chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient mistakenly received monovalent instead of updated bivalent booster.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Axillary pain, Back pain, Herpes zoster, Magnetic resonance imaging spinal, Spinal X-ray
Clinical narrative: Unexplained back pain started the following week. Two weeks after the Shingrix vaccine I awakened to a severe stabbing pain on left side of spine approximately near my 6th rib. Within the next week first an xray was done and then an MRI. I was put on Muscle relaxers and the two days later a 6 day Methy-Prednisone pack. (tests and medicines were prescribed by a different doctor's office then where I got the vaccine). # days after going off of Prednisone, pain became more severe again. for the next 5 days I alternated Ibuprofen and Tylenol, first every 3 hours, and then every 6 hours for the next week. At that time I was diagnosed with Rashless Shiingles (ZSH) and given 200mg of Gabepentin. Pain was becoming more diffuse spreading to underarm. I am going into 7 weeks after Shingrix vaccine and am about 60% better. Driving irritates pain as done leaning back on a chair.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Back pain, Musculoskeletal chest pain
Clinical narrative: Unexplained back pain started the following week. Two weeks after the Shingrix vaccine I awakened to a severe stabbing pain on left side of spine approximately near my 6th rib. Within the next week first an xray was done and then an MRI. I was put on Muscle relaxers and the two days later a 6 day Methy-Prednisone pack. (tests and medicines were prescribed by a different doctor's office then where I got the vaccine). # days after going off of Prednisone, pain became more severe again. for the next 5 days I alternated Ibuprofen and Tylenol, first every 3 hours, and then every 6 hours for the next week. At that time I was diagnosed with Rashless Shiingles (ZSH) and given 200mg of Gabepentin. Pain was becoming more diffuse spreading to underarm. I am going into 7 weeks after Shingrix vaccine and am about 60% better. Driving irritates pain as done leaning back on a chair.
Age: 11.0
Sex: M
Vaccine: FLU4, FLU4, HPV9, MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient inadvertently given two flu shot vaccines at this encounter Of note flu vaccine it was initially given by MA at the beginning of the encounter which was ordered appropriately.  Tomorrow had documented in the EMR that the shot was given.  At the end of the encounter I noted that pt. was due for 11-year-old vaccines and asked dad to come back into the room so that he can also receive those 3 vaccines.  Orders placed for three 11-year-old vaccines Tdap Menveo HPV in the EMR.  Asked to administer the remaining vaccines because other MA was not available.  On the blue sheet patient was unaware that other MA already had given the flu shot at this point, and administered all 4 vaccines to the child.  Per her report, she had administered the flu shot, and 1 other shot in 1 arm.  The dad at that point had asked her which shots she was giving because he had already received a flu vaccine but at that point the other extra dose was already given.  She then continued to give the 2 other vaccines in the other arm.  When he was brought to my attention that this mistake happen, I discussed with dad in detail with an apology that the child was given extra dose of the flu vaccine.  I noted that we were going to look into studies investigating possible side effects and adverse reactions, and that we would notify our practice manager in regards to this error so that system changes could be made.  I noted to dad that most likely will have a little bit of fever and some myalgia but I would call back with more details.  Dad expressed understanding and much thanks and did not have any further questions.  I also offered to call the family each day this week to check in to make sure child is okay.  15 minutes after the encounter, after research done called mom on the home phone number listed in the chart.  Discussed with mom- study found in VAERS study with excess doses given-influenza was one of the top vaccines.  Most common side effects were fever, and pain at injection site and erythema in the injection site and headache.  Also reported another study which in excess of 10 times the amount of flu vaccine and was given with most side effects that were very similar in profile.  