chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD 12/23/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 33.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: redness around site that progressed to wrap around the right arm with warmth, pain, and a knot. Sought medical attention on Saturday dx with cellulitis. Seen MD for follow up given a longer dose of abx.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 14.0
Sex: M
Vaccine: IPV, MMRV
Symptoms: Decreased appetite, Fatigue, Gastrointestinal disorder, Headache, Malaise
Clinical narrative: Fevers up to 102. Coinciding with fevers he will additionally have headaches, occasional fluid with lump in his stomach that makes it more difficult to eat and generally feels unwell. Is having multiple waves of fevers throughout the day. They do seem to be responsive to ibuprofen which has been given once a day to help manage. Appetite is decreased but does seem to begin taking enough food and water. Has normal bowel movements. No changes in bladder habits. He does seem fatigued but generally is himself.
Age: 14.0
Sex: M
Vaccine: IPV, MMRV
Symptoms: Pyrexia
Clinical narrative: Fevers up to 102. Coinciding with fevers he will additionally have headaches, occasional fluid with lump in his stomach that makes it more difficult to eat and generally feels unwell. Is having multiple waves of fevers throughout the day. They do seem to be responsive to ibuprofen which has been given once a day to help manage. Appetite is decreased but does seem to begin taking enough food and water. Has normal bowel movements. No changes in bladder habits. He does seem fatigued but generally is himself.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: It was discovered on 8/9/2023 that an expired dose was administered to the patient on 4/4/2023.  Manufacture was contacted to review the stability of the vaccine.  Report a stable and viable dose given.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Clonic convulsion
Clinical narrative: CLONIC EPILEPSY
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Clonic convulsion, Epilepsy, Symptom recurrence
Clinical narrative: CLONIC EPILEPSY 4/26/2022,  7/25/2022,  8/19/2022,  12/8/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Ischaemic stroke, Lacunar stroke, Lung adenocarcinoma
Clinical narrative: I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 3/23/2023 ADENOCARCINOMA LUNG, UNSPECIFIED SITE I63.9 ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 3/24/2023 ADENOCARCINOMA LUNG, UNSPECIFIED SITE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/24/2023 ADENOCARCINOMA LUNG, UNSPECIFIED SITE I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 3/23/2023 ADENOCARCINOMA LUNG, UNSPECIFIED SITE I63.9 ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 3/24/2023 ADENOCARCINOMA LUNG, UNSPECIFIED SITE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/24/2023 ADENOCARCINOMA LUNG, UNSPECIFIED SITE
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Medication was expired according to CDC shelf life guidelines.
Age: 16.0
Sex: F
Vaccine: TD, TDAP
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: PT WAS GIVEN TDAP AND TD ON THE SAME DAY. NO MANIFESTATIONS OF ADVERSE REACTION PRESENT. PT DENIED ANY PAIN OR DISCOMFORT AT THE INJECTION SITE.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Reversible ischaemic neurological deficit
Clinical narrative: REVERSIBLE ISCHEMIC NEUROLOGIC DEFICIT SYNDROME ACUTE PULMONARY EMBOLISM
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bronchospasm, Hypoxia
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 4/14/2023 ACUTE BRONCHOSPASM R09.02 HYPOXIA 4/13/2023 ACUTE BRONCHOSPASM
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Albumin CSF, Anti-GAD antibody positive, Anti-thyroid antibody increased, Anxiety, Ataxia
Clinical narrative: Stiff person syndrome with multiple autoantibodies: anti-GAD,  anti-TPO, and CSF oligoclonal bands. Anxiety, stiff legs, diplopia, right ptosis, left lid retraction, stiff legs, gait ataxia.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood albumin normal, CSF electrophoresis abnormal, CSF immunoglobulin G index, CSF immunoglobulin increased, CSF oligoclonal band present
Clinical narrative: Stiff person syndrome with multiple autoantibodies: anti-GAD,  anti-TPO, and CSF oligoclonal bands. Anxiety, stiff legs, diplopia, right ptosis, left lid retraction, stiff legs, gait ataxia.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Central nervous system inflammation, Diplopia, Eyelid ptosis, Eyelid retraction, Infection
