chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: M
Vaccine: HIBV, TTOX
Symptoms: Product name confusion, Wrong drug administered
Clinical narrative: MD's office nurse administered ACTHIB vaccine to adult male thinking the product was Tetanus Toxoid vaccine because it said clearly on the box in parenthesis just like a generic name "Tetanus Toxoid Conjugate". (The MD did not want patient to receive the combination vaccine with Pertussis). Patient had to return to get another vaccine of just tetanus.
Age: 2.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Drug administered to patient of inappropriate age, Wrong drug administered
Clinical narrative: Received order to administer HAVRIX and FLUZONE - Administered HAVRIX and in error FLULAVAL. Once I noticed my error I immediately notified ordering physician. She directed me to see a nurse I work with to see what our protocol is. That nurse said she would call someone at the County Health Dept. - which we left a voicemail asking to give a call back asking for me. In meantime, I spoke with pharmacist/representative from GlaxoSmithKline and told them of the situation and what to look for...they stated that they have done studies in which they have given FLULAVAL to children under 3 (6 months to 35 months) - given 1-2 doses depending whether or not that they were primed (if it was their first dose ever, requiring 2 initially or if they have previously received flu vaccine) and have found pain at injection site, loss of appetite, fever, and febrile convulsions. After my phone call with the manufacturing company, I spoke with someone from the Health Department, she stated to notify parents and complete a vaccine error form. She agreed that the reactions to the FLULAVAL when given to those under 3 yrs of age and are the same possible reactions of many other vaccines that we administer. I then discussed with office manager and together we brought it to the attention of Doctor who runs the office. He decided that I call the parents to notify them of what had happened and due to a slightly higher dose that he received to closely observe for any reaction(s). In the early afternoon, I spoke with patient's father and told him of my error. He stated that he believes that pt has had the flu shot in the past and recalls that all he had was a little temperature - I am unsure if that was given in conjunction with any other vaccinations. I told father that when he discusses with his wife who was unavailable at the time she can call to discuss with me if comfortable or with ordering doctor who did exam. I also stated that we (myself or one of the nurses) would follow up with a phone call to see how pt is doing tomorrow to document our note/vaccine error form. He confirmed on the phone that he has the VIS sheet and understands what to look for regarding reactions and that he should be concerned about. Notified ordering physician of my note.
Age: 9.0
Sex: U
Vaccine: DTAP
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: 9 year old pt came in to update immunizations. Pt had received 4 DTaP's (last was given at 1 yrs of age). Pt then received 5th dose of DTaP in clinic.
Age: 0.5
Sex: U
Vaccine: RV5
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: 1st dose of Rota given at 6mo of age.
Age: 80.0
Sex: U
Vaccine: PPV
Symptoms: Wrong drug administered
Clinical narrative: The patient was prescribed to receive dose of PCV13 but received PCV23 instead.
Age: 5.0
Sex: U
Vaccine: FLUN3
Symptoms: Expired product administered
Clinical narrative: External clinic requested intranasal influenza vaccine to vaccinate 5 year old patient. Inpatient pharmacy at one hospital was out of vaccine so requested vaccine from another facility. Vaccine that was delivered was presumably expired. Expiration date was not checked by the pharmacy personnel that received the vaccine prior to sending it to the external clinic. Clinic staff also did not check expiration date prior to administering the vaccine. Patient received the expired vaccine. Family has been contacted with the suggestion that the patient be re-vaccinated.
Age: 0.5
Sex: U
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: 6 month old patient was given adult dose of Hepatitis B vaccine.
Age: 0.6
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Pt was given KINRIX at age 7 months.
Age: 19.0
Sex: U
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Client given adult dose of Hep B vaccine 1.0 mL instead of appropriate pediatric dose of 0.5 mL.
Age: 1.1
Sex: U
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was to receive DTAP. The wrong vaccine was pulled for vaccination. BOOSTRIX (Tdap) was administered. The manufacturer was contacted for the correct procedure to follow to insure correct immunization. Mother of child was notified and the error explained. Patient was scheduled for a follow-up visit to receive DTaP.
