chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 11/1/24:  oxygen saturation dropped to 88% and had to be placed on oxygen, he refused to eat .  11/5/24: shortness of breath, lethargy, labored breathing, 101.1 fever.    11/6/24: expired
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest pain, Chills, Fatigue
Clinical narrative: sharp chest pains, extreme fatigue, temp 101, chills
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Patient received vaccine on Friday and then on Monday had golf ball size swelling of injection site
Age: 16.0
Sex: M
Vaccine: UNK
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient has not had a reaction to the vaccine.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Abdominal pain upper, Bartonella test negative, Blood lactate dehydrogenase normal, Blood uric acid normal, C-reactive protein normal
Clinical narrative: 9/25 office visit: Seen in clinic on 9/18 for well check.  Patient received HPV vaccination on left arm and influenza vaccination on right arm.  A few minutes following HPV vaccination, she started to have headache.  Headache has continued since then and has been constant. Headache is a 3-4 out of 10 and at times increases up to 5 out of 10. The first few minutes after vaccination, headache was a 6 out of 10.  Yesterday noted painful lump above left clavicle.  Area is tender to touch  No fever No cat exposure  No redness to area  No night sweats Has not traveled outside the country  Tylenol/ibuprofen help decrease the pain at this site  9/30 visit:                                                                                                                                                                                                                                                                                    Seen in clinic on 9/25 for follow up.  Headaches had continued and she also had a right supraclavicular lymph node and right cervical lymph node.  Was prescribed clindamycin Chest Xray was normal.  CBC, LDH, uric acid, ESR, CRP were normal Bartonella titers negative.   Lymph node  - Taking clindamycin three times daily  - Supraclavicular lymph node increased in size first initially after last visit; has decreased in size since then. Still tender with pressure  - No fever  - Cervical lymph node has not bothered her  - No swelling elsewhere  - No fevers   Headache  - Continues to have constant headache  - Headaches worsens at random times; no specific triggers - Today headache has been 3/10  - Tylenol or ibuprofen do not help  - Sleeping more last couple days in morning  - Trouble falling asleep at night  - Sleeping at midnight to 2AM - Once she falls asleep, she sleeps through the night mostly  - Walking well, talking well - Have limiting electronic screen time  - Yesterday had nausea and stomach pain that went away with Zofran. Had taken prebitotic/probiotic prior to pain starting           Patient has been referred to neuro, ENT, and ophthalmology, also seeing mental health professionals.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Chest X-ray normal, Full blood count normal, Headache, Initial insomnia, Lymph node pain
Clinical narrative: 9/25 office visit: Seen in clinic on 9/18 for well check.  Patient received HPV vaccination on left arm and influenza vaccination on right arm.  A few minutes following HPV vaccination, she started to have headache.  Headache has continued since then and has been constant. Headache is a 3-4 out of 10 and at times increases up to 5 out of 10. The first few minutes after vaccination, headache was a 6 out of 10.  Yesterday noted painful lump above left clavicle.  Area is tender to touch  No fever No cat exposure  No redness to area  No night sweats Has not traveled outside the country  Tylenol/ibuprofen help decrease the pain at this site  9/30 visit:                                                                                                                                                                                                                                                                                    Seen in clinic on 9/25 for follow up.  Headaches had continued and she also had a right supraclavicular lymph node and right cervical lymph node.  Was prescribed clindamycin Chest Xray was normal.  CBC, LDH, uric acid, ESR, CRP were normal Bartonella titers negative.   Lymph node  - Taking clindamycin three times daily  - Supraclavicular lymph node increased in size first initially after last visit; has decreased in size since then. Still tender with pressure  - No fever  - Cervical lymph node has not bothered her  - No swelling elsewhere  - No fevers   Headache  - Continues to have constant headache  - Headaches worsens at random times; no specific triggers - Today headache has been 3/10  - Tylenol or ibuprofen do not help  - Sleeping more last couple days in morning  - Trouble falling asleep at night  - Sleeping at midnight to 2AM - Once she falls asleep, she sleeps through the night mostly  - Walking well, talking well - Have limiting electronic screen time  - Yesterday had nausea and stomach pain that went away with Zofran. Had taken prebitotic/probiotic prior to pain starting           Patient has been referred to neuro, ENT, and ophthalmology, also seeing mental health professionals.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Lymphadenopathy, Mass, Nausea, Pain, Red blood cell sedimentation rate normal
