurse.  This case is linked to case 2020SA046254, 2020SA046245 and 2020SA046248.  This case involves 15 month old male patient (patient 3) who was vaccinated with fourth 0.5 ml expired dose of vaccine DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number: C5366AA and expiry date: 07-Feb-2020) via intramuscular route in the right thigh on 14-Feb-2020 for prophylactic vaccination. (Expired product administered)  Medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included HIB VACCINE CONJ (TET TOX) (ACT-HIB) for Immunisation on 14-Feb-2020.  It was actual medication error due to Expired vaccine used.  At the time of report no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received expired dose of deptacel vaccine/No AE; Initial information received on 18-Feb-2020 regarding an unsolicited valid non-serious case received from a nurse.  This case is linked to case 2020SA046245, 2020SA046248 and 2020SA046250. (same reporter)  This case involves 15 month old male patient who was vaccinated with 0.5 ml expired fourth dose of vaccine DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number: C5366AA and expiry date: 07-Feb-2020) via intramuscular route in the left thigh on 14-Feb-2020 for prophylactic vaccination.  Medical history, medical treatment, vaccination and family history were not provided.  On 14-Feb-2020, the patient received concomitant medications included HIB VACCINE CONJ (TET TOX) (ACT-HIB).  It was case of actual medication error due to Expired vaccine used.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: child was administered an expired Daptacel, No AE; Initial information was received on 19-Feb-2020 regarding an unsolicited valid non-serious case from other health professional.  This case involves a 3 year old male patient who was received an expired dose of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL].  Medical history, medical treatment, vaccination and family history were not provided.   On 18-Feb-2020, the patient received a 0.5 ml dose of suspect DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE (lot C5366AA, Expiry date 07-Feb-2020) via intramuscular route at an unknown administration site for prophylactic vaccination  It was a case of an actual medication error due to expired vaccine used.  At the time of report, no adverse event was reported.  The patient was administered an expired Daptacel but did not know the site.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 1.42
Sex: M
Vaccine: FLU3, FLU4
Symptoms: No adverse event, Overdose, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: given a Fluzone HD immunization instead of Fluzone Quadrivalent/no ae; given a Fluzone HD immunization instead of Fluzone Quadrivalent to 17 month old child/no ae; given a Fluzone HD immunization instead of Fluzone Quadrivalent to 17 month old child/no ae; Initial information received on 19-Feb-2020 regarding an unsolicited valid non-serious case received from a nurse.  This case involves a 17 month old male patient who was given 0.5mL of vaccine INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE [FLUZONE HIGH DOSE] (lot UJ306AA, Expiration date: 20-JUN-2024) via unknown route at the Left Vastus Lateralis for prophylactic vaccination instead of vaccine  INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] on 28-JAN-2020 (wrong product administered, Product administered to patient of inappropriate age and overdose).  Medical history, concomitant, medical treatment, vaccination and family history were not provided.  It was a case of actual medication error case due to wrong product administered, Inappropriate age at vaccine administration and overdose.  The patient had no adverse effect at the time of reporting.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: patient received a Invalid Fluzone Quadrivalent prefilled syringe vaccine which was exposed at 35 degrees F/No AE; Initial information received on 18-Feb-2020 regarding an unsolicited valid non-serious case received from a pharmacist.  This case involves a 12-year-old male patient who received invalid INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] prefilled syringe inadvertently which was exposed at 35 degrees F.  Medical history, medical treatment, vaccination and family history were not provided.  On 17-Feb-2020, the patient received a 0.5 mL dose of suspect INFLUENZA QUADRIVAL A-B VACCINE [lot UT6719JA, expiry date: 30-Jun-2020] via an intramuscular route at the left deltoid for prophylactic vaccination inadvertently which was exposed at 35 degrees F.  It was a case of actual medication error due to product storage error temperature too low.   Temperature excursion due to something wrong with refrigerator and INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] was at 35 degrees F. that went down to 20.9 degrees F. for 6 hours  At the time of reporting, no adverse reactions were reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: expired dose of Daptacel was administered to a patient/No AE; Initial information was received on 19-Feb-2020 regarding an unsolicited valid non-serious case from a other health professional.  This case involves a four year old female patient who was vaccinated with expired dose of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (expired product administered).  Medical history, medical treatment, vaccination and family history were not provided.  On 15-Feb-2020, the patient received a 0.5 mL dose 5 of suspect DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [lot C5367AA, expiry date: 31-Jan-2020] via an intramuscular route at the right thigh for prophylactic vaccination.  It was a case of actual medication error due to expired vaccine used.  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 68.0
Sex: U
Vaccine: UNK
Symptoms: Arthralgia, Inflammation, Injection site pain, Myalgia, Nausea
Clinical narrative: Box 17 - Shingrix   Soreness and tenderness at injection site for several days. Severe aching in neck muscles, elbows, hips and artificial knees. Swelling and inflammation at right foot. No medical attention sought. Slight nausea, recovered in 72 hours. Aches/pains resolved in 4-6 days. Right foot normal as of two days ago.
