chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: CHOL, VARZOS
Symptoms: Blood test normal, Computerised tomogram head normal, Electric shock sensation, Eye pain, Full blood count normal
Clinical narrative: I received my second Shingrix vaccine on July 15. On about July 22, I began experiencing daily headaches. I took Ibuprofen. The headaches continued daily, several times a day, for hours at a time, only relieved by Ibuprofen.  On August 5, they became more severe.  Headaches would start behind my right eye and go to the back of my head. I could feel a sharp "zap" inside my ear at times. Vision in right eye would go blurry sometimes during the day for an hour or two. I went to my doctor on August 12. She referred me for an MRI to check for aneurysm or brain tumor. . On August 14, headache became so severe I went to the emergency room. I received a "migraine cocktail" and had a CT scan.  There was nothing abnormal on the CT scan. Doctor said to take migraine medication and come back to see her in 2 months. . I did not want to take the migraine medicine as I wanted to get to the root of the problem and not just cover it up. I requested an opthamalogic evaluation  because the eye pain was so bad and I had extreme sensitivity to light. Opthamologist reported no problems in the eye itself. I began considering that this may be a reaction to Shingrix and told my doctor. (She was out of town so her substitute treated me. ) I was prescribed "Valtrex" on September 15, and after taking it for a week, the headaches disappeared.  Once I stopped taking Valtrex, the headaches quickly returned. I went to a neurologist, on Sept. 19, 2024.  He  ordered an MRI,  It showed no abnormalities. Neurologist prescribed Predisone for one week to reduce inflammation and stop headache cycle. Headaches once again subsided. Neurologist could not pinpoint cause of headaches, but said that I might be having a medication-induced rebound headaches from all of the Ibuprofen I had been taking (minimum 6-8 200 mg tablets per day). It is now September 27 and I am finished with steroid use. I have not had a headache yet, but pressure behind my right eye has started to return, particularly after I have looked at computer screens for more than an hour.
Age: 54.0
Sex: F
Vaccine: CHOL, VARZOS
Symptoms: Headache, Magnetic resonance imaging head normal, Ocular discomfort, Ophthalmological examination normal, Photophobia
Clinical narrative: I received my second Shingrix vaccine on July 15. On about July 22, I began experiencing daily headaches. I took Ibuprofen. The headaches continued daily, several times a day, for hours at a time, only relieved by Ibuprofen.  On August 5, they became more severe.  Headaches would start behind my right eye and go to the back of my head. I could feel a sharp "zap" inside my ear at times. Vision in right eye would go blurry sometimes during the day for an hour or two. I went to my doctor on August 12. She referred me for an MRI to check for aneurysm or brain tumor. . On August 14, headache became so severe I went to the emergency room. I received a "migraine cocktail" and had a CT scan.  There was nothing abnormal on the CT scan. Doctor said to take migraine medication and come back to see her in 2 months. . I did not want to take the migraine medicine as I wanted to get to the root of the problem and not just cover it up. I requested an opthamalogic evaluation  because the eye pain was so bad and I had extreme sensitivity to light. Opthamologist reported no problems in the eye itself. I began considering that this may be a reaction to Shingrix and told my doctor. (She was out of town so her substitute treated me. ) I was prescribed "Valtrex" on September 15, and after taking it for a week, the headaches disappeared.  Once I stopped taking Valtrex, the headaches quickly returned. I went to a neurologist, on Sept. 19, 2024.  He  ordered an MRI,  It showed no abnormalities. Neurologist prescribed Predisone for one week to reduce inflammation and stop headache cycle. Headaches once again subsided. Neurologist could not pinpoint cause of headaches, but said that I might be having a medication-induced rebound headaches from all of the Ibuprofen I had been taking (minimum 6-8 200 mg tablets per day). It is now September 27 and I am finished with steroid use. I have not had a headache yet, but pressure behind my right eye has started to return, particularly after I have looked at computer screens for more than an hour.
