chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Pt. give 2nd flu vaccine 1 mo. after 1st dose.  Pt. had hx. of 5 years of previous doses.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Injected limb mobility decreased, Muscular weakness, Paraesthesia
Clinical narrative: Severe left shoulder pain, inability to move the arm actively, weakness, numbness, tingling
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Severe left shoulder pain, inability to move the arm actively, weakness, numbness, tingling
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Swelling
Clinical narrative: Patient complained of bruises and swelling when she got home and side effects last for 2 days after her shot
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt was given Flublok which is only indicated for ages 18 and up. Pt is only 15. I called Pfizer to report and to obtain advice. No adverse reactions were reported and Pfizer stated that the vaccine should still be affective for appropriate coverage for the patient. Pfizer sent an email confirmation of our call and send literature on the vaccine. Our Lead clinician Dr will reach out to the parent of the minor to notify them.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA increased
Clinical narrative: HOSPITALIZATION RELATED TO COVID 19 FOLLOWING PRIMARY COVID VACCINE SERIES - HOSPITALIZED 10/9/24-10/10/24
Age: 12.0
Sex: F
Vaccine: MENB
Symptoms: Expired product administered, No adverse event, Wrong product administered
Clinical narrative: Gave incorrect vaccine, vaccine was also expired. No treatment given, child's mother notified and child did not experience injury or illness due to incorrect and expired vaccination.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eye pain, Pain in jaw, Trigeminal neuralgia
Clinical narrative: Woke up in the middle of the night with excruciating pain in jaw up to eye which lasted for two minutes. I could hardly breathe. This cycle of pain continued in the same localized location of  my face. This cycle of pain continued for several days. Went to the ER and received pain medication that did not help. Was diagnosed with neurologic disease Trigemin Neuralgia and told that it is untreatable. ER Doctor referred me  to neurologist.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Haematemesis, Nausea, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: Patient received dose of  Comirnaty 2024-25 (12y up)(PF). She should have received a dose of covid booster for age 5-11 years old. Patient's father reports patient has developed nausea/vomiting and fever.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Pt. received 2nd dose of vaccine that was not needed.  Pt. had previously received the vaccine in years past.
Age: 14.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Flublock which is indicated for ages 18 and up and patient was 14 at the time of vaccination . Pt did not report any adverse reactions. Pfizer was contacted and let us know that the side effects of this vaccine would be similar to the Fluzone vaccine which is the one indicated for this age group and that the efficacy of the vaccine would be the same. Sent an email of our phone call and information regarding the vaccine. The Lead Clinician will reach out to the parent of the minor to let them know of the incident.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA increased
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES. HOSPITALIZED 10/8/24-10/10/24
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient received 2 flu shot in 2024. (first one 7/24/24 and the second one 11/07/24)
Age: 31.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Oral herpes
Clinical narrative: herpes outbreak on lip
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling and numbness of both hands and feet. Peaked about 1 day after symptom start and remained steady for a couple of weeks now slowly resolving.  Thumbs and big toes are the worst. Right is worse than left. Varies from day to day. Some fatigues the first day after the shot.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash macular, Rash pruritic
Clinical narrative: Vaccination on 11.7 between 1530-1630. Widespread rash noted 11.7 evening before bad. Rash is widespread, blotchy, and itches. Seen in clinic to evaluate 11.8.
Age: 8.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site cellulitis
Clinical narrative: cellulitis on the side of the injection
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Eye pruritus, Eye swelling, Ocular hyperaemia
Clinical narrative: patient reported the day after his vaccine, a bump appeared above his eye in the eyebrow region accompanied by a red itchy eye. the bump is itchy but not painful. patient called MD to report the reaction, MD recommended to call pharmacy for guidance. description did not seem to fit any of the reactions listed per the drug monograph - I recommended an OTC antihistamine.
Age: 68.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Inner ear infarction, Sinusitis
Clinical narrative: One from the vaccines! I have sinusitis and A inner ear infection now.
Age: 49.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: EE had rash and itching all over body.
Age: 36.0
Sex: M
Vaccine: HEPA
Symptoms: Extra dose administered
Clinical narrative: Pt. given extra dose of vaccine
Sex: F
Vaccine: RV5
Symptoms: Foetal exposure during pregnancy
Clinical narrative: Infants mother took Humalog during pregnancy. It is suggested to wait to administer live vaccines until the age of 6 months due to the possibility of Humalog passing through the placenta during pregnancy.