Again emphasized our apology that this happen and also reemphasized that we would try to take system wide efforts to try to prevent this at our practice.  Offered to again call the family this week, mom said that that was not necessary and that she will call our clinic if she noticed that the child had any adverse reactions more than just the normal fever pain at the site and myalgia.  Mom was very understanding over the phone and noted that she was a nurse and she said that mistakes happen.  I expressed thanks and asked for further questions which she denied.  Will make report to VA ERS  Will make risk report and will notify her practice manager of the situation
Age: 81.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Fluid retention, Pain in extremity, Peripheral swelling
Clinical narrative: patient  came on today 9/27/2022 6 days after vaccination stating that she has had swollen feet, the symptoms started 2 days after the vaccine, patient stated it started with pain on the bottom of the feet and then swelling began. Currently left foot is swollen/retaining fluids and right foot is only moderately swollen.  Patient was advised to elevate feet.  She states the symptoms have decreased over the last few days.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient mistakenly received monovalent vaccine instead of update bivalent booster
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 0.08
Sex: M
Vaccine: PNC13, RV5, UNK
Symptoms: Blood bilirubin, Blood test, Decreased appetite, Full blood count, Haematochezia
Clinical narrative: 9/17 WAS LETHARGIC ONLY OPEING EYES BRIEFLY AND THEN FALLS BACK ASLEEP. NOT INTERESTED IN EATING. TOOK ONLY A SMALL AMOUNT WHICH IS NOT LIKE HIM NORMALLY TAKES 90-110ML PER FEED. CALLED PCP WHO ADVISED TO TAKE HIM TO ED. TOOK ANOTHER 80ML IN THE ED AND HE THEN SPIT UP CURDLED BREAKMILK. NO BLOOD OR BILE AND THIS IS NOT NORMAL FOR HIM AND HE IS MORE FUSSY THEN NORMAL. RIGHT BEFORE COMING TO THE HPSITAL HAD A LARGE STOOL MIXED WITH BLOOD AND MUCOS. ADMITTED TO THE HOSPOITAL FOR OBSERVATION AN ULTRASOUND DORDERD WHICH CONFIRMED INTUSSUSCEPTION
Age: 0.08
Sex: M
Vaccine: PNC13, RV5, UNK
Symptoms: Infantile spitting up, Influenza virus test, Intussusception, Irritability, Lethargy
Clinical narrative: 9/17 WAS LETHARGIC ONLY OPEING EYES BRIEFLY AND THEN FALLS BACK ASLEEP. NOT INTERESTED IN EATING. TOOK ONLY A SMALL AMOUNT WHICH IS NOT LIKE HIM NORMALLY TAKES 90-110ML PER FEED. CALLED PCP WHO ADVISED TO TAKE HIM TO ED. TOOK ANOTHER 80ML IN THE ED AND HE THEN SPIT UP CURDLED BREAKMILK. NO BLOOD OR BILE AND THIS IS NOT NORMAL FOR HIM AND HE IS MORE FUSSY THEN NORMAL. RIGHT BEFORE COMING TO THE HPSITAL HAD A LARGE STOOL MIXED WITH BLOOD AND MUCOS. ADMITTED TO THE HOSPOITAL FOR OBSERVATION AN ULTRASOUND DORDERD WHICH CONFIRMED INTUSSUSCEPTION
Age: 0.08
Sex: M
Vaccine: PNC13, RV5, UNK
Symptoms: Metabolic function test, Mucous stools, SARS-CoV-2 test, Somnolence, Ultrasound abdomen abnormal
Clinical narrative: 9/17 WAS LETHARGIC ONLY OPEING EYES BRIEFLY AND THEN FALLS BACK ASLEEP. NOT INTERESTED IN EATING. TOOK ONLY A SMALL AMOUNT WHICH IS NOT LIKE HIM NORMALLY TAKES 90-110ML PER FEED. CALLED PCP WHO ADVISED TO TAKE HIM TO ED. TOOK ANOTHER 80ML IN THE ED AND HE THEN SPIT UP CURDLED BREAKMILK. NO BLOOD OR BILE AND THIS IS NOT NORMAL FOR HIM AND HE IS MORE FUSSY THEN NORMAL. RIGHT BEFORE COMING TO THE HPSITAL HAD A LARGE STOOL MIXED WITH BLOOD AND MUCOS. ADMITTED TO THE HOSPOITAL FOR OBSERVATION AN ULTRASOUND DORDERD WHICH CONFIRMED INTUSSUSCEPTION
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Offsite clinic 9/24/22: Father and child repeatedly insisted that the child's birthdate and that he is 12 years old. On 9/27/22: Called father with supervisor present. Father has fair understanding. I asked him when his son's birthday was. He said he needed to check. He returned to phone a few minutes later and said that birthday. I explained to him tat his son was given an adult dose of vaccine because he had insisted that his birthday and that he was 12 years old. Son is ok - no adverse affects. I reminded him to give the correct birthdate next time gets a vaccine. Also, that the next COVID vaccine will be age appropriate.  I advised him to call if he had further questions or concerns. He has her number. He stated that he understood all that we discussed.