Age: 54.0
Sex: F
Vaccine: CHOL, VARZOS
Symptoms: Vision blurred
Clinical narrative: I received my second Shingrix vaccine on July 15. On about July 22, I began experiencing daily headaches. I took Ibuprofen. The headaches continued daily, several times a day, for hours at a time, only relieved by Ibuprofen.  On August 5, they became more severe.  Headaches would start behind my right eye and go to the back of my head. I could feel a sharp "zap" inside my ear at times. Vision in right eye would go blurry sometimes during the day for an hour or two. I went to my doctor on August 12. She referred me for an MRI to check for aneurysm or brain tumor. . On August 14, headache became so severe I went to the emergency room. I received a "migraine cocktail" and had a CT scan.  There was nothing abnormal on the CT scan. Doctor said to take migraine medication and come back to see her in 2 months. . I did not want to take the migraine medicine as I wanted to get to the root of the problem and not just cover it up. I requested an opthamalogic evaluation  because the eye pain was so bad and I had extreme sensitivity to light. Opthamologist reported no problems in the eye itself. I began considering that this may be a reaction to Shingrix and told my doctor. (She was out of town so her substitute treated me. ) I was prescribed "Valtrex" on September 15, and after taking it for a week, the headaches disappeared.  Once I stopped taking Valtrex, the headaches quickly returned. I went to a neurologist, on Sept. 19, 2024.  He  ordered an MRI,  It showed no abnormalities. Neurologist prescribed Predisone for one week to reduce inflammation and stop headache cycle. Headaches once again subsided. Neurologist could not pinpoint cause of headaches, but said that I might be having a medication-induced rebound headaches from all of the Ibuprofen I had been taking (minimum 6-8 200 mg tablets per day). It is now September 27 and I am finished with steroid use. I have not had a headache yet, but pressure behind my right eye has started to return, particularly after I have looked at computer screens for more than an hour.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse events. Reporting that an adult dose of Hep A (Vaqta) was given to an 18 year old. They are licensed for 19 and up. She should have received peds/ adol dose.
Age: 38.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Urticaria
Clinical narrative: Systemic hives across entire body
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: pt received pedi dosage rather than adult dosage, realized it when I sent in and order I am the coordinator and we were very busy and I  was interrupted while pulling the medication  I have called the person but they only speak a different language so I will call them back to get correct dosage with an interpeture.  I also have instructed  everyone that we are to be alone while pulling vaccines of the pt on it.  And to take the order sheet with the age  of the patient on it.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Extremely heavy periods in the menstrual cycle following the Covid vaccine. Also occurred with previous doses,  exact dates unknown.  With this cycle, it was one week after vaccine. Soaking through tampon and pad in 30 minutes.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Incorrect route of product administration
Clinical narrative: PT GOT IM INJECTION SUBQ
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Underdose
Clinical narrative: Patient office visit scheduled for Hepatitis B ( #2) adult dose. Pediatric dose given instead. Reported to Provider and Patient. DH notified and VAERS report completed. Local DH notified and CDC recommendations researched and remedy for situation and plan to follow guidance's provided by RN. No adverse effects reported or observed.
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Blood test, Cough, Electrocardiogram, Gait disturbance
Clinical narrative: She got her vaccine, and when she got up out of bed she was cougning so hard like she had bronchitis.  She could hardly walk and she hurt from her head to the bottom of her toes, extreme pain.  She was so sick, and she called 9-1-1 and she was taken to the ER. In the ER they did all kinds of tests, blood tests and was there for a few hours.  The only thing they found was more likely was from the vaccination that she was given.  She was given Ibuprofen and gave  her IV fluids.  Her husband got her some cough medicine over the counter.  She still has the same symptoms, and has a bad headache, and may feel a little bit better.  When she went to the bathroom this morning she could hardly walk this morning due to weakness.
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Malaise, Pain
Clinical narrative: She got her vaccine, and when she got up out of bed she was cougning so hard like she had bronchitis.  She could hardly walk and she hurt from her head to the bottom of her toes, extreme pain.  She was so sick, and she called 9-1-1 and she was taken to the ER. In the ER they did all kinds of tests, blood tests and was there for a few hours.  The only thing they found was more likely was from the vaccination that she was given.  She was given Ibuprofen and gave  her IV fluids.  Her husband got her some cough medicine over the counter.  She still has the same symptoms, and has a bad headache, and may feel a little bit better.  When she went to the bathroom this morning she could hardly walk this morning due to weakness.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PT GOT VACCINE INDICATED FOR 12 YEARS AND OLDER
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nasal congestion, Nausea
Clinical narrative: Fatigue, nausea, stuffy nise
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: ADULT RECEIVED PEDIATRIC DOSE, NO ADVERSE OUTCOME
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: ADULT RECEIVED PEDIATRIC DOSE, NO ADVERSE OUTCOME
Age: 33.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Chills, Dizziness, Fatigue, Feeling hot, Neck pain
Clinical narrative: I woke up at 4 am with severe left neck pain, body aches, chills. I went to the bathroom to get tylenol, felt lightheaded, and fainted. My husband heard me and I regained consciousness when he was coming in. I took 1000 mg tylenol and drank water. After a minute I got up and walked down the hallway to my daughter who had woken up and fainted again but regained consciousness within a few seconds. My husband reports I looked very pale. I drank gatorade and a few minutes later I scooted back down the hallway. I used the bathroom, felt lightheaded when washing my hands and sat down on the ground without fainting. I rested in bed and drank water/fluid without further incident. Got up at 6:15 and started to feel warm when nursing my son. Stopped nursing and rested and no further significant events. Ate breakfast and took ibuprofen 600 mg at 7:30 am. Neck and arm pain and mild fatigue but otherwise feeling at baseline at 10:45 am
Age: 33.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain, Pain in extremity, Pallor, Sleep disorder, Syncope
