chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Went to school to complete the Covid-19 series with patient in relation to completing clinicals for a CNA course. Before leaving office, I removed vial out of fridge from the only Box of Pfizer vaccine we had stocked. Due to the frequency of giving the bivalent  covid shot, I had in my thought process this was the correct vaccine to complete vaccination series. Verified with co-worker, the other office vaccine coordinator of the Lot #. I withdrew the needed number of doses and placed in secure container to transport along with other necessary supplies. Upon arrival, I reviewed the questionnaire form and found no contraindication in the questions. I proceeded to administer dose in requested arm and monitored for 15 minutes as recommended. Upon returning to the office, was entering it into the system, she realized we had administered the incorrect vaccine. I immediately called nurse manager, and reported the incident in which she said she would contact the state to see what the recommendation would be. Later that day, I was able to contact the patient's mother and inform her of what the daughter received.
Age: 70.0
Sex: M
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: Patient received double vaccination - no symptoms. No treatment needed.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood creatinine increased, Blood glucose decreased
Clinical narrative: Patient was brought to local Hospital 11/10/2021 for increased confusion and low blood sugar. EMS called. Paramedics came and administered glucose juice with improvement of his symptoms. A second episode which occurred when patient woke up with confusion prompted patient?s family to bring the patient to the ED for further evaluation. In the ED patient received D50 and D5 infusion with recurrent hypoglycemia to 57. Ultimately patient was started on D10 infusion with improvement in his symptoms. Patient endorses recent mechanical fall but did not hit his head. CK noted to be elevated to 2600 s. Rapid COVID was positive on admission. BNP 3600s. UA positive for leukocyte esterase, WBC 21-30, urine cultures pending. CBC shows no leukocytosis WBC 4.58, hemoglobin 9.6, platelets 190. INR 1.95. CMP shows no AKI creatinine 2.01, baseline 2.6. AST 88, ALT 37. CXR negative for acute cardiopulmonary abnormalities. Patient admitted for recurrent hypoglycemia likely due to sulfonylurea use, complicated UTI, mechanical fall with rhabdomyolysis and COVID-19 virus infection. Patient was recently vaccinated with 2nd booster. Bivalent Moderna on 11/3/2022 lot # 061F22A and flu vaccine 11/3/2022. Local County public Health department has no further information on the outcome of this patient. Please contact provider/facility for any further information.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Brain natriuretic peptide increased, COVID-19, Chest X-ray normal, Confusional state, Fall
Clinical narrative: Patient was brought to local Hospital 11/10/2021 for increased confusion and low blood sugar. EMS called. Paramedics came and administered glucose juice with improvement of his symptoms. A second episode which occurred when patient woke up with confusion prompted patient?s family to bring the patient to the ED for further evaluation. In the ED patient received D50 and D5 infusion with recurrent hypoglycemia to 57. Ultimately patient was started on D10 infusion with improvement in his symptoms. Patient endorses recent mechanical fall but did not hit his head. CK noted to be elevated to 2600 s. Rapid COVID was positive on admission. BNP 3600s. UA positive for leukocyte esterase, WBC 21-30, urine cultures pending. CBC shows no leukocytosis WBC 4.58, hemoglobin 9.6, platelets 190. INR 1.95. CMP shows no AKI creatinine 2.01, baseline 2.6. AST 88, ALT 37. CXR negative for acute cardiopulmonary abnormalities. Patient admitted for recurrent hypoglycemia likely due to sulfonylurea use, complicated UTI, mechanical fall with rhabdomyolysis and COVID-19 virus infection. Patient was recently vaccinated with 2nd booster. Bivalent Moderna on 11/3/2022 lot # 061F22A and flu vaccine 11/3/2022. Local County public Health department has no further information on the outcome of this patient. Please contact provider/facility for any further information.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Full blood count, Haemoglobin decreased, Hypoglycaemia, International normalised ratio increased, Metabolic function test
Clinical narrative: Patient was brought to local Hospital 11/10/2021 for increased confusion and low blood sugar. EMS called. Paramedics came and administered glucose juice with improvement of his symptoms. A second episode which occurred when patient woke up with confusion prompted patient?s family to bring the patient to the ED for further evaluation. In the ED patient received D50 and D5 infusion with recurrent hypoglycemia to 57. Ultimately patient was started on D10 infusion with improvement in his symptoms. Patient endorses recent mechanical fall but did not hit his head. CK noted to be elevated to 2600 s. Rapid COVID was positive on admission. BNP 3600s. UA positive for leukocyte esterase, WBC 21-30, urine cultures pending. CBC shows no leukocytosis WBC 4.58, hemoglobin 9.6, platelets 190. INR 1.95. CMP shows no AKI creatinine 2.01, baseline 2.6. AST 88, ALT 37. CXR negative for acute cardiopulmonary abnormalities. Patient admitted for recurrent hypoglycemia likely due to sulfonylurea use, complicated UTI, mechanical fall with rhabdomyolysis and COVID-19 virus infection. Patient was recently vaccinated with 2nd booster. Bivalent Moderna on 11/3/2022 lot # 061F22A and flu vaccine 11/3/2022. Local County public Health department has no further information on the outcome of this patient. Please contact provider/facility for any further information.