Age: 1.5
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient 18 month old was given an adult dose of Hep A, instead of pediatrics. Vaccine was given by medical assistant  which reports he verified vaccine with provider. Contacted mother and let her know about the vaccine error administration. She discussed incident, limited on research, mother can expect minimal side effects, which may include increased risk of localized reaction or fever, associated with excessive local or systemic dose of antigen or vaccine constituents. Mother was given precautions and advised can walk into clinic with any questions or concerns. Mother verbalized understanding, no additional questions.   Vaccine error was found when medical assistant was billing medication. Reviewed adult vaccines are in separate shelves than pediatric and will verify prior to administering.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient mistakenly received monovalent vaccine instead of updated bivalent booster
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling cold, Feeling hot
Clinical narrative: overnight, possibly 12 hours later, felt significant heat in my internal and external body. Did to take my temp, but it was somewhat overwhelming. Oddly, at the same time I needed to put a blanket over my body, even though I felt I was burning up interiorly and exteriorly.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient mistakenly received monovalent vaccine instead of updated bivalent booster
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphagia, Feeling abnormal, Headache
Clinical narrative: I woke up Wednesday morning with a sore throat I could barely swollen then I had headache, cough, body aches, and started feeling bad. It was so bad that I lost weight. I tested for COVID-19 the same day but it was negative. I tested again on Thursday I was still negative but I still had the same symptoms. Then, Friday when I spoke to my doctor I tested positive and he prescribed me PAXLOVID. This was the worse part to me because I got so sick. I still have a little cough.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Weight decreased
Clinical narrative: I woke up Wednesday morning with a sore throat I could barely swollen then I had headache, cough, body aches, and started feeling bad. It was so bad that I lost weight. I tested for COVID-19 the same day but it was negative. I tested again on Thursday I was still negative but I still had the same symptoms. Then, Friday when I spoke to my doctor I tested positive and he prescribed me PAXLOVID. This was the worse part to me because I got so sick. I still have a little cough.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, PNC13, RV5
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Received vaccines at 6mo wcc on 9/19. Medical Assistant administered Pediarix (Dtap/HepB/IPV) intramuscular on LT, also administered PCV13 IM on LT as well as RotaTeq oral by mouth. Rash/redness on Left thigh, site is warm to touch developed 9/20/22 noted swelling.  9/21 at 845a parents contacted the office to report their concerns and current sx. Patient was scheduled same day for evaluation with provider.  The provider documented that Vaccine Adverse Reaction- (pediarix/Prevnar) erythema to left thigh (blanchable). Parent information for supportive care and advise on when to return to clinic or seek care. Advised to f/u as needed.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient came in for the update Moderna booster and was give 0.5 ml of the regular Moderna
Age: 6.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was vaccinated with a vaccine past the manufacturers expiration date
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was given Moderna monovalent as a booster dose instead of the bivalent vaccine.
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema, Injection site erythema
Clinical narrative: redness of hands and injection site.  provider recommended cold compresses and NSAIDs
Age: 11.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: child was vaccinated with an expired manufacturers product.  FL8095  orange top pfizer product
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: On September 5th 2022 the patient, came to the clinic and said he needed to a Moderna booster shot. The staff member showed the "Moderna Covid 19 vaccine" bottle to the patient as we usually do, and administered the Moderna booster dose (Lot 063B22A). On September 27th the patient called us and said that he wanted the Bivalent Moderna, but instead he received the regular Moderna.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Circumstance or information capable of leading to medication error, No adverse event
Clinical narrative: On September 5th 2022 the patient, came to the clinic and said he needed to a Moderna booster shot. The staff member showed the "Moderna Covid 19 vaccine" bottle to the patient as we usually do, and administered the Moderna booster dose (Lot 063B22A). On September 27th the patient called us and said that he wanted the Bivalent Moderna, but instead he received the regular Moderna.
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: NO SYMPTOM REPORTED
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: patient did not have any adverse effects but as a 12 year old patient she was meant to only receive Pfizer bivalent vaccine as a COVID booster - this report is to document the administration of Moderna Vaccine instead of Pfizer but there was not been any adverse reactions as of yet since the time of administration
Age: 1.0
Sex: F
Vaccine: UNK, UNK, UNK
Symptoms: Extra dose administered, No adverse event
Clinical narrative: MMR was given twice at the same visit. No known adverse event.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Employee received a primary dose, and not the booster vaccine
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus
Clinical narrative: Redness and itching  to BL hands and feet
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Employee received a primary dose, and not the booster vaccine
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was given an expired vaccine
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient recieved monovalent vaccine for booster instead of the bivalent vaccine.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received an expired vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Balance disorder, Blood test normal, COVID-19, Fatigue
