chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hepatic enzyme increased
Clinical narrative: Patient reported that following administration of his COVID vaccination in October, 2024 he developed elevated liver enzymes. The vaccination in October was using the Moderna manufactured product. Previous COVID vaccines using product manufactured by Pfizer did not cause the same side affect. Patient's MD monitored his liver function and continues to check the liver enzymes every 3 months. At this time they have returned to base line values.
Sex: M
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Received First Dose In November, and Received Second Dose Today; Initial report received on 25-Jan-2024.  A patient in the reported that he, a male patient (race and ethnicity not provided), received his second HEPLISAV-B (hepatitis B vaccine) for hepatitis B immunization more than two months after the first dose.   Medical history, allergies, and concomitant medications at the time of vaccination were not reported.   On 13-Nov-2023, the patient received the first dose of HEPLISAV-B (Lot number, expiration date, and injection site not reported; NDC number 43528-002-01 and route intramuscular ).   On 25-Jan-2024, 74 days after having been vaccinated with HEPLISAV-B, the patient received the second dose of HEPLISAV-B (Lot number, expiration date, NDC number, route, and injection site not reported). No adverse reactions were reported.  The patient did not want to provide additional information regarding this event and no consent was provided for further contact.  Company Comment: The company assessed the event as non-serious.; Sender's Comments: The company assessed the event as non-serious.
Age: 42.0
Sex: M
Vaccine: HEPAB
Symptoms: Expired product administered
Clinical narrative: Twinrix administered to a patient on 26FEB2024 that expired on 22SEP2023; This non-serious case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a 42-year-old male patient who received HAB (Twinrix adult) (batch number 2KE55, expiry date 22-SEP-2023) for prophylaxis.   On 26-FEB-2024, the patient received the 1st dose of Twinrix adult. On 26-FEB-2024, an unknown time after receiving Twinrix adult, the patient experienced expired vaccine used (Verbatim: Twinrix administered to a patient on 26FEB2024 that expired on 22SEP2023). The outcome of the expired vaccine used was unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 27-FEB-2024 A registered nurse (RN) reported that a Twinrix was administered to a patient after expiry date. The reporter consented to follow up.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Influenza like illness, Injection site pain, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: Pain at injection site; flu-like symptoms such as low grade fever, achiness, swollen glands, sore throat, tiredness, sore throat
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Pain at injection site; flu-like symptoms such as low grade fever, achiness, swollen glands, sore throat, tiredness, sore throat
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Rash, Vaccination failure
Clinical narrative: Suspected vaccination failure/still was getting them; still was getting them; rash; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included shingles (had painful shingles back in 2007) and blister (still getting blister on tear end). Previously administered products included Varicella zoster vaccine (after patient got over them, doctor gave to the patient shot for shingles).   On an unknown date, the patient received the 2nd dose of Shingrix and the 1st dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix and Shingrix, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure/still was getting them) (serious criteria GSK medically significant), shingles (Verbatim: still was getting them) and rash (Verbatim: rash). The patient was treated with valaciclovir (Valacyclovir). The outcome of the vaccination failure was unknown and the outcome of the shingles was not reported and the outcome of the rash was resolved.   It was unknown if the reporter considered the vaccination failure, shingles and rash to be related to Shingrix and Shingrix.     It was unknown if the company considered the vaccination failure, shingles and rash to be related to Shingrix and Shingrix.   Additional Information: GSK Receipt Date: 28-FEB-2024 The case was received from the patient via interactive digital media. The patient got two more shots and still had getting them. The patient received Valacyclovir 500 mg to take per day and after patient got it kindly under control and they take of the pill everyday. If the patient go a week and do not take it, the rash will come back. This case was considered as suspected vaccination failure as details regarding time to onset for shingles and laboratory confirmation regarding shingles were unknown at the time of reporting.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Inappropriate vaccine administration schedule; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too short in a 77-year-old male patient who received Herpes zoster (Shingrix) (batch number MG5EJ, expiry date 24-JAN-2026) for prophylaxis.   Concomitant products included VARICELLA ZOSTER VACCINE RGE (CHO) (SHINGRIX).   On 01-MAR-2024, the patient received the 2nd dose of Shingrix. On 01-MAR-2024, an unknown time after receiving Shingrix, the patient experienced drug dose administration interval too short (Verbatim: Inappropriate vaccine administration schedule). The outcome of the drug dose administration interval too short was unknown.   Additional Information: GSK Receipt Date: 01-MAR-2024 The patient received his first dose of Shingrix vaccine on 29-JAN-2024 and received 2nd dose earlier than the recommended time interval, which led to shortening of the vaccination schedule. The customer received second dose before the 2 month period between the first and second doses.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test negative, Angioedema, Mechanical urticaria, Pruritus, Rash
Clinical narrative: I took Covid Moderna 3rd dose on November 2nd, 2021, and on on December 7th, 2021, I started to have rash. Itching, lips swelling ( angioedema),  hives, urticaria and Dermatographi. After few months symptoms calmed down by itself. Then on 7/29/2022, I took Moderna 4th dose, and the dermatographia symptoms, hives, itching, angioedema started again with more severity on August 8th, 2022
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: I took Covid Moderna 3rd dose on November 2nd, 2021, and on on December 7th, 2021, I started to have rash. Itching, lips swelling ( angioedema),  hives, urticaria and Dermatographi. After few months symptoms calmed down by itself. Then on 7/29/2022, I took Moderna 4th dose, and the dermatographia symptoms, hives, itching, angioedema started again with more severity on August 8th, 2022
Sex: U
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Patient experienced blood clots and 4 veins were blocked after taking the covid vaccine; reported by patient AE-43798 all available information is provided in this report no further clarification is available.