Age: 11.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Flublock which is indicated for ages 18 and up and patient was 11 at the time of vaccination . Pt did not report any adverse reactions. Pfizer was contacted and let us know that the side effects of this vaccine would be similar to the Fluzone vaccine which is the one indicated for this age group and that the efficacy of the vaccine would be the same. Sent an email of our phone call and information regarding the vaccine. The Lead Clinician will reach out to the parent of the minor to let them know of the incident
Age: 1.17
Sex: M
Vaccine: HEPA
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever in the evening after vaccination. He then had a global urticarial rash that has lasted over 36 hours. No difficulty breathing, vomiting, diarrhea, altered mental status.
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Injection site bruising, Injection site swelling, Thrombosis
Clinical narrative: On 11/08/2024 patient reported an ADR to Abrysvo administered on 10/18/2024.  She developed purple bruising and swelling at the  site of administration, then about a week later she developed redness down her arm.  At her doctor's visit she was told it was caused by a clot that burst per pt.  Infection was ruled out at the same doctor's visit.  ADR resolved on date patient reported it to the pharmacy.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Food allergy
Clinical narrative: Developed a severe peanut & shellfish food allergy. Requires use of an Epi-Pen
Age: 59.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chills, Diarrhoea, Fatigue, Injection site erythema, Injection site induration
Clinical narrative: Within 6-7 hours felt very fatigued, sore and sleepy.  Around 9 pm starting running mild fever and chills.  Next morning sore all over and right arm swollen and warm at injection site.  Diarrhea and tiredness continued throughout the day into the evening.  Arm site healed and feels better.  Today my right arm  is swollen, hard, red and hot.
Age: 59.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Injection site swelling, Injection site warmth, Pain, Pyrexia, Somnolence
Clinical narrative: Within 6-7 hours felt very fatigued, sore and sleepy.  Around 9 pm starting running mild fever and chills.  Next morning sore all over and right arm swollen and warm at injection site.  Diarrhea and tiredness continued throughout the day into the evening.  Arm site healed and feels better.  Today my right arm  is swollen, hard, red and hot.
Age: 69.0
Sex: M
Vaccine: COVID19, FLU3, PNC21
Symptoms: Dizziness, Photopsia, Vertigo
Clinical narrative: The patient received three vaccines from our pharmacy. He went shopping in the store for about ten minutes, then came back to the pharmacy with complaints of dizziness. He stated, "every time I turn my help I just see stars." I proceeded to check his blood pressure and his BP read 170/100. All three times I took his pressure it was consistent with that range. We discussed the fact that he hadn't eaten all day either. He was concerned about his blood pressure and wanted to have an ambulance called. I have spoken to this patient the day after and the ER physician determined vertigo, sent him home with some medications and the patient drove home later that night.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Flublock which is indicated for ages 18 and up and patient was 16 at the time of vaccination . Pt did not report any adverse reactions. Pfizer was contacted and let us know that the side effects of this vaccine would be similar to the Fluzone vaccine which is the one indicated for this age group and that the efficacy of the vaccine would be the same. Sent an email of our phone call and information regarding the vaccine. The Lead Clinician will reach out to the parent of the minor to let them know of the incident
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Pt's son called the pharmacy and made an appointment for pt to receive the COVID vaccine (Spikevax). We filled this vaccine. The date of the event, I informed pt she would be receiving Spikevax today. Pt immediately started freaking out, demanding that she should be receiving the flu shot instead. I informed her that we could switch the vaccine to Fluzone High Dose and give this to her instead. On pt's vaccine consent form, she checked "no" for the question "Have you received any vaccinations in the past 4 weeks?" Therefore, I did not re-check the State Immunization Registry before administering the flu shot, going only off of pt's request and her denial of receiving recent vaccines. That night, pt's son came into the pharmacy and asked why his mother had received "another" flu shot, stating that she had just received one 2 days prior. I then re-checked the State Immunization Registry, and it was confirmed that pt did receive Fluzone High Dose at a different location on 11/5/24. I immediately informed my supervisor and pt's PCP of this error.
Age: 59.0
Sex: F
Vaccine: COVID19, FLU3, PNC21
Symptoms: Injection site cellulitis, Injection site inflammation
Clinical narrative: Inflamation/cellulitus below injection site approximately 6 inches wide and 8 inches long
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient got a duplicate FLU vaccine. One on 11/07/2024 and the previous one was on 09/10/2024.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Fatigue, Headache, Incision site pain
Clinical narrative: Fever of 100.4, chills, shaking, nausea, faintness, body aches, headache, dizziness, fatigue, blurred vision, swelling and pain of left sided mastectomy site (I assume lymph issue?)
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Incision site swelling, Nausea, Pain, Pyrexia, Syncope
Clinical narrative: Fever of 100.4, chills, shaking, nausea, faintness, body aches, headache, dizziness, fatigue, blurred vision, swelling and pain of left sided mastectomy site (I assume lymph issue?)