Clinical narrative: Started feeling sick and took a COVID-19 test - Positive. Dr prescribed Paxlovid, it made me violently ill and vomiting. 10 days later took another Home COVID-19 test and it was negative. About 2 weeks after that I came down with a Respiratory illness. Dr advised me to rest and take over the counter medications. Was sick for about 1 week. I tried to go back to work and late in the day I suddenly felt exhausted, a delay in recall difficulty and holding on to thoughts, my equilibrium was off as well and started to feel digestive issues, body aches and broke out into a rash on my back. Also started feeling panicked with anxiety, followed by heart palpations. Went to Opthamologist and found that I had Vitreous detachment in my eyes that caused floaters in my visual field. Saw Opthamologist about 5 times trying to resolve this. Went back to regular Dr and was given blood tests - they were clear. Was given an MRI - the result concurrent with Migraines. Dr sent me to a counselor. I'm scheduled to see a Nuerologist next week. Still feeling some symptoms and very slowly improving.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Illness, Impaired work ability, Magnetic resonance imaging abnormal, Malaise
Clinical narrative: Started feeling sick and took a COVID-19 test - Positive. Dr prescribed Paxlovid, it made me violently ill and vomiting. 10 days later took another Home COVID-19 test and it was negative. About 2 weeks after that I came down with a Respiratory illness. Dr advised me to rest and take over the counter medications. Was sick for about 1 week. I tried to go back to work and late in the day I suddenly felt exhausted, a delay in recall difficulty and holding on to thoughts, my equilibrium was off as well and started to feel digestive issues, body aches and broke out into a rash on my back. Also started feeling panicked with anxiety, followed by heart palpations. Went to Opthamologist and found that I had Vitreous detachment in my eyes that caused floaters in my visual field. Saw Opthamologist about 5 times trying to resolve this. Went back to regular Dr and was given blood tests - they were clear. Was given an MRI - the result concurrent with Migraines. Dr sent me to a counselor. I'm scheduled to see a Nuerologist next week. Still feeling some symptoms and very slowly improving.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Migraine, Pain, Palpitations, Panic reaction
Clinical narrative: Started feeling sick and took a COVID-19 test - Positive. Dr prescribed Paxlovid, it made me violently ill and vomiting. 10 days later took another Home COVID-19 test and it was negative. About 2 weeks after that I came down with a Respiratory illness. Dr advised me to rest and take over the counter medications. Was sick for about 1 week. I tried to go back to work and late in the day I suddenly felt exhausted, a delay in recall difficulty and holding on to thoughts, my equilibrium was off as well and started to feel digestive issues, body aches and broke out into a rash on my back. Also started feeling panicked with anxiety, followed by heart palpations. Went to Opthamologist and found that I had Vitreous detachment in my eyes that caused floaters in my visual field. Saw Opthamologist about 5 times trying to resolve this. Went back to regular Dr and was given blood tests - they were clear. Was given an MRI - the result concurrent with Migraines. Dr sent me to a counselor. I'm scheduled to see a Nuerologist next week. Still feeling some symptoms and very slowly improving.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Respiratory tract infection, SARS-CoV-2 test positive, Thinking abnormal, Visual field defect
Clinical narrative: Started feeling sick and took a COVID-19 test - Positive. Dr prescribed Paxlovid, it made me violently ill and vomiting. 10 days later took another Home COVID-19 test and it was negative. About 2 weeks after that I came down with a Respiratory illness. Dr advised me to rest and take over the counter medications. Was sick for about 1 week. I tried to go back to work and late in the day I suddenly felt exhausted, a delay in recall difficulty and holding on to thoughts, my equilibrium was off as well and started to feel digestive issues, body aches and broke out into a rash on my back. Also started feeling panicked with anxiety, followed by heart palpations. Went to Opthamologist and found that I had Vitreous detachment in my eyes that caused floaters in my visual field. Saw Opthamologist about 5 times trying to resolve this. Went back to regular Dr and was given blood tests - they were clear. Was given an MRI - the result concurrent with Migraines. Dr sent me to a counselor. I'm scheduled to see a Nuerologist next week. Still feeling some symptoms and very slowly improving.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous detachment, Vitreous floaters
Clinical narrative: Started feeling sick and took a COVID-19 test - Positive. Dr prescribed Paxlovid, it made me violently ill and vomiting. 10 days later took another Home COVID-19 test and it was negative. About 2 weeks after that I came down with a Respiratory illness. Dr advised me to rest and take over the counter medications. Was sick for about 1 week. I tried to go back to work and late in the day I suddenly felt exhausted, a delay in recall difficulty and holding on to thoughts, my equilibrium was off as well and started to feel digestive issues, body aches and broke out into a rash on my back. Also started feeling panicked with anxiety, followed by heart palpations. Went to Opthamologist and found that I had Vitreous detachment in my eyes that caused floaters in my visual field. Saw Opthamologist about 5 times trying to resolve this. Went back to regular Dr and was given blood tests - they were clear. Was given an MRI - the result concurrent with Migraines. Dr sent me to a counselor. I'm scheduled to see a Nuerologist next week. Still feeling some symptoms and very slowly improving.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered pfizer
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was given an expired vaccine
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Heart rate increased, Paraesthesia
Clinical narrative: Patient experienced elevated heart rate(peak 93).  Slight facial tingling and dizziness.  Symptoms presented rapidly after vaccine administration.  Pt was kept in the immediate pharmacy area for supervision, heart rate monitored(had a device that did on her person). Also temperature checked and found to be 99.3 F.  After 30 minutes of observation symptoms subsided.  Patient advised to communicate any change of symptoms
Age: 54.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Blister, Blood albumin normal, Blood calcium increased, Blood creatine phosphokinase normal, Full blood count normal
Clinical narrative: Approx 7-10d after vaccine, noted pain/swelling L forearm. Used otc lidocaine patches for self-management. Then started to have increased spread of pain/swelling/redness along with large tense clear blisters at edges of skin changes. This spread from wrist proximal to midhumerus. Also, patient fell asleep with bare L forearm across lower left abdomen,  and developed similar rash on abd wall. I examined patient on 9/19/22 with this presentation and started Bactrim DS, topical vaseline. One week later on 9/26/22, new blistering lesions on all webspaces of fingers, around eyelids/periorbital area, and R antecubital fossa, L popliteal fossa. Start Prednisone taper, urgent Dermatology consult pending on 10/3/22.