Sex: F
Vaccine: HPV9
Symptoms: Asthenia, Chills, Dizziness, Gait disturbance, Headache
Clinical narrative: Receive a hpv vaccine and was fine until 2.5 hours later chills, dizziness and nausea. Intense headache that is lasting and tylenol doesn't help with the pain. Weakness and trouble walking after receiving vaccine.
Sex: F
Vaccine: HPV9
Symptoms: Nausea
Clinical narrative: Receive a hpv vaccine and was fine until 2.5 hours later chills, dizziness and nausea. Intense headache that is lasting and tylenol doesn't help with the pain. Weakness and trouble walking after receiving vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Received Moderna booster Covid injection AU3833D. Exp 3/12/24. Went to ER and received meds / epi pens prednisone etc
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Guillain-Barre syndrome, Polyneuropathy
Clinical narrative: idiopathic polyradiculoneuritis / Guillain Barre syndrome approximately 20 months post zoster vaccine doses
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Blood glucose, Blood test, Circumstance or information capable of leading to medication error, Condition aggravated, Electric shock sensation
Clinical narrative: On June 27th, 2023 on the insistence of Physician I received the vaccine Prevnar 20 INJ at a local pharmacy. In or about January, I began to notice internal shaking or nervous system action throughout my body. I had blood work done, but it is not illness related, the tests showed. A strange feeling I have never in my life had. Like tiny electrical minute shots throughout that do not go away. Prevnar 20 is the only interaction with immune drugs or causes I can pinpoint. I do not show a great deal of hand shaking if held up, yet the inner feeling remains constant.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Feeling abnormal, Nervous system disorder, Nervousness, Peripheral swelling, Sensory disturbance
Clinical narrative: On June 27th, 2023 on the insistence of Physician I received the vaccine Prevnar 20 INJ at a local pharmacy. In or about January, I began to notice internal shaking or nervous system action throughout my body. I had blood work done, but it is not illness related, the tests showed. A strange feeling I have never in my life had. Like tiny electrical minute shots throughout that do not go away. Prevnar 20 is the only interaction with immune drugs or causes I can pinpoint. I do not show a great deal of hand shaking if held up, yet the inner feeling remains constant.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Tremor, Urinary tract infection, Urine analysis abnormal, Vaccine interaction, White blood cells urine positive
Clinical narrative: On June 27th, 2023 on the insistence of Physician I received the vaccine Prevnar 20 INJ at a local pharmacy. In or about January, I began to notice internal shaking or nervous system action throughout my body. I had blood work done, but it is not illness related, the tests showed. A strange feeling I have never in my life had. Like tiny electrical minute shots throughout that do not go away. Prevnar 20 is the only interaction with immune drugs or causes I can pinpoint. I do not show a great deal of hand shaking if held up, yet the inner feeling remains constant.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient was given incorrect dose, he received 12+ dose
Age: 15.0
Sex: F
Vaccine: HEP, IPV, MMR, MNQ, TD, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient came to facility for a medical assistant visit for vaccinations. Staff administered vaccinations according to Website recommendations. However, per guidelines, the meningo vaccine that was administered was given inappropriately.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Pain in RIGHT medial arm, antecubital fossa, and forearm starting after vaccine. Pain is improving but still persistent two months after the injection. Pain is not severe enough to interfere with daily activities, but is noticeable throughout the day. Patient being treated with topical NSAID.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Asthenia, Injection site pain, Nausea, Pain, Tremor
Clinical narrative: Info received from phone call from mother and after hours nurse on call; c/o nausea, shaking, achy and weakness and injection site (left arm) tender. Was seen in the Emergency Room on 1/5/24. Continued with same symptoms on 1/6/24 but less severe.                                    For general information: Our office tried to fax VAERS report multiple times but was returned undeliverable
Age: 1.5
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received a 2nd influenza vaccine. Previous influenza vaccine on 11/20/2023.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea exertional, Immediate post-injection reaction, Inflammation, Palpitations
Clinical narrative: I had immediate chest pain and couldn't breathe with exercise or higher stress activity.  My chest pounding and thought i had a heart attack. i feel better but still feel chest inflamed. i moved to state from state. i am applying for insurance to go see a doctor
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Cardiac discomfort, Hypoaesthesia, Hypoaesthesia oral, Musculoskeletal discomfort, Neck pain
Clinical narrative: 4 hours after getting vaccine my tongue was numb. I went to the dentist. My lips were tingly. MY fingertip feels numb like pins and needles. Discomfort neck pain. MY heart feels different.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: 4 hours after getting vaccine my tongue was numb. I went to the dentist. My lips were tingly. MY fingertip feels numb like pins and needles. Discomfort neck pain. MY heart feels different.