Age: 68.0
Sex: U
Vaccine: UNK
Symptoms: Peripheral swelling
Clinical narrative: Box 17 - Shingrix   Soreness and tenderness at injection site for several days. Severe aching in neck muscles, elbows, hips and artificial knees. Swelling and inflammation at right foot. No medical attention sought. Slight nausea, recovered in 72 hours. Aches/pains resolved in 4-6 days. Right foot normal as of two days ago.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Nodule
Clinical narrative: patient states that she had flu like symptoms for 3 days. she also said her arm had a knot the size of a tennis ball
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dehydration, Diarrhoea, Dizziness, Injection site swelling
Clinical narrative: Migraine, fever, chills. Nausea, vomiting. Dehydration, diarrhea, swelling at the injection site ?tomato sized? per ER doctor, extreme pain, dizziness. Body aches And a white blood cell count of 23.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Migraine, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Migraine, fever, chills. Nausea, vomiting. Dehydration, diarrhea, swelling at the injection site ?tomato sized? per ER doctor, extreme pain, dizziness. Body aches And a white blood cell count of 23.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: White blood cell count increased
Clinical narrative: Migraine, fever, chills. Nausea, vomiting. Dehydration, diarrhea, swelling at the injection site ?tomato sized? per ER doctor, extreme pain, dizziness. Body aches And a white blood cell count of 23.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Myalgia, Pain, Pain in extremity, Pyrexia
Clinical narrative: 11/4/19 1st shingles vaccine - 24 hr flu like symptoms pain in arm, muscle aches, 2/05/20 2nd shingles vaccine - 102° fever, aches, pain for 24 hr period arm swollen for 1 week & red After receiving the 1st shot my reaction was on of fever & aches but with no fever Upon receiving the 2nd shot (in the same arm) my reaction was more severe  102° fever for 24 hrs,  aches thru out body.  pain & swelling of left arm for 1 week (in area of shot only)
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, PNC13, RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none
Age: 81.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Rash PNEUMOCOCCAL VACCINE
Age: 1.0
Sex: U
Vaccine: MMR
Symptoms: Antibody test, Malaise, Meningitis aseptic, Pyrexia
Clinical narrative: patient got sick, had a fever, and Aseptic meningitis; This spontaneous report has been received from a physician, concerning a 1-year-old patient of unknown gender. Information about the patient's pertinent medical history, concomitant therapies and past drug reactions or allergies were not reported.  On an unknown date in 2015 (reported as January or February), the patient received a measles, mumps, and rubella (Wistar RA 27-3) virus vaccine, live (M-M-R II) vaccination (concentration, frequency, administration route, anatomical location, lot number, and expiration date were not reported) as prophylaxis.  On an unknown date in 2015 (reported as two weeks after receiving measles, mumps, and rubella (Wistar RA 27-3) virus vaccine, live (M-M-R II) vaccination), the patient got sick: experienced aseptic meningitis with fever. Titers were ordered, however results were not back at the time of reporting. The outcome of aseptic meningitis was not reported.  The causality assessment between measles, mumps, and rubella (Wistar RA 27-3) virus vaccine, live (M-M-R II) and the occurrence of aseptic meningitis was not reported.  Upon internal review, aseptic meningitis was determined to be a medically significant event.