Clinical narrative: Stiff person syndrome with multiple autoantibodies: anti-GAD,  anti-TPO, and CSF oligoclonal bands. Anxiety, stiff legs, diplopia, right ptosis, left lid retraction, stiff legs, gait ataxia.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Multiple sclerosis, Musculoskeletal stiffness, Stiff person syndrome
Clinical narrative: Stiff person syndrome with multiple autoantibodies: anti-GAD,  anti-TPO, and CSF oligoclonal bands. Anxiety, stiff legs, diplopia, right ptosis, left lid retraction, stiff legs, gait ataxia.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Pleural effusion
Clinical narrative: HYPOXIA 4/8/2023 PLEURAL EFFUSION
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Pain in extremity, X-ray
Clinical narrative: arm pain
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: No adverse event, Product preparation error
Clinical narrative: Client was given the Men group A component of the vaccine diluted with sterile water. Client notified, no adverse signs or symptoms reported.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Iron deficiency anaemia, Left ventricular failure
Clinical narrative: J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 3/28/2023 DIASTOLIC HEART FAILURE, UNSPECIFIED ACUITY J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 3/28/2023 DIASTOLIC HEART FAILURE, UNSPECIFIED ACUITY J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 3/28/2023 IRON DEFICIENCY ANEMIA
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was used after the BUD.  When we received this vaccine vaccine our nurse called State  or manufacture to confirm the expiration date, she was advised to use the date that was on the box.   This nurse is no longer with us.This patient has not had any adverse reaction after the vaccine that was reported to us.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECIEVED VACCINE AFTER BUD
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECIEVED VACCINE AFTER BUD
Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Chills, Cold sweat, Influenza like illness, Injection site pain, Insomnia
Clinical narrative: I had an adverse reaction to the Prevnar shot that I got yesterday.  Aside from the tolerable muscle pain at the injection site, I had a horrible night trying to sleep.  I had chills and cold sweat, irritability, restlessness, insomnia and generally felt like I had the flu.
Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Irritability, Restlessness, Sleep disorder
Clinical narrative: I had an adverse reaction to the Prevnar shot that I got yesterday.  Aside from the tolerable muscle pain at the injection site, I had a horrible night trying to sleep.  I had chills and cold sweat, irritability, restlessness, insomnia and generally felt like I had the flu.
Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Chills, Cold sweat, Injection site pain, Insomnia, Irritability
Clinical narrative: I had an adverse reaction to the Prevnar shot that I got yesterday.  Aside from the tolerable muscle pain at the injection site, I had a horrible night trying to sleep.  I had chills and cold sweat, irritability, restlessness, insomnia and generally felt like I had the flu.
Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Restlessness
Clinical narrative: I had an adverse reaction to the Prevnar shot that I got yesterday.  Aside from the tolerable muscle pain at the injection site, I had a horrible night trying to sleep.  I had chills and cold sweat, irritability, restlessness, insomnia and generally felt like I had the flu.
Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Chills, Cold sweat, Influenza like illness, Injection site pain, Insomnia
Clinical narrative: Muscle pain on vaccine site, chills, cold sweats, irritability, restlessness, and insomia
Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Irritability, Restlessness, Sleep disorder
Clinical narrative: Muscle pain on vaccine site, chills, cold sweats, irritability, restlessness, and insomia
Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Chills, Cold sweat, Injection site pain, Insomnia, Irritability
Clinical narrative: Muscle pain on vaccine site, chills, cold sweats, irritability, restlessness, and insomia
Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Restlessness
Clinical narrative: Muscle pain on vaccine site, chills, cold sweats, irritability, restlessness, and insomia
Age: 1.5
Sex: M
Vaccine: PNC13
Symptoms: Extra dose administered