Clinical narrative: 9/25 office visit: Seen in clinic on 9/18 for well check.  Patient received HPV vaccination on left arm and influenza vaccination on right arm.  A few minutes following HPV vaccination, she started to have headache.  Headache has continued since then and has been constant. Headache is a 3-4 out of 10 and at times increases up to 5 out of 10. The first few minutes after vaccination, headache was a 6 out of 10.  Yesterday noted painful lump above left clavicle.  Area is tender to touch  No fever No cat exposure  No redness to area  No night sweats Has not traveled outside the country  Tylenol/ibuprofen help decrease the pain at this site  9/30 visit:                                                                                                                                                                                                                                                                                    Seen in clinic on 9/25 for follow up.  Headaches had continued and she also had a right supraclavicular lymph node and right cervical lymph node.  Was prescribed clindamycin Chest Xray was normal.  CBC, LDH, uric acid, ESR, CRP were normal Bartonella titers negative.   Lymph node  - Taking clindamycin three times daily  - Supraclavicular lymph node increased in size first initially after last visit; has decreased in size since then. Still tender with pressure  - No fever  - Cervical lymph node has not bothered her  - No swelling elsewhere  - No fevers   Headache  - Continues to have constant headache  - Headaches worsens at random times; no specific triggers - Today headache has been 3/10  - Tylenol or ibuprofen do not help  - Sleeping more last couple days in morning  - Trouble falling asleep at night  - Sleeping at midnight to 2AM - Once she falls asleep, she sleeps through the night mostly  - Walking well, talking well - Have limiting electronic screen time  - Yesterday had nausea and stomach pain that went away with Zofran. Had taken prebitotic/probiotic prior to pain starting           Patient has been referred to neuro, ENT, and ophthalmology, also seeing mental health professionals.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Somnolence
Clinical narrative: 9/25 office visit: Seen in clinic on 9/18 for well check.  Patient received HPV vaccination on left arm and influenza vaccination on right arm.  A few minutes following HPV vaccination, she started to have headache.  Headache has continued since then and has been constant. Headache is a 3-4 out of 10 and at times increases up to 5 out of 10. The first few minutes after vaccination, headache was a 6 out of 10.  Yesterday noted painful lump above left clavicle.  Area is tender to touch  No fever No cat exposure  No redness to area  No night sweats Has not traveled outside the country  Tylenol/ibuprofen help decrease the pain at this site  9/30 visit:                                                                                                                                                                                                                                                                                    Seen in clinic on 9/25 for follow up.  Headaches had continued and she also had a right supraclavicular lymph node and right cervical lymph node.  Was prescribed clindamycin Chest Xray was normal.  CBC, LDH, uric acid, ESR, CRP were normal Bartonella titers negative.   Lymph node  - Taking clindamycin three times daily  - Supraclavicular lymph node increased in size first initially after last visit; has decreased in size since then. Still tender with pressure  - No fever  - Cervical lymph node has not bothered her  - No swelling elsewhere  - No fevers   Headache  - Continues to have constant headache  - Headaches worsens at random times; no specific triggers - Today headache has been 3/10  - Tylenol or ibuprofen do not help  - Sleeping more last couple days in morning  - Trouble falling asleep at night  - Sleeping at midnight to 2AM - Once she falls asleep, she sleeps through the night mostly  - Walking well, talking well - Have limiting electronic screen time  - Yesterday had nausea and stomach pain that went away with Zofran. Had taken prebitotic/probiotic prior to pain starting           Patient has been referred to neuro, ENT, and ophthalmology, also seeing mental health professionals.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis
Clinical narrative: Patient states she was diagnosed with bursitis.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac flutter, Chest discomfort, Cold sweat, Heart rate increased
Clinical narrative: As soon as I got shot my heart started fluttering and beating fast hours later. I had chest tightness clammy skin. It continued on and has not stopped since the shots. After getting the Covid virus 7 months later it made my symptoms worse that the vaccine caused.
Age: 52.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: VOMITTING, FEVER, SPLITTING HEADACHE
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: When patient came in today, he reported pain in arm that radiated 2 weeks post-administration of covid vaccine. patient stated there was no redness, fever or swelling with the pain. Stated he was able to continue normal daily functions. He said he did not seek medical attention due to the pain and it has resolved now.
Age: 10.0
Sex: M
Vaccine: HEPA, IPV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received one extraneous dose of Polio and Hepatitis A vaccines. There was no treatment/outcome. No signs/symptoms.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Peripheral swelling
Clinical narrative: One week after the shot patient's left arm swelled up. It was swollen on entire arm, not just the area near the shot.
Age: 66.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Ped/Adol dose given instead of the Adult dose.
Age: 86.0
Sex: F
Vaccine: RSV
Symptoms: Device leakage, Underdose
Clinical narrative: Vaccine was prepared by pharmacist and administered by technician. Problems arose when technician depressed the plunger. Vaccine solution leaked from luerlock area and most, if not all, did not reach the patient.
Age: 59.0
Sex: F
Vaccine: FLU3, UNK
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Swelling, redness, warmth and itching started after patient received Influeza vaccine.  Patient presented to Employee Health the morning of 11/06/24 to report reaction.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Cardiac arrest, Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion
Clinical narrative: Patient received the flu vaccine at approximately 11:30 AM on 10/25/2024.    Approximately 4:30 PM, patient presented to local ER with c/o chest pain and was transferred to a larger hospital for cardiac care.  Patient had cardiac catheterization with stenting on 10/25/24, and suffered cardiac arrest in the hospital on 10/26/24 .