Age: 43.0
Sex: M
Vaccine: TD
Symptoms: Echocardiogram normal, Induration, Injection site pain, Lymphadenopathy, Mobility decreased
Clinical narrative: Day 1 he noted his left neck was pruritic. A day or two later the pruritis stopped, but he his throat was sore. He thought he had a swollen lymph node and impending URI. On self-palpation he noted a firm, taut, protuberant traceable ?string? in his neck from his ear to his collar bone. It restricted head rotation and was readily visible to others.  There was no erythema (except related to scratching), edema, warmth and pain was only as noted above. He had no axillary lymphadenopathy or inflammation. The injection site was sore, but not atypically. He denies fever, chills, malaise, SOB, cough, dyspnea, chest pain, n/v/d. He denies shoulder pain, scapular pain, extremity paralysis or paresis. He reports needle placement during vaccine receipt seemed appropriate and was neither too high, low or lateral or atypically painful. He has no pictures. He showed it to a medic friend who thought it was weird. He saw his PCP who ordered cardiac echo (normal results); the patient understood this was in case it was related to his carotids. The symptoms lasted 2 ½ weeks and slowly improved. He can still find the site but is mostly resolved.
Age: 43.0
Sex: M
Vaccine: TD
Symptoms: Oropharyngeal pain, Palpatory finding abnormal, Pruritus
Clinical narrative: Day 1 he noted his left neck was pruritic. A day or two later the pruritis stopped, but he his throat was sore. He thought he had a swollen lymph node and impending URI. On self-palpation he noted a firm, taut, protuberant traceable ?string? in his neck from his ear to his collar bone. It restricted head rotation and was readily visible to others.  There was no erythema (except related to scratching), edema, warmth and pain was only as noted above. He had no axillary lymphadenopathy or inflammation. The injection site was sore, but not atypically. He denies fever, chills, malaise, SOB, cough, dyspnea, chest pain, n/v/d. He denies shoulder pain, scapular pain, extremity paralysis or paresis. He reports needle placement during vaccine receipt seemed appropriate and was neither too high, low or lateral or atypically painful. He has no pictures. He showed it to a medic friend who thought it was weird. He saw his PCP who ordered cardiac echo (normal results); the patient understood this was in case it was related to his carotids. The symptoms lasted 2 ½ weeks and slowly improved. He can still find the site but is mostly resolved.
Age: 65.0
Sex: M
Vaccine: RSV
Symptoms: Muscle spasms, Pain, Paraesthesia, Pyrexia, Tenderness
Clinical narrative: Pt was given the Arexvy RSV vaccine (lot#gx3t4  exp 8/20/25) on 2/29/2024. He called me 3/7/24 to state that he began experiencing side effects on 3/2/24. It started with left side body tingling from the arm to the knee cap, He said it aches and is sore to touch. The skin under his armpit is tingly. He also states spasms in his shoulder which he said he took Methocarbamol.  He denies any redness or warmth at the injection site but did feel he has a slight fever.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Computerised tomogram, Hepatitis A, Influenza
Clinical narrative: Beginning one month after this Booster vaccine/ 2 previous:  3/9/2021 and 4/2/2021 - both Pfizer:     Severe UTI infection beginning 2/11/22  which required hospitalization, followed by a series of viruses and infections over the next 1-1/2 years, including upper respiratory viruses, Influenza A, Hepatitis A, many colds and sicknesses were occurring about every 6-7 weeks after the booster vaccine on January 3, 2022
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nasopharyngitis, Urinary tract infection, Viral upper respiratory tract infection
Clinical narrative: Beginning one month after this Booster vaccine/ 2 previous:  3/9/2021 and 4/2/2021 - both Pfizer:     Severe UTI infection beginning 2/11/22  which required hospitalization, followed by a series of viruses and infections over the next 1-1/2 years, including upper respiratory viruses, Influenza A, Hepatitis A, many colds and sicknesses were occurring about every 6-7 weeks after the booster vaccine on January 3, 2022
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Dizziness, Feeling cold, Loss of consciousness, Malaise
Clinical narrative: I had no reaction during the day of the shot. That night I had the usual symptoms that I've gotten in the past including aches, chills, and slight nausea. The next morning I had no energy and still felt sickish. When I was making breakfast I felt lightheaded and sat in a chair. I woke up on the kitchen floor. I had passed out for a few minutes. Fortunately nothing was bruised or broken.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain
Clinical narrative: I had no reaction during the day of the shot. That night I had the usual symptoms that I've gotten in the past including aches, chills, and slight nausea. The next morning I had no energy and still felt sickish. When I was making breakfast I felt lightheaded and sat in a chair. I woke up on the kitchen floor. I had passed out for a few minutes. Fortunately nothing was bruised or broken.