Clinical narrative: The last time we gave this patient the PCV 13 in May, it did not flow over to database so when I looked at database on 8/4/23 it looked like he was due for the PCV 13. I gave it to him and when I went to chart it in our system I noticed that we did not have all his vaccine records in our system and that the one from May had not flowed over to database. In turn he got an extra dose of the PCV 13.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Botulinum toxin injection, Cardiac monitoring, Hand deformity, Laboratory test normal, Muscle disorder
Clinical narrative: He started losing the use of his hands in October.  Went to see an Orthopedic Dr on November 3rd thinking it was a trigger finger but Dr said it wasn't.  He wanted some neurological tests run to determine if it was a stroke.  Test came back negative.  Neurologist could not determine the issue but advised it was muscle and not nerves. Was sent to a second neurologist for another opinion and they confirmed the results from the first dr.   By December, he had no use of his hands at all.  They consider them claw hands.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal disorder
Clinical narrative: He started losing the use of his hands in October.  Went to see an Orthopedic Dr on November 3rd thinking it was a trigger finger but Dr said it wasn't.  He wanted some neurological tests run to determine if it was a stroke.  Test came back negative.  Neurologist could not determine the issue but advised it was muscle and not nerves. Was sent to a second neurologist for another opinion and they confirmed the results from the first dr.   By December, he had no use of his hands at all.  They consider them claw hands.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood folate, Blood test, Fatigue, Full blood count, Glycosylated haemoglobin
Clinical narrative: Fatigue, extreme weight loss, polydipsia,polyuria
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Polydipsia, Polyuria, Vitamin B12, Vitamin D
Clinical narrative: Fatigue, extreme weight loss, polydipsia,polyuria
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Fatigue, extreme weight loss, polydipsia,polyuria
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Symptom recurrence
Clinical narrative: ACUTE DVT OF RIGHT FEMORAL VEIN 4/4/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Impaired work ability, Malaise, Nausea
Clinical narrative: Patient reported dizziness and nausea within 1 hour of vaccination. She said she was extremely exhausted and had to leave work and go to bed. She said she was having bad dreams that night and overall just felt unwell. She woke up the next day and felt back to normal. She had no reactions to the first Shingrix vaccine but had previously had a similar experience with a flu vaccine.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Nightmare
Clinical narrative: Patient reported dizziness and nausea within 1 hour of vaccination. She said she was extremely exhausted and had to leave work and go to bed. She said she was having bad dreams that night and overall just felt unwell. She woke up the next day and felt back to normal. She had no reactions to the first Shingrix vaccine but had previously had a similar experience with a flu vaccine.
Age: 47.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Swollen lymph area, under arm pain as of 8/15/23 for 5 days
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Child came for catch-up vaccines. Due DTaP and Polio. DTaP and Polio vaccines were given separately but TDaP should have been given due to age.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Mobility decreased, Peripheral swelling
Clinical narrative: arm completely swollen and unable to move
Age: 1.83
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Incorrect product formulation administered
Clinical narrative: During an inventory count on 8/8/23, it was discovered that a patient was only given the liquid part of the Pentacel Vaccine (Dtap/IPV/Hib).  The liquid part contains the Dtap/IPV, this is to be mixed with a separate vial of powdered Hib. We were able to trace back the lot number and were able to identify who the patient was that this happened to.   A call was placed to the manufacturer on 8/14/23 and it was noted that the Dtap and IPV will count as doses, but that the Hib will need to be redone.   Parents will be called and notified of the error.
Age: 0.75
Sex: F
Vaccine: DTPPVHBHPB, DTPPVHBHPB
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: PATIENT WAS IN OFFICE FOR VACCINES. RN GAVE VAXELIS TO PATIENT. PATIENT WAS BEHIND ON VACCINES. THE HIB IN THE VAXELIS WAS GIVEN TO EARLY. THE HIB NEEDED TO BE AN 8 WK INTERVAL. PATIENTS MOTHER WAS CONTACTED AND INFORMED OF ERROR. MOTHER V/U. PATIENT DID NOT HAVE ANY ISSUES WITH THE INJECTION PER MOM. PCP WAS NOTIFIED. MESSAGE LEFT WITH NURSE. MOTHER NOTIFIED TO CONTACT RN IF ISSUES ACCORD.