Age: 54.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Glycosylated haemoglobin increased, HIV test negative, Haematocrit increased, Injection site erythema, Injection site pain
Clinical narrative: Approx 7-10d after vaccine, noted pain/swelling L forearm. Used otc lidocaine patches for self-management. Then started to have increased spread of pain/swelling/redness along with large tense clear blisters at edges of skin changes. This spread from wrist proximal to midhumerus. Also, patient fell asleep with bare L forearm across lower left abdomen,  and developed similar rash on abd wall. I examined patient on 9/19/22 with this presentation and started Bactrim DS, topical vaseline. One week later on 9/26/22, new blistering lesions on all webspaces of fingers, around eyelids/periorbital area, and R antecubital fossa, L popliteal fossa. Start Prednisone taper, urgent Dermatology consult pending on 10/3/22.
Age: 54.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site swelling, Injection site vesicles, Lipids increased, Metabolic function test normal, Rash
Clinical narrative: Approx 7-10d after vaccine, noted pain/swelling L forearm. Used otc lidocaine patches for self-management. Then started to have increased spread of pain/swelling/redness along with large tense clear blisters at edges of skin changes. This spread from wrist proximal to midhumerus. Also, patient fell asleep with bare L forearm across lower left abdomen,  and developed similar rash on abd wall. I examined patient on 9/19/22 with this presentation and started Bactrim DS, topical vaseline. One week later on 9/26/22, new blistering lesions on all webspaces of fingers, around eyelids/periorbital area, and R antecubital fossa, L popliteal fossa. Start Prednisone taper, urgent Dermatology consult pending on 10/3/22.
Age: 54.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Treponema test negative, Viral test negative
Clinical narrative: Approx 7-10d after vaccine, noted pain/swelling L forearm. Used otc lidocaine patches for self-management. Then started to have increased spread of pain/swelling/redness along with large tense clear blisters at edges of skin changes. This spread from wrist proximal to midhumerus. Also, patient fell asleep with bare L forearm across lower left abdomen,  and developed similar rash on abd wall. I examined patient on 9/19/22 with this presentation and started Bactrim DS, topical vaseline. One week later on 9/26/22, new blistering lesions on all webspaces of fingers, around eyelids/periorbital area, and R antecubital fossa, L popliteal fossa. Start Prednisone taper, urgent Dermatology consult pending on 10/3/22.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: NONE.
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: The patient was sitting in the observation area 2 minutes after receiving the vaccine, and stated "I think I am getting dizzy". The patient then fainted while sitting and LOC. No injury occurred on site. Patient placed on flat surface and legs elevated. and performed sternum rub by the nurse, the patient gained consciousness after 10 seconds. VS initiated, WNL. Observation extended to 1 hour and 15 minutes. Symptoms fully resolved before leaving the site with the sister.
Age: 40.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema, Injection site phlebitis, Pain, Phlebitis
Clinical narrative: phlebitis of the forearm starting at injection site tracking up to the mid arm; pain and erythema running as a linear cord along the course of a superficial vein
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Urticaria
Clinical narrative: Hive scattered all over body, itching. Started Thursday night 9/22/2022 per patient.
Age: 44.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Urticaria
Clinical narrative: A wheal was not present after the first attempt. The second attempt was done by an expert in intradermal administration, a wheal was formed, and the attempt was successful.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt reports hives appearing 13 days after shot.  The hives did not improve, which necessitated a trip to the ER, PCP, and allergist.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Full blood count, International normalised ratio, Postmenopausal haemorrhage, Serum ferritin, Ultrasound scan vagina
Clinical narrative: post vaginal copious bleeding in post menopausal woman
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vaginal haemorrhage
Clinical narrative: post vaginal copious bleeding in post menopausal woman
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Injection site erythema, Nausea, Pain
Clinical narrative: 9/21: at night time pt experienced redness on site of administration of vaccine, chills, body aches, nausea.  9/26 She continues experiencing body aches, chills.  Pt has been taking Tylenol 500 mg .