Age: 22.0
Sex: F
Vaccine: TYP, YF
Symptoms: Blood glucose abnormal, Blood glucose normal, Fall, Head injury
Clinical narrative: Client had a Loss of Consciousness at 830AM. Client was vaccinated in vaccine chair, she moved to chair at desk after abput 4 minutes. I was doing paperwork and she fell out of the chair and hit head on ground. Came around desk and I was checking her and she said where am I and I told her she was at clinic. She turned herself over and I elevated her feet and placed icepack on back of neck. BP was checked and was 112/70. Client declined to go to hospital with EMS, client did agree to have friend pick her up and not drive.
Age: 44.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated.
Age: 46.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 11.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Inappropriate schedule of product administration
Clinical narrative: vaccines were given too close from the original series first vaccines were given 7/24/23 second set given 10/19/2023
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Ultrasound scan abnormal
Clinical narrative: Last seen 3 & 1/2 months ago for a 4 yr check-up, and received DTaP , MMR, IPV, and VZV vaccines; According to Mom, the arm remained normal until January 2024, 2 months after the vaccine administration. The area appeared red, then developed a swelling. He had developed a similar swelling with pus drainage after the 15-month DTaP and Hib vaccines on 04/22/2021; Mom has a record of a phone picture of the lesion dated 09/27/2021 on her phone; she did not seek medical attention and subsequently developed scars.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient developed a rash on the left arm.  The rash appeared the day after the injection.  The rash was not at the site of the injection.  The patient also received the Fluzone Quad as well.  She had never received the Shingrix vaccine.  The patient also started two new medications, Allopurinol 100mg and Meloxicam 15mg.
Sex: F
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt less than 2kg received vaccine
Age: 46.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Rash erythematous, Rash papular, Viral test negative
Clinical narrative: Call placed to provider on 2/20/24 by wife who reports patient had onset of red rash late in the day on 2/18 beginning on forehead down to neck, shoulders, truck- numerous red flat spots some with raised area unable to count, no fever, no itching. Denies any recent travel. Works in a warehouse. Seen by doctor prior to vaccinations who recommended MMR vaccine due to low titers. Patient was instructed to isolate away from any unprotected household members (wife) and isolate at home. Team contacted, recommended testing. Patient received testing on Wed 2/21 at clinic. Measles PCR both urine and NP swab. Results negative. Wife reports rash improved by time results received barely visible.
Age: 1.5
Sex: F
Vaccine: HEPA, MMR
Symptoms: Crying, Drooling, Grunting, Immediate post-injection reaction, Irritability
Clinical narrative: Immediately after receiving MMR and HAV vaccines, patient became extremely fussy and inconsolable, started grunting and breathing fast.  chest remained clear at all times. lower lip swelling to about double the size with mild increase in drooling.  pt was given epi 0.15 mg IM in L thigh and 5 ml of oral benadryl. within 3-4 minutes, lip swelling receded, pt became calm, grunting stopped and local reaction on right deltoid improved.  EMS was called and pt was transported to ED.
Age: 1.5
Sex: F
Vaccine: HEPA, MMR
Symptoms: Lip swelling, Respiratory rate increased
Clinical narrative: Immediately after receiving MMR and HAV vaccines, patient became extremely fussy and inconsolable, started grunting and breathing fast.  chest remained clear at all times. lower lip swelling to about double the size with mild increase in drooling.  pt was given epi 0.15 mg IM in L thigh and 5 ml of oral benadryl. within 3-4 minutes, lip swelling receded, pt became calm, grunting stopped and local reaction on right deltoid improved.  EMS was called and pt was transported to ED.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given. Expired on 3/1/24
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Heavy menstrual bleeding, Serum ferritin decreased
Clinical narrative: Menstrual cycle increased from 6 to 10 days. Heavy bleeding. ANEMIA
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Pruritus
Clinical narrative: Pt called on 03/07/24 around 12pm. She reported that she has been feeling itchy all over her body starting over 3 days after receiving the vaccine on Sunday 02/25/24. I asked if she has changed anything in her skin care routine or environmental. She said she has changed her body wash a week before the vaccine. I suggested maybe that is the cause of the itchiness since she did not start experiencing the itchiness until after 3 days after receiving the vaccine. I suggested she starts using the old body wash. She said maybe. She also stated she has active eczema. So, I also suggested maybe that is the cause of her itchiness. She said no. She said she wants me to report this reaction regardless of the fact that she has eczema and just changed her body wash. So, I am doing when the patient requested and reporting it.