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Cough, Oropharyngeal pain, Pain in extremity
Clinical narrative: I had a bad reaction to the shot. My are hurt, my arm hurt, my throat was sore, I was coughing and I woke up coughing during the night. I had asthma attack so I needed to use my inhaler.
Age: 76.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient complained of extreme arm pain radiating up to shoulder/neck, shortly after receiving vaccine (Spikevax/Fluzone HD) on 10/23/24. Followed up with patient twice with the 10 days following injection. Patient said pain had been resolved and feels completly fine. Patient returned to Pharmacy on 11/06/24 at 10:40 and to say arm pain has returned and takes ibuprofen every night for relief. Patient was counseld to see doctor.
Age: 0.08
Sex: F
Vaccine: DTPPVHBHPB, PNC20, UNK
Symptoms: Alanine aminotransferase increased, Anion gap, Aspartate aminotransferase increased, Bilirubin conjugated increased, Blood alkaline phosphatase increased
Clinical narrative: Decreased oral intake, dehydration, tactile fevers, fussiness, metabolic acidosis, hypothermic.
Age: 0.08
Sex: F
Vaccine: DTPPVHBHPB, PNC20, UNK
Symptoms: Blood bilirubin increased, Blood creatinine increased, Blood phosphorus decreased, Blood potassium decreased, Blood urea increased
Clinical narrative: Decreased oral intake, dehydration, tactile fevers, fussiness, metabolic acidosis, hypothermic.
Age: 0.08
Sex: F
Vaccine: DTPPVHBHPB, PNC20, UNK
Symptoms: C-reactive protein increased, Carbon dioxide decreased, Dehydration, Haemoglobin decreased, Hypophagia
Clinical narrative: Decreased oral intake, dehydration, tactile fevers, fussiness, metabolic acidosis, hypothermic.
Age: 0.08
Sex: F
Vaccine: DTPPVHBHPB, PNC20, UNK
Symptoms: Hypothermia, Infant irritability, Metabolic acidosis, Platelet count increased, Procalcitonin increased
Clinical narrative: Decreased oral intake, dehydration, tactile fevers, fussiness, metabolic acidosis, hypothermic.
Age: 0.08
Sex: F
Vaccine: DTPPVHBHPB, PNC20, UNK
Symptoms: Pyrexia, Serum ferritin increased, White blood cell count increased
Clinical narrative: Decreased oral intake, dehydration, tactile fevers, fussiness, metabolic acidosis, hypothermic.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral vascular disorder
Clinical narrative: Peripheral vascular issues
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Exposure during pregnancy, Injection site pain, Mobility decreased, Pain
Clinical narrative: She was 21 weeks pregnant when she received the shot.  Her due date is March 2025.  She felt severe pain in her right upper arm which radiated; radiated down a few inches from the injection site and also upwards towards her neck.  She couldn't move her arm for the first two days very much.  She continues with arm pain mostly at night and only during the day when she slept on the spot too long.  Feels the pain at night when lying on either side.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Death, Dysphagia, Lethargy, Oxygen saturation decreased, Somnolence
Clinical narrative: 10/19/24 resident noted to be lethargic, drowsy, had irregular vital signs, not swallowing, oxygen level went down to 76%.  10/20/24 resident expired
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Vital functions abnormal
Clinical narrative: 10/19/24 resident noted to be lethargic, drowsy, had irregular vital signs, not swallowing, oxygen level went down to 76%.  10/20/24 resident expired
Age: 22.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Mobility decreased
Clinical narrative: Limited range of motion in arm
Age: 67.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Musculoskeletal stiffness
Clinical narrative: Patient returned to the pharmacy on November 5, 2024 and reported that her right shoulder has been very stiff since her flu shot on 10/17/24. Patient wiggled her arm and demonstrated limited range of motion from her right shoulder. Pharmacist asked patient if she had seen her doctor about this problem and patient said no. Pharmacist suggested patient discuss this with her primary care provider. Faxed doctor 11/6/24 to notify them of the issue.
Age: 77.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site pruritus
Clinical narrative: Patient complained of itchiness at injection site.  No rash/hives upon examination.  Patient denied difficulty breathing
Age: 0.83
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient in office to receive a second dose of Pfizer COVID 19 vaccine.  Dose administered in error by Medical Assistant.  Patient received a full vial of Pfizer COVID 6mo-4yr presentation that was not diluted.  No reported symptoms at the time of check out.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Lethargy, Respiratory distress, Tachypnoea
Clinical narrative: 11/3/24 resident became lethargic, went into respiratory distress, had shortness of breath and tachypnea.  He expired on 11/4/24
Age: 38.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 59.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: PATIENT COMES TO PHARMACY REQUESTING COMIRNATY VACCINE. PRESCRIPTION WAS TYPED AND RUN FOR AFLURIA. PHARMACIST ADMINISTERED AFLURIA WHEN COMIRNATY WAS REQUESTED. PT HAD PREVIOUSLY RECEIVED AFLURIA IN THE PAST FOUR WEEKS HAVING NOW RECIEVED TWO AFLURIA VACCINES. PT DID NOT HAVE ANY ADVERSE REACTIONS TO RECEIVING SECOND DOSE OF FLU SHOT.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient reported vaccine mistakenly injected into shoulder instead of deltoid muscle.  Patient reported shoulder and arm pain.  She is going to follow-up with a physician for evaluation.