Age: 24.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest discomfort, Palpitations
Clinical narrative: New, intermittent, sensation of heart palpitations on multiple occasions starting the morning of 9/21/22 continuing through 9/26/22, I have not noticed any yet today (9/27/22). New sensation of mild chest discomfort starting on 9/21/22. Both symptoms seemed to be improving as of 9/27/22. No treatment or medical consultation obtained.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Therapeutic response unexpected
Clinical narrative: None stated.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Breast pain, Chest X-ray, Cough, Electrocardiogram, Full blood count
Clinical narrative: Pain under and around the left breast; especially when  I lie down.  Dry cough.  After getting up and walking around, the pain lets up a little, coughing up phlegm.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test, Metabolic function test, Procalcitonin, Productive cough, Troponin T
Clinical narrative: Pain under and around the left breast; especially when  I lie down.  Dry cough.  After getting up and walking around, the pain lets up a little, coughing up phlegm.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt received the COVID-19 Pfizer  BioNTech vaccine instead of Pfizer BioNTech Bivalent vaccine .  No adverse reaction reported.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Pt received a Moderna Bivalent on Sept 12, then received a second Pfizer Bivalent on Sept 27. He meant to ask for a flu shot but accidently asked for a Covid Booster. He had already received a Moderna Bivalent Booster at another pharmacy.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given COVID-19 Pfizer BioNTech vaccine instead of COVID-19 Pfizer BioNTech Bivalent Booster vaccine. No adverse reaction eported.
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood pressure measurement, Chest pain
Clinical narrative: I began experiencing sharp, stabbing chest pains the day after my vaccination.  No OTC treatment was effective, so I consulted my primary care physician the following day, 9/26/22..  He described my symptoms as a likely reaction to the vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Decreased appetite, Eczema
Clinical narrative: 06/21/2021 in the morning at 8:00AM I had really stuffy, runny nose, low grade fever, chills, mild body aches, low energy, fatigue and loss of appetite. I did a tele health on the 06/24/2022 she prescribed PAXLOVID but I didn't take the medication. I just got without the medication instead I took TYLENOL. I try to stay hydrated and did other home remedies. I have lingering fatigue and tiredness. I had rashes on my both thighs. It also itches out of nowhere. I have eczema which I never had fever.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nasal congestion, Pain, Pruritus, Pyrexia
Clinical narrative: 06/21/2021 in the morning at 8:00AM I had really stuffy, runny nose, low grade fever, chills, mild body aches, low energy, fatigue and loss of appetite. I did a tele health on the 06/24/2022 she prescribed PAXLOVID but I didn't take the medication. I just got without the medication instead I took TYLENOL. I try to stay hydrated and did other home remedies. I have lingering fatigue and tiredness. I had rashes on my both thighs. It also itches out of nowhere. I have eczema which I never had fever.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 06/21/2021 in the morning at 8:00AM I had really stuffy, runny nose, low grade fever, chills, mild body aches, low energy, fatigue and loss of appetite. I did a tele health on the 06/24/2022 she prescribed PAXLOVID but I didn't take the medication. I just got without the medication instead I took TYLENOL. I try to stay hydrated and did other home remedies. I have lingering fatigue and tiredness. I had rashes on my both thighs. It also itches out of nowhere. I have eczema which I never had fever.
Age: 1.08
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular Rash through out body. Treatment: Cetirizine oral solution 2.5 ml daily Outcome: Stable  Date of visit 9/27/2022
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray normal, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram normal
Clinical narrative: On August 20, 2022, I went for a walk but didn't walk far because I had trouble breathing. The next day we began to leave the house for a walk, but I couldn't make it out of the driveway because I was unable to breathe. I went to the urgent care, and they sent me to the hospital for appropriate tests. I left the hospital and went home. The physician's assistant called to let me know my D Dimer levels were very high and I needed to return to the hospital immediately. I had a CT scan and blood clots were found in my lungs. I stayed in the hospital for one night for monitoring. I was given blood thinners. I went to a hematologist and I was told I had to be on the blood thinner for the rest of my life regardless if the clots disappear or not.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer increased, Pulmonary thrombosis, Ultrasound scan normal
Clinical narrative: On August 20, 2022, I went for a walk but didn't walk far because I had trouble breathing. The next day we began to leave the house for a walk, but I couldn't make it out of the driveway because I was unable to breathe. I went to the urgent care, and they sent me to the hospital for appropriate tests. I left the hospital and went home. The physician's assistant called to let me know my D Dimer levels were very high and I needed to return to the hospital immediately. I had a CT scan and blood clots were found in my lungs. I stayed in the hospital for one night for monitoring. I was given blood thinners. I went to a hematologist and I was told I had to be on the blood thinner for the rest of my life regardless if the clots disappear or not.