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor, Vision blurred
Clinical narrative: Fever of 100.4, chills, shaking, nausea, faintness, body aches, headache, dizziness, fatigue, blurred vision, swelling and pain of left sided mastectomy site (I assume lymph issue?)
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Fibrin D dimer increased, Troponin increased
Clinical narrative: Patient had acute chest pain
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered Comirnaty 12+ 2024-2025 formulation, and he is 11 years of age.  No adverse reactions or side effects at time of administration today on 11/08.  Spoke with manufacturer and provided precautions to parent of when to seek medical attention.
Age: 3.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was given all 3 doses in the multidose Peds COVID vial without dilution.  This was patient's last dose of COVID-19 in the series. As of right now no adverse reactions have been reported.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given 0.5ml Moderna Spikevax for ages 12 years and older. Patient is 4 years old.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Crying, Flank pain, Headache, Pain
Clinical narrative: headache/discomfort on 10/4/24 evening. body aches, headhache, stomach upset, left flank on 10/5/24. woke up from sleep middle of the night 10/5/24 with terrible flank pain, body aches. i cried and panicked and almost went to the ER. i took buspar and tylenol and went back to sleep. i finally felt normal on the following monday.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Panic reaction, Sleep disorder
Clinical narrative: headache/discomfort on 10/4/24 evening. body aches, headhache, stomach upset, left flank on 10/5/24. woke up from sleep middle of the night 10/5/24 with terrible flank pain, body aches. i cried and panicked and almost went to the ER. i took buspar and tylenol and went back to sleep. i finally felt normal on the following monday.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given Moderna Spikevax for ages 12 years and older. Patient is 6 years old.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Limb discomfort, Musculoskeletal pain
Clinical narrative: Pain at site within 45 minutes of receiving.  Worsened over the weekend.  Directed to Urgent care for pain in scapular area.  She was instructed to get an MRI.  Sought care at Emergency Hospital and was given steroids.  Patient contacted again on 10/31/24 and reported heaviness in left arm and leg.  She was instructed to go to the ER in a call with her supervisor present.  She then met with Workers Compensation on 11/01/2024 and was referred to the ER again.  She was admitted the same day at Hospital for further evaluation.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenopia, Bell's palsy, Condition aggravated, Discomfort, Eye pruritus
Clinical narrative: Employee received the flu shot on 11/6 @ 1325.  At approx 0530 on 11/7 she reports waking up and her left eye was itchy and heavy.  It continued to bother her throughout the day and felt more heavy throughout the day.  Today she woke up and the eye was heavier and she started to fill it in her left cheek and feeling numbness in her left check and left side of upper lip.  Employee reports that she has history of bells palsy on that side of her face.  She was seen in the clinic by Dr 11/8 @1100.  Provider diagnosed a bells palsy flare up caused by the flu vaccine.  She is advised not to get the flu vaccine and to use caution with other vaccines and is prescribed steroids'.  Dr will continue to follow.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Employee received the flu shot on 11/6 @ 1325.  At approx 0530 on 11/7 she reports waking up and her left eye was itchy and heavy.  It continued to bother her throughout the day and felt more heavy throughout the day.  Today she woke up and the eye was heavier and she started to fill it in her left cheek and feeling numbness in her left check and left side of upper lip.  Employee reports that she has history of bells palsy on that side of her face.  She was seen in the clinic by Dr 11/8 @1100.  Provider diagnosed a bells palsy flare up caused by the flu vaccine.  She is advised not to get the flu vaccine and to use caution with other vaccines and is prescribed steroids'.  Dr will continue to follow.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Wrong product administered
Clinical narrative: MMRII given to the patient instead of MMRV. EMR showed that Proquad was ordered but allowed for the documentation of MMRII under this vaccine area. Manager notified who contacted patient's mother stating the error and the need for additional vaccine for varicella. Provider will be notified upon returning to the office. Internal investigation occurring due to EMR allowing incorrect NDC to link.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Blood electrolytes, Blood potassium decreased, Blood sodium decreased, Blood test
Clinical narrative: By 1pm I had severe exhaustion, nauseated with headache, and whole-body muscular and joint pain. I had an unsteady gait and weakness while walking. I was in bed 24/7 from 10/11 to 10/15. On 10/15, my son took me to the ER at Medical Center. I received IV fluids for low sodium and liquid potassium for low potassium. I received Zofran for the nausea. The next day I had a visit with my primary.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Gait disturbance, Headache, Muscular weakness, Myalgia
Clinical narrative: By 1pm I had severe exhaustion, nauseated with headache, and whole-body muscular and joint pain. I had an unsteady gait and weakness while walking. I was in bed 24/7 from 10/11 to 10/15. On 10/15, my son took me to the ER at Medical Center. I received IV fluids for low sodium and liquid potassium for low potassium. I received Zofran for the nausea. The next day I had a visit with my primary.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: By 1pm I had severe exhaustion, nauseated with headache, and whole-body muscular and joint pain. I had an unsteady gait and weakness while walking. I was in bed 24/7 from 10/11 to 10/15. On 10/15, my son took me to the ER at Medical Center. I received IV fluids for low sodium and liquid potassium for low potassium. I received Zofran for the nausea. The next day I had a visit with my primary.