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Platelet count normal, Rhabdomyolysis, SARS-CoV-2 test positive, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Patient was brought to local Hospital 11/10/2021 for increased confusion and low blood sugar. EMS called. Paramedics came and administered glucose juice with improvement of his symptoms. A second episode which occurred when patient woke up with confusion prompted patient?s family to bring the patient to the ED for further evaluation. In the ED patient received D50 and D5 infusion with recurrent hypoglycemia to 57. Ultimately patient was started on D10 infusion with improvement in his symptoms. Patient endorses recent mechanical fall but did not hit his head. CK noted to be elevated to 2600 s. Rapid COVID was positive on admission. BNP 3600s. UA positive for leukocyte esterase, WBC 21-30, urine cultures pending. CBC shows no leukocytosis WBC 4.58, hemoglobin 9.6, platelets 190. INR 1.95. CMP shows no AKI creatinine 2.01, baseline 2.6. AST 88, ALT 37. CXR negative for acute cardiopulmonary abnormalities. Patient admitted for recurrent hypoglycemia likely due to sulfonylurea use, complicated UTI, mechanical fall with rhabdomyolysis and COVID-19 virus infection. Patient was recently vaccinated with 2nd booster. Bivalent Moderna on 11/3/2022 lot # 061F22A and flu vaccine 11/3/2022. Local County public Health department has no further information on the outcome of this patient. Please contact provider/facility for any further information.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urine leukocyte esterase positive, White blood cell count increased
Clinical narrative: Patient was brought to local Hospital 11/10/2021 for increased confusion and low blood sugar. EMS called. Paramedics came and administered glucose juice with improvement of his symptoms. A second episode which occurred when patient woke up with confusion prompted patient?s family to bring the patient to the ED for further evaluation. In the ED patient received D50 and D5 infusion with recurrent hypoglycemia to 57. Ultimately patient was started on D10 infusion with improvement in his symptoms. Patient endorses recent mechanical fall but did not hit his head. CK noted to be elevated to 2600 s. Rapid COVID was positive on admission. BNP 3600s. UA positive for leukocyte esterase, WBC 21-30, urine cultures pending. CBC shows no leukocytosis WBC 4.58, hemoglobin 9.6, platelets 190. INR 1.95. CMP shows no AKI creatinine 2.01, baseline 2.6. AST 88, ALT 37. CXR negative for acute cardiopulmonary abnormalities. Patient admitted for recurrent hypoglycemia likely due to sulfonylurea use, complicated UTI, mechanical fall with rhabdomyolysis and COVID-19 virus infection. Patient was recently vaccinated with 2nd booster. Bivalent Moderna on 11/3/2022 lot # 061F22A and flu vaccine 11/3/2022. Local County public Health department has no further information on the outcome of this patient. Please contact provider/facility for any further information.
Age: 84.0
Sex: M
Vaccine: FLUA4
Symptoms: Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date/time passed date.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dehydration, Malaise, Urinary tract infection
Clinical narrative: Patient treated for Covid in nursing home with azithromycin and "an inhaler" and had worsening symptoms and was brought to the ED.  Patient was admitted to the hospital for Covid, UTI, and dehydration and treated with remdesivir.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient complains of left sided face numbness and tingling. She stated that it started very early this morning, 12/14/22 and complains that it is getting worse. She states that her face feels swollen and droopy although it visibly is not. She has no complaints of shortness of breath or loss of function in any form. She still has control of her facial muscles. The covid nurse hotline and the nurse at her PCP advised her to call the pharmacy. After consulting with other pharmacists, it was recommended to the patient to continue monitoring her symptoms as well as trying ibuprofen and Benadryl/other antihistamine in case it is a delayed inflammatory response. She is going to follow up with another phone call to her PCP 12/15/222 if her symptoms do not improve.
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: I tested positive for COVID-19 on 12/07/22. I had a cough, fever, fatigue, and congestion. I was prescribed a 7-day course of doxycycline, and a 5-day course of molnupiravir. I am feeling better now, but still have some congestion and a cough.
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 12/07/22. I had a cough, fever, fatigue, and congestion. I was prescribed a 7-day course of doxycycline, and a 5-day course of molnupiravir. I am feeling better now, but still have some congestion and a cough.