Age: 53.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: Redness of arm, swelling of arm-spreading, warm when touch, tender,
Age: 28.0
Sex: F
Vaccine: PNC20
Symptoms: Impaired driving ability, Injection site pain, Mobility decreased, Sleep disorder
Clinical narrative: She got a prevnar 20 inj in her right arm on 10/18/24, she did note some pain as the shot was given and felt like it was higher up than the flu shot which she received at the same time but in the left arm. She noted soreness which got worse through the next day and made it so she could not sleep on Sat night so she went to the ER 10/19/24. They gave her steroids and mobic, also a prescription for norco 7.5 which she already takes on a regular basis so the pharmacy would not fill it. She took the mobic yesterday and today but does not think it is helping. She is on gabapentin and robaxin through the day. She is not able to sleep due to the pain. She is not able to drive and had to have her friend bring her today. She is unable to move her shoulder/arm due to severe pain.
Age: 39.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Blood test, Borrelia test, Joint range of motion decreased, Product administered at inappropriate site
Clinical narrative: PROGRESSIVE RIGHT SHOULDER PAIN (IN JOINT, NOT AT INJECTION SITE) AFTER FLU SHOT ON 10/18/24 WITH A PROGRESSION IN THE PAIN AND ADDITIONAL SYMPTOMS NOTED ON 10/20/24, COULD NOT SLEEP ON THAT SIDE, LIMITED RANGE OF MOTION; PAIN WAS THE WORST 10/26-28/24. EVALUATED ON 10/30/24 BY PCP. PATIENT REPORTED THAT HE FEELS THAT THE FLU SHOT WAS "GIVEN HIGH" IN THE RIGHT DELTOID COMPARED TO OTHER YEARS HE HAS RECIEVED THE FLU SHOT. PAIN RESOLVED AND RANGE OF MOTION RETURNED AROUND 10/31-11/1/24. PATIENT FEELS HE HAS FULLY RECOVERED WITHOUT ANY RESIDUAL SYMPTOMS.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Sleep disorder
Clinical narrative: PROGRESSIVE RIGHT SHOULDER PAIN (IN JOINT, NOT AT INJECTION SITE) AFTER FLU SHOT ON 10/18/24 WITH A PROGRESSION IN THE PAIN AND ADDITIONAL SYMPTOMS NOTED ON 10/20/24, COULD NOT SLEEP ON THAT SIDE, LIMITED RANGE OF MOTION; PAIN WAS THE WORST 10/26-28/24. EVALUATED ON 10/30/24 BY PCP. PATIENT REPORTED THAT HE FEELS THAT THE FLU SHOT WAS "GIVEN HIGH" IN THE RIGHT DELTOID COMPARED TO OTHER YEARS HE HAS RECIEVED THE FLU SHOT. PAIN RESOLVED AND RANGE OF MOTION RETURNED AROUND 10/31-11/1/24. PATIENT FEELS HE HAS FULLY RECOVERED WITHOUT ANY RESIDUAL SYMPTOMS.
Age: 33.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Myalgia
Clinical narrative: Muscle soreness, chills,  back pain and fatigue.
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Blood test normal, Discomfort, Fatigue, Muscle spasms, Muscle tightness
Clinical narrative: Had the shot day after small cut. That night I developed spasms/pain in legs and fatigue (no fever). The next day the fatigue was gone but the spasms and pain continued. Over the course of the next few days the spasms would appear throughout body. Only pain was in legs. Jaw began to feel tight about 1 week after the shot. Spasms have continued through today and jaw still has slight tightness that comes and goes. Spasms are random and painless. No fatigue, breathing issues, or fever. Spasms and jaw discomfort persist.
Age: 35.0
Sex: M
Vaccine: TD
Symptoms: Pain in extremity
Clinical narrative: Had the shot day after small cut. That night I developed spasms/pain in legs and fatigue (no fever). The next day the fatigue was gone but the spasms and pain continued. Over the course of the next few days the spasms would appear throughout body. Only pain was in legs. Jaw began to feel tight about 1 week after the shot. Spasms have continued through today and jaw still has slight tightness that comes and goes. Spasms are random and painless. No fatigue, breathing issues, or fever. Spasms and jaw discomfort persist.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, health department offered revaccination of FLU vaccine, facility declined
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram, Fatigue, Influenza like illness
Clinical narrative: Patient received Flumist (one spray in each nostril) around 10:30 AM at the pharmacy.  By about 1:30 PM same day child was experiencing flu-like symptoms--achy fatigue, fever..  Later the same day, child began experiencing stomach ache and stomach cramping and this continued from mid-day Nov 1 through the night and Nov 2.  Slight impovement in flu symptoms, but still complaining of stomach pain.  Morning os NOv 3rd, family called GI Clinic where the child is seen for treatment of Crohn's disease..  Patient's family told to bring him immediately fo ER.  From 7AM to 6PM 11/03/2024, child was in  ER, tests, blood work, CT scan.  Patient discharged Nov 3, 6pm.  Child and parent stayed home Monday. , Nov 4, Child attended school Tues, Nov 5.