Age: 0.6
Sex: U
Vaccine: HEP
Symptoms: Extra dose administered, Wrong drug administered
Clinical narrative: Patient was given PEDIARIX (with Hepatitis B) and additional dose of Hepatitis B instead of Hib. Vaccines drawn up and given to patient. MA was under the impression that the Hepatitis B vaccine was a Hib vaccine. When MA read the vial, she was sure she had the Hib vaccines. When MA went to enter into Vactrak, error was found. Patient's mother was informed as well as epidemiology, the provider, and office manager. Haemophilus Influenzae Type b.
Age: 16.0
Sex: U
Vaccine: HEP
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: An adult dose of vaccine was given to the pt. who is 16 years of age.
Age: 29.0
Sex: U
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: 2-9-15 Discussed Tdap and Flu vaccins with clinet, she was undecided on flu and stated she wanted just Tdap at that visit. I administered a flu vaccine. Not Tdap.
Age: 2.0
Sex: U
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Error made when drawing up. Did not give pre-filled dosage.
Age: 0.9
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Medical assistant gave KINRIX to a 10 month old baby, when age required for vaccinations is 4 years old. Medical assistant already contacted vaccination representative to inform and inquiry about further documentation that is needed. Medical asistant will also inform patients family of the situation on this day, 1 day after incident occurred.
Age: 1.3
Sex: U
Vaccine: MMRV
Symptoms: Extra dose administered
Clinical narrative: 15 month old child into PCP office for well-child check up. Requiring catch-up immunizations. Mother informed and agreeable to child receiving all immunizations. Immunizations needs verified by two people. Immunization vials verified by two people. Immunizations drawn up and administered. Error discovered when charting immunizations. Patient was no longer in the facility. Immunization hot-line called and discussed with representative. Multiple attempts to contact mother made but unable to get hold of her. PCP notified, DON notified and VERP filled out and submitted.
Age: 11.0
Sex: U
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: When pulling the vaccines given on 2/19/2015, the wrong Flu vaccine dosage (0.25) was pulled. Patient was prepped for vaccine and it was given. Mistake wasn't noticed until administration of vaccine. Patient had tolerated the vaccine well.
Age: 3.0
Sex: U
Vaccine: DTAPHEPBIP, HEP, IPV
Symptoms: Extra dose administered, Wrong drug administered
Clinical narrative: 3 year old child given PEDIARIX for 4th DTaP dose. Intended to administer INFANRIX. Also administered HepB and IPV separately.
Age: 0.3
Sex: U
Vaccine: DTAP, DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: A KINRIX vaccine was given to a 4 mo old infant.
Age: 2.0
Sex: U
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: 2 yr 5 month old pt was given expired Hep B vaccine. Called pt's mother and left her voice mail to contact clinic.
Age: 55.0
Sex: U
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap vaccine given instead of Pneumococcal vaccine as requested by PCP. There are many excuses I could give like stress at work, covering station for a coworker that needed to leave for doctor's appt, bad insomnia a night before, but at the end take my responsibility because I failed to wait for someone else to double check vaccine to be given.
Age: 1.2
Sex: U
Vaccine: IPV
Symptoms: Wrong drug administered
Clinical narrative: Patient was given IPV vaccine rather than the PCV due to 12 month well check.
Age: 24.0
Sex: U
Vaccine: IPV
Symptoms: Unevaluable event
Clinical narrative: Resident ordered IPV for 24 y/o patient. IPV given.
Age: 4.0
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Expired product administered
Clinical narrative: Expired PEDIARIX given.
Age: 19.0
Sex: U
Vaccine: HIBV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Resident ordered Hib for 19 y/o patient, patient given Hib.
Age: 19.0
Sex: U
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Expired Hib given.
Age: 49.0
Sex: U
Vaccine: PNC13
Symptoms: Wrong drug administered
Clinical narrative: PNEUMOVAX 23 ordered, PREVNAR 13 given.
Age: 4.0
Sex: U
Vaccine: MMRV
Symptoms: Expired product administered, Product expiration date issue
Clinical narrative: The vaccine expiration on the vial indicated 20Dec14 but was misinterpreted and entered into database as Dec 14, 2020. There is no universal standard for showing expiration date. Some countries report dates as "year/month/day" while in this country it is more commonly reported as "day/month/year" or simply "month/year". This led to misinterpretation of the expiration date.
Age: 8.0
Sex: U
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Pt rec. expired vaccine. Staff state they read the expiration date although it did not register at the time. Staff state when they were entering vaccine into the state website and it gave them the caution sign is when they recognized they gave expired dose.