Age: 96.0
Sex: M
Vaccine: RSV
Symptoms: Blood immunoglobulin E, Full blood count, Metabolic function test, Pemphigoid
Clinical narrative: Pt with acute onset of bullous pemphigoid blisters only on the hands and wrist -no oral involvement  no lesions on the feet  No fever  Blood work pending
Age: 68.0
Sex: M
Vaccine: PNC20, RSV, VARZOS
Symptoms: Dyspnoea, Productive cough
Clinical narrative: He received 3 vaccines on 3/3/2024 and noticed shortness of breath a few hours following his dose. He had never received any of these vaccines before. The shortness of breath has continued for four days and he has a minor cough with some productive mucus. He denies chest pain, dizziness, a fever, and any other symptoms. He is monitoring it at home and will reach out to his provider if it does not subside.
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy, Pruritus
Clinical narrative: Client complains of swelling, redness, tenderness to injection site, welts on arm and other parts of body including lower back, swollen glands in neck, and severe itching. Client went to urgent care and was prescribed steroids and antibiotics, and today reports that she cannot continue taking these medications because they are making her ill. RN told client to make an appointment with PCP to get a complete picture of what might be going on.
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Urticaria
Clinical narrative: Client complains of swelling, redness, tenderness to injection site, welts on arm and other parts of body including lower back, swollen glands in neck, and severe itching. Client went to urgent care and was prescribed steroids and antibiotics, and today reports that she cannot continue taking these medications because they are making her ill. RN told client to make an appointment with PCP to get a complete picture of what might be going on.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Amnesia, Disorientation, Dizziness, Erythema, Headache
Clinical narrative: Hours later became dizzy, redness on the face, headache, vomiting and disoriented.  Headache continued, and disorientation got much worse - had episode three days later of amnesia, causing me to get lost many miles from my home when I was driving to an appointment.  Had episodes of not knowing I had driven, or where I was.    Still five days later feeling disoriented.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: Hours later became dizzy, redness on the face, headache, vomiting and disoriented.  Headache continued, and disorientation got much worse - had episode three days later of amnesia, causing me to get lost many miles from my home when I was driving to an appointment.  Had episodes of not knowing I had driven, or where I was.    Still five days later feeling disoriented.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Myalgia, Nausea
Clinical narrative: Joint , muscle pain extreme fatigue. Dizzines nauseated from 03 14 2021to present
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Radiculopathy
Clinical narrative: Joint , muscle pain extreme fatigue. Dizzines nauseated from 03 14 2021to present
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Balance disorder
Clinical narrative: Unsteadiness on feet on 2023-11-03.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Fainting on 2024-01-31.
Age: 7.0
Sex: M
Vaccine: MMRV, MMRV
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: After reviewing the forecasted vaccine, I started preparing but accidentally pulled MMRV instead of Varicella in the same Vericor where both live vaccines were stored. I missed to double check my pulled vaccine that resulted in this error committed.  Telephone call was made and Medical assistant helped during the conversation. Per mom, the patient is okay with no untoward reaction from the vaccine administered yesterday, 03/06/2024. Patient is back to school today.  Continued on the space below.....Mom was  informed of the administered vaccine have completed the requirement for varicella but an extra MMR will be in the record and may state invalid. There is no expected harm for the extra MMR given.The patient is Uptodate as of today, 03/07/2024. Advised to call Clinic for any concerns or questions.
Age: 0.08
Sex: F
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 6-week-old patient received a Hep A vaccination.  Minimum age for a Hep A vaccination is 12 months.
Age: 84.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dizziness postural, Tremor
Clinical narrative: Patient felt faint when she stood up.  Was dizzy and shaky.  We observed patient for 15 additional minutes, Patient drank some water and ate a banana. She felt better after eating and drinking.  Was observed for an additional 5 minutes, and she continued to shop with her daughter.   Patient was called at 1:15 and stated that she felt much better.