Age: 9.0
Sex: M
Vaccine: FLUN3
Symptoms: Loss of personal independence in daily activities, Pain, Pyrexia
Clinical narrative: Patient received Flumist (one spray in each nostril) around 10:30 AM at the pharmacy.  By about 1:30 PM same day child was experiencing flu-like symptoms--achy fatigue, fever..  Later the same day, child began experiencing stomach ache and stomach cramping and this continued from mid-day Nov 1 through the night and Nov 2.  Slight impovement in flu symptoms, but still complaining of stomach pain.  Morning os NOv 3rd, family called GI Clinic where the child is seen for treatment of Crohn's disease..  Patient's family told to bring him immediately fo ER.  From 7AM to 6PM 11/03/2024, child was in  ER, tests, blood work, CT scan.  Patient discharged Nov 3, 6pm.  Child and parent stayed home Monday. , Nov 4, Child attended school Tues, Nov 5.
Age: 45.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: patient received influenza vaccine on same day she as evaluated for frozen shoulder. Received influenza vaccine in arm. Confirmed site of injection with patient, not close enough to cause bursitis. Patient reported significant increase in pain after injection
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: there was a excursion on 07/23/2024  we call the manufactures and they said they said they where good until 10/23/24 patient recived the vaccine on 10/28/24 so we contacted them to come back to get revaccinated for this vaccine
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Developed erythematous skin rash on cheeks and back 2 days after flu vaccination from 10/31/24. No other symptoms. Went to medical center for rash 11/3/24. Treated with Decadron.
Age: 14.0
Sex: F
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: there was a excursion on 07/23/2024  we call the manufactures and they said they said they where good until 10/23/24 patient recived the vaccine on 10/25/24 so we contacted them to come back to get revaccinated for this vaccine
Age: 1.17
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Unevaluable event
Clinical narrative: Hep A vaccine was given as the first dose, but record stated it was given as the second dose
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain, Product administered at inappropriate site
Clinical narrative: Pt reports the vaccine was administered too high. Since receiving the vaccine, she cannot lift her arm above her shoulder and is experiencing pain.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Mydriasis, Posture abnormal
Clinical narrative: Patient became light headed within a minute of immunization. Of note, patient reported thinking about the vaccine intensely prior to receipt. At 1154 patient had dilated pupils, cool and clammy skin, and was sweaty and hunched over. Medic was present, elevated patient's legs, and began taking vitals every 3-5 minutes.  Physician was notified. Initial vitals were BP 67/44, SpO2 93% on RA, HR 54, T 98.7 F. Patient was given water and vitals progressively improved with water and rest: (1157) BP 110/76, HR 66, O2 94%; (1202) BP 123/85, HR 65, O2 90%; (1207) BP 120/83, HR 61, O2 90%; (1213) BP 122/84, HR 63, O2 93%; (1219) BP 121/83, HR 63, O2 90. Temp normal throughout. Patient appeared well at the end of observation and stated he was back to his normal state of health. Patient was escorted to the door once he was comfortable and ready to leave and given return/emergency precautions.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Pain, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Patient woke up the next morning complaining of hives on torso, arms, and scalp along with swelling of the eyes and cheeks. PT described the hives as "aggressively itchy and slightly painful." PT took 25mg of Benadryl and a hot shower which slightly improved it enough to go to drill. After leaving drill Sunday, it started getting worse again so she took an additional 50mg of Benadryl and put some hydrocortisone on the hives rash. The following morning 04NOV2024 she woke up with swollen and painful hands, more facial swelling, and hives. At no time was the patient's airway compromised. PT was prescribed 40mg Prednisone and 10mg Loratadine by a health care provider and throughout the day improved.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Swelling face, Urticaria
Clinical narrative: Patient woke up the next morning complaining of hives on torso, arms, and scalp along with swelling of the eyes and cheeks. PT described the hives as "aggressively itchy and slightly painful." PT took 25mg of Benadryl and a hot shower which slightly improved it enough to go to drill. After leaving drill Sunday, it started getting worse again so she took an additional 50mg of Benadryl and put some hydrocortisone on the hives rash. The following morning 04NOV2024 she woke up with swollen and painful hands, more facial swelling, and hives. At no time was the patient's airway compromised. PT was prescribed 40mg Prednisone and 10mg Loratadine by a health care provider and throughout the day improved.