Clinical narrative: I woke up at 4 am with severe left neck pain, body aches, chills. I went to the bathroom to get tylenol, felt lightheaded, and fainted. My husband heard me and I regained consciousness when he was coming in. I took 1000 mg tylenol and drank water. After a minute I got up and walked down the hallway to my daughter who had woken up and fainted again but regained consciousness within a few seconds. My husband reports I looked very pale. I drank gatorade and a few minutes later I scooted back down the hallway. I used the bathroom, felt lightheaded when washing my hands and sat down on the ground without fainting. I rested in bed and drank water/fluid without further incident. Got up at 6:15 and started to feel warm when nursing my son. Stopped nursing and rested and no further significant events. Ate breakfast and took ibuprofen 600 mg at 7:30 am. Neck and arm pain and mild fatigue but otherwise feeling at baseline at 10:45 am
Age: 8.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: No adverse reaction. Patient should have gotten Tdap instead of DTaP.  Tdap package insert, and the box said to only give to patients 10 years and older. Come to find out other sources say patient should have gotten Tdap
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction, Nausea, Syncope
Clinical narrative: Fainting/lightheadedness, nausea, sweating, tinnitus immediately after injection.  Improved somewhat in 20 minutes, but lightheadedness continued for 6 hours.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Fainting/lightheadedness, nausea, sweating, tinnitus immediately after injection.  Improved somewhat in 20 minutes, but lightheadedness continued for 6 hours.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Headache, Pallor
Clinical narrative: Per mom and reception felt c/o headache, looked pale after vaccine. Mom states has happened before after lab work in past  Patient brought back to room legs elevated, ice pack to back of neck, mom giving sips of juice ,snacking on graham crackers.BP 80/50 02 98 Pulse 75 temp 97.8 temporal   856 am Color coming back , headache resolving, alert and interactive with mom and nurse.sitting up, eating graham crackers  858 am BP 84/54  901am headache resolved, alert interactive  Looked a little pale again, lied back down with legs elevated and ice to back of neck 906am 90/60 O2 97 Pulse 97    09/10/am 88/60 O2 99 Pulse 88   911 BP coming up sat up again , alert and interactive has finished juiced box and crackers  BP 88/60 98 oz 87 P  Release with mother, feeling better, symptoms resolved.  Provider notified   R.N. Pediatrics
Age: 77.0
Sex: M
Vaccine: RSV, VARZOS
Symptoms: No adverse event, Wrong patient received product
Clinical narrative: Filling out this report to report that these vaccinations were administered to the wrong patient. This patient did not sign up to receive these vaccinations but did receive them. No adverse reactions have been reported to us.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Feeling hot, Periorbital swelling, Pharyngeal paraesthesia, Rash, Rash erythematous
Clinical narrative: Employee came back to my office about 15/20 minutes after the administration of the vaccine stating he felt warm and had a red rash from his chest up his neck and on his back. His eyes appeared puffy as well. Immediately took him to the ED where he received 50 mg of Benadryl. We monitored him and then about 15 min later he complained of a tingling sensation in his throat. He was then transported to a room and IV access was obtained and 125 mg Solu-Medrol was given IV. Started feeling better with improved symptoms with the hour.
Age: 1.5
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Incorrect dose administered, Product preparation error
Clinical narrative: Patient received undiluted vaccine with full 3 patient dosage. More than allotted dose
Age: 1.5
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Incorrect dose administered, Product preparation error, Sinus tachycardia
Clinical narrative: Patient received undiluted vaccine with full 3 patient dosage. More than allotted dose
Age: 1.5
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Incorrect dose administered, Product preparation error
Clinical narrative: Medication error with Immunization - no adverse event noted to date -reporting error in administration only! I was made aware of a medication administration error which occurred when the patient received his COVID shot today. He was prescribed a dose of the Pfizer COVID vaccine of 3 mcg/0.3 mL, along with his other shots of influenza and Hepatitis A. He received a dose of the COVID vaccine which was 3 times the amount indicated. The COVID vaccine is supplied in a multi-dose vial with 3 doses in each vial, and the vaccine needs to be diluted prior to administration. The correct order was placed. The correct medication was selected for his age. However, the vial was not diluted prior to administration. Our team notified our management of this error initially. I was subsequently notified after patient had already left the building after post-COVID immunization monitoring. Once I was notified, I immediately had our team call the family to have him come back to our center for evaluation and monitoring with us. I also immediately notified the poison control center, who reviewed this with the medical toxicicologist. They told me that there was no need for him to go to the hospital for monitoring and they are not recommending any follow up blood work. I also immediately called and spoke with the emergency room attendings at hostpail- Dr. who reviewed with his colleagues as well - They also notified me that there was no need for him to come to the ED for monitoring. All agreed risk was increased risk for possible allergic reactions or side effects of the vaccine, ie rash, fevers, generalized malaise, less likely delayed allergic reactions. etc.  I kept the patient in our office for well over an our for monitoring. We did an EKG at the time which I have reviewed with our Cardiologist and will place a formal Cardiology Chart review for follow up and echocardiogram. The EKG was read as " Sinus tach at 135. Otherwise normal".  I reviewed the medical error in detail with family. We have notified risk management of this incident. We have also reached out directly to Pfizer and have written information from the company re: information on inadvertent administration of higher than recommended dose of the 3 mcg in individuals of this age range and will also place notification in the VAERs database for reporting of vaccine adverse events. Family has been notified to monitor for potential local and systemic adverse events. Our medical group will be looking into this error and will be taking steps to ensure this error does not happen again. I gave parents my personal phone number to call if any concerns related to this shot or symptoms develop and instructed them if any concerns tonight or in coming days please take him directly to Emergency room for evaluation and if needed management.