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Product supply issue
Clinical narrative: Used Private supply instead of state supply by accident. Patient was not directly impacted by this.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Pulmonary embolism
Clinical narrative: MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE PULMONARY EMBOLISM HYPOXIA
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Aldolase increased, Antinuclear antibody, Blood creatine phosphokinase increased, Complement factor C3, Complement factor C4
Clinical narrative: Sore arms, loss of swallowing in January, 2022, eventual Dermatomyositis diagnosis
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: DNA antibody negative, Dysphagia, Haematocrit, Haemoglobin, Mean cell haemoglobin concentration decreased
Clinical narrative: Sore arms, loss of swallowing in January, 2022, eventual Dermatomyositis diagnosis
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Mean cell haemoglobin decreased, Mean cell volume decreased, Mean platelet volume increased, Pain in extremity, Platelet count normal
Clinical narrative: Sore arms, loss of swallowing in January, 2022, eventual Dermatomyositis diagnosis
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Red blood cell count normal, Red cell distribution width increased, Thiopurine methyltransferase, White blood cell count
Clinical narrative: Sore arms, loss of swallowing in January, 2022, eventual Dermatomyositis diagnosis
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: This vaccine was used BUD.  However, parent  did not report any adverse reaction  from the vaccine.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: Wrong product administered
Clinical narrative: On 7/27/23, during immunization reconciliation, the counts for specific lots of Pediatric MMR vaccine and Pediatric MMRV vaccine in system were noted to be discrepant from the physical Count of inventory in the clinic. MMRV (Lot: X007087 Exp: 9/4/24) was showing in system as having 10 doses in inventory with no doses having been administered, however, the physical count revealed only 9 doses in clinic. MMR (Lot: W007041 Exp: 02/29/2024) was showing in system as having 6 doses remaining, however, physical count of the vaccine in the unit was 7 doses. All other inventory counts were correct. 4 patients had documentation in system showing vaccination with this lot of MMR, since last reconciliation. All 4 patients were also vaccinated with Varicella vaccine during each of their visits. Documentation for each of the 4 patients also noted the MMR (and Varicella) vaccinations. Due to the discrepancies in count, however, it can be presumed that one of these children (although we cannot determine which child) were vaccinated with MMRV in the place of MMR and therefore received MMRV and Varicella on the same day inadvertently. RN reported findings to supervisor. Immunization Program Nurse and Regional Director were notified by RN. Dr. was also noted of above information. PHN contacted parents of all 4 minor patients and notified them of the possibility of vaccination error. Mom denies any reaction of any kind after receiving the vaccine. Child is currently doing fine.
Age: 1.67
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: Wrong product administered
Clinical narrative: On 7/27/23, during immunization reconciliation, the counts for specific lots of Pediatric MMR vaccine and Pediatric MMRV vaccine in system were noted to be discrepant from the physical Count of inventory in the clinic. MMRV (Lot: X007087 Exp: 9/4/24) was showing in system as having 10 doses in inventory with no doses having been administered, however, the physical count revealed only 9 doses in clinic. MMR (Lot: W007041 Exp: 02/29/2024) was showing in system as having 6 doses remaining, however, physical count of the vaccine in the unit was 7 doses. All other inventory counts were correct. 4 patients had documentation in system showing vaccination with this lot of MMR, since last reconciliation. All 4 patients were also vaccinated with Varicella vaccine during each of their visits. Documentation for each of the 4 patients also noted the MMR (and Varicella) vaccinations. Due to the discrepancies in count, however, it can be presumed that one of these children (although we cannot determine which child) were vaccinated with MMRV in the place of MMR and therefore received MMRV and Varicella on the same day inadvertently. RN reported findings to supervisor. Immunization Program Nurse and Regional Director were notified by RN. Dr. was also noted of above information. PHN contacted parents of all 4 minor patients and notified them of the possibility of vaccination error. Mom denies any reaction of any kind after receiving vaccines. Child is currently doing fine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 1.33
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: Body temperature increased, Diarrhoea, Extra dose administered