Age: 30.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: COVID-19, Cough, Fatigue, Headache, Nausea
Clinical narrative: I had severe dry coughing and sometimes phlegm, running nose, fatigue, sneezing, congestion, brief period of nausea and headaches. I tested positive for COVID-19 with a home test. I spoke to a pharmacist, and he gave me over the counter medications for it.
Age: 30.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Productive cough, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had severe dry coughing and sometimes phlegm, running nose, fatigue, sneezing, congestion, brief period of nausea and headaches. I tested positive for COVID-19 with a home test. I spoke to a pharmacist, and he gave me over the counter medications for it.
Age: 46.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Chest X-ray normal, Pneumonia, Upper respiratory tract infection
Clinical narrative: On or about the same date, I had a minor URI on or about the 12th of November and ran its course at which point in, that developed into bronchial pneumonia treated by Dr. with azithromycin relieved temporarily. On or about December 8th went to urgent care two albuterol treatments, steroid injection in left arm. Prescribed on December 9th prednisone 60mg days, then 40mg for three days at 20mg.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date and Time expired
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyskinesia, Heart rate increased, Sleep disorder, Tremor
Clinical narrative: about 12 hours after the shot I was woken out of sleep with a strong shaking reaction that lasted about an hour. This is opposed to "chills", it was involuntary body movement in the limbs, torso and neck. I attempted to stop by focusing on relaxing but would creep back. it occurred in bed and also standing.  My heart rate was also elevated.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin discolouration
Clinical narrative: patient presented to the ED with a rash to her stomach, back, back of legs, and left arm on 7/31/22 after having recieved a Pfizer booster on 7/25/2022.  No new clothes, detergent, food.  Has been out in the heat.  Has not had any sleepovers recently.  Rash causes no itching nor pain.  Its presentation is not suggestive of viral or bacterial or fungal etiology.  No treatment given at that time as it was expected to resolve on its own.  Patient presented to the Clinic on 8/30/2022 because the rash was still present, but was not causing any pain or itching.  Provider thought it may also be related to the vaccine, as did a dermatologist on 9/1/2022.  Patient was scheduled to follow up with the dermatologist on 9/15/22 but has not returned.  Called the patient's mother 12/15/2022 to see if the rash had resolved.  She said it has, rash is gone but there is spotty discoloration of her skin in those areas.  Skin is lighter than it had been prior to the rash.  Patient did not get her primary series here, but her primary series was Pfizer and no reactions were reported.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Feeling abnormal, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: On November 8, 2022, I felt bad when I woke up with a postnasal drip. I tested positive for COVID-19 on Friday November 9th at the doctor's office. Friday afternoon I started a round of PAXLOVID and began to feel better the next day. I used MUCINEX and that helped dry me up.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Given a vaccine that was past the beyond use date.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Given a vaccine that was past the beyond use date.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Given a vaccine that was past the beyond use date.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse events, dosing error only.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date and time expired
Age: 10.0
Sex: M
Vaccine: HEP, IPV
Symptoms: Extra dose administered
Clinical narrative: Patient recently admitted to residential treatment center. Vaccine abstraction done by staff was entered as Dtap rather than combo vax Pediarix resulting the patient receiving the additional Hep B and Polio. It was discovered today when an updated vaccine record was reviewed in the state vaccine system.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Fatigue, Headache, Myalgia
Clinical narrative: On 12/11/2022 it started with a frontal headache, chills, and muscle aches. That resolved within around 16 hours and then I developed congestion, mostly in the head. Within a couple of days that moved on into the bronchi and was accompanied with some pretty severe fatigue. I tested myself for COVID-19 on 12/12/2022 and it was positive. I saw my doctor, who prescribed PAXLOVID. Since beginning the medication, I've been getting better every day.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On 12/11/2022 it started with a frontal headache, chills, and muscle aches. That resolved within around 16 hours and then I developed congestion, mostly in the head. Within a couple of days that moved on into the bronchi and was accompanied with some pretty severe fatigue. I tested myself for COVID-19 on 12/12/2022 and it was positive. I saw my doctor, who prescribed PAXLOVID. Since beginning the medication, I've been getting better every day.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: No specific issues noted. VSAFE asked whether I obtained medical care subsequent to the vaccination. I had two pre-scheduled medical appointments in the week after the vaccination which were unrelated to either COVID or the vaccination itself. In other words, the VSAFE question required a misleading answer; I did get medical care but was not relevant. Suggest that question be reworded. No significant side-effects of the vaccine were noted beyond a sore arm which lasted about a week.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Dyspnoea, Gait inability
Clinical narrative: SHE STATED THAT SHE LOST BREATH AND COULDN'T WALK. HAD TO GO THE ER AND THEN SAW HER PCP ON 12/13/2022 AND WAS TOLD SHE IS ALLERGIC TO FLU SHOT NOW.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient received 0.25mL instead of the recommended 0.5mL for the bivalent booster. No adverse event, dosing error
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date and Time expired
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Unevaluable event
Clinical narrative: none
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Eye inflammation, Immunisation reaction, Laboratory test normal, Magnetic resonance imaging head normal, Retinal vein occlusion
Clinical narrative: CRVO right eye.  Onset one day post Vaccine  Spoke with pt. on December 1, 2022.  On November 17, 2022 he developed a change in vision while traveling.  It progressed, so he was seen on November 21st by Dr.  They suspected a central retinal vein occlusion (CRVO).  His sx's progressed over the weekend so he saw a retinal specialist the next day.  It continued to get worse so he saw Dr again on November 29th and was given an injection.  He has also been on a course of steroids.  Unfortunately his vision has not cleared yet and there is still evidence of inflammation in his retina.  This is typically a condition that occurs in older patients with other risk factors.   Pt. is young and does not have any of the usual risks associated with this condition.  On the day prior to his symptoms he received his annual influenza vaccine as required by his employment.  Reviewing the medical literature, there are case reports of CRVO occurring after administration of vaccines, including the influenza vaccine. At his young age with no risk factors, it is likely that this occurred as a complication of recent vaccination.