Age: 1.5
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Incorrect dose administered, Product preparation error, Sinus tachycardia
Clinical narrative: Medication error with Immunization - no adverse event noted to date -reporting error in administration only! I was made aware of a medication administration error which occurred when the patient received his COVID shot today. He was prescribed a dose of the Pfizer COVID vaccine of 3 mcg/0.3 mL, along with his other shots of influenza and Hepatitis A. He received a dose of the COVID vaccine which was 3 times the amount indicated. The COVID vaccine is supplied in a multi-dose vial with 3 doses in each vial, and the vaccine needs to be diluted prior to administration. The correct order was placed. The correct medication was selected for his age. However, the vial was not diluted prior to administration. Our team notified our management of this error initially. I was subsequently notified after patient had already left the building after post-COVID immunization monitoring. Once I was notified, I immediately had our team call the family to have him come back to our center for evaluation and monitoring with us. I also immediately notified the poison control center, who reviewed this with the medical toxicicologist. They told me that there was no need for him to go to the hospital for monitoring and they are not recommending any follow up blood work. I also immediately called and spoke with the emergency room attendings at hostpail- Dr. who reviewed with his colleagues as well - They also notified me that there was no need for him to come to the ED for monitoring. All agreed risk was increased risk for possible allergic reactions or side effects of the vaccine, ie rash, fevers, generalized malaise, less likely delayed allergic reactions. etc.  I kept the patient in our office for well over an our for monitoring. We did an EKG at the time which I have reviewed with our Cardiologist and will place a formal Cardiology Chart review for follow up and echocardiogram. The EKG was read as " Sinus tach at 135. Otherwise normal".  I reviewed the medical error in detail with family. We have notified risk management of this incident. We have also reached out directly to Pfizer and have written information from the company re: information on inadvertent administration of higher than recommended dose of the 3 mcg in individuals of this age range and will also place notification in the VAERs database for reporting of vaccine adverse events. Family has been notified to monitor for potential local and systemic adverse events. Our medical group will be looking into this error and will be taking steps to ensure this error does not happen again. I gave parents my personal phone number to call if any concerns related to this shot or symptoms develop and instructed them if any concerns tonight or in coming days please take him directly to Emergency room for evaluation and if needed management.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: PATIENT RECIEVED A PEDIATRIC DOSE
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypertension, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Chills, low grade temp, HTN, and large derm reaction at the site very large (6x6) red, hot, and hard, as well there was another spot about 4 inches lower that did the same thing and was about 2x4.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, low grade temp, HTN, and large derm reaction at the site very large (6x6) red, hot, and hard, as well there was another spot about 4 inches lower that did the same thing and was about 2x4.
Age: 55.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Extra dose administered, Nausea
Clinical narrative: Pt was administer 2 flubloks by other RPH- pt was observed and then I had follow up call with pt 44 hours later and only symptom was nausea but she was unsure if it was related to the shots or not
Age: 0.75
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Incorrect/too large dose given of COVID vaccine- received 12y+ instead of intended younger dose
Age: 30.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Chills, Injection site urticaria, Pain
Clinical narrative: I developed body aches and chills about 2 hours afterwards but it?s typical for me when I get COVID shots. However this morning I woke up and my left anterior deltoid region is covered in hives. No itching or signs of allergy but they haven?t gone away
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Rash with papules- Face & Chest, Itching - all over body but especially where there is a rash. Present upon waking up at 0700 the morning after receiving the vaccine. Benadryl 50mg PO taken.