Sex: U
Vaccine: MMRV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No additional adverse event; the patient was inadvertently administered a dose of PROQUAD, that was expired; This spontaneous report was received from a nurse and referred to a patient of unknown age and gender. The patient's medical history, concurrent conditions, drug reactions or allergies and concomitant medications were not reported. On 20-FEB-2020, the patient was inadvertently vaccinated with a dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) injection for prophylaxis (lot # R013575 and expiration date: 10-NOV-2019; strength and route was not reported) (expired product administered). No additional adverse event was reported. The outcome of expired product administered was unknown.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Severe uncontrollable shaking
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: SHE HAD A FEVER AND SWEATING ON THE EVENING THE DAY OF RECEIVING THE SHOT WHICH SHE TREATED WITH IBUPROFEN. CURRENTLY (TWO DAYS AFTER THE IMMUNIZATION), PATIENT REPORTS A VERY SORE RIGHT UPPER ARM WITH  REDNESS, WARMTH, AND PAIN.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Blood potassium decreased, Blood sodium decreased, CSF culture negative, Full blood count, Gram stain negative
Clinical narrative: Patient remained in clinic for 8 mins prior to departure with no adverse reaction noted or reported. Patient presented to ED 2/23 with headache, diffuse rash and muscle aches starting the day after receiving immunization during PCP appt. Patient also reports photophobia, stiff neck, nausea and vomiting. Patient was treated in ED with ceftriaxone and patient was admitted observation status for concerns of meningitis and sent home with kenalog cream for rash and ibuprofen for pain.   2/25-patient called by PCP's nursing staff. Patient reports she is feeling better but still has a headache. Rash is improved as well as neck stiffness. Patient did not want to schedule a follow up with PCP. Nursing staff will contact patient tomorrow to check in and encourage a follow up appt.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Metabolic function test, Musculoskeletal stiffness, Myalgia, Nausea
Clinical narrative: Patient remained in clinic for 8 mins prior to departure with no adverse reaction noted or reported. Patient presented to ED 2/23 with headache, diffuse rash and muscle aches starting the day after receiving immunization during PCP appt. Patient also reports photophobia, stiff neck, nausea and vomiting. Patient was treated in ED with ceftriaxone and patient was admitted observation status for concerns of meningitis and sent home with kenalog cream for rash and ibuprofen for pain.   2/25-patient called by PCP's nursing staff. Patient reports she is feeling better but still has a headache. Rash is improved as well as neck stiffness. Patient did not want to schedule a follow up with PCP. Nursing staff will contact patient tomorrow to check in and encourage a follow up appt.