Clinical narrative: On 7/27/23, during immunization reconciliation, the counts for specific lots of Pediatric MMR vaccine and Pediatric MMRV vaccine in system were noted to be discrepant from the physical Count of inventory in the clinic. MMRV (Lot: X007087 Exp: 9/4/24) was showing in system as having 10 doses in inventory with no doses having been administered, however, the physical count revealed only 9 doses in clinic. MMR (Lot: W007041 Exp: 02/29/2024) was showing in system as having 6 doses remaining, however, physical count of the vaccine in the unit was 7 doses. All other inventory counts were correct. 4 patients had documentation in system showing vaccination with this lot of MMR, since last reconciliation. All 4 patients were also vaccinated with Varicella vaccine during each of their visits. Documentation for each of the 4 patients also noted the MMR (and Varicella) vaccinations. Due to the discrepancies in count, however, it can be presumed that one of these children (although we cannot determine which child) were vaccinated with MMRV in the place of MMR and therefore received MMRV and Varicella on the same day inadvertently. RN reported findings to supervisor. Immunization Program Nurse and Regional Director were notified by RN. Dr. was also noted of above information. PHN contacted parents of all 4 minor patients and notified them of the possibility of vaccination error. Mom states that the child only had mild low-grade temperature and diarrhea for the remainder of the day after receiving the vaccines. No other reactions were reported. Child is currently doing fine.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Chest pain
Clinical narrative: patient mid vaccine screamed during administration with concerning chest pain that stemmed to the middle of chest.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: Wrong product administered
Clinical narrative: On 7/27/23, immunization reconciliation, the counts for specific lots of Pediatric MMR vaccine and Pediatric MMRV vaccine in system were noted to be discrepant from the physical Count of inventory in the clinic. MMRV (Lot: X007087 Exp: 9/4/24) was showing in system as having 10 doses in inventory with no doses having been administered, however, the physical count revealed only 9 doses in clinic. MMR (Lot: W007041 Exp: 02/29/2024) was showing in system as having 6 doses remaining, however, physical count of the vaccine in the unit was 7 doses. All other inventory counts were correct. 4 patients had documentation in system showing vaccination with this lot of MMR, since last reconciliation. All 4 patients were also vaccinated with Varicella vaccine during each of their visits. Documentation for each of the 4 patients also noted the MMR (and Varicella) vaccinations. Due to the discrepancies in count, however, it can be presumed that one of these children (although we cannot determine which child) were vaccinated with MMRV in the place of MMR and therefore received MMRV and Varicella on the same day inadvertently. PHN reported findings to supervisor. Immunization Program Nurse and Regional Director were notified by RN. Dr. was also noted of above information. PHN contacted parents of all 4 minor patients and notified them of the possibility of vaccination error. No adverse reactions reported for this child.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Contusion, Dizziness, Fall, Lip haemorrhage, Pallor
Clinical narrative: Patient received Menquadfi vaccine at approximately  9:35am.   Vaccine received well and patient voiced relief she had gotten it over with and it was not as bad as she thought it would be.  She walked out of clinic room and down hall where record was given without difficulty or complaint.  Once patient in waiting room with stepmom, they stopped to get  a drink out of Coke machine and patient  stated to stepmom she was feeling dizzy.  Stepmom states before she can ask her any further questions or turn around from getting drink from machine, patient falls to the floor hitting her as she was faced away from her.  Staff was seated in clerical area and heard fall, looked up and noticed patient on floor. Staff had clerk call for help. All of this occurring at 9:40am.  When nurses arrive out to lobby, patient is lying face down on floor unresponsive initially but breathing.  Patient was gently log rolled onto back.  First vitals at 9:41am,  BP 102/56. Patient pale and bruising noted to left side of face as well as bleeding noted to left upper and lower lip. Patient slowly began to open eyes.  BP at 0946 110/60.   Slowly raised up to a 45 degree position but rested against nurse, being unable to hold herself up.   Patient did become more responsive and verbal.   Asked patient what she had for breakfast and quietly responded that she had cereal and the kind of cereal she had.  Pulse at 0951 -76 slightly weak but regular.  BP at 0952 106/58.   Continued to support patient in seated position and patient was verbal when asked questions but kept eyes only slightly opened and closed most of the time.  0958 called patient's pcp and spoke with staff giving all details of episode thus far. He suggests to have patient evaluated at ER since patient did hit her head.   Stepmom present and agrees this is what she wishes as well.  BP at 0956 122/70 and pulse strong and regular.  Patient remains  verbal, but only when spoken to, and supported to sit by nurse. Patient's left leg began to shake and patient verbalizes she felt she was shaking all over as well.   Ambulance notified of need for transport for further evaluation at 1001 and arrives by 1006.  Verbal report and form copy given to ambulance personnel.  Patient transported via ambulance at that time for further evaluation.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient received Menquadfi vaccine at approximately  9:35am.   