Age: 1.5
Sex: U
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Patient rec. expired dose of Hep B. Staff state, they identified the date when they were documenting the vaccines.
Age: 1.0
Sex: U
Vaccine: VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Pt was given Zoster vaccine instead of varicella.
Age: 51.0
Sex: U
Vaccine: FLU3, TDAP
Symptoms: Wrong drug administered
Clinical narrative: Staff was delegated to assist with flu vaccine and inadvertently gave Tdap. Flu was given after vaccine error occurred.
Age: 0.53
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pyrexia
Clinical narrative: Redness, warmth and induration around site of PENTACEL injection. Developed within 24 hours of vaccination. Also had fever. Treated with antipyretic and cool compress.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Swelling
Clinical narrative: Large redness and swelling.
Age: 1.5
Sex: U
Vaccine: PNC13
Symptoms: Extra dose administered
Clinical narrative: I inadvertently gave an 18 month old patient an unnecessary 5th dose of PREVNAR 13. An 18 month old patient came to my practice as a new patient on January 6, 2015. His old medical records had been scanned in and vaccines previously received were entered into his record. During transcription, a dose of PREVNAR 13 that the patient had received in September 2014 was inadvertently missed. In reviewing the patient's chart prior to seeing him, I determined he needed one more PREVNAR 13 along with HAV #2 and DTaP #4. I pulled up his original immunization record to check for transcription errors, but I too missed that he had already received his 4th PREVNAR shot. I's including screen shots of the scanned record I was checking. I believe the way the page cut off between the name of the vaccine and the dates given may have contributed to my error. Later that day, the patient's mother reviewed his records and called to discuss the error with an RN in my practice. The RN identified the PREVNAR dose that was missing from this transcribed record. She explained the error to the patient's mother, apologized for the error and reassured her that the additional dose of vaccine should not cause any harm. The patient's mother subsequently lodged a complaint with the Board of Medicine for my error in giving her child the additional dose of PREVNAR. I am consequently being investigated by the Board of Medicine and am required to respond to her allegations in writing within 7 days. The patient also received an unnecessary flu booster from his previous physician, in October 2014. Though I do not believe his mother is aware of this error.
Age: 0.8
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: I verified that the time interval was correct for receiving Dtap and polio. I looked at the IZ containing HIB and the one containing HepB and I knew that the child did not need either of those. Then the next combination selection was KINRIX which had everything that child needed. There was no indication on the box that it was a specific age range. I looked at the card on the bin and it said pediatric. I was rushed because I had other clients waiting in the lobby. This client was suppose to be here the day before and instead showed up on this date thinking this was the time of the appointment. I wanted the child to get their IZ's so I was squeezing them in. I did not look at the insert and there was not quick guide on the fridge.
Age: 24.0
Sex: U
Vaccine: HEP, MMR
Symptoms: Wrong drug administered
Clinical narrative: Client was assessed to need Td, Hep B and Flu from immunization record. When order was written by nurse, MMR was written on order instead of Hep B. Vaccine was administered as order mistakenly written. Client subsequently got needed Hep B once error was discovered before leaving,
Sex: U
Vaccine: HEPA
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a register nurse, refers to an unspecified number of patients of unknown age and gender. Medical history and concurrent conditions were not reported. The register nurse informed that on an unknown date the patients received doses of VAQTA (strength, dosage, route, lot# and expiration date were not reported), that were improperly stored. No adverse effects were reported. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 24.0
Sex: U
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: HPV 1st dose given on 09/07/2007, 2nd dose given on 12/15/2014, and 3rd dose given on 02/23/2015. Provider requested pt be given 3rd dose.
Sex: U
Vaccine: VARZOS
Symptoms: Injection site pruritus
Clinical narrative: This spontaneous report as received from a registered pharmacist refers to two or three patients of unknown age and gender. On an unknown date, the patients were vaccinated with 0.65 ml doses of ZOSTAVAX (lot # not reported) subcutaneously. The pharmacist reported that on an unknown date, within 24 hours of receiving ZOSTAVAX, the patients experienced itching at the injection site. The patients were informed by their unspecified physicians to take BENADRYL or apply a hydrocortisone (manufacturer unknown) cream to the injection site. At the time of the report, the patients had recovered a couple of days after receiving ZOSTAVAX. Additional information has been requested.
Age: 1.0
Sex: U
Vaccine: HIBV
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the 0.4% sodium chloride 0.5 ml diluent only. It had not been reconstituted with the Hib vaccine. There are no apparent problems at the injection site at patient will receive Hib vaccine at a future visit. The box was full of 5 vials of diluent and 5 vials of vaccine, but the vaccine literature was laying on top of the vials so that only the diluent was showing. Literature has been moved and staff has reviewed the incident together.
Age: 1.6
Sex: U
Vaccine: DTAP
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: I believed I was administering DTAP #4 at 18 months, however a KINRIX had been given by primary provider at 12 months, and could count even though not normally licensed before 4yrs.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a register nurse, refers to an unspecified number of patients of unknown age and gender. Medical history and concurrent conditions were not reported. The register nurse informed that on an unknown date the patients received doses of GARDASIL. (Strength, dosage, route, lot# and expiration date were not reported), that were improperly stored. No adverse effects were reported. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 1.7
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: My son received his second dose of the HepA vaccine 3 months too soon. Initially the doctor told us he was not due for shots. We said that's great if he gets off easy but I asked him to verify that since he said this without looking at his records. I also asked if he could tell me when his next shots would be due. He then told me "Oh actually he does need his second dose of the HepA Vaccine. I wll go let the nurse know." We were moved to the immunizations room at which time I verified my son's name, and date of birth as well as the required vaccine. He received the vaccine and we waited in the lobby to be sure there was no immediate reaction. During this time the nurse came out and told me she had made a mistake. She had not looked at his records pror to giving the vaccine and just looked after we left and saw he was not due for this one for another 3 months. As a mother, and as a general supporter of vaccies in a time when so many are choosing not to vaccinate, I am furious that something so easily avoidable happened. I can't believe both the doctor and then nurse had not actually read the dates on his 1st dose before administering the 2nd.
Age: 38.0
Sex: U
Vaccine: PPV
Symptoms: Wrong drug administered
Clinical narrative: Patient was supposed to receive the PCV13 vaccination but incorrectly received the PPSV 23 vaccine. The patient had previously received the PPSV 23 vaccine on 1/24.24.
Sex: U
Vaccine: HEP
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a register nurse, refers to an unspecified number of patients of unknown age and gender. Medical history and concurrent conditions were not reported. The register nurse informed that on an unknown date the patients received dose of RECOMBIVAX HB (strength, dosage, route, lot# and expiration date were not reported), that were improperly stored. No adverse effects were reported. This is one of several reports received from the same reporter. Additional information has been requested.
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a Registered Nurse refers to a female patient of unknown age. The patient's medical history and concurrent conditions were not reported. On 24-JUL-2013, the patient was vaccinated with the first dose of GARDASIL and received the second dose on 23-JUL-2014, (administration route, lot numbers and expiration dates were not provided). No concomitant therapies were reported, neither was any adverse effect. Additional information has been requested.
Age: 61.0
Sex: U
Vaccine: VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: This spontaneous report as received from a nurse refers to a 61 year old patient. Medical history and concurrent conditions were not reported. On 13-APR-2015, the patient was vaccinated inadvertently with VARIVAX (Merck) instead of ZOSTAVAX (Merck) 0.5 ml subcutaneous (lot number and expiration date were not reported). No co-suspect and concomitant therapies were reported. No adverse effects reported. Additional information is not expected. No allowed to contact physician.
Age: 23.0
Sex: U
Vaccine: HEPA
Symptoms: Underdose
Clinical narrative: Pediatric 0.5mL dose of Hepatitis A vaccine given to an adult.
Age: 42.0
Sex: U
Vaccine: MNQ
Symptoms: Wrong technique in drug usage process
Clinical narrative: MENVEO vaccination is a two component vaccination that contains active vaccination in each vial. The vials are very similar in size and look. We have had a couple instances that we are aware of (probably more have occurred) where either the pharmacy has sent only one vial or only one vial was administered because the healthcare provider was not aware that it was a two component vaccination. In each instance the powder vial was reconstituted with a sterile water diluent instead of the active vaccination contained in the diluent vial included. Our facility believes the manufacturer needs to take further steps in clearly identifying that it is a two component vaccination on their outside packaging and on the individual vials to prevent these errors from occurring. We have taken internal steps in our pharmacy to mitigate this error. To start we are packaging the vials together using a packager to make sure the vials are sent together in one package. Additionally, our Medication Use Safety Team (MUST) has put together a flyer to send out to our clinics and hospital departments to post for educational purposes.
Age: 58.0
Sex: U
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Patient paperwork looked like the patient wa 68, but the patient is only 58.
Age: 0.3
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Administered to 4 month old instead of individual vaccines. Not recommended for this age group.
Age: 20.0
Sex: U
Vaccine: HEPA, HPV4
Symptoms: Extra dose administered
Clinical narrative: When the patients come to the clinic and immunizations are reviewed by the provider they need all vaccine records available. At our clinic, we recently upgraded to a new EMR so our staff have 3 places they need to print immunizations from. The old EMR, the new EMR and MICR. When this patient came in the only immunization record that was printed was from MICR. A dose of Hep A and a dose of HPV did not transfer into MICR. When the doctor reviewed the record he noted that the patient needed a dose of Hep A and HPV. These doses were given. The error was discovered by the mother who was not at the appointment as the patient was over 18. This error was reported to the Health Dept. who in turn notified the clinic. The clinic has since re-educated staff to pull records from all 3 resources every time to prevent this from happening again.
Age: 0.8
Sex: U
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Flu vaccine 6-35mo preservative free IM (Quadrivalent) ordered in EPIC software for 9 mo infant. No dose was included in provider order. CMA retrieved FLUARIX QUADRIVALENT from refrigerator and adminsitered 0.5 mls. Error was recognized when she was unable to document dose given on patient chart.
Age: 23.0
Sex: U
Vaccine: TDAP
Symptoms: Incorrect route of drug administration
Clinical narrative: ADACEL was administered with a 27 gauge 1/2" needle at a 90 degree angle.
Age: 15.0
Sex: U
Vaccine: HPV4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given a 4th dose of GARDASIL by the LPN because the doctor did not look back at the patient's old vaccine record. There was no adverse reaction noted after the vaccine was given. Merck was notified and an incident report was done.
Age: 0.2
Sex: U
Vaccine: DTAPIPVHIB, HIBV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was given a PENTACEL and an ACTHIB. No adverse reaction occurred. Parents were notified per physician and child was brought back and RECOMBIVAX was given.
Age: 47.0
Sex: U
Vaccine: FLUN3
Symptoms: Expired product administered
Clinical narrative: Pt received expired FLUMIST.
Age: 12.0
Sex: U
Vaccine: FLUN3
Symptoms: Expired product administered
Clinical narrative: Pt received expired FLUMIST.
Age: 0.8
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Nine month old reported to our lab for vaccine administration. Staff gave KINRIX (combo) vaccine to child. Incident caught during our Health Department monthly count.
Age: 59.0
Sex: U
Vaccine: TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient had received a TDAP in 2007. Physician and CMA made the decision to give the TDAP because they were unsure just looking at one page of MCIR.
Age: 5.0
Sex: U
Vaccine: DTAPIPV, HEPA, HIBV, MMRV, PNC13
Symptoms: Extra dose administered, Inappropriate schedule of drug administration
Clinical narrative: Patient had come in for a physical. Nurse checked NCIR and shots were up to date, however the nurse confused this patient with another patient who was due for shots, but came in for a sick visit, therefore shots were not administered to the other patient at this time. The 5 year old patient was given PROQUAD (last given 11/11/2013), Hib (last given 10/25/2010), PREVNAR (last given 10/25/2010), KINRIX (last given 11/11/2013), and Hep A (last given 04/27/2011). The ordering physician was notified of the incident.
Age: 5.0
Sex: U
Vaccine: DTAPIPV, HEPA, HIBV, MMRV, PNC13
Symptoms: Unevaluable event
Clinical narrative: Patient had come in for a physical. Nurse checked NCIR and shots were up to date, however the nurse confused this patient with another patient who was due for shots, but came in for a sick visit, therefore shots were not administered to the other patient at this time. The 5 year old patient was given PROQUAD (last given 11/11/2013), Hib (last given 10/25/2010), PREVNAR (last given 10/25/2010), KINRIX (last given 11/11/2013), and Hep A (last given 04/27/2011). The ordering physician was notified of the incident.
Age: 3.2
Sex: U
Vaccine: FLUN4
Symptoms: Wrong drug administered
Clinical narrative: The patient has asthma and should have received the injectable form of Flu vaccine.
Age: 2.0
Sex: U
Vaccine: DTAPIPV, HEPA
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Written order from provider for Polio, DTaP and HepA. Clinician administered KINRIX (DTaP, IPV) and separate HepA. After administration, clinician discovered that the age range for KINRIX is 4-6 years of age. Clinician did not realize that PEDIARIX could have been administered (DTaP, IPV, HepB) or that we had DTaP and separate IPV available.
Age: 9.0
Sex: U
Vaccine: DTAP
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Patient's grandmother brought pt in today because pt never received his 5th Dtap. We only had INFANRIX and ADACEL on hand. Patient is only 9 years old, so I gave pt the Dtap because our literature for the ADACEL said age 11-64. As I was entering the immunization in the NCIR an error message came up on the screen which prompted me to call the NCIR to see if I had done something wrong. Speaking with staff/NCIR she had explained to me about how the NCIR works and had sent me the information regarding the difference between the two vaccines and to report the incident here.
Age: 16.0
Sex: U
Vaccine: HIBV, MNQ
Symptoms: Wrong drug administered
Clinical narrative: Meningococcal vaccine order for patient. Medical assistant mistook PEDVAXHB for meningococcal vaccine due to labeling on vial saying "Meningococcal Protein Conjugate". Medical assistant drew up vaccine, nurse administered vaccine to patient. Mistake was noticed afterwards and patient was given MENACTRA vaccine.
Age: 1.0
Sex: U
Vaccine: DTAPHEPBIP, RV5
Symptoms: Wrong drug administered
Clinical narrative: Pt was in for well child check and needed immunizations, I the MA drew up 4 vaccines instead just the 2 that were needed, then administered all 4. After mom and pt left I realized my mistake and reached pt to inform that pt was given 2 extra vaccines.
Age: 0.4
Sex: U
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Patient was scheduled for a 6 month well child exam 2 days prior to turning 6 months. MA did not realize that the patient was not 6 months of age and administered the flu vaccine.
Age: 1.3
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: KINRIX vaccine was given to a 1 yr 3 month old.
Age: 22.0
Sex: U
Vaccine: FLUN3
Symptoms: Expired product administered
Clinical narrative: I was helping out provider's nurse by giving a FLUMIST. I glanced at the date and thought it was still unexpired. After documenting the eMAR, I saw that the expiration date was yesterday, 11/24/14. Because I was busy, I failed to get a second look.
Age: 16.0
Sex: U
Vaccine: FLU3
Symptoms: Wrong drug administered
Clinical narrative: Patient was given influenza vaccine accidentally instead of PPD in left forearm.
Age: 76.0
Sex: U
Vaccine: TD
Symptoms: Expired product administered
Clinical narrative: Patient was given 0.5mL of Td vaccine in left deltoid at 1601 on 10.17.14 that had an expiration date of 09.30.14. Patient was notified of the event and came back on 10.20.14 to be readministered the vaccine.
Age: 63.0
Sex: U
Vaccine: FLU3, HEP
Symptoms: Wrong drug administered
Clinical narrative: On 10/03/14 I was assisting the nurse and asked her to give me a hepatitis shot; she handed me the vial and in the midst of her handing me the vial the provider was requesting us to give influenza shots. I proceeded and drew up the hepatitis B shot as well.
Age: 5.0
Sex: U
Vaccine: MMRV
Symptoms: Extra dose administered
Clinical narrative: Health maintenance not activated, no visible immunizations incorporated. Shots were ordered based on medical record immunizatoin history. Patient previously received MMR/varicella and was given duplicate injection 1 year later. This was discovered after patient left.
Age: 71.0
Sex: U
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient was given a Tdap vaccination after today's examination, but according to the medical chart the patient received the vaccination in December of 2013.
Age: 44.0
Sex: U
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Patient was arrived for a nurse visit. Patient was brought back and identified. Pulled immunization and did not get a second look. Administered the Tdap instead of the patient's second hepatitis B.
Age: 17.0
Sex: U
Vaccine: HIBV
Symptoms: Wrong drug administered
Clinical narrative: Hib administered to patient instead of MENACTRA as ordered.
Age: 1.1
Sex: U
Vaccine: VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient was given MMR 05/09/14 and given varicella on 05/22/14. Per AAP, if live vaccines are given separately it is recommended they be given 4 weeks apart for best efficacy. The vaccines were given 13 days apart.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Wrong drug administered
Clinical narrative: Child was here with sibling to have well visits. Patient was given his brother's MENACTRA by mistake. Provider and mom made aware. Per provider, no need to be concerned. Mom is a nurse and was Okay with the situation.
Age: 0.2
Sex: U
Vaccine: DTAPIPVHIB, HIBV, PNC13, RV5
Symptoms: Wrong drug administered
Clinical narrative: Patient was supposed to get PENTACEL, hepatitis B, PREVNAR 13 and ROTATEQ. Patient was given Hib instead of the hepatitis B.
Age: 3.0
Sex: U
Vaccine: DTAPIPV, MMRV
Symptoms: Wrong drug administered
Clinical narrative: Patient was given the wrong vaccines; pt received KINRIX and PROQUAD but needed hepatitis B and Hib vaccines.
Age: 5.0
Sex: U
Vaccine: HBHEPB, PNC13
Symptoms: Wrong drug administered
Clinical narrative: Patient was given wrong immunization. Received PREVNAR 13, Hib, and Hepatitis B but needed IPV and Hepatitis A.
Age: 33.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Abdominal pain, Injection site irritation, Injection site rash, Injection site warmth, Insomnia
Clinical narrative: This spontaneous report as received from a nurse refers to a 33 year old female patient. There were no concomitant medications and pertinent medical history. No known drug allergies. On 09-MAR 2015, the patient was vaccinated with a dose of (Oka/Merck) VARIVAX (subcutaneous, dose, frequency, lot number and expiration date unknown). On 09-MAR-2015 in the evening, the patient began to experience an injection site reaction around the area she received the (Oka/Merck) VARIVAX. On 11 MAR-2015, the patient sought medical attention, she visited the occupational health office. The injection site was red, warm to the touch and about 30 mm in circumference. The occupational health physician prescribed BENADRYL. Later that day, the site got larger - about 50 mm in circumference and the patient was sent home from work. On an unknown date, the patient saw her primary care physician who diagnosed the patient had had an allergic reaction to (Oka/Merck) VARIVAX. The patient was prescribed BENADRYL around the clock and missed work on 12-MAR-2015 due to feeling "loopy" from BENADRYL. On 16-MAR-2015, the reporter spoke to the patient who reported that the injection site was much better but not completely resolved at that point. The outcome of feeling abnormal and impaired work ability was unknown. Additional information has been requested.
Age: 33.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Nausea
Clinical narrative: This spontaneous report as received from a nurse refers to a 33 year old female patient. There were no concomitant medications and pertinent medical history. No known drug allergies. On 09-MAR 2015, the patient was vaccinated with a dose of (Oka/Merck) VARIVAX (subcutaneous, dose, frequency, lot number and expiration date unknown). On 09-MAR-2015 in the evening, the patient began to experience an injection site reaction around the area she received the (Oka/Merck) VARIVAX. On 11 MAR-2015, the patient sought medical attention, she visited the occupational health office. The injection site was red, warm to the touch and about 30 mm in circumference. The occupational health physician prescribed BENADRYL. Later that day, the site got larger - about 50 mm in circumference and the patient was sent home from work. On an unknown date, the patient saw her primary care physician who diagnosed the patient had had an allergic reaction to (Oka/Merck) VARIVAX. The patient was prescribed BENADRYL around the clock and missed work on 12-MAR-2015 due to feeling "loopy" from BENADRYL. On 16-MAR-2015, the reporter spoke to the patient who reported that the injection site was much better but not completely resolved at that point. The outcome of feeling abnormal and impaired work ability was unknown. Additional information has been requested.
Age: 33.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Activities of daily living impaired, Feeling abnormal, Hypersensitivity, Injection site erythema, Injection site reaction
Clinical narrative: This spontaneous report as received from a nurse refers to a 33 year old female patient. There were no concomitant medications and pertinent medical history. No known drug allergies. On 09-MAR 2015, the patient was vaccinated with a dose of (Oka/Merck) VARIVAX (subcutaneous, dose, frequency, lot number and expiration date unknown). On 09-MAR-2015 in the evening, the patient began to experience an injection site reaction around the area she received the (Oka/Merck) VARIVAX. On 11 MAR-2015, the patient sought medical attention, she visited the occupational health office. The injection site was red, warm to the touch and about 30 mm in circumference. The occupational health physician prescribed BENADRYL. Later that day, the site got larger - about 50 mm in circumference and the patient was sent home from work. On an unknown date, the patient saw her primary care physician who diagnosed the patient had had an allergic reaction to (Oka/Merck) VARIVAX. The patient was prescribed BENADRYL around the clock and missed work on 12-MAR-2015 due to feeling "loopy" from BENADRYL. On 16-MAR-2015, the reporter spoke to the patient who reported that the injection site was much better but not completely resolved at that point. The outcome of feeling abnormal and impaired work ability was unknown. Additional information has been requested.
Age: 33.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Injection site warmth
Clinical narrative: This spontaneous report as received from a nurse refers to a 33 year old female patient. There were no concomitant medications and pertinent medical history. No known drug allergies. On 09-MAR 2015, the patient was vaccinated with a dose of (Oka/Merck) VARIVAX (subcutaneous, dose, frequency, lot number and expiration date unknown). On 09-MAR-2015 in the evening, the patient began to experience an injection site reaction around the area she received the (Oka/Merck) VARIVAX. On 11 MAR-2015, the patient sought medical attention, she visited the occupational health office. The injection site was red, warm to the touch and about 30 mm in circumference. The occupational health physician prescribed BENADRYL. Later that day, the site got larger - about 50 mm in circumference and the patient was sent home from work. On an unknown date, the patient saw her primary care physician who diagnosed the patient had had an allergic reaction to (Oka/Merck) VARIVAX. The patient was prescribed BENADRYL around the clock and missed work on 12-MAR-2015 due to feeling "loopy" from BENADRYL. On 16-MAR-2015, the reporter spoke to the patient who reported that the injection site was much better but not completely resolved at that point. The outcome of feeling abnormal and impaired work ability was unknown. Additional information has been requested.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness
Clinical narrative: Information has been received from a 69 year old female consumer referring to herself with hepatitis C. The patient had no drug reactions/allergies. On 13-MAR-2015 the patient was vaccinated with a dose of ZOSTAVAX (lot#, dose and route were not reported). There were not concomitant medications. The patient reported that 3 days after receiving ZOSTAVAX, on 16-MAR-2015, she began to experience dizziness upon standing which she continued to experience "presently". The patient was referred to an unspecified Ear, Nose, and Throat physician by her primary physician. The patient also reported that her physician wanted her to undergo a computerized tomography (CT) scan but the patient stated that she could not afford to pay for it. No treatment was given for the event. No lab diagnostics studies were performed. At time of the report, the patient had not recovered from the event. Additional information has been requested.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness postural
Clinical narrative: Information has been received from a 69 year old female consumer referring to herself with hepatitis C. The patient had no drug reactions/allergies. On 13-MAR-2015 the patient was vaccinated with a dose of ZOSTAVAX (lot#, dose and route were not reported). There were not concomitant medications. The patient reported that 3 days after receiving ZOSTAVAX, on 16-MAR-2015, she began to experience dizziness upon standing which she continued to experience "presently". The patient was referred to an unspecified Ear, Nose, and Throat physician by her primary physician. The patient also reported that her physician wanted her to undergo a computerized tomography (CT) scan but the patient stated that she could not afford to pay for it. No treatment was given for the event. No lab diagnostics studies were performed. At time of the report, the patient had not recovered from the event. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: HPV9, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Fall, Head injury, Immediate post-injection reaction, Loss of consciousness, Memory impairment
Clinical narrative: Information has been received from a Certificate Medical Assistant referring to a 18 year old male patient. The patient had no pertinent medical history and no drug reactions/allergies. On 10-APR-2015 the patient was vaccinated with 0.5 ml dose of GARDASIL 9 (lot # L001312) intramuscularly. No concomitant medication reported. On 10-APR-2015 the patient received a dose of GARDASIL 9 and within 5 seconds he slumped over, fell off the table, hit his head, became unconscious, started having tonic clonic movements, became incontinent and urinated on himself. The patient came to after about 3 minutes but he had no recollection of the events, he was sweaty and nauseous. The patient was transported to the Emergency Room. The patient was not admitted to the hospital and that he was released the same day (10-APR-2015). The patient was diagnosed with closed head injury from the fainting episode. When asked the patients present status the medical assistant stated the patient was ok but still felt tired. The reporter is requesting a lot check. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: HPV9, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Tonic clonic movements, Urinary incontinence
Clinical narrative: Information has been received from a Certificate Medical Assistant referring to a