Age: 19.0
Sex: F
Vaccine: PPV
Symptoms: Photophobia, Rash, Vomiting, White blood cell count increased
Clinical narrative: Patient remained in clinic for 8 mins prior to departure with no adverse reaction noted or reported. Patient presented to ED 2/23 with headache, diffuse rash and muscle aches starting the day after receiving immunization during PCP appt. Patient also reports photophobia, stiff neck, nausea and vomiting. Patient was treated in ED with ceftriaxone and patient was admitted observation status for concerns of meningitis and sent home with kenalog cream for rash and ibuprofen for pain.   2/25-patient called by PCP's nursing staff. Patient reports she is feeling better but still has a headache. Rash is improved as well as neck stiffness. Patient did not want to schedule a follow up with PCP. Nursing staff will contact patient tomorrow to check in and encourage a follow up appt.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, FLU4
Symptoms: Balance disorder, Electroencephalogram normal, Eye movement disorder, Fall, Gait inability
Clinical narrative: Two days after vaccination patient had a syncope episode; Below are notes from the HPI in his visit encounter: "Eyes rolled back in head an hour ago; Mom states lasted about a min; unable to walk after seemed wobbly; Mom  and grandmother states had vaccine 2 days ago (Fluzone #1 and Pentacel#4)  Patient was walking around room playing, went behind a chair and mother heard him fall from his own height; no concern for head injury and cried briefly; seemed to have calmed down and then within few minutes mother saw him with eyes rolling back and closing -when she picked him up his head lolled to one side and then he recovered; No jerking movements or vocal noises; when questioned if possibly holding his breath during this she responded "yes, I was worried he wasn't breathing"; after she placed him on the floor he tried to walk but seemed off balance for a few minutes; then back to acting normally; No other concerns for adverse reactions to his vaccines but did sleep later than normal today; no other sick sx; eating and drinking normally" The physical exam from the visit was normal. No treatment indicated at time as patient fully recovered; an EEG was ordered and was normal; patient has remained back to his normal baseline with no recurrent episodes or concerns related to the above visit note.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, FLU4
Symptoms: Syncope
Clinical narrative: Two days after vaccination patient had a syncope episode; Below are notes from the HPI in his visit encounter: "Eyes rolled back in head an hour ago; Mom states lasted about a min; unable to walk after seemed wobbly; Mom  and grandmother states had vaccine 2 days ago (Fluzone #1 and Pentacel#4)  Patient was walking around room playing, went behind a chair and mother heard him fall from his own height; no concern for head injury and cried briefly; seemed to have calmed down and then within few minutes mother saw him with eyes rolling back and closing -when she picked him up his head lolled to one side and then he recovered; No jerking movements or vocal noises; when questioned if possibly holding his breath during this she responded "yes, I was worried he wasn't breathing"; after she placed him on the floor he tried to walk but seemed off balance for a few minutes; then back to acting normally; No other concerns for adverse reactions to his vaccines but did sleep later than normal today; no other sick sx; eating and drinking normally" The physical exam from the visit was normal. No treatment indicated at time as patient fully recovered; an EEG was ordered and was normal; patient has remained back to his normal baseline with no recurrent episodes or concerns related to the above visit note.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Drug dispensed to wrong patient, No adverse event
Clinical narrative: Vaccine was given to the wrong patient, no treatment was necessary, and there was no adverse reactions noted in the patient.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Mobility decreased, Pyrexia
Clinical narrative: Swelling and redness at the site of injection with severe pain. Difficulty in moving the arm.  This lasted for 14 days. Fever between 100 to 102 F lasting for 10 days. Symptoms started on the night of injection of vaccine
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: right arm very sore, headache, nausea, very tired
Age: 44.0
Sex: M
Vaccine: TD
Symptoms: Syncope
Clinical narrative: Syncope following injection, approximately 15 minutes after injection
Age: 15.0
Sex: M
Vaccine: FLU3, HPV9
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Injection site warmth, Pruritus
Clinical narrative: Approximately 5 minuets after administration of vaccines, client reported that his "left arm was itching". Writer noted the client's left upper arm in the deltoid region was edematous, red, and warm to touch with welts. Client who has history of asthma, denied difficulty breathing. Initial vital signs @ 11:38 am B.P. 132/82, Pulse 87, R 21. 50 mg Benadryl given IM, and cold pack applied to the affected extremitie. Client remained alert and responsive throughout treatment.  Client reported that the itching had decrease from a 9 to 4 on a scale of 1-10 prior to discharge.   Vital signs at discharge from clinic at 12:15 P.M. B.P. 120/82, P. 68, R. 24. Upon discharge, client ambulated with assistance and was transported to local hospital in private automobile by parent.  Follow-up  with parent by telephone was unsuccessful.