Age: 1.08
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC20, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Child had a febrile seizure
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Patient received flu shot and developed nausea and headache after. Threw up a few minutes later.
Age: 76.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Chills, Dark circles under eyes, Headache, Loss of personal independence in daily activities, Ocular hyperaemia
Clinical narrative: 3hrs past intense headache between my eyes. Gave up doing a yoga lesson and went home. Symptoms increased to a feeling my throat was closing and swallowing was painful, felt chills, and body aches. The headache between my eyes seemed to effect my vision, my eyes were blood shot and my wife noted they looked dark around the eye.
Age: 76.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Odynophagia, Pain, Throat tightness, Visual impairment
Clinical narrative: 3hrs past intense headache between my eyes. Gave up doing a yoga lesson and went home. Symptoms increased to a feeling my throat was closing and swallowing was painful, felt chills, and body aches. The headache between my eyes seemed to effect my vision, my eyes were blood shot and my wife noted they looked dark around the eye.
Age: 40.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient was given 2 shots of the flu shot instead of the one he was supposed to get.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Arthralgia, Autoimmune disorder, Depression, Diplopia
Clinical narrative: Constant Fatigue, Constant Sore Throat, Redness of shot site, Pain/swelling @ shot site, Muscle Pain, joint paint, nausea and vomiting, depression and anxiety, Large Meningoma Brain Tumor (partially removed), GammaKnife due to Brain Tumor, double vision, hands drawn in the mornings, difficulty walking due to right knee pain. difficulty breathing and swallowing. depression and anxiety.  auto immune disorder following vaccination.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dysphagia, Dyspnoea, Eye operation, Fatigue, Gait disturbance
Clinical narrative: Constant Fatigue, Constant Sore Throat, Redness of shot site, Pain/swelling @ shot site, Muscle Pain, joint paint, nausea and vomiting, depression and anxiety, Large Meningoma Brain Tumor (partially removed), GammaKnife due to Brain Tumor, double vision, hands drawn in the mornings, difficulty walking due to right knee pain. difficulty breathing and swallowing. depression and anxiety.  auto immune disorder following vaccination.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy, Meningioma
Clinical narrative: Constant Fatigue, Constant Sore Throat, Redness of shot site, Pain/swelling @ shot site, Muscle Pain, joint paint, nausea and vomiting, depression and anxiety, Large Meningoma Brain Tumor (partially removed), GammaKnife due to Brain Tumor, double vision, hands drawn in the mornings, difficulty walking due to right knee pain. difficulty breathing and swallowing. depression and anxiety.  auto immune disorder following vaccination.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Meningioma surgery, Muscle contractions involuntary, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Constant Fatigue, Constant Sore Throat, Redness of shot site, Pain/swelling @ shot site, Muscle Pain, joint paint, nausea and vomiting, depression and anxiety, Large Meningoma Brain Tumor (partially removed), GammaKnife due to Brain Tumor, double vision, hands drawn in the mornings, difficulty walking due to right knee pain. difficulty breathing and swallowing. depression and anxiety.  auto immune disorder following vaccination.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Radiotherapy, Vomiting
Clinical narrative: Constant Fatigue, Constant Sore Throat, Redness of shot site, Pain/swelling @ shot site, Muscle Pain, joint paint, nausea and vomiting, depression and anxiety, Large Meningoma Brain Tumor (partially removed), GammaKnife due to Brain Tumor, double vision, hands drawn in the mornings, difficulty walking due to right knee pain. difficulty breathing and swallowing. depression and anxiety.  auto immune disorder following vaccination.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse event reported by patient. Reporting that patient received duplicate vaccination. Patient received first fluad shot 08/20/24 Lot: 388459.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented with red, swollen, warm to touch skin near the elbow asking if this looks like an allergic reaction. Patient is not sure since it is near the elbow and not where the injection was given. Patient contacted PCP and was advised to schedule an appointment with dermatology. Advised patient to reach out to PCP if not getting better since unsure if true allergic reaction. Will discuss second dose with patient and PCP.