Age: 54.0
Sex: F
Vaccine: FLU4, HEP, VARZOS
Symptoms: Wrong product administered
Clinical narrative: I went ahead and discharge pt, I had to give pt three vaccines. On the consent form the vaccine that I had put on was for Hep B but instead It was supposed to be Hep A. I believe because of the consent form the Hep A and the Hep B are right below each other I went ahead and put Hep B thinking it was Hep A, So I administer the Hep B instead of the Hep A
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Electrocardiogram, Exercise tolerance decreased, Fatigue
Clinical narrative: PFIZER #1  1/5/2022.  HEADACHE, MYALGIAS, DIZZINESS, PLEURTIC CHEST PAIN, CHANGE IN MENSES, LOSS OF LIBIDO, EFFORT INTOLERANCE, POST EXERTIONAL FATIGUE LASTING FROM INJECTON TO MARCH 2024
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of libido, Menstrual disorder, Myalgia, Pleuritic pain
Clinical narrative: PFIZER #1  1/5/2022.  HEADACHE, MYALGIAS, DIZZINESS, PLEURTIC CHEST PAIN, CHANGE IN MENSES, LOSS OF LIBIDO, EFFORT INTOLERANCE, POST EXERTIONAL FATIGUE LASTING FROM INJECTON TO MARCH 2024
Age: 0.08
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC20, RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received all vaccinations listed at 5 weeks and 1 day. The minimum age these vaccinations can be administered is 6 weeks.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Paraesthesia, Swelling
Clinical narrative: Swelling, redness, bruising, tingling
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Arthralgia, Immediate post-injection reaction, Injection site pain, Pain, Pain in extremity
Clinical narrative: Shot was more painful than usual- administered high up on my arm. Immediately felt like the pain in my arm was not the same as it had been when I have received flu shots or covid vaccinations, etc.,  and it continued to cause pain in the coming weeks and months that did not go away. Every time I lift my right arm above shoulder level, I have shooting pain in my shoulder. After months of this pain not receding, I went to my PCP, and she reviewed the situation. I have never had any shoulder pain or problems in the past. The pain began the moment I had the shot, and has continued ever since.  She has referred me for physical therapy, recommended a cortizone shot. I have set up PT appointments to receive treatment.
Age: 46.0
Sex: F
Vaccine: SMALL
Symptoms: Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: Shot was more painful than usual- administered high up on my arm. Immediately felt like the pain in my arm was not the same as it had been when I have received flu shots or covid vaccinations, etc.,  and it continued to cause pain in the coming weeks and months that did not go away. Every time I lift my right arm above shoulder level, I have shooting pain in my shoulder. After months of this pain not receding, I went to my PCP, and she reviewed the situation. I have never had any shoulder pain or problems in the past. The pain began the moment I had the shot, and has continued ever since.  She has referred me for physical therapy, recommended a cortizone shot. I have set up PT appointments to receive treatment.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Brain fog, Chills, Dizziness, Headache, Nausea
Clinical narrative: Received shot Tuesday. Woke up Wed with bad headache, fever 101 degrees, chills, nausea, dizziness, arm very sore.  Fever gone Sat morning, arm continued to hurt for a week and scab still after 2 weeks.  I continue to have dizziness and a brain fog feeling today (2+ weeks past shot date)  Just a note I received  on 1/23/24 in the doctors office the pneumococcal vaccine with no problems or side effects.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia, Scab
Clinical narrative: Received shot Tuesday. Woke up Wed with bad headache, fever 101 degrees, chills, nausea, dizziness, arm very sore.  Fever gone Sat morning, arm continued to hurt for a week and scab still after 2 weeks.  I continue to have dizziness and a brain fog feeling today (2+ weeks past shot date)  Just a note I received  on 1/23/24 in the doctors office the pneumococcal vaccine with no problems or side effects.
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Extra dose administered, Wrong product administered
Clinical narrative: The medical assistant administered the influenza immunization to the member instead of the ordered TdaP immunization. The member was advised of the error and provided that she felt dizzy immediately after leaving office and hadn't felt that symptom with previous administration of influenza vaccines. She further endorses that she had already received the flu vaccine just one month prior. She denies history of adverse reactions to immunizations. The contractor who supplied the immunization and contracted with administering facility was contacted and advised. The ordering provider also advised the company's president and medical director of event. The medical assistant was terminated and new immunization screening and administration procedures were implemented.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Malaise, Myalgia
Clinical narrative: pt said he experienced muscle aches for 4 days and had a fever of 100.  and felt lousy
Age: 1.0
Sex: F
Vaccine: COVID19, MMR, PNC20, VARCEL
Symptoms: Rash papular, Rash pruritic, Varicella
Clinical narrative: Papular, itchy rash with possible vesicles (no vesicles seen on exam but mom reported she had some that had burst prior to appointment) which started 3/6/2024. Presumed to be a varicella rash.  Treated with topical steroid cream, oatmeal baths, zyrtec once daily for itching, and acyclovir 200 mg 4 times daily for 5 days.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Loss of consciousness, Syncope
Clinical narrative: The Pt arrived for Tdap Vaccine with parent consent. She was anxious and tearful. Nurse reassured her and asked her if she needs someone to hold her hand. Nurse held her hand while she received the Tdap vaccine. Pt briefly fainted approximately a minute later after the injection. Immediate efforts were made to revive her; she regained consciousness after 1-2 mins. To ensure her safety and well-being we made her lie down and let her recover before letting her get up. We offered water and closely monitored her. Nurse also called Mom to let her be aware of the situation.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HEP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: ? Hep. B vaccine was ordered manually and the remaining( Pediarix ) were ordered through the immunization Smartset.  ? MA  documented the injections. She administered the Pediarix in the right lateral thigh.  MA administered the remaining  injection of Hep. B.   Dr. was also informed of this and contacted parents to inform/discuss.  Patient was not harmed and no further action or care was needed.