Age: 15.0
Sex: M
Vaccine: FLU3, HPV9
Symptoms: Urticaria
Clinical narrative: Approximately 5 minuets after administration of vaccines, client reported that his "left arm was itching". Writer noted the client's left upper arm in the deltoid region was edematous, red, and warm to touch with welts. Client who has history of asthma, denied difficulty breathing. Initial vital signs @ 11:38 am B.P. 132/82, Pulse 87, R 21. 50 mg Benadryl given IM, and cold pack applied to the affected extremitie. Client remained alert and responsive throughout treatment.  Client reported that the itching had decrease from a 9 to 4 on a scale of 1-10 prior to discharge.   Vital signs at discharge from clinic at 12:15 P.M. B.P. 120/82, P. 68, R. 24. Upon discharge, client ambulated with assistance and was transported to local hospital in private automobile by parent.  Follow-up  with parent by telephone was unsuccessful.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Within 5 minutes of receiving Tdap vaccine, patient reported lightheadedness and nausea. Denied pain, trouble breathing, or rash. Patient appeared diaphoretic and pale. VSS. Rapid response was called and transferred to urgent care. IV epi (0.3 ml), IV dexamethasone (8 mg), 1 L NS, and oral benadryl given. Symptoms resolved and patient was discharged.
Age: 23.0
Sex: F
Vaccine: PPV
Symptoms: Blood glucose normal, Dizziness, Nausea
Clinical narrative: Patient felt light headed and nauseous approx. 1 minute  after receiving vaccine.  Patient never lost consciousness. Patient requested EMS assistance and was transported to hospital by EMS..  Patient disclosed to EMS that she has been in hospital  with similar symptoms earlier in the day, which she failed to disclose to administering  pharmacist.  Patient reviewed and signed VIS form prior to injection and answered "no" to questions about feeling sick or injured.
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphemia, Musculoskeletal pain, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Patient has been having pain in her right scapula that she attributes to receiving her second shingles vaccine. Reports pain and swelling  started 48 hours post vaccine that continued to spread down her arm. Patient went to the emergency room as well as several doctors where they have done multiple testing with no remarkable results for what can be causing the pain. Patient has also begun to have trouble with stuttering and pain is not subsiding after being 18 days since receiving the vaccine. After speaking with the patient she agreed to a follow-up appoint with the doctor to reassess her symptoms.
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Patient has been having pain in her right scapula that she attributes to receiving her second shingles vaccine. Reports pain and swelling  started 48 hours post vaccine that continued to spread down her arm. Patient went to the emergency room as well as several doctors where they have done multiple testing with no remarkable results for what can be causing the pain. Patient has also begun to have trouble with stuttering and pain is not subsiding after being 18 days since receiving the vaccine. After speaking with the patient she agreed to a follow-up appoint with the doctor to reassess her symptoms.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Injection site erythema, Injection site warmth, Skin warm
Clinical narrative: Patient had red area around the injection site that also continues down into the arm - area size of baseball.  Patient states that it comes and goes and is better in the morning.  The area is also slightly warm to the touch.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Injection site erythema, Injection site warmth
Clinical narrative: Patient had red area around the injection site that also continues down into the arm - area size of baseball.  Patient states that it comes and goes and is better in the morning.  The area is also slightly warm to the touch.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Hypoaesthesia oral, Laboratory test normal, Pruritus, Urticaria
Clinical narrative: Later in the same day:  Itching, some hives on shoulders and torso Evening at bed:  Shivering, cold Next morning:  Numbness on left side of mouth Treatment:  Went to Urgent Care next morning and took Claritin.   Symptoms went away and fully recovered within a day.
Age: 1.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV 23 was administered in error, pt was due for PCV 13
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Per pt report via phone on 2/25, within a day of administration, the injection site was red and swollen; the redness moved down the arm toward the elbow on the inner aspect of the arm. The patient took Benadryl and the redness resolved by the 23rd.