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Retinoscopy abnormal, Visual impairment
Clinical narrative: CRVO right eye.  Onset one day post Vaccine  Spoke with pt. on December 1, 2022.  On November 17, 2022 he developed a change in vision while traveling.  It progressed, so he was seen on November 21st by Dr.  They suspected a central retinal vein occlusion (CRVO).  His sx's progressed over the weekend so he saw a retinal specialist the next day.  It continued to get worse so he saw Dr again on November 29th and was given an injection.  He has also been on a course of steroids.  Unfortunately his vision has not cleared yet and there is still evidence of inflammation in his retina.  This is typically a condition that occurs in older patients with other risk factors.   Pt. is young and does not have any of the usual risks associated with this condition.  On the day prior to his symptoms he received his annual influenza vaccine as required by his employment.  Reviewing the medical literature, there are case reports of CRVO occurring after administration of vaccines, including the influenza vaccine. At his young age with no risk factors, it is likely that this occurred as a complication of recent vaccination.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: TINNITUS DEVELOPED AFTER RECEIVING BOOSTER
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: BUD date and time on vial expired
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Decreased appetite, Headache, Nausea
Clinical narrative: I tested positive for Covid 19 on December 1, 2022 I experienced runny nose, achy, restless, congestion, cough, headache; nausea, loss of appetite; I was taking prednisone; cough suppressant; to help with symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Respiratory tract congestion, Restlessness, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid 19 on December 1, 2022 I experienced runny nose, achy, restless, congestion, cough, headache; nausea, loss of appetite; I was taking prednisone; cough suppressant; to help with symptoms.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Arthralgia, Asthenia, Dizziness, Pain, Pallor
Clinical narrative: Day of  vaccination: He states he felt weak legged leaving and then in car felt lightheaded and tingling in tongue so his mom called us . He was alert and talking but pale when i found him. We asisted him to rm 2 and vs were stable bp 122/70 . He was given water, benadryl , candy bar and after about 30 mins felt better and was released with repeat stable vitals. He was told to take another benadryl in 6 hrs and to dcall or go to er if allergic reaction occurred as discussed. phone call this evening - patient doing well  Day after vaccination:  He says his shoulder is very tender and hurts to move. Jostling causes pain in his shoulder. he is able to move his arm. the shot is in a good location in the deltoid. starting on Naprosyn 500 mg BID for 7 days.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Paraesthesia oral, Tenderness
Clinical narrative: Day of  vaccination: He states he felt weak legged leaving and then in car felt lightheaded and tingling in tongue so his mom called us . He was alert and talking but pale when i found him. We asisted him to rm 2 and vs were stable bp 122/70 . He was given water, benadryl , candy bar and after about 30 mins felt better and was released with repeat stable vitals. He was told to take another benadryl in 6 hrs and to dcall or go to er if allergic reaction occurred as discussed. phone call this evening - patient doing well  Day after vaccination:  He says his shoulder is very tender and hurts to move. Jostling causes pain in his shoulder. he is able to move his arm. the shot is in a good location in the deltoid. starting on Naprosyn 500 mg BID for 7 days.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Ear infection, Epilepsy, Fatigue, Hypoaesthesia
Clinical narrative: I went to urgent care because I thought I had an ear infection because I had tingling and numbness in my right ear. I tested positive for COVID-19. I started feeling tired and fatigued. I was prescribed a 5 day of PAXLOVID and have completed the 5 day course. I also had a breakthrough epileptic seizure and was admitted for 5 days.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Paraesthesia, SARS-CoV-2 test positive, Seizure
Clinical narrative: I went to urgent care because I thought I had an ear infection because I had tingling and numbness in my right ear. I tested positive for COVID-19. I started feeling tired and fatigued. I was prescribed a 5 day of PAXLOVID and have completed the 5 day course. I also had a breakthrough epileptic seizure and was admitted for 5 days.