Age: 18.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent dose was given in place of second dose of primary series.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Vaccine was administered after 10 week received date
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the regular pfizer 12+ vaccine instead of the new Bivalent 12+ vaccine
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Incorrect dose administered, Product administration error
Clinical narrative: Given wrong dose-booster-administrative error
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Given wrong dose-booster-administrative error
Age: 57.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, hot touch, swelling and pain to the injection site on right arm
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Epstein-Barr virus infection reactivation, Epstein-Barr virus test positive, Pain in extremity, Skin discolouration
Clinical narrative: Purple hands and feet extremely painful., Reactivated EBV and after 2 different treatments still unable to rid of it.
Age: 1.17
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong vaccine was administered to child. Should have been the Maroon Pfizer 6mo-4yr vaccine but the child was mistakenly given the Orange 5-11 year vaccine. The error was caught immediately after vaccination. Patient was stable and physician on site discussed the error with the parents. Patient was also administered the correct 2022-2023 Quadrivalent Fl vaccine at the same visit.
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Syringe issue, Underdose
Clinical narrative: Syringe for FluadQuad was defective, patient only received half dose
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure
Clinical narrative: heart failure
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine was administered after 10 week received date
Age: 6.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered.
Age: 35.0
Sex: F
Vaccine: DTAP, HPV9
Symptoms: Erythema, Injection site pain, Mass, Pain
Clinical narrative: After the Gardasil shot in my left arm, I had a lot of pain for about 7-10 with a lump that eventually went away. About 1 month later, while in the shower washing, I noticed anytime I went over the injection area on my left arm, it was tender. After the shower, I immediately noticed a lump again, and the pain has been consistent for the last 4 days. It is red where the lump is, and today I noticed some slight aching  in my upper arm and shoulder area. This is new and not constant.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immunisation reaction, Tachycardia
Clinical narrative: patient's mother reported tachycardia for 3 days, covid rash on arm
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chest pain, Chills, Headache, Insomnia
Clinical narrative: I got the Shingrix first shot around 12:15 p.m. on 9/9/22 (Friday). I felt fine the rest of the day. That night, I had chills, but I knew this was a normal reaction. The next day, 9/10 (Saturday), sometime in the morning, I started getting nerve pain starting in my lower neck/shoulder area and extending down both arms all the way to my fingertips. The nerve pain was persistent and grew worse over the day. Occasionally there would be tingling, too. I developed a headache that ended up lasting a couple of days; I don't recall when that started. The nerve pain grew very painful, and by the morning of 9/11 (Sunday), I was in so much pain that I went to urgent care. I got an Rx for gabapentin for nerve pain. Additional information for Item 18: I took the gabapentin, but it was a small dose (100 mg) and didn't seem to have an effect. I called the urgent care doctor who approved a higher dosage (300 mg), so I took that amount as directed. On Sunday night I still had nerve pain, and in the middle of the night I had (scary) chest pain and couldn't sleep. The chest pain had some similarity in sensation to the arm nerve pain, so I hoped/deduced it wasn't a heart attack. I also sometimes over the weekend experienced a racing heart and very low energy. I called my primary care physician's office on Monday (9/12) hoping to see my PCP. Doctor was unavailable but I was given an appointment with another doctor in the office on Tuesday (9/13). That Tuesday morning I saw the doctor and she gave me a prescription for additional gabapentin, as I was almost out of the small amount given to me by urgent care. The nerve pain was abating with the gabapentin at this point, and I am still taking the gabapentin, as directed by doctor. During that same visit, doctor spotted a patchy, red rash on my inner, upper, right arm that I hadn't noticed yet; it looked like it had just started to develop. The rash grew redder, itchier, and more solid over the next couple days. It was roughly 3x3 inches. However, it also faded after a relatively short time and was gone by 9/16 (Friday). Currently I am taking 300 mg of gabapentin every 8 hours, and the nerve pain is mostly gone. Sometimes I feel brief twinges of arm/shoulder nerve pain, but it's well controlled with the pills, which I've been instructed to take for about a month total then try to taper off and see if the nerve pain is still there or not. (Since I'm being treated by the pills, I'm not sure yet the extent to which the nerve pain has resolved.) Other symptoms that I had right after the vaccine (headache, chest pain, rash, racing heart, low energy, etc.) are now gone.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Neuralgia, Palpitations, Paraesthesia, Rash, Rash erythematous