Age: 18.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Fall, Immediate post-injection reaction, Piloerection
Clinical narrative: Within 10 sec of flu vaccine administration patient felt dizzy and weak, fell to knees and was assisted into chair; had goosebumps on chest and arms; no local reaction to injection site
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient recieved Pediatric vaccine and should have received adult dose
Age: 17.0
Sex: F
Vaccine: MMR
Symptoms: No adverse event, Product preparation issue
Clinical narrative: The dose that was given was diluent only the medication was not reconstituted with the diluent. There was no reaction, other then no protection against the virus if there should be exposure
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received pediatric vaccine instead of adult vaccine
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Headache, Oropharyngeal pain, Pain
Clinical narrative: Severe sore throat. Dry cough. Headache body ache joint aches fever spikes to 102.6 first few days
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe sore throat. Dry cough. Headache body ache joint aches fever spikes to 102.6 first few days
Age: 75.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Abscess drainage, Bacterial infection, Dermal cyst
Clinical narrative: Sebaceous cyst with a bacterial infection. Cut open and pus removed, antibiotic put in hole, and covered with gauze yesterday and repeated today ply 10 days of cephalon 500mg thee times a day.
Age: 9.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second Hepatitis A vaccine given  8 days early. Last Hepatitis A given  04/30/2024
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash on arms and legs
Age: 57.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Injected limb mobility decreased, Muscular weakness, Pain in extremity, Sleep disorder, Weight bearing difficulty
Clinical narrative: patient complains that right arm is weak.  He can not lift above head for long or hold anything heavy.  It hurts expecially at night while trying to sleep.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Pain in extremity
Clinical narrative: Patient had a bruise and a sore arm  11 days later
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Anxiety, Dizziness, Nausea, Pain in extremity, Pharyngeal swelling
Clinical narrative: On 11/08/2024 at 1342 Employee was given a Hepatitis B vaccine IM in the left deltoid. At 1352 the said employee started to have side effects and a reaction to the immunization. Employee stated, " I feel like my throat is swelling up," and she was also feeling lightheaded, nausea and her left arm was hurting, and she was also feeling very anxious. Patient was given o2 via nc at 2 lpm. Her feet were elevated, and ice packs were applied to back of neck and chest area. At 1415 patient was given Epinephrine 0.3 mg auto injected in her left thigh. She did take a couple of sips of Powerade.  1420 911 was called and Fire Rescue arrived at the center and took over care. 1430 Employee was transport by Fire Rescue to ER.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Decreased appetite, Fatigue, Injection site erythema, Injection site swelling, Malaise
Clinical narrative: Patients reports having redness and swelling in her right arm where she received  covid on 10/21/24. She reports that the redness lasted about two weeks. She also reports of  feeling sick with fever (states was 101 degrees), malaise, lacked an appetite,  and felt fatigued for 2-3 days. Recommendation for the next covid vaccine is to be  in the other arm. Patient also received her flu vaccination on the same day on her left arm.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pyrexia
Clinical narrative: Patients reports having redness and swelling in her right arm where she received  covid on 10/21/24. She reports that the redness lasted about two weeks. She also reports of  feeling sick with fever (states was 101 degrees), malaise, lacked an appetite,  and felt fatigued for 2-3 days. Recommendation for the next covid vaccine is to be  in the other arm. Patient also received her flu vaccination on the same day on her left arm.
Age: 26.0
Sex: M
Vaccine: HPV9
Symptoms: Arthralgia
Clinical narrative: Patient came in complaining of soreness and pain in shoulder on the same arm as injection site.  Vaccine may have been given higher then intended, but patient is unsure.
Age: 5.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Blood glucose, Crying, Dizziness, Electrocardiogram, Fatigue
Clinical narrative: Patient has dizziness/syncopal episode at school on 11/7/24. Per mom, the school told her the pt "had sudden episode of syncope or seizure-like activity. Described as being unresponsive, generalized shaking that lasted for a few seconds. Then appeared dazed and started crying for mom. Mom noted she seemed more tired and out of it, but returned to baseline," while in the ED. Patient admitted to ED at 10:05am on 11/7/24. POCT Glucose, CBC, CMP and EKG done at the ED per notes. Patient discharged from ED once condition was stable and appropriate for discharge per the ED note.