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Anaphylactic reaction, Blood pressure increased, Chest discomfort, Dyspnoea, Headache
Clinical narrative: Diaphoresis, shortness of breath, chest tightness, pressure behind eyes, elevated blood pressure, throat tightness, severe headache, anaphylaxis. EMS arrived and initiated IV and administered epinephrine and Benadryl and transported patient to local ER. Patient was treated and released to home. No admission to hospital. Time from vaccine administration to onset of first sign of adverse effect was approximately 5 minutes. Time from vaccine administration to anaphylaxis was approximately 12-15 minutes; EMS was already on scene and had IV access and was able to administer epi/bena and recover airway without loss of consciousness.
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Hyperhidrosis, Ocular discomfort, Throat tightness
Clinical narrative: Diaphoresis, shortness of breath, chest tightness, pressure behind eyes, elevated blood pressure, throat tightness, severe headache, anaphylaxis. EMS arrived and initiated IV and administered epinephrine and Benadryl and transported patient to local ER. Patient was treated and released to home. No admission to hospital. Time from vaccine administration to onset of first sign of adverse effect was approximately 5 minutes. Time from vaccine administration to anaphylaxis was approximately 12-15 minutes; EMS was already on scene and had IV access and was able to administer epi/bena and recover airway without loss of consciousness.
Age: 0.75
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, Pyrexia
Clinical narrative: Child was given 3 doses of influenza vaccine in 1 season. Fluzone #1 9/13/23, Fluzone #2 10/30/23, Fluzone #3 12/1/2023. No symptoms at the time. On 12/11/23 went to urgent care for fever and all other vital within normal limits. No other issues
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dyspnoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 3/7/2024 Yesterday morning on 3/6/24 at around 7 AM client began feeling weak, shaky, and general malaise. By yesterday afternoon client noted redness, warmth, and swelling at and around injection site. On 3/7/24 client complained of feeling short of breath and made a trip over to urgent care. Nurse Practitioner urged client not to receive any further doses of Shingrix. She was given a steroid shot in office Medrol Dose pack was called into the pharmacy.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Nervousness
Clinical narrative: 3/7/2024 Yesterday morning on 3/6/24 at around 7 AM client began feeling weak, shaky, and general malaise. By yesterday afternoon client noted redness, warmth, and swelling at and around injection site. On 3/7/24 client complained of feeling short of breath and made a trip over to urgent care. Nurse Practitioner urged client not to receive any further doses of Shingrix. She was given a steroid shot in office Medrol Dose pack was called into the pharmacy.
Age: 81.0
Sex: F
Vaccine: PNC20, UNK
Symptoms: Abdominal pain upper, Chills, Dizziness, Injection site erythema, Injection site pain
Clinical narrative: went straight home, 10 minutes, and immediately felt like I would faint.  Injection was very painful and the site stayed painful for several days.  The area was red, hot, itchy and covered an area of about 3"x4".  I had a fever for 2 days, chills, tired but couldn't sleep for 10 days ( survived by napping during the night. I had muscle  cramps for 8 days, stomach ache for 6 days, sweating (which I rarely do) a lot, shaking for several days.
Age: 81.0
Sex: F
Vaccine: PNC20, UNK
Symptoms: Injection site pruritus, Injection site warmth, Muscle spasms, Pyrexia, Sleep disorder
Clinical narrative: went straight home, 10 minutes, and immediately felt like I would faint.  Injection was very painful and the site stayed painful for several days.  The area was red, hot, itchy and covered an area of about 3"x4".  I had a fever for 2 days, chills, tired but couldn't sleep for 10 days ( survived by napping during the night. I had muscle  cramps for 8 days, stomach ache for 6 days, sweating (which I rarely do) a lot, shaking for several days.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain
Clinical narrative: severe pain in upper left back for 3+ months
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Dizziness but full conscious, looked pale, sweating, BP 90/50, HR 57 , BG 97, O2 saturation 97%
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC20, VARCEL
Symptoms: Aggression, Blood test normal, Breath holding, Chest X-ray normal, Crying
Clinical narrative: While giving the vaccines, the pt. cried and then held breath, after approx. 30 seconds the pt. went unresponsive and became pale;  Dr. called to bedside; unable to get pt. to respond to tactile, vocal stimuli; EMS called for EMS transport to nearest ER. After approx 15mins after the incident as EMS were prepping pt. for transport, oxygen via nasal canula was applied and the pt. woke up and was fighting while putting on nasal canula. Pt. transported to ED via EMS.