Age: 7.0
Sex: M
Vaccine: FLU3, PNC20
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: LUMP, NOT ABLE TO LIFT ARM, WARM TO THE TOUCH, REDNESS AROUND THE AREA
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Injected limb mobility decreased, Injection site induration, Pyrexia
Clinical narrative: Late afternoon 9/25/2024 experienced left arm  numbness extending to mid way of chest, hard at site of injection, unable to raise left arm above head, low grade temperature, extremely tired, symptoms subsided by 9/27/2024 morning.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: rash all over body
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 2023-2024 formulation was given after 8/23/2024.  We weren't notified by the health department that is had been pulled until 8/29/2024
Age: 23.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Cough, Dyspnoea, Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: swelling, redness below injection site, followed by coughing, shortness of breath, and hives within two hours after receiving injection. Given epinephrine, diphenhydramine, prednisone. symptoms improved.
Age: 23.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Injection site erythema, Injection site pain
Clinical narrative: swelling, redness below injection site, followed by coughing, shortness of breath, and hives within two hours after receiving injection. Given epinephrine, diphenhydramine, prednisone. symptoms improved.
Age: 23.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth, Respiratory distress
Clinical narrative: swelling, redness below injection site, followed by coughing, shortness of breath, and hives within two hours after receiving injection. Given epinephrine, diphenhydramine, prednisone. symptoms improved.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 2023-2024 formulation was given after 8/23/2024.  We weren't notified by the health department that the vaccine had been pulled until 8/29/2024
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 2023-2024 formulation was given after 8/23/2024.  We were not notified by the health department that it had been pulled until 8/29/2024
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 2023-2024 formulation was given after 8/23/2024.  We were not notified by the health department that it had been pulled  until 8/29/2024
Age: 41.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Pt has had tetanus a few times. he developed a large lump at the injection site, and pain.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 2023-2024 formulation was given after 8/23/2024.  We were not notified by the health department that it had been pulled until 8/29/2024
Age: 78.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Dizziness
Clinical narrative: Patient reported feeling lightheaded after getting both vaccines, store staff had her sit down and gave her some apple juice. After about 30min she reported feeling better and went home
Age: 11.0
Sex: F
Vaccine: HIBV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt got HIB instead of Menveo
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Respiratory tract congestion, Skin ulcer, Viral infection
Clinical narrative: Patient noted a rash all over his body when he went to take a shower the evening of 9/15/24. Reports no pain or discomfort. Went to PCP on 9/20/24 after rash did not go away, received a methylprednisolone pack and "something for my stomach." Reports that rash has yet to improve since starting medications and may be worse with development of sores on hands and feet, along with noted congestion. No reports of fever. Patient reached out to clinic after seeing PCP, since they believed rash was related to flu shot and requested vaccine information. Information provided by clinic RN but advised patient to follow up again with PCP since symptoms sound more related to a viral infection. Patient is a principal at an elementary school.
Age: 0.17
Sex: F
Vaccine: DTPPVHBHPB, HIBV, RV5
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The patient was given a double dose of Hib. One was given in the vaxelis vaccine and another was in the pedvaxHIB vaccine. No adverse symptoms have been reported by the family following administration.
Age: 36.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Alopecia, Dizziness, Fatigue, Migraine, Pain
Clinical narrative: Fever of 102.4, light headedness, body ache, arm soreness, fatigue, hair shedding, and migraine.
Age: 36.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Fever of 102.4, light headedness, body ache, arm soreness, fatigue, hair shedding, and migraine.
Age: 10.0
Sex: U
Vaccine: FLUN3
Symptoms: Epistaxis
Clinical narrative: Patient has nose bleed after vaccine administration.  Stopped bleeding within 15 minutes, prior to returning home.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Hypopnoea, Loss of consciousness, Mydriasis, Pallor, Syncope
Clinical narrative: Incident Report: Patient Arrival and Condition: Patient arrived at the clinic in good spirits and was talkative. She received her vaccine and was escorted to the observation area. Initial Incident: While standing, patient took a step to her side, then stepped onto a staff member, then collapsing hitting the floor. A nurse immediately responded, cradling her head as she lay down. Assessment and Response: Patient was pale, her pupils were dilated, and she seemed to be unresponsive initially. She started taking shallow breaths and, as required, an emergency code was called. A nurse who was in the building arrived at the scene. Patient regained consciousness and responded verbally, stating she did not feel pain. She mentioned "ouch" several times but denied any pain or discomfort. Vitals: Radial pulse was 80.  Post-Incident: Patient remained on the floor in a resting position before being assisted to a seated position. She sipped water and ate Cheetos. After several minutes, she felt stable and was moved to a chair. Once she felt ready, she stood and walked without difficulty. Release and Follow-Up: Patient was released to the care of her mother, who accompanied her to the classroom. The teacher was informed to monitor patient for any further issues.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Unresponsive to stimuli
Clinical narrative: Incident Report: Patient Arrival and Condition: Patient arrived at the clinic in good spirits and was talkative. She received her vaccine and was escorted to the observation area. Initial Incident: While standing, patient took a step to her side, then stepped onto a staff member, then collapsing hitting the floor. A nurse immediately responded, cradling her head as she lay down. Assessment and Response: Patient was pale, her pupils were dilated, and she seemed to be unresponsive initially. She started taking shallow breaths and, as required, an emergency code was called. A nurse who was in the building arrived at the scene. Patient regained consciousness and responded verbally, stating she did not feel pain. She mentioned "ouch" several times but denied any pain or discomfort. Vitals: Radial pulse was 80.  Post-Incident: Patient remained on the floor in a resting position before being assisted to a seated position. She sipped water and ate Cheetos. After several minutes, she felt stable and was moved to a chair. Once she felt ready, she stood and walked without difficulty. Release and Follow-Up: Patient was released to the care of her mother, who accompanied her to the classroom. The teacher was informed to monitor patient for any further issues.