Age: 41.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Dermatomyositis, Laboratory test, Mobility decreased, Myalgia, Rash
Clinical narrative: I got a rash around my eyes for a month in a half. I had to go to the ER because it spread all over my body and I severe muscle pains to where I could barely move. They diagnosed me with Dermatomyositis and the prescribed me medications.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse events. Dosing error, patient given 0.25mL of bivalent booster instead of the recommended 0.5mL
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came to the clinic for her COVID booster. She had received 2 Moderna doses and one Pfizer booster. The patient decided to have the Pfizer Bivalent booster. The nurse pulled what she thought was the Bivalent Pfizer booster vaccine by the labels made by the clinic nurse for the expiration date. Unfortunately, the wrong vial was labeled as the booster dose, it was in fact the 12 and up Trisucrose Pfizer regular COVID dose which looks exactly like the booster dose vial, both have gray tops and similar labels. When making the expiration labels prior to this incident, the nurse mixed up the vials and the lot numbers of the two Pfizer vials and mislabeled the type of vaccine, booster/non-booster. Since this huge error, all vials have been double verified with any labels placed on the vials by 2 different nurses. Two nurses will also be verifying the original labels to the clinic made expiration labels before being placed on the vials when received. Clinic will continue to try and call patient to notify her of the incident and let her know she can have the Bivalent dose in two months.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Pt received regular strength flu shot but it was documented as a high dose vaccine. She got appropriate dose. It was just documented as high dose.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Vitreous detachment, Vitreous haemorrhage
Clinical narrative: Patient came in on 12/10/22 and notified the provider that the day of 6/23/22 when she received her Shingrix vaccine. After she left the clinic she was not feeling well. She ended up going to an ophthalmologist on 8/2/22. Provider at her 12/10/22 state she had developed a vitreous dis-attachement of her left eye from all they symptoms she mentioned hours after her vaccine. The ophthalmologist on 8/2/22 also stated that she had a  vitreous hemorrhage of her Left eye.
Age: 43.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Aphasia, Aphonia, COVID-19, Chills, Fatigue
Clinical narrative: On Sunday 11/13/2022, I was starting to feel rundown and tired with a sore throat. On Sunday evening I started to come down with chills without a fever. The next morning I had a sore throat and chills and decided to test myself with an at home test for COVID-19, it came out positive. I reached out to my doctor to have a telehealth visit and she was able to prescribe PAXLOVID for me to take. After the telehealth visit I needed a confirmation PCR test. My doctor scheduled one and then it also came back positive as well. I started the PAXLOVID the afternoon on Monday and took it for the five days. As of now I am feeling fine, however, during the first couple of days I was extremely tired and my throat was hurting extremely bad. I lost my voice as well and could not speak however it did come back quickly.
Age: 43.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Feeling abnormal, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On Sunday 11/13/2022, I was starting to feel rundown and tired with a sore throat. On Sunday evening I started to come down with chills without a fever. The next morning I had a sore throat and chills and decided to test myself with an at home test for COVID-19, it came out positive. I reached out to my doctor to have a telehealth visit and she was able to prescribe PAXLOVID for me to take. After the telehealth visit I needed a confirmation PCR test. My doctor scheduled one and then it also came back positive as well. I started the PAXLOVID the afternoon on Monday and took it for the five days. As of now I am feeling fine, however, during the first couple of days I was extremely tired and my throat was hurting extremely bad. I lost my voice as well and could not speak however it did come back quickly.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received a monovalent dose. He was due for a Bivalent. No symptoms or side effects
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: COVID-19, Malaise, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had received a flu shot on October 13. A few days later, I started having symptoms for what turned out to be COVID-19 (sore throat on ~10/17, followed by runny nose; first positive test ~10/20). This would be considered a breakthrough case given my COVID vaccinations on 4/6/21, 4/30/21, 11/12/21, and 9/12/22. Given that I was barely a month past my latest COVID booster vaccination date, healthcare professionals said it was unexpected that I suffered from COVID, and recommended I report this in case the flu vaccine somehow makes immune systems temporarily more susceptible to developing sickness from exposure to other pathogens.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Vaccine breakthrough infection