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC20, VARCEL
Symptoms: Electrocardiogram normal, Influenza virus test negative, Pallor, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: While giving the vaccines, the pt. cried and then held breath, after approx. 30 seconds the pt. went unresponsive and became pale;  Dr. called to bedside; unable to get pt. to respond to tactile, vocal stimuli; EMS called for EMS transport to nearest ER. After approx 15mins after the incident as EMS were prepping pt. for transport, oxygen via nasal canula was applied and the pt. woke up and was fighting while putting on nasal canula. Pt. transported to ED via EMS.
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC20, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: While giving the vaccines, the pt. cried and then held breath, after approx. 30 seconds the pt. went unresponsive and became pale;  Dr. called to bedside; unable to get pt. to respond to tactile, vocal stimuli; EMS called for EMS transport to nearest ER. After approx 15mins after the incident as EMS were prepping pt. for transport, oxygen via nasal canula was applied and the pt. woke up and was fighting while putting on nasal canula. Pt. transported to ED via EMS.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Asthenia, Decreased appetite, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Patient's parent called this morning stating that last night pt did not feel good, had loss of energy, muscle pain in the arms, tired, pins going through her veins, lethargic, dizziness after her shower, had to sit down to catch her breath, muscle weakness, loss of app (did not eat much before vaccines and not a lot after). Pt notes her right arm hurts more than left but both are hurting. This is the pts first Trumenba. Patient had menactra in the past, so this is her first menquadfi. FNP-BC examined the patient and noted hives on the back of the patients legs. Due to the reaction not being extensive at the moment, the provider is treating with OTC Benadryl.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Feeling abnormal, Lethargy, Muscular weakness, Myalgia, Pain in extremity
Clinical narrative: Patient's parent called this morning stating that last night pt did not feel good, had loss of energy, muscle pain in the arms, tired, pins going through her veins, lethargic, dizziness after her shower, had to sit down to catch her breath, muscle weakness, loss of app (did not eat much before vaccines and not a lot after). Pt notes her right arm hurts more than left but both are hurting. This is the pts first Trumenba. Patient had menactra in the past, so this is her first menquadfi. FNP-BC examined the patient and noted hives on the back of the patients legs. Due to the reaction not being extensive at the moment, the provider is treating with OTC Benadryl.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Paraesthesia, Urticaria
Clinical narrative: Patient's parent called this morning stating that last night pt did not feel good, had loss of energy, muscle pain in the arms, tired, pins going through her veins, lethargic, dizziness after her shower, had to sit down to catch her breath, muscle weakness, loss of app (did not eat much before vaccines and not a lot after). Pt notes her right arm hurts more than left but both are hurting. This is the pts first Trumenba. Patient had menactra in the past, so this is her first menquadfi. FNP-BC examined the patient and noted hives on the back of the patients legs. Due to the reaction not being extensive at the moment, the provider is treating with OTC Benadryl.
Age: 65.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Pain
Clinical narrative: Patient called to report that she experienced body ache after getting 2 shots
Age: 1.83
Sex: F
Vaccine: DTAP, PNC20
Symptoms: Immunisation reaction
Clinical narrative: We were not informed about the reaction until 2 months later when she came in for her 24 months well visit.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Cellulitis, Laboratory test abnormal
Clinical narrative: had a Shingles vaccine 3/1/24. Monday 3/4/24 the patient came in to the clinic for evaluation of side effects following the immunization. Patient was sent to the ED by Dr. for further assessment due to abnormal labs. Patient was diagnosed with cellulitis in the ED.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Blood urea increased, COVID-19, Dehydration
Clinical narrative: no immediate issues with vaccine (vaccine information is historical per patient interview; no available lot number as patient was vaccinated elsewhere (Clinic).  Patient was seen in ED on 3/3/2024 and subsequently admitted to the adult care unit for treatment of COVID-related symptoms.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Electrocardiogram abnormal, Faeces discoloured, Fatigue
Clinical narrative: no immediate issues with vaccine (vaccine information is historical per patient interview; no available lot number as patient was vaccinated elsewhere (Clinic).  Patient was seen in ED on 3/3/2024 and subsequently admitted to the adult care unit for treatment of COVID-related symptoms.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypophagia, Laboratory test abnormal, Nausea, Pulmonary imaging procedure normal
Clinical narrative: no immediate issues with vaccine (vaccine information is historical per patient interview; no available lot number as patient was vaccinated elsewhere (Clinic).  Patient was seen in ED on 3/3/2024 and subsequently admitted to the adult care unit for treatment of COVID-related symptoms.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus tachycardia, Tachycardia, Tachypnoea, White blood cell count increased
Clinical narrative: no immediate issues with vaccine (vaccine information is historical per patient interview; no available lot number as patient was vaccinated elsewhere (Clinic).  Patient was seen in ED on 3/3/2024 and subsequently admitted to the adult care unit for treatment of COVID-related symptoms.