Age: 64.0
Sex: U
Vaccine: FLU3
Symptoms: Arthralgia, Injection site pain, Neck pain
Clinical narrative: Neck and shoulder pain.  Painful to turn neck.  Injection site is tender to light pressure.  Injection site is described as 3" down from shoulder and parallel to armpit.  Patient states they did not do heavy lifting after injection.  Encouraged to alternate between ice and heat.  If pain persists through upcoming weekend, patient educated to see primary doctor.
Age: 1.67
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient already received MMRV dose 1 on 8/29/24 and was supposed to receive PCV-15 on 9/12/24 but got MMRV again by mistake
Age: 57.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Extra dose administered
Clinical narrative: Pt received two doses of High dose Flu in error, with intenion to give flu and covid shot.  Informed pt and nurse manager.  Pt sat in room and we discussed possible side effects for 15 mins.  Took Acetaminophen orally and gave him Ibuprofen and Diphenhydramine to take throughout the day as needed.  Verbalized understanding.  Discussed putting off the COVID shot for next week, dependent on how he was feeling throughout the weekend.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: ADULT RECEIVED PEDIATRIC DOSE, NO ADVERSE OUTCOME
Age: 43.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Injected limb mobility decreased
Clinical narrative: Spoke w/ patient who reported reaction to vaccine. Patient reports unable to move right arm, can?t lift arm over head, and wants to speak w/ MD regarding proceeding w/ final dose
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: ADULT RECEIVED PEDIATRIC DOSE, NO ADVERSE OUTCOME
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Myalgia, Oral candidiasis
Clinical narrative: oral thrush, metallic taste in mouth, muscle aches .   I do not have predisposing comorbidities; do not have immunocompromising conditions; have never had any severe diseases or infections. I do not and have not taken any prescribed drugs in many years.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: Member was given a pediatric dose of Covid 0.3ml age 5-12 year old. No symptoms or adverse reaction reported
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Diarrhoea, Nausea
Clinical narrative: Patient called the pharmacy at 12:45pm, 9/27/24, stating that at approximately 7:00am she felt nauseous, clammy, and had some diarrhea.  The patient had received her covid booster, Spikevax, at 2:15pm on 9/26/24 and also picked up a prescription for an antibiotic, cipro.  I explained to the patient that this is considered a normal reaction to the vaccine, but could also be a response to her cipro as antibiotics are known for causing upset stomach.  The patient stated that her symptoms were much improved. I informed her that she could also use over the counter medications to alleviate her symptoms if they persisted.  If the symptoms continue with subsequent doses of cipro, recommended reaching out to her PCP.  She was satisfied with this counseling and was agreeable to calling us again if symptoms persist or worsen.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Injection site nodule, Injection site pain, Throat irritation
Clinical narrative: 230pm presented with large knot on R deltoid where she had received a flu vaccine.  The area was not hot to touch or red.  Gave employee ice pack and asked for her to return in 20 min.  At 300 she returned, raised area was smaller.  She stated it was sore.  Gave ibuprofen and advised to continue ice and return in 20 min.  She returned at 330 coughing and holding her throat complaining that she was having difficulty breathing and that her throat felt scratchy.  Called 911.  monitored vitals which were stable until EMS arrived.  Employee remained stable, able to speak and walked to stretcher.  Transported to ER.