Age: 5.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Feeling abnormal, Full blood count, Metabolic function test, Seizure like phenomena, Syncope
Clinical narrative: Patient has dizziness/syncopal episode at school on 11/7/24. Per mom, the school told her the pt "had sudden episode of syncope or seizure-like activity. Described as being unresponsive, generalized shaking that lasted for a few seconds. Then appeared dazed and started crying for mom. Mom noted she seemed more tired and out of it, but returned to baseline," while in the ED. Patient admitted to ED at 10:05am on 11/7/24. POCT Glucose, CBC, CMP and EKG done at the ED per notes. Patient discharged from ED once condition was stable and appropriate for discharge per the ED note.
Age: 5.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Patient has dizziness/syncopal episode at school on 11/7/24. Per mom, the school told her the pt "had sudden episode of syncope or seizure-like activity. Described as being unresponsive, generalized shaking that lasted for a few seconds. Then appeared dazed and started crying for mom. Mom noted she seemed more tired and out of it, but returned to baseline," while in the ED. Patient admitted to ED at 10:05am on 11/7/24. POCT Glucose, CBC, CMP and EKG done at the ED per notes. Patient discharged from ED once condition was stable and appropriate for discharge per the ED note.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: The patient presented to the pharmacy and requested a shingles vaccine and a flu vaccine.  The patient's record was looked up in the state registry and both vaccines were recommended.  The pharmacist verified and gave the vaccines on 11/08/24 and provided the patient with a record.  Later that day a pharmacy called and stated the flu vaccine was already given to this patient for this year on 8/03/24.  The flu vaccine was not reported in the State Registry.  The patient was contacted and advised to monitor for any adverse effects since 2 flu vaccines were inadvertently given in the same season.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Bile acid malabsorption, Diarrhoea, Stool analysis normal
Clinical narrative: 15 November 2023, Persistent diarrhea begins, February 2024 recommended fluids and electrolytes by gastroenterologist, November 2024 still experiencing loose stool, acidic stool, and/or diarrhea once a day.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received previous RSV vaccine last year 2023, no indication for another dose, patient received additional RSV vaccine this year 11/8/2024
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Dyspnoea, Pharyngeal swelling, Throat tightness, Urticaria
Clinical narrative: Patient experienced hives on the arm vaccine was administered to (within 10 min). Within 1 hour, patient experienced shortness of breath, throat swelling/closure and anaphylaxis. Patient is an Emergency Room nurse, so was treated quickly during shift. First time patient has ever had a reaction to a influenza vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Wrong product administered
Clinical narrative: Adult patient: 1 of four adult patients given a peds RSV vaccine instead of an adult vaccine which was in stock. Due diligence was not conducted for med rights. PT was given beyfortus 100mg/1 ml , manufacture Sonofi, Lot AZ230089 child's dose instead of adult dose of Arexvy 0.5 ml made by GSK.. This was found by the LVN who was supervising other MAs with vaccines. An investigation was conducted along with verbal and written warning to all involved. Re-teaching conducted of all staff.  Repeated teaching was recommended for all staff. lt patient: 1 of four adult patients given a peds RSV vaccine instead of an adult vaccine which was in stock. Due diligence was not conducted for med rights. PT was given beyfortus 100mg/1 ml , manufacture Sonofi, Lot AZ230089 child's dose instead of adult dose of Arexvy 0.5 ml made by GSK.. This was found by the LVN who was supervising other MAs with vaccines. An investigation was conducted along with verbal and written warning to all involved. Re-teaching conducted of all staff.  Repeated teaching was recommended for all staff and ongoing monitoring of vaccine administration and use of medication safety rights.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Contusion, Neck pain, Pain, Pain in extremity
Clinical narrative: Patient came to the pharmacy on 11/8/24 to speak with a pharmacist about a possible vaccine related injury.  She told me about the flu vaccine that she received on 10/29/24. She is a retired nurse and thought that the vaccine might have been given too high. She said that she had a bruise that resulted from the vaccine and also had shoulder pain that she thought might be related as well. She did mention that she never lost full motion of her arm, but that there was some pain that also radiated up to her neck as well. She did also mention that she has had some other aches and pain from other issues she's been dealing with, but the fact that there was a bruise and the pain started at the time of the vaccination made her think that the vaccine is what caused the pain.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Gait disturbance, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling of left thigh, redness of left thigh, pain on left leg,  occasional limp
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, HIBV, MMR, PNC20, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine administration error - clinical gave adult dose of Hepatitis A. Patients mom notified by provider and advised to monitor for any adverse reactions.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient has experienced sore arm that has lasted for over a week and a half.  They are being treated with meloxicam to alleviate the pain.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Adult patient: 1 of four adult patients given a peds RSV vaccine instead of an adult vaccine which was in stock. Due diligence was not conducted for med rights. PT was given beyfortus 100mg/1 ml , manufacture Sonofi, Lot AZ230089 child's dose instead of adult dose of Arexvy 0.5 ml made by GSK.. This was found by the LVN who was supervising other MAs with vaccines. An investigation was conducted along with verbal and written warning to all involved. Re-teaching conducted of all staff.  Repeated teaching was recommended for all staff. lt patient: 1 of four adult patients given a peds RSV vaccine instead of an adult vaccine which was in stock. Due diligence was not conducted for med rights. PT was given beyfortus 100mg/1 ml , manufacture Sonofi, Lot AZ230089 child's dose instead of adult dose of Arexvy 0.5 ml made by GSK.. This was found by the LVN who was supervising other MAs with vaccines. An investigation was conducted along with verbal and written warning to all involved. Re-teaching conducted of all staff.  Repeated teaching was recommended for all staff and ongoing monitoring of vaccine administration and use of medication safety rights. Pt is on lisinopril, metformin, meloxicam, ozempic, omeprazole and atorvastatin. Pt stated he has no side effect from either injections that day.