Clinical narrative: I had received a flu shot on October 13. A few days later, I started having symptoms for what turned out to be COVID-19 (sore throat on ~10/17, followed by runny nose; first positive test ~10/20). This would be considered a breakthrough case given my COVID vaccinations on 4/6/21, 4/30/21, 11/12/21, and 9/12/22. Given that I was barely a month past my latest COVID booster vaccination date, healthcare professionals said it was unexpected that I suffered from COVID, and recommended I report this in case the flu vaccine somehow makes immune systems temporarily more susceptible to developing sickness from exposure to other pathogens.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, COVID-19, Fatigue, Muscle spasms, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Covid19 case.  Symptoms:  Extreme fatigue and back spasms and soreness on the lower right side.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid19 case.  Symptoms:  Extreme fatigue and back spasms and soreness on the lower right side.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: the expiration was overlooked and administered----- 1st shot of the initial series for moderna, expiration was 11/27/22 and was sdministered 12-14-22
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: No adverse event. Dosing error, patient received 0.25mL of Moderna Bivalent Booster instead of recommended 0.5mL
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Vaccination error
Clinical narrative: A live vaccine was administered to an immunocompromised patient.  Contraindicated.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Headache, Nasal congestion
Clinical narrative: Did not have a adverse reaction. I just got Covid on December 10,2022 and CDC visage told me to fill this form out.  Headache, fever,chills, sore throat , cough, nasal congestion, body aches for 4 days.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Did not have a adverse reaction. I just got Covid on December 10,2022 and CDC visage told me to fill this form out.  Headache, fever,chills, sore throat , cough, nasal congestion, body aches for 4 days.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: The patient came into the doctor's office to receive the Pfizer Covid - 19 Bivalent vaccine. The regular Pfizer Covid-19 vaccine was administered in error.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: The patient received the monovalent instead of the bivalent.  The patient has not reported any side effects as of the time of this reporting
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Malaise, Pain, Pyrexia
Clinical narrative: 11/24/2022 that morning I had a scratchy throat, runny nose, and I did not feel well. I did a home COVID-19 test and it was positive. As the day went along, I was worse, coughing, sneezing, fever of 99.99 and that is the highest it went. The next day I coughed so much it hurt. On that Friday, 11/25/2022, I could not find a clinic that was open. Then next morning, 11/26/2022, I had a conference by phone in the parking lot at the local clinic. The doctor did not recommend the PAXLOVID because it does not work well with simvastatin. Also, because I have a little kidney function loss and that is why he did not recommend PAXLOVID. He said we will treat the symptoms. He prescribed prednisone, benzonatate, 3 per day for 10 days. He said if I was not better by Monday, 11/28/2022 to go to the emergency room. Several hours after taking the medicine on 11/26/2022, I started feeling better. By Monday, I was feeling better, and I did not go to the emergency room. I still do have cough every once in a while. I tested negative last Friday, 12/9/2022. I quarantined for 5 days, and 5 days with a mask. I have been wearing my mask to work, I work at a school.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Renal impairment, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing, Throat irritation
Clinical narrative: 11/24/2022 that morning I had a scratchy throat, runny nose, and I did not feel well. I did a home COVID-19 test and it was positive. As the day went along, I was worse, coughing, sneezing, fever of 99.99 and that is the highest it went. The next day I coughed so much it hurt. On that Friday, 11/25/2022, I could not find a clinic that was open. Then next morning, 11/26/2022, I had a conference by phone in the parking lot at the local clinic. The doctor did not recommend the PAXLOVID because it does not work well with simvastatin. Also, because I have a little kidney function loss and that is why he did not recommend PAXLOVID. He said we will treat the symptoms. He prescribed prednisone, benzonatate, 3 per day for 10 days. He said if I was not better by Monday, 11/28/2022 to go to the emergency room. Several hours after taking the medicine on 11/26/2022, I started feeling better. By Monday, I was feeling better, and I did not go to the emergency room. I still do have cough every once in a while. I tested negative last Friday, 12/9/2022. I quarantined for 5 days, and 5 days with a mask. I have been wearing my mask to work, I work at a school.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient came into the doctor's office to receive the Pfizer Covid - 19 Bivalent vaccine. The regular Pfizer Covid-19 vaccine was administered in error.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient received COVID 19 Pfizer vaccine instead of COVID 19 Pfizer Bivalent vaccine
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Body temperature fluctuation, Cough, Eye movement disorder, Respiratory tract congestion, Seizure
Clinical narrative: After the vaccine she was coughing, sneezing, and had congestion but it might have been allergies. Her temperature was going up and down since Thursday. I have been giving her TYLENOL to keep her temperature. When I went to check on my daughter her eyes were wondering, had a nervous shake, and I asked her was she alright, but she kept saying "mhm". We went to the doctor, and she said she might have had a seizure. She is still having these symptoms now. When I asked her, did she remember me asking her questions, she said no. We are going back to the doctor to get an EKG.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sneezing, Tremor