Age: 34.0
Sex: M
Vaccine: IPV
Symptoms: Device connection issue, Syringe issue, Underdose
Clinical narrative: When giving vaccine, hub cap between syringe and needle wasn't connected properly and vaccine leaked out from connection hub. Staff unable to determine how much, if any, vaccine patient received, therefore another dose was administered.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Circumstance or information capable of leading to medication error, Underdose
Clinical narrative: nurse was administering Flu vaccine to child...RN helping hold patient, and father as well. Patient leg's became free from restrictive hold and syringe came out of this nurses hand with needle still in patient's leg. This nurse removed needle from patient's leg and put safety on needle and informed father that vaccine was not administered d/t patient moving. Band-Aid applied to site of injection. Father began yelling and stated "I am not putting her through that again". Father forcefully grabbed patient and took patient into hall and continued to yell at mother of patient. Mother tried to grabbed pt. from fathers arms and father swatted at mother...Father removed patient from facility
Age: 77.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Anxiety, Confusional state, Dyspnoea, Panic attack, Tremor
Clinical narrative: At 0630 Severe panic/anxiety attack the next morning. Shaking, loud heaving sobs, saying he felt like he was dying, didn't know what was wrong with him, couldn't calm down (finally did an hour later but still massively confused about the whole thing), didn't want to do anything saying he knew he had so many things to get done but didn't know what they were, didn't know if he'd slept the night before or if he'd been dreaming. Never had a panic/anxiety attack in his life!!!!
Age: 76.0
Sex: M
Vaccine: COVID19, FLU3, PNC20
Symptoms: Injected limb mobility decreased, Injection site bruising
Clinical narrative: Patient experienced severe bruising from shoulder to beyond the elbow (I.e. dark purple discoloration) on only their right arm -- no issues were experienced on the left side, where they received a flu and COVID vaccine. Patient explained that they are on blood thinners, and were instructed to head to the Emergency Department. It is unclear when the bruising started, but the patient is unable to lift their arm above their head.
Age: 74.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Extra dose administered
Clinical narrative: pt accidentally received 2 flu shots this season. Patient came to counter asking for flu and rsv shot.  was told rsv is not annual and that he was only going to get flu shot. The patient confirmed. After the shot was given, he aske for it to be recorded on his covid vaccine card. He then said he wanted a covid shot not a flu shot that he had already gotten a flu shot at his drs office on 09/24/2024 he thought.
Age: 1.92
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Adult dose vaccine given to 23 month old by RN. RN let NP know what happened. NP called Modera. No recommendations other than see CDC website. CDC website:  Interim recommendations for COVID-19 vaccine administration errors and deviations stated to not repeat dose. NP spoke with parent and recommended monitoring patient.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Oropharyngeal discomfort, Paraesthesia, Paraesthesia oral
Clinical narrative: Within 5 minutes I got dizzy, and my throat felt strange.  Swallowing felt difficult although I could swallow and I did not see any facial or tongue swelling.  My lower face felt tingly, especially around my lips.  This is my first Moderna vaccine.  I have never had any problems with any of my previous Covid shots (all of which were Pfizer and I have had all the shots offered).  I have never had any problems with any of my flu shots.  It is now about 4 hours post-injection.  I still have the facial tingling, I am not dizzy, throat feels more normal but I but definitely am not back to normal.
Age: 65.0
Sex: F
Vaccine: HEPAB
Symptoms: Inappropriate schedule of product administration
Clinical narrative: upon counsel of her pregablin rx, another previous pharmacist (not working on this date) put a note that it was her time for a 2nd twinrx shot, checkout/tech oked with patient to drop and get that day; during counseling I read the recommendation to administer the supposed 2nd so we proceeded with the process. Before scanning and the final ok for the tech to administer, I did look at the clinical notes of the patient looking only for the last time it was administered the supposed 1st shot. I noticed it was more than a month so oked the vaccination. My error was not scrolling down further to see it was indeed the 3rd. tech administered the shot then find out through the patient presented her vaccination record to fill out that a 2nd was already given. dr notified today. 3rd shot given 3months and 18 days after her first shot instead of 6 months. I will check with patient to make sure all is well with her.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Member was given a dose of Covid for pediatric patients 5-12 yrs of age.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: ADULT RECEIVED PEDIATRIC DOSE, NO ADVERSE OUTCOME
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pancreatic cyst
Clinical narrative: Pt is a doctor and was mandated to get these shots. Now with a pancreatic cyst being worked up for cancer
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blindness, Hyperhidrosis, Hypotension, Pain in extremity