Vaccine received well and patient voiced relief she had gotten it over with and it was not as bad as she thought it would be.  She walked out of clinic room and down hall where record was given without difficulty or complaint.  Once patient in waiting room with stepmom, they stopped to get  a drink out of Coke machine and patient  stated to stepmom she was feeling dizzy.  Stepmom states before she can ask her any further questions or turn around from getting drink from machine, patient falls to the floor hitting her as she was faced away from her.  Staff was seated in clerical area and heard fall, looked up and noticed patient on floor. Staff had clerk call for help. All of this occurring at 9:40am.  When nurses arrive out to lobby, patient is lying face down on floor unresponsive initially but breathing.  Patient was gently log rolled onto back.  First vitals at 9:41am,  BP 102/56. Patient pale and bruising noted to left side of face as well as bleeding noted to left upper and lower lip. Patient slowly began to open eyes.  BP at 0946 110/60.   Slowly raised up to a 45 degree position but rested against nurse, being unable to hold herself up.   Patient did become more responsive and verbal.   Asked patient what she had for breakfast and quietly responded that she had cereal and the kind of cereal she had.  Pulse at 0951 -76 slightly weak but regular.  BP at 0952 106/58.   Continued to support patient in seated position and patient was verbal when asked questions but kept eyes only slightly opened and closed most of the time.  0958 called patient's pcp and spoke with staff giving all details of episode thus far. He suggests to have patient evaluated at ER since patient did hit her head.   Stepmom present and agrees this is what she wishes as well.  BP at 0956 122/70 and pulse strong and regular.  Patient remains  verbal, but only when spoken to, and supported to sit by nurse. Patient's left leg began to shake and patient verbalizes she felt she was shaking all over as well.   Ambulance notified of need for transport for further evaluation at 1001 and arrives by 1006.  Verbal report and form copy given to ambulance personnel.  Patient transported via ambulance at that time for further evaluation.
Age: 3.0
Sex: F
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Nurse administered TDaP which is for ages over 7 years old instead of DTaP which is for her age range.  Nurse stated that father was adament about patient getting the TDaP vaccine so she went ahead and gave the immunization he requested.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Neuropathy peripheral
Clinical narrative: NEUROPATHY ACUTE CORONARY SYNDROME, UNSPECIFIED
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE AFTER BUD
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE
Age: 0.83
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse effects reported.
Age: 86.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: Duplicate Dose of Prevnar20 (had already received it back on 05/23/2023).  Patient reports no obvious ADRs from the inadvertent, 2nd dosage of Prevnar20.
Age: 20.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: This vaccine was used after BUD.  Patient did not report any adverse reaction after receiving this vaccine.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Dyspnoea, Vomiting
Clinical narrative: constant vomiting and trouble breathing, went to ER today
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 1.25
Sex: M
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: CMA, STATES THAT DR. TOLD HER THAT PATIENT WAS DUE A TDAP TO WHICH SHE ADMINSTERED.   SHE WENT TO DOCUMENT THE VACCINE AND A DTAP WAS ORDERED (TDAP SHOULD NOT HAVE BEEN GIVEN DUE TO PATIENTS AGE).  MOTHER WAS CONTACTED AND INFORMED OF ADMINSTRATION ERROR AND ADVERSE EVENTS TO WATCH FOR.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN ACUTE DVT, UNSPECIFIED VEIN
Age: 14.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: This vaccine was used after BUD. Parent did not report any adverse reaction from this vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization. No adverse events reported from vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, Expired product administered, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case admission/patient expired Janssen 4/5/21 lot# 043A21A
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Obstructive sleep apnoea syndrome, Respiratory failure
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXEMIA 2/26/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXEMIA 2/26/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 17.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: This vaccine was used after BUD. Parent  did not report any  adverse reaction after receiving this vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: This vaccine was used after BUD.  Parent did not report any adverse reaction after the vaccine.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Syncope
Clinical narrative: Patient seem to have syncope right after receiving Tdap boostrix vaccine.  She was gently placed on the floor. She came to a couple of second s later and said she feels but has a headache.  EMS was called immediately and medic attended to her.  She said she felt okay and medic said her readings were normal. She was then place in an ambulance to wait for her mother.