Clinical narrative: After the vaccine she was coughing, sneezing, and had congestion but it might have been allergies. Her temperature was going up and down since Thursday. I have been giving her TYLENOL to keep her temperature. When I went to check on my daughter her eyes were wondering, had a nervous shake, and I asked her was she alright, but she kept saying "mhm". We went to the doctor, and she said she might have had a seizure. She is still having these symptoms now. When I asked her, did she remember me asking her questions, she said no. We are going back to the doctor to get an EKG.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, COVID-19, Fatigue, Productive cough, Respiratory tract congestion
Clinical narrative: I received my 5th dose of Pfizer Bivalent on 09/08/2022. My adverse event started on 09/15/2022. I had fatigue, cough, thick mucus, nasal drip, and chest congestions. I did a rapid test on the same day which was negative. On 09/16/2022 I still tested negative for COVID-19 on the rapid test. I did a PCR test on the 09/16/2022 evening and I got my result on the 09/17/2022. I already had a PAXLOVID prescription from my doctor a month before because my doctor was concerned with my health issues. On November I took AUGMENTIN because I had a thick mucus which wasn't going about. I developed Sinusitis. My salivary glands were swollen up. I also got Bronchitis. As of today 12/14/2022 I am still taking antibiotics. I haven't fully recovered yet. I still have the lingering thick mucus. My doctor is still trying to rule out the problem I have.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Salivary gland enlargement, Sinusitis, Upper-airway cough syndrome
Clinical narrative: I received my 5th dose of Pfizer Bivalent on 09/08/2022. My adverse event started on 09/15/2022. I had fatigue, cough, thick mucus, nasal drip, and chest congestions. I did a rapid test on the same day which was negative. On 09/16/2022 I still tested negative for COVID-19 on the rapid test. I did a PCR test on the 09/16/2022 evening and I got my result on the 09/17/2022. I already had a PAXLOVID prescription from my doctor a month before because my doctor was concerned with my health issues. On November I took AUGMENTIN because I had a thick mucus which wasn't going about. I developed Sinusitis. My salivary glands were swollen up. I also got Bronchitis. As of today 12/14/2022 I am still taking antibiotics. I haven't fully recovered yet. I still have the lingering thick mucus. My doctor is still trying to rule out the problem I have.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: administrative error - pt was given bivalent for 2nd dose instead or monovalent
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Fatigue
Clinical narrative: On December 1st, that night, I got very tired and got very achy and my skin hurt. It progressed into chills, and I was unable to get warm. The next day I was still very cold and went to get tested. I tested positive for COVID-19 on December 2, 2022. On Saturday I got a fever and the highest was 102. I called my doctor. I kept taking TYLENOL for my fever. Sunday my fever broke. I also had a lot of sinus pain that lasted a few more days. I had a loss of taste and smell. As of today, I feel like I am fully recovered.
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Feeling cold, Pain, Pain of skin, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On December 1st, that night, I got very tired and got very achy and my skin hurt. It progressed into chills, and I was unable to get warm. The next day I was still very cold and went to get tested. I tested positive for COVID-19 on December 2, 2022. On Saturday I got a fever and the highest was 102. I called my doctor. I kept taking TYLENOL for my fever. Sunday my fever broke. I also had a lot of sinus pain that lasted a few more days. I had a loss of taste and smell. As of today, I feel like I am fully recovered.
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Sinus pain
Clinical narrative: On December 1st, that night, I got very tired and got very achy and my skin hurt. It progressed into chills, and I was unable to get warm. The next day I was still very cold and went to get tested. I tested positive for COVID-19 on December 2, 2022. On Saturday I got a fever and the highest was 102. I called my doctor. I kept taking TYLENOL for my fever. Sunday my fever broke. I also had a lot of sinus pain that lasted a few more days. I had a loss of taste and smell. As of today, I feel like I am fully recovered.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Chills, Dizziness, Headache, Pain
Clinical narrative: Severe dizziness, severe chills, body aches, headache, weakness, ears ringing
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Severe dizziness, severe chills, body aches, headache, weakness, ears ringing
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: pt to receive 5-11 y/o  bivalent pfizer booster formulation of the covid vaccine but incorrectly received the 6mons-4 years pfizer formulation instead.  No side effect reported in the event.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was to receive Pfizer bivalent booster 5-11 y/o formulation. However, patient was incorrectly given the 6months to 4yo pfizer formulation instead. no side effect was reported .
Age: 58.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Arthralgia
Clinical narrative: Patient had shoulder pain starting the next day. Pharmacy was made aware when they contacted patient 3 weeks later due to a second shingrix vaccine being due.