Clinical narrative: Was called to collect the student from class today and the student was non-responsive, diaphoretic and had major pallor. Waited until student was able to be transferred to the wheelchair to get him into my office. Student lost vision and was extremely weak. Student was with me for over an hour where he was given juice and a fruit snacks. Student stated he has never felt like this before and informed me he received the Covid vaccine yesterday. His right arm was in tremendous pain. Mom came to pick him up due to very low blood pressure 90/45. Made sure Mom was aware of the full situation.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: Was called to collect the student from class today and the student was non-responsive, diaphoretic and had major pallor. Waited until student was able to be transferred to the wheelchair to get him into my office. Student lost vision and was extremely weak. Student was with me for over an hour where he was given juice and a fruit snacks. Student stated he has never felt like this before and informed me he received the Covid vaccine yesterday. His right arm was in tremendous pain. Mom came to pick him up due to very low blood pressure 90/45. Made sure Mom was aware of the full situation.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: None member was given a pediatric dose 0.3 ml for patients 5-12yrs old of Covid
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Rash, Rash vesicular
Clinical narrative: ONSET OF VARICELLA-LIKE EXANTHEM, ON TRUNK, FACE, EXTREMITIES , APPROXIMATELY 8 DAYS AFTER MMRV (PROQUAD) VACCINATION.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Pain, Pain in extremity
Clinical narrative: Patient developed pain in her arm 2 hours after the vaccine. Per patient she couldn't use her arm in the first two days and that's the pain in her whole arm. It has been 8 days since the day she received the shot and the pain is till there. It did not go away. She still has Throbbing pain in the muscle of her arm. Patient reported she has been taking Tylenol to help with the pain.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Intracranial aneurysm
Clinical narrative: Student was admitted to the hospital for a brain aneurysm on 9/16/24
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Severe arm pain/Not able to move arm
Age: 27.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Brain fog, Eye movement disorder, Hypotonia, Posture abnormal
Clinical narrative: Patient received both vaccines and immediately slumped over in the chair. She arched back and her eyes rolled back in her head. I cradled her head with my hands to prevent her from hitting her head on the counter. She arched back a couple of times and then came out of it quickly. She was a little foggy headed after but was fine otherwise. She sat in our waiting area for about 30 minutes and waited for her husband to come get her.
Age: 11.0
Sex: M
Vaccine: HEP, IPV, MMRV, MNQ, TDAP
Symptoms: Eyelid oedema, Urticaria
Clinical narrative: On 09/23/2024 11 year old male presented to clinic for vaccination update. Patient had not been vaccinated due to being homeschool, per father he needed vaccination updates for school. New vaccination schedule was discussed with father, patient was given Tdap, IPV, MMR, Hepatitis B, MCV4 and Varicella vaccinations.  Approximately 10 minutes post administration, patient developed urticaria and eyelid edema in the office. No respiratory distress or wheezing noted on serial examination. 1/2mL (25mg) Benadryl given IM in office. Patient was kept for observation for approximately 1 hour, in which time his eyelid swelling improved, urticaria persisted.
Age: 90.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: 1 week after vaccine, had itchy, warm red area at injection site
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient given 50 mcg/0.5 ml Spikevax when was supposed to be administered 25 mcg/0.25 ml Moderna for 6 months -11 years. No adverse signs or symptoms noted during administration.
Age: 60.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Chills, Dizziness, Fatigue, Headache, Heart rate increased
Clinical narrative: fever, chills, rapid heartbeat, nausea, fatigue, dizziness, headache, shivering
Age: 60.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Nausea, Pyrexia
Clinical narrative: fever, chills, rapid heartbeat, nausea, fatigue, dizziness, headache, shivering
Age: 70.0
Sex: F
Vaccine: UNK, TDAP
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: She got her vaccine, had nothing immediately.  Hours later, within 24 hours she had a rash on her legs and very itchy, raised red areas.  Then it spread and it still spreading, which it has been over a month and has new eruptions.  It keeps coming, and not getting better.  The itching is very intense and she gets allergy shots once a month and this is worse than any reaction she may have to her shots.  It's on her back, stomach, all over her breats, buttocks, arms and pretty much all over her body.  It is not on her face and minimally on her arms.  It comes on the top of her legs but not under her knees area, but it's becoming a life problem due to all the itching.  Her husband has the same type of reaction from the same vaccine.  She notified the doctors office within 24 hours and put some cortisone on it, but was helping at first and then did not.  She did a video office visit with the NP, and she told her that she knows she has allergies and that she has an allergist Dr.  She thought that he would be more of an expert on this subject, and that office came in.  A week ago today she went to his office and showed him her stomach and he gave her some oral steroids and a topical steroid cream, but said that he did not think it would bring down right away.  She had to set up a 3 part appointment as this was going to be more involved and needed to get a patch test.  Formaldehyde is an ingredient in it that was a problem, and another ingredients that he felt was highly suspect that she was having a reaction to.  It's an inert ingredient that should not be a problem, can be one.  She has to have the patches on, have 2 more appointments to have them looked while they are on and then have them checked.  she was to start with 1 1/2 pills for 4 days, then cut down to 4 days with 1 pill, then 4 days with 1/2 a pill.  The steroids are not helping yet.  She had the COVID vaccines, flu vaccine, Prevnar, RSV and Shingrix with no reactions.