Clinical narrative: I got the Shingrix first shot around 12:15 p.m. on 9/9/22 (Friday). I felt fine the rest of the day. That night, I had chills, but I knew this was a normal reaction. The next day, 9/10 (Saturday), sometime in the morning, I started getting nerve pain starting in my lower neck/shoulder area and extending down both arms all the way to my fingertips. The nerve pain was persistent and grew worse over the day. Occasionally there would be tingling, too. I developed a headache that ended up lasting a couple of days; I don't recall when that started. The nerve pain grew very painful, and by the morning of 9/11 (Sunday), I was in so much pain that I went to urgent care. I got an Rx for gabapentin for nerve pain. Additional information for Item 18: I took the gabapentin, but it was a small dose (100 mg) and didn't seem to have an effect. I called the urgent care doctor who approved a higher dosage (300 mg), so I took that amount as directed. On Sunday night I still had nerve pain, and in the middle of the night I had (scary) chest pain and couldn't sleep. The chest pain had some similarity in sensation to the arm nerve pain, so I hoped/deduced it wasn't a heart attack. I also sometimes over the weekend experienced a racing heart and very low energy. I called my primary care physician's office on Monday (9/12) hoping to see my PCP. Doctor was unavailable but I was given an appointment with another doctor in the office on Tuesday (9/13). That Tuesday morning I saw the doctor and she gave me a prescription for additional gabapentin, as I was almost out of the small amount given to me by urgent care. The nerve pain was abating with the gabapentin at this point, and I am still taking the gabapentin, as directed by doctor. During that same visit, doctor spotted a patchy, red rash on my inner, upper, right arm that I hadn't noticed yet; it looked like it had just started to develop. The rash grew redder, itchier, and more solid over the next couple days. It was roughly 3x3 inches. However, it also faded after a relatively short time and was gone by 9/16 (Friday). Currently I am taking 300 mg of gabapentin every 8 hours, and the nerve pain is mostly gone. Sometimes I feel brief twinges of arm/shoulder nerve pain, but it's well controlled with the pills, which I've been instructed to take for about a month total then try to taper off and see if the nerve pain is still there or not. (Since I'm being treated by the pills, I'm not sure yet the extent to which the nerve pain has resolved.) Other symptoms that I had right after the vaccine (headache, chest pain, rash, racing heart, low energy, etc.) are now gone.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: I got the Shingrix first shot around 12:15 p.m. on 9/9/22 (Friday). I felt fine the rest of the day. That night, I had chills, but I knew this was a normal reaction. The next day, 9/10 (Saturday), sometime in the morning, I started getting nerve pain starting in my lower neck/shoulder area and extending down both arms all the way to my fingertips. The nerve pain was persistent and grew worse over the day. Occasionally there would be tingling, too. I developed a headache that ended up lasting a couple of days; I don't recall when that started. The nerve pain grew very painful, and by the morning of 9/11 (Sunday), I was in so much pain that I went to urgent care. I got an Rx for gabapentin for nerve pain. Additional information for Item 18: I took the gabapentin, but it was a small dose (100 mg) and didn't seem to have an effect. I called the urgent care doctor who approved a higher dosage (300 mg), so I took that amount as directed. On Sunday night I still had nerve pain, and in the middle of the night I had (scary) chest pain and couldn't sleep. The chest pain had some similarity in sensation to the arm nerve pain, so I hoped/deduced it wasn't a heart attack. I also sometimes over the weekend experienced a racing heart and very low energy. I called my primary care physician's office on Monday (9/12) hoping to see my PCP. Doctor was unavailable but I was given an appointment with another doctor in the office on Tuesday (9/13). That Tuesday morning I saw the doctor and she gave me a prescription for additional gabapentin, as I was almost out of the small amount given to me by urgent care. The nerve pain was abating with the gabapentin at this point, and I am still taking the gabapentin, as directed by doctor. During that same visit, doctor spotted a patchy, red rash on my inner, upper, right arm that I hadn't noticed yet; it looked like it had just started to develop. The rash grew redder, itchier, and more solid over the next couple days. It was roughly 3x3 inches. However, it also faded after a relatively short time and was gone by 9/16 (Friday). Currently I am taking 300 mg of gabapentin every 8 hours, and the nerve pain is mostly gone. Sometimes I feel brief twinges of arm/shoulder nerve pain, but it's well controlled with the pills, which I've been instructed to take for about a month total then try to taper off and see if the nerve pain is still there or not. (Since I'm being treated by the pills, I'm not sure yet the extent to which the nerve pain has resolved.) Other symptoms that I had right after the vaccine (headache, chest pain, rash, racing heart, low energy, etc.) are now gone.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: UNKNOWN
Age: 1.08
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: PATIENT STARTING TO HAVE RASH ALL OVER THE BODY NO OTHER SYMPTOMS, NO TREATMENTS.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: congestion, cough, fatigue, lasted 2-3 days
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the regular Pfizer 12+ as abooster dose instead of the new Pfizer Bivalent booster
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered
Age: 9.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an expired vaccine was administered
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: an  expired vaccine was administered