Age: 81.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Product storage error
Clinical narrative: Temperature of the fridge used to store the flu vaccine is not monitored and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: A double dose was given 0.5mL instead of 0.25 mL
Age: 5.0
Sex: F
Vaccine: FLUN4
Symptoms: Expired product administered, Recalled product administered
Clinical narrative: Expired Flumist given to patient. Manufactured recall related.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Impaired work ability, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I received the Pfizer Bivalent booster on 9/8/2022. On the evening of 11/24/2022, I had congestion, sneezing, and a slight scratchy throat. The symptoms continued until 11/26/2022, when I took a home antigen test, which yielded a positive result. I then began taking PAXLOVID. The symptoms improved within 12 hours of beginning the PAXLOVID treatment. I tested the morning of 11/28/2022 and got a positive result. I tested again that evening and got a negative result. I was able to return to work on 11/29/2022.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Throat irritation
Clinical narrative: I received the Pfizer Bivalent booster on 9/8/2022. On the evening of 11/24/2022, I had congestion, sneezing, and a slight scratchy throat. The symptoms continued until 11/26/2022, when I took a home antigen test, which yielded a positive result. I then began taking PAXLOVID. The symptoms improved within 12 hours of beginning the PAXLOVID treatment. I tested the morning of 11/28/2022 and got a positive result. I tested again that evening and got a negative result. I was able to return to work on 11/29/2022.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Patient came in for her second dose of the three dose series of Hepatitis B. She was given the pediatric/adolescent dose instead of the adult dose. Patient was contacted and issue discussed. At the time of the visit the NP was working alone, with no help, and had four patients waiting to be seen. Patient was brought back in and given correct vaccine according to CDC guidelines.
Age: 6.0
Sex: F
Vaccine: FLUN4
Symptoms: Expired product administered, Recalled product administered
Clinical narrative: Expired flu mist given to patient. Manufactured recall.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: pt is 64.5 but received Flu HD today. No adverse effect observed yet.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: none reported
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Vial was not diluted. After the visit medical assistant did a follow call to the parent. POP stated that child is doing well, no adverse reactions.
Age: 55.0
Sex: F
Vaccine: COVID19-2, FLU4, HEPA, SMALLMNK
Symptoms: Dizziness, Throat irritation
Clinical narrative: Client requested today on foot team Fluarix, Jynneos vaccinia, Hepatitis A, and Pfizer Bivalent booster COVID 19 vaccine. PHN assessed client and client has no record in the system. Client verbally reported receiving a Janssen COVID 19 vaccine "last summer" at a local pharmacy. Client confirmed she has not received any COVID 19 vaccines since then or in the past 2 months. Client denied history of pericarditis or myocarditis. PHN called Dr. at 10:30 am. Per Dr, client ok to receive all 4 vaccines, prefer to vaccinate with Pfizer bivalent COVID 19 vaccine today. PHN administered Fluarix Lot # 9PG4D in the right arm IM at 10:40 am. PHN administered Pfizer bivalent booster COVID 19 vaccine Lot# GJ5342 in the left arm IM at 10:41 am. PHN administered Havrix Lot# 95DB2 in the left arm IM at 10:42am. PHN administered Jynneos vaccinia in the right forearm ID at 11:43 am while client was sitting in a chair. At 10:54 am client stated she felt dizzy. PHN gave client juice to drink. Vitals taken: 138/82, HR 82 bpm, RR 18. At 10: 56 am client was assisted to lie down on a yoga mat. Ice pack was applied to her forehead. Client alert and oriented to person, place, time, and situation. Skin dry and appropriate color for Ethnicity. Client stated her throat felt "itchy." No rash observed rash or redness/hives was observed by PHN across the neck, chest, or arms. Client's breaths were regular and relaxed. Client has a history of anxiety and is a smoker. Client denied any prescription medication. At 11:00 am client stated "I feel better" when lying down and that her throat "felt fine." Vitals taken at 11:02 am: BP 130/82, HR 76 bpm, RR 16. At 11:03 client was assisted to sit up. Client denied any dizziness and said she "felt better." Client drank 2 sips of juice. Vitals taken at 11:07: BP 132/80, HR 80 bpm, RR 13, SpO2 94%. At 11:10 am client was assisted to stand up and stated she "felt dizzy again" and returned to a sitting position in the chair. Vitals taken at 11:15 am: BP 130/78, HR 71 bpm. RR 16, SpO2 96%. At 11:18 am client was assisted to stand up. Client denied dizziness, headache, or itchiness. Vitals taken while standing: BP 124/90, HR 74 bpm, RR18, SpO2 94%. Client walked away on her down with a steady gait at 11:30 am to the next tent for resources. PHN educated client to follow up with her PMD. PHN educated side effects of the vaccines.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Cough, Diarrhoea, Fatigue
Clinical narrative: On December 3, 2022, I was extremely tired. The next day I woke with body aches and a bad headache. In general, I just felt ill. I took a home test and was positive COVID-19. On Monday and Tuesday, I still felt very ill and started to have a runny nose and a cough and diarrhea. On Wednesday I began to feel better. The rest of the week I didn't feel worse, but I didn't feel much better. On the 11th and 12th, I felt better. Yesterday I felt terrible again because I didn't have any energy, but I feel better today. I was prescribed PAXLOVID but I did not take it.