Age: 53.0
Sex: U
Vaccine: UNK
Symptoms: Dyspnoea, Headache, Hyperhidrosis, Immediate post-injection reaction, Influenza like illness
Clinical narrative: Box 17 - Shingrix  Box 22- Flu Went to a store immediately after vaccine and wasn't feeling well. Ended errands early and went home. Told by pharmacist that I could "feel like I'm getting a cold, but this is normal". By 10pm I felt worse and went to bed. Took Trazadone to help with sleep. Woke up around 3am, and had difficulty breathing. Throat narrowed, heart rate was 130. Husband got cold compress, Motrin, took temp at 103. Extreme sweating, headaches. Symptoms lasted for three days. I may see Dr. to follow-up. Not sure if I will seek medical attention.***People should not be alone after receiving this vaccine***
Age: 53.0
Sex: U
Vaccine: UNK
Symptoms: Malaise, Throat tightness
Clinical narrative: Box 17 - Shingrix  Box 22- Flu Went to a store immediately after vaccine and wasn't feeling well. Ended errands early and went home. Told by pharmacist that I could "feel like I'm getting a cold, but this is normal". By 10pm I felt worse and went to bed. Took Trazadone to help with sleep. Woke up around 3am, and had difficulty breathing. Throat narrowed, heart rate was 130. Husband got cold compress, Motrin, took temp at 103. Extreme sweating, headaches. Symptoms lasted for three days. I may see Dr. to follow-up. Not sure if I will seek medical attention.***People should not be alone after receiving this vaccine***
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Pain in the left deltoid spreading down to hand. Was prescribed Percocet and gabapentin around 7pm
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Aches for 2/5 days which kept me home and inactive, low fever first day, red rash and itchiness below injection site that lasted 5 or more days, the itchiness continued into the second week but the rash was gone.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site pruritus, Rash erythematous, Scab, White blood cell count increased
Clinical narrative: itching, pain and injection site plus red bumps/scabs on arms, neck, shoulder, and trunk
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injected limb mobility decreased, Insomnia, Musculoskeletal stiffness
Clinical narrative: Vacine at 4 p,m, Monday Feb. 24.  By 6pm, extreme soreness and stiffens in arm.  By 7 pm unable to move left arm due to pain at 7-8 on a 10 scale.  Uncontrollable shaking, shivering, headache, it felt like a medical emergency.   Called nurse advice line.  Told symptoms could continue for 3 days.   By 9 pm shaking and shivering reduced, but still extreme pain in left arm, unable to move it due to pain.   Took ibuprofen before bed.  Unable to sleep.  4 am still can't move arm due to pain..  Headache, body aches, chills all day, no food.  By 4 pm pain in arm reduced to 4, able to move it gently.  Still have headache, body chills, aches.  Called Dr. nurse for note from doctor about returning to work Friday- was hassled  by her nurse on the phone about why so long from work, completely insensitive to my pain and experience, said it wasn't typical and sounded like she didn't believe me.  Given the extreme side effects I felt I wanted to be prepared in case it did last 3 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Tremor
Clinical narrative: Vacine at 4 p,m, Monday Feb. 24.  By 6pm, extreme soreness and stiffens in arm.  By 7 pm unable to move left arm due to pain at 7-8 on a 10 scale.  Uncontrollable shaking, shivering, headache, it felt like a medical emergency.   Called nurse advice line.  Told symptoms could continue for 3 days.   By 9 pm shaking and shivering reduced, but still extreme pain in left arm, unable to move it due to pain.   Took ibuprofen before bed.  Unable to sleep.  4 am still can't move arm due to pain..  Headache, body aches, chills all day, no food.  By 4 pm pain in arm reduced to 4, able to move it gently.  Still have headache, body chills, aches.  Called Dr. nurse for note from doctor about returning to work Friday- was hassled  by her nurse on the phone about why so long from work, completely insensitive to my pain and experience, said it wasn't typical and sounded like she didn't believe me.  Given the extreme side effects I felt I wanted to be prepared in case it did last 3 days.