Age: 30.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Pruritus
Clinical narrative: Patient reported to retail pharmacy for her RSV (Abrysvo) Vaccine during pregnancy (33 weeks 2 days) that was prescribed from provider. Order was reviewed for interactions/allergies per normal protocol.  No problems were found. Vaccine was then administered on 11/8 around 1245pm with patients consent. Patient was then instructed to wait in the lobby of the pharmacy for 15-20 minutes to make sure she was feeling OK before heading to her appointment across the hall at Health Center. Upon checking in with her at the 15 minute mark, she stated she felt "itchy" in her arm, and that it was spreading to her face. At this time, I recommended taking a dose of 25mg diphenhydramine. Pt agreed and took the dose. After about 5 minutes, she stated she still felt the same.  I stated if she started to feel any worse, to report to the Emergency Department, but if she is comfortable enough she can head to her appointment across the hall. Patient agreed with this plan, and Health Center was notified promptly.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Pain and tingling in arm, radiating downward from deltoid down arm that persists 1 month post injection.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: no adverse effects noted. pt received a second flu vaccine this season.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Chills, Gait inability, Hyperhidrosis, Influenza like illness, Joint swelling
Clinical narrative: After administration of the RSV vaccine patient had chills, sweating, and felt like cold/flu-like symptoms. Few days later patient started to experience extreme swelling in her knees to the point where she couldn't walk. Had no hives or difficulty breathing but wanted us to be aware of the reaction that had occurred. She spoke with her doctor, and he prescribed Methylprednisolone dose pack 4mg, and she stated that today 11/8 is her 2nd day on it. She is starting to feel better.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Nasopharyngitis
Clinical narrative: After administration of the RSV vaccine patient had chills, sweating, and felt like cold/flu-like symptoms. Few days later patient started to experience extreme swelling in her knees to the point where she couldn't walk. Had no hives or difficulty breathing but wanted us to be aware of the reaction that had occurred. She spoke with her doctor, and he prescribed Methylprednisolone dose pack 4mg, and she stated that today 11/8 is her 2nd day on it. She is starting to feel better.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Rotator cuff syndrome
Clinical narrative: rotator cuff dysfunction
Age: 69.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Redness, arm-swelling
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Vaccination site erythema, Vaccination site nodule, Vaccination site pain, Vaccination site swelling
Clinical narrative: Patient called 2 days after her vaccine to report that she had developed a red nodule below the vaccination site that was causing some swelling and pain. She also said that she had some nausea the night after the vaccination.
Age: 35.0
Sex: M
Vaccine: FLU3
Symptoms: Wrong product administered
Clinical narrative: Patient was given the wrong vaccine
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site rash
Clinical narrative: Patient complained of a large rash a few inches below the injection site. She said she was seen by a online provider and was told it might be a staph infection was given doxycline which she said did not make the rash better.
Age: 12.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Syncope
Clinical narrative: Pt fainted for about 15-20 seconds following administration of vaccine.  Pharmacist on duty checked with family and recommended contacting PCM to see if there were additional underlying conditions.  Followed up with pts family a few hours later, they were seen by their pediatrician and they concluded she had a vasovagal response (fainted) and that she is totally fine otherwise.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Discomfort, Dizziness, Feeling hot, Headache
Clinical narrative: Within 15 minutes after receiving the flu vaccine, employee developed lightheadedness, headache, general discomfort, nausea. 2-3 hours after receiving the flu vaccine, employee vomited x1 episode. Employee reports feeling better after vomiting. Lightheadedness, headache, general discomfort, and nausea remained for the remainder of the day. The next morning, employee woke up with runny nose, congestion, headache, chills, and felt warm.