Age: 26.0
Sex: F
Vaccine: YF
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Starting on 8/11/2023 redness, itching, soreness to touch around injection site, first 24 hours 2X2 inches, 8/12/2023 doubled in size, on 8/13/2023 redness itching, and soreness had spread shoulder to elbow and half the circumference of the patients arm.  Seen at urgent care on 8/13/2023 and treated predisone five day course of 20 mg tablets, Zyrtec daily, cephalexon 5 day course.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 1102: Client requesting BV Booster 1122: Client inadvertently received BV booster scheduled to early 1137: Client waited in lobby for 15 min for adverse reactions 1157: Client notified of early immunization
Age: 5.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Pyrexia
Clinical narrative: Mother reports fever controlled with OTC Tylenol and Motrin
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Influenza, Malaise
Clinical narrative: She experienced flu/covid like symptoms beginning 1-2 days post vaccination and felt extremely tired. The symptoms lasted for one week after receiving vaccine.
Age: 19.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: This vaccine was used BUD. Parent did not report any adverse reaction to  us.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dystonia, Muscle contractions involuntary, Muscle twitching, Myalgia, Nausea
Clinical narrative: Patient was completely healthy when given the vaccine, 4 days later she developed dystonic reactions involuntary motions of her muscle groups including fasciculations of her eyelids, periorbital muscles, fingers and toes.  Nausea and vomiting, low-grade fever. She also experiencing muscle pain in isolated areas especially between the ribs and twitching of the muscles.  No numbness of her hands or feet
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient was completely healthy when given the vaccine, 4 days later she developed dystonic reactions involuntary motions of her muscle groups including fasciculations of her eyelids, periorbital muscles, fingers and toes.  Nausea and vomiting, low-grade fever. She also experiencing muscle pain in isolated areas especially between the ribs and twitching of the muscles.  No numbness of her hands or feet
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Disorientation, Malaise, Pain in extremity, Pyrexia
Clinical narrative: she reported feeling very sick with fever, chills, and complete disorientation for 12 hours the night after vaccine administration. Still experiencing left arm pain 8 days later and had one day of excessive nasal drainage
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea
Clinical narrative: she reported feeling very sick with fever, chills, and complete disorientation for 12 hours the night after vaccine administration. Still experiencing left arm pain 8 days later and had one day of excessive nasal drainage
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: This vaccine was used after BUD. No adverse reaction reported.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Agitation, Seizure, Syncope
Clinical narrative: Syncope and possible seizure activity; after laying down and BP and pulse stabilized, no more seizure activity.  Patient came up agitated and then calmed down.
Age: 51.0
Sex: M
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: After administration, vaccine expiration date noted to be 8/8/2023. Patient called and notified, counseled on revaccination.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was receiving 4 month vaccines in office today. 0.7 ml of the Rotateq was administered before the mom noted that this was the first time patient had received this vaccine. Infant is over 15 weeks of age at this time. No previous dose of Rotateq has been administered. 0.7 ml of the Rotateq was administered and the rest was discarded. No reactions or side effects noted at this time.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Malignant respiratory tract neoplasm, Respiratory failure
Clinical narrative: J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/15/2023 MALIGNANT NEOPLASM UNS PART UNS BRONCHUS/LUNG
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy mediastinal, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE 11/13/2022 MEDIASTINAL LYMPHADENOPATHY
Age: 13.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: This vaccine was used after BUD. Parent  did not report any adverse reaction  after receiving this vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization. Patient has not experienced any adverse reactions from vaccine after administration.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEP, HEPA, MMRV
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Per NP at pediatricians office, Mom brought child in to office today for worsening rash.  Per report child broke out in  red flat rash starting at bilateral upper arm injection sites.  Rash continued to get worse.  Per provider it is a "very red, angry rash"   No additional symptoms per mom or provider.   Mom gave child benedryl with no improvement.   No ill contacts.  Provider treating with prednisone X7 days.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 1100: Client requesting BV booster 1120: Client inadvertently received Pfizer BV booster  1135: Client waited in lobby for adverse reactions 1155: client notified of early immunization.