Age: 70.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Rash, Rash erythematous, Swelling
Clinical narrative: Patient reported having red spots and some swelling a few days after having shots. She said that this started on arm of shingles shot and spread through most of body (appears to be arms, torso, face/neck). Patient reported to urgent care for treatment.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Herpes zoster
Clinical narrative: PATIENT STATED THAT VACCINES CAUSE HER A LOT OF PAIN IN THE BACK AND WENT TO THE DOCTOR AND DOCTOR IS TREATING HER LIKE IF SHE HAS SHINGLES AND PRESCRIBED HER VALTREX, TYLENOL #3 AND GABAPENTIN.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Ear pain, Neck pain, Neuralgia, Oropharyngeal pain
Clinical narrative: Left arm bruised and sore, but not an issue. About a week after vaccine, I had shooting pain in left ear, left neck and throat, and my head on left side at various places. I first thought it might be a sinus infection or throat infection, but doctor examined me and concluded the pain was probably a result of the vaccine. She prescribed Gabapentin and extra-strength Tylenol for the neuralgia or pain.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Vaccination complication
Clinical narrative: Left arm bruised and sore, but not an issue. About a week after vaccine, I had shooting pain in left ear, left neck and throat, and my head on left side at various places. I first thought it might be a sinus infection or throat infection, but doctor examined me and concluded the pain was probably a result of the vaccine. She prescribed Gabapentin and extra-strength Tylenol for the neuralgia or pain.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Bacterial test negative, Giardia test negative, Intertrigo, Parasite stool test negative, Rash
Clinical narrative: Unknown if this is an adverse event due to vaccination. Patient reports rectal rash and discharge post vaccination with Shingrix. Initial episode occurred in December after vaccination on 11/20/2019 for Shingrix. Seen by this provider in clinic on 12/31/2019 and then patient reports symptoms recurred after second Shingrix vaccination on 1/29/2020.   Patient denies having these symptoms prior to vaccination.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: White blood cells stool negative
Clinical narrative: Unknown if this is an adverse event due to vaccination. Patient reports rectal rash and discharge post vaccination with Shingrix. Initial episode occurred in December after vaccination on 11/20/2019 for Shingrix. Seen by this provider in clinic on 12/31/2019 and then patient reports symptoms recurred after second Shingrix vaccination on 1/29/2020.   Patient denies having these symptoms prior to vaccination.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Aphthous ulcer, Arthralgia, Diarrhoea, Feeling abnormal, Injection site rash
Clinical narrative: Within 10 hours had achy joints, diarrhea & foggyness.  Within 15hrs shot area had a rash and I had a fever of 101°.   Fever continued for 2 days and itchy rash persisted.  3rd day I got cancer sores in my mouth and my throat. Rash still itched but fever was gone.  Called Doctor on morning of Day 2 and was told to take Benadryl,  Tylenol and Pepsid. 3rd day began taking Zyrtec instead of Benadryl.  Called Doctor on day 3 & was told it was OK to began taking Acyclovir for the beginning of a fever blister.  4th day still home from work. Sores in mouth throat is red and generally still feel ill.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Oral herpes, Pharyngeal erythema, Pyrexia, Rash pruritic
Clinical narrative: Within 10 hours had achy joints, diarrhea & foggyness.  Within 15hrs shot area had a rash and I had a fever of 101°.   Fever continued for 2 days and itchy rash persisted.  3rd day I got cancer sores in my mouth and my throat. Rash still itched but fever was gone.  Called Doctor on morning of Day 2 and was told to take Benadryl,  Tylenol and Pepsid. 3rd day began taking Zyrtec instead of Benadryl.  Called Doctor on day 3 & was told it was OK to began taking Acyclovir for the beginning of a fever blister.  4th day still home from work. Sores in mouth throat is red and generally still feel ill.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Depressed level of consciousness, Heart rate increased, Rash
Clinical narrative: Rash developed across chest. Heart rate increased significantly and almost passed out.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister, Oral discomfort, Oral herpes, Paraesthesia oral, Pyrexia
Clinical narrative: On 11/26 at 1000 having burning and tingling in her lip on left side of face, blisters occurred and the blisters spread down to lower jaw area about nickel size. Later throughout day jaw, then down neck and shoulder were tender and felt swollen. Had dime size blistering under her left ear and lower on clavicle. Had fever of 100.1. Fever and tenderness lasted 3 days, the blistering lasted for 10 days. After 10 days symptoms were resolved. States on February 2/17 developed fever blisters on the left side of her lip and slowly spread from inner lip to corner of lip. Has taken Valtrex since 2/21 that was her moms, her mom gets recurring cold sores so she had the medication. Still has blisters.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Swelling, Tenderness
Clinical narrative: On 11/26 at 1000 having burning and tingling in her lip on left side of face, blisters occurred and the blisters spread down to lower jaw area about nickel size. Later throughout day jaw, then down neck and shoulder were tender and felt swollen. Had dime size blistering under her left ear and lower on clavicle. Had fever of 100.1. Fever and tenderness lasted 3 days, the blistering lasted for 10 days. After 10 days symptoms were resolved. States on February 2/17 developed fever blisters on the left side of her lip and slowly spread from inner lip to corner of lip. Has taken Valtrex since 2/21 that was her moms, her mom gets recurring cold sores so she had the medication. Still has blisters.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Death
Clinical narrative: None noted, called parent to reschedule 6 month WCC and mother told us baby had passed away. Did not give reason why.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: pain started after injection. pain increased 2-3 hrs later. had limited range of motion the next day pain was throbbing. By Monday, pain subside and had better range of motion.
Age: 23.0
Sex: F
Vaccine: HPV9
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Fine rasied rash on face, chest & upper arm. Generalized itching -Rx oral prednisone and OTC Benadryl
Age: 25.0
Sex: M
Vaccine: FLU4, PPV, TDAP
Symptoms: Cellulitis, Chills, Hyperhidrosis, Hypersensitivity, Injection site erythema
Clinical narrative: Patient was seen at Clinic on 2/4/2020 and was due for the following vaccines: Pneumovax 23, Flu and Tetanus. Patient had multiple layers of clothing on and declined to remove any in order for me to reach the deltoid. Patient pulled his layers of clothing as far up as he could. I then administered Pneumovax 23 and Flu on right upper arm and Tetanus on left upper arm. Patient waited 15 minutes after vaccines were administered and showed no signs or symptoms. Patient then came to the clinic again on 2/7/2020 and stated on 2/4/2020 evening he started with body chills, sweats, fever and localized redness and pain on right upper arm, just underneath the deltoid. Patient was treated for allergic reaction and cellulitis with oral Keflex and Rocephin as injection. Patient is doing good now.
Age: 25.0
Sex: M
Vaccine: FLU4, PPV, TDAP
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Patient was seen at Clinic on 2/4/2020 and was due for the following vaccines: Pneumovax 23, Flu and Tetanus. Patient had multiple layers of clothing on and declined to remove any in order for me to reach the deltoid. Patient pulled his layers of clothing as far up as he could. I then administered Pneumovax 23 and Flu on right upper arm and Tetanus on left upper arm. Patient waited 15 minutes after vaccines were administered and showed no signs or symptoms. Patient then came to the clinic again on 2/7/2020 and stated on 2/4/2020 evening he started with body chills, sweats, fever and localized redness and pain on right upper arm, just underneath the deltoid. Patient was treated for allergic reaction and cellulitis with oral Keflex and Rocephin as injection. Patient is doing good now.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Pain, Peripheral swelling
Clinical narrative: Erythema and swelling to left upper arm. Started 2/25/20. Pain started at 5:00pm on 2/24/20.