Age: 26.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Respiratory tract congestion, Rhinorrhoea, Vomiting
Clinical narrative: Within 15 minutes after receiving the flu vaccine, employee developed lightheadedness, headache, general discomfort, nausea. 2-3 hours after receiving the flu vaccine, employee vomited x1 episode. Employee reports feeling better after vomiting. Lightheadedness, headache, general discomfort, and nausea remained for the remainder of the day. The next morning, employee woke up with runny nose, congestion, headache, chills, and felt warm.
Age: 16.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect route of product administration, Wrong product administered
Clinical narrative: Patient came to clinic for TB skin test. Instead of receiving Tuberculin PPD Derivative Intradermally, 0.1 ml of Polio vaccine was administered Intradermally to left inner FA.  I immediately notified Dr. as provider for patient has already left clinic. Reported occurrence to Dr., patient and patients' mother who was also present.  Dr. answered questions of patient and mother, and correct vaccine was administered Intradermally to opposite FA.   Patient returned to clinic for TB reading no adverse effects were reported.     Polio Virus Inactivated IPOL  Lot # W1a101M Exp 02/10/2025  NDC   49281-860-10
Age: 56.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: Patient stated that the site of the injection hurts, and patient states it hurts to move her arm. It has been over a month and she is still hurting
Age: 37.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Confusional state, Hypotonia, Malaise, Musculoskeletal stiffness, Nausea
Clinical narrative: Patient was talking for about 30 seconds after vaccines were given then stated "I don't feel so good." Pt went pale and limp, and I was able to grab pt to avoid a  fall and keep in seated position. Pt then became rigid help arrived from staffing pharmacist who checked pulse (around 80-100 bpm) and breathing as pt seemed to stop breathing and have convulsions for 10-15 seconds. EMs was called by technician in pharmacy. Mild sternal rub was performed and pt came to, was clearly breathing, and stood up. Pt was confused about his location and what had occurred. After grabbing both pharmacists pt sat down and regained awareness. A bottle of cold water was given to pt, who stated was nauseated. Pt went to restroom after 2-3 minutes to vomit. EMS arrived and took over. Pt was aware, alert, and oriented.
Age: 37.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Pallor, Respiratory arrest, Seizure
Clinical narrative: Patient was talking for about 30 seconds after vaccines were given then stated "I don't feel so good." Pt went pale and limp, and I was able to grab pt to avoid a  fall and keep in seated position. Pt then became rigid help arrived from staffing pharmacist who checked pulse (around 80-100 bpm) and breathing as pt seemed to stop breathing and have convulsions for 10-15 seconds. EMs was called by technician in pharmacy. Mild sternal rub was performed and pt came to, was clearly breathing, and stood up. Pt was confused about his location and what had occurred. After grabbing both pharmacists pt sat down and regained awareness. A bottle of cold water was given to pt, who stated was nauseated. Pt went to restroom after 2-3 minutes to vomit. EMS arrived and took over. Pt was aware, alert, and oriented.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient got an extra vaccine. Last vaccinated and completed series in 2021. Unknown completion at the time and patient got an extra dose that was not needed.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received 2 Flu shots in error.  1 Flushot on 9/20/24 and then a second one on 11/7/24. Patient has had no adverse reactions to the vaccine at the moment.
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: No adverse reaction - Duplicate IMZ given - patient got Arexvy last year and received Abrysvo today. The patient came in for the vaccine with her husband. Her vaccine was processed through her plan. The pharmacist that went out to give the vaccine informed her that she would only need one dose and that another would not be necessary at this time, but that in the future 10+ years there could always be a change.  She asked "So I dont need another one next year" He repeated that no it was a one time vaccine at this point in time. Then she informed him she received one last year.  He double checked the records and she had received Arexvy last year and had just been given Abrysvo.  She was told what had just happened, apologized to, explained to call us if she has any issues at all and was informed we would report the issue.
Age: 1.92
Sex: F
Vaccine: MMRV
Symptoms: Wrong product administered
Clinical narrative: Patient was Given Proquad, when MMR was ordered.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient was given Fluzone HD instead of Covid 19 vaccine; had already received a flu shot this season in September 09/25/24.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Upon giving patient Prevnar 20 vaccine on 11/7/24, it was noticed that patient received two vaccines of the same vaccine (Abrysvo). One was done 9/11/23 and second dose was done 8/27/24). Patient was notified of duplication but reports no significant side effects. Patient asked what the timeline for vaccine is. I counseled that Pfizer states that Abrysvo has a 2-year coverage so I anticipate the recommendation will be made in the future for possibly every 2 years.