Age: 34.0
Sex: M
Vaccine: CHIK, CHOL, TYP, UNK
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: About 2 minutes after administering all IM vaccines, and 10 minutes after client completing the Cholera vaccine drink, client had syncopal episode spanning 5 seconds and appeared to have seized for majority of those 5 seconds. Client regained consciousness and became diaphoretic but was speaking in clear, full sentences. EMS was called and arrived after 24 minutes. Client was conscious and speaking in full sentences and able to walk out of clinic with EMS to be seen at near by hospital. BP in clinic was 110/80 Pulse was 70-79 during span of syncope until he left clinic. Client reports frequently fainting during blood draws and and aversion to needles. Reports last syncopal episode was last year because of food poisoning.
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Bone pain, Chills, Headache, Nausea
Clinical narrative: Patient said that arm was sore all day, but that around 9:30pm the night of injection, she started with chills, nausea, and bones aching.   She says that she feels fine today other than a headache.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: MEMBER PRESENTED TO THE URGENT CARE WITH COMPLAINTS OF ARM SORENESS, DECREASED ROM IN THE JOINT
Age: 58.0
Sex: F
Vaccine: FLU3, PNC20
Symptoms: Injection site erythema, Injection site rash, Injection site urticaria, Rash papular
Clinical narrative: LEFT DELTOID AREA RED, WITH SPLOTCHY HIVES, RAISED WITH RASH. PATIENT TREATED WITH KENALOG 40MG INJECTION
Age: 12.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Dizziness, Fall, Feeling abnormal, Head injury
Clinical narrative: PATIENT RECIEVED BOTH VACCINES IN ONE VISIT ON SAME ARM APPROPRIATELY SPACED APART PHYSICALLY. AFTER RECEIVING VACCINE, PATIENT WAS WALKING TO COUGH MEDICATION SHELF WITH MOM AND SAID SHE FELT A LITTLE STRANGE. SHE THEN FELL FORWARD AND BUMPED HER HEAD ON THE SHELF AND THEN FELL BACKWARDS ONTO THE FLOOR. THIS HAPPENED WITHIN 5 MINUTES OF RECEIVING BOTH VACCINES. AFTER REGAINING CONSCIOUSNESS, PATIENT DESCRIBED SYMPTOMS AS FEELING DIZZY, HEAD FEELING "FUZZY" AND OUT OF BODY SENSATION. IT SEEMED LIKE A VASOVAGAL REACTION. EMS WAS NOTIFIED AND ALSO ASSESSED PATIENT WITHIN 20 MINUTES.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: pt complains of feeling achy today
Age: 1.92
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine given at age it is not licensed for. No signs or symptoms reported.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Pt received a influenza vaccine while out of our facility at the Center on 10/7/2024. Today on 11/6/2024 during a flu shot clinic, the pt received a second flu shot.
Age: 8.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain in extremity, Product administered to patient of inappropriate age, Wrong patient
Clinical narrative: Patient came to receive covid vaccine along with parent and several other members of family.  Patient was administered by mistake the Novavax intended for mother of patient instead of the pediatric Spikevax intended for patient.  Patient was experiencing sore arm after vaccine administration.  Error has been documented and parent has discussed with pediatrician office regarding error that occurred and issues/symptoms to watch out for.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: asked patient if she had a flu vaccine this year, patient said "NO", informed Doctor that she said she hadn't had flu vaccine yet, patient was given a flu vaccine, informed Doctor that patient had already received a flu shot this season, Doctor stated that it would not harm her having an extra flu vaccine. Called patient and apologized and let her know about the extra vaccine and that Doctopr stated that it would not harm her. Patient was thankful that I called to inform her and was very pleasant. Informed Doctor that I called patient to let her know. Also notified clinic of event.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse outcomes were reported. Parent had consented for student to receive vaccines the day of our flu clinic at Elementary School. Parent called, reporting student had received a flu vaccine 5 days prior at another facility.
Age: 86.0
Sex: M
Vaccine: VARZOS
Symptoms: Product preparation error, Underdose
Clinical narrative: Only gave half the vaccine, 1st vial with dry diluted with sterile dilutent. Instead of the dilutent vial that was in box.
Age: 39.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue, Wrong product administered
Clinical narrative: 34 weeks pregnant patient request RSV vaccine. Abrysvo ordered and Arexvy was given in error. Medical assistant unaware of the difference between Arexvy & Abrysvo.  Obstetrician did speak with patient about the error & discussed that the baby will need to receive the RSV monoclonal antibody Nirsevimab shortly before/during the first RSV season for RSV precautions as recommended in CDC FAQ. Patient had no known side effects from the vaccine.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Mobility decreased, Shoulder injury related to vaccine administration
Clinical narrative: SIRVA - severe shoulder pain and reduction in range of motion, weakness, presenting 1 day post vaccination and worsening at 1 week post vaccination.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Delirium, Dyspnoea, Electrocardiogram, Myocardial infarction
Clinical narrative: The patient has a fever of 104.7, atrial infarct, respiratory rate 33bpm, delirious mental state, shortness of breath . The patient received antibiotics and IV Normal Saline.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Viral test
Clinical narrative: The patient has a fever of 104.7, atrial infarct, respiratory rate 33bpm, delirious mental state, shortness of breath . The patient received antibiotics and IV Normal Saline.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV9, MNQ, TDAP
Symptoms: Injection site rash, Rash erythematous, Rash papular
Clinical narrative: Pt developed a red, raised rash on both arms where injections were given. Ranging in size from pin point to mosquito bite, resembling hives. Pt denied itch, burn nor pain. Denies SOB, itch/scratch in throat, ears, nose. Hr 96 r 20 t 98.4  Liquid Benadryl 25mg/10ml given po x 1 now. Kept/observed for 15min. Left with mom in NAD
Age: 60.0
Sex: F
Vaccine: HEP, PNC21
Symptoms: Myalgia, Rash
Clinical narrative: RASH, PAINFUL DELTOID
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Blood iron, C-reactive protein, Dizziness, Full blood count, Headache
Clinical narrative: At ~6pm on 11/05/24, Pt felt dizzy/light headed with body aches and headaches.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Influenza virus test, Iron binding capacity total, Metabolic function test, Pain, Presyncope
Clinical narrative: At ~6pm on 11/05/24, Pt felt dizzy/light headed with body aches and headaches.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Red blood cell sedimentation rate, Respiratory acidosis, Serum ferritin
Clinical narrative: At ~6pm on 11/05/24, Pt felt dizzy/light headed with body aches and headaches.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Dilutant not used to administer the vaccine.  So far no adverse side effects or events reported.
Age: 74.0
Sex: M
Vaccine: PNC20
Symptoms: Back pain, Chest discomfort, Dyspnoea, Electric shock sensation, Inflammation
Clinical narrative: Pt started getting tightness in his traps and moved to his neck.  He could no longer turn his head. When he tilted his head back it felt like he was getting an electric jolt to his skull. It continued for about 6 or 7 days. He developed tightness in his jaw and then moved to his chest. He felt like he was in a vice  and could hardly breath. He felt like it was life threating since he felt like he couldn't catch his breath. He thought about going to the ER but by the next day it started to ease.  When had blood work that showed  protein was high which was because he was experiencing an extreme inflamitory response from the vaccine.  He used cold ice packs on his neck and back to help with the pain. He contacted his doctors office and was told to take folic acid. He is asking his doctors office to admend his records to reflect his reaction but never got a response. It took him 3 weeks to recover.
Age: 74.0
Sex: M
Vaccine: PNC20
Symptoms: Mobility decreased, Muscle tightness, Neck pain, Protein total increased
Clinical narrative: Pt started getting tightness in his traps and moved to his neck.  He could no longer turn his head. When he tilted his head back it felt like he was getting an electric jolt to his skull. It continued for about 6 or 7 days. He developed tightness in his jaw and then moved to his chest. He felt like he was in a vice  and could hardly breath. He felt like it was life threating since he felt like he couldn't catch his breath. He thought about going to the ER but by the next day it started to ease.  When had blood work that showed  protein was high which was because he was experiencing an extreme inflamitory response from the vaccine.  He used cold ice packs on his neck and back to help with the pain. He contacted his doctors office and was told to take folic acid. He is asking his doctors office to admend his records to reflect his reaction but never got a response. It took him 3 weeks to recover.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: 4 yr old male was given an undiluted vial of 6 month-4-year-old.  Pt received the vaccination in the left deltoid.   After 15 minutes of watching child, he was active and had no symptoms.
Age: 59.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 31.0
Sex: M
Vaccine: FLU3, HEP, MMR, VARCEL
Symptoms: Axillary mass, Cyst
Clinical narrative: Patient called the pharmacy about a week after receiving all 4 vaccines in 1 day and complained about a lump or cyst forming in one of his armpits. He said it was not painful but it is noticeable to him
Age: 36.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 55.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 35.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, HD offered revaccination of FLU vaccine, facility declined
Age: 67.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: No adverse reaction reported, immunization administered with 5/8 inch needle in lieu of 1 inch needle. State immunization consultant notified, health department offered revaccination of FLU vaccine, facility declined
Age: 22.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Back pain, Muscle injury
Clinical narrative: "muscle damage due to flu and covid shot in same arm", 2 weeks pain - increasing across back to other shoulder
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was inadvertently given a duplicate vaccination. She is not experiencing any adverse reaction at this time.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pruritus, Rash, Rash pruritic, Throat irritation, Urticaria
Clinical narrative: Patient went to ER on 10/31/2024 with c/o itchy rash on arms soon after flu vaccine. Stated that she also had funny feeling in her throat with itchy eyes but no shortness of breath, or difficulty swallowing. She took benadryl before going to ER and symptoms resolved except for the hives on arms. Was given via IV Famotidine, Methlprednisolone, Diphendyramine. Patient we prescribed Methylprednisolone 4 mg dose pack and discharged. Patient was contacted on 11/1/24 regarding ER visit at 1135p. Patient later called back at 147p to let office know that her arms were itchy more. Patient reported that she took benadryl and all 6 tablets of Methylprednisolone dose pack. Patient unaware of instructions. Patient went back to ER on 11/2/24 and reported she was still developing hives. Did at this time states that she was on antibiotics for a sinus infection a few weeks ago. Was given via sub-q Epinephrine, and via IV Diphenhydramine, Methylprednisolone, and Famotidine. Prescribed EpiPen.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: 10/31/2024 received Influenza Vaccine.11/04/2024 our office received intake from our employee who reported itchy hives on back, chest, neck, scalp on 11/02/2024.  Self prescribed Zyrtec in morning 25 mg Benadryl midday, 50mg Benadryl at bedtime x2 days. Per employee at the time of first intake, hives were 90% better.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, FLU3, FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient given covid and flu vaccine on 09/25 and also on 11/05. No adverse reaction was described, but this patient was double vaccinated with both covid and flu.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Neck pain, Sleep disorder, Swelling, Tinnitus
Clinical narrative: Patient complains of unable to sleep or get comfortable.  C/O pounding, ringing in the ears, c/o right neck swelling and pain.
Age: 64.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Cardiac monitoring, Dyspnoea, Electrocardiogram, Heart rate increased, Rash
Clinical narrative: Covid Vaccine and Influenza vaccine administered at 0839. At 1226 a medical assist was called on patient for severe allergic reaction. Symptoms include rash, shortness of breath, increased heart rate. Patient had just finished consuming lunch which consisted of tuna salad, corn chowder, cauliflower, lemon pudding, and coffee (nothing new to patient).  - Pt given 25 mg Im of Benadryl followed by 60 mg of prednisone orally, and then another 25mg orally of Benadryl. He is placed on 5L O2 on FM for initial O2 sats of 88%. No sob, no swelling of tongue. Pt was able to swallow pills w/o issue. Still tachycardic. EKG and monitoring for now. He is asymptomatic from cardiac standpoint. No SOB or chest pain or chest tightness. no abnormal breath sounds. An EKG is ordered. Pt is started on a medical 1:1 with vitals every 15 minutes with parameters to call. I will also see pt again prior to leaving. Benadryl q 4 hr prn x 48 hrs and prednisone 60 mg daily x 5 days. By 10/31/ 12:47 patient asymptomatic and no longer requiring oxygen.  O2 sat 95%
Age: 64.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Tachycardia
Clinical narrative: Covid Vaccine and Influenza vaccine administered at 0839. At 1226 a medical assist was called on patient for severe allergic reaction. Symptoms include rash, shortness of breath, increased heart rate. Patient had just finished consuming lunch which consisted of tuna salad, corn chowder, cauliflower, lemon pudding, and coffee (nothing new to patient).  - Pt given 25 mg Im of Benadryl followed by 60 mg of prednisone orally, and then another 25mg orally of Benadryl. He is placed on 5L O2 on FM for initial O2 sats of 88%. No sob, no swelling of tongue. Pt was able to swallow pills w/o issue. Still tachycardic. EKG and monitoring for now. He is asymptomatic from cardiac standpoint. No SOB or chest pain or chest tightness. no abnormal breath sounds. An EKG is ordered. Pt is started on a medical 1:1 with vitals every 15 minutes with parameters to call. I will also see pt again prior to leaving. Benadryl q 4 hr prn x 48 hrs and prednisone 60 mg daily x 5 days. By 10/31/ 12:47 patient asymptomatic and no longer requiring oxygen.  O2 sat 95%
Age: 71.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Cold sweat, Dysuria, Micturition urgency, Nausea, Pyrexia
Clinical narrative: Patient reports that he thinks he is having an infection or side effects from his vaccines on 10/25/24. He got a comirnaty and fluzone HD that day. Patient reports that he has fever, cold sweats, trouble urinating/urge to urinate, dribbling urine, along with nausea. Symptoms reported present more like UTI/STI vs. cellulitis. He reports symptoms started two days ago.   I Informed patient he should consult his doctor, or urgent care to be diagnosed and treated appropriately if he is concerned about infection.
Age: 71.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Urinary incontinence
Clinical narrative: Patient reports that he thinks he is having an infection or side effects from his vaccines on 10/25/24. He got a comirnaty and fluzone HD that day. Patient reports that he has fever, cold sweats, trouble urinating/urge to urinate, dribbling urine, along with nausea. Symptoms reported present more like UTI/STI vs. cellulitis. He reports symptoms started two days ago.   I Informed patient he should consult his doctor, or urgent care to be diagnosed and treated appropriately if he is concerned about infection.
Age: 5.0
Sex: F
Vaccine: TD
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was administered Td vaccine outside of recommended age range along with appropriate covid and flu vaccine. Informed parent and supervisor when this RN noticed about 5 hours after administration. PCP made aware.