Age: 12.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: This vaccine was used after BUD. Parent did not report any adverse reaction after receiving this vaccine.
Age: 69.0
Sex: M
Vaccine: PNC20
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient reports intermittent left arm pain since getting the vaccine that began the same day after getting the vaccine. Pain radiates down to fingertips.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization. pt did not report experiencing any adverse reactions to vaccine after administration
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was given after BUD, Parent did not report any adverse reaction after receiving this vaccine.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.  No adverse events reported after vaccine administration.
Age: 13.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was used after the BUD. Parent did not report any adverse reaction  after receiving this vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, Chest X-ray abnormal, Cough, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization. Patient reports experiencing persistent cough and from xrays she has bronchial inflammation, which she has been prescribed inhalers for, she also stated she's not sure if related at all to receiving vaccine.
Age: 9.0
Sex: M
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient given school-required Tdap vaccine prior to 10 years of age (age at time of administration was 9 years 10 months)
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization. patient stated no adverse events from this vaccine administration were experienced
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was given after BUD, Parent did not report any adverse reaction after receiving this vaccine.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization. patient did not experience any adverse events related to vaccine after administration
Age: 4.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Erythema, Fatigue, Unresponsive to stimuli, Vomiting
Clinical narrative: DEVELOPE TRANSINT TOPICAL REDNESS OF FACE FEW MINUTES AFTER RECEIVING ABOVE VACCINE. SHE WAS DISTRESSED AND SHOCKED NOT TALKING. PARENT REPORTED SHE SEEMED CONGESTED, SPIT UP CLEAR MUCUS BUT NOT ITCHY AND HAD NO RASH WITHIN FEW MINUTES SEEMED TIRED, NOT RESPONDING BUT VITALS STABLE, EMS CALLED LUNGS WERE COARSE O2 AND ALBUTEROL SVN GIVEN AND WAS TAKEN TO ER BY EMS
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was given after BUD. Parent or the patient did not report any adverse reaction  after receiving this vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.  pt did not experience any adverse reactions to the vaccine after administration
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was given after BUD, Parent did not report any adverse reaction after receiving this vaccine.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.  pt stated he did not experience any adverse events after vaccine was administered.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.  pt stated he did not experience any adverse reactions from vaccine after administration
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Discomfort, Fatigue, Injection site pain, Myalgia
Clinical narrative: Soreness in injection site, muscle aches, shivers, general uncomfortable impacting sleep pattern, tiredness. Taking acetaminophen and rest. Symptoms ramped up about 12-18 hours after injection. Started treatment around same time.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Sleep disorder
Clinical narrative: Soreness in injection site, muscle aches, shivers, general uncomfortable impacting sleep pattern, tiredness. Taking acetaminophen and rest. Symptoms ramped up about 12-18 hours after injection. Started treatment around same time.
Age: 33.0
Sex: F
Vaccine: PNC20
Symptoms: Wrong product administered
Clinical narrative: Patient was given Prevnar 20, instead of the Boostrix Tdap that was ordered. No reaction or undesired outcomes. Patient was given the correct vaccine on 6/14/23.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.  pt stated he did not experience any adverse reactions from vaccine after administration
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood test, Chest X-ray, Chest pain, Cough, Electrocardiogram
Clinical narrative: Severe Chest Pains and numbness in checks.  Irritation in the throat and dry cough
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Throat irritation
Clinical narrative: Severe Chest Pains and numbness in checks.  Irritation in the throat and dry cough
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was given after BUD, Parent did not report any adverse reaction after receiving this vaccine
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside of manufacturer guidelines, product stability is unknown. Potential expired product used for immunization.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was given after BUD. Parent did not report any adverse reaction after receiving this vaccine.
Age: 1.75
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was given on BUD, Parent did not report any adverse reaction after receiving this vaccine.
Age: 13.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: This vaccine was given after BUD. Parent did not report any adverse  reaction after receiving this vaccine.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Hypoxia, Pulmonary embolism
Clinical narrative: I26.99 ACUTE PULMONARY EMBOLISM 4/4/2023 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/30/2023 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE R09.02 HYPOXEMIA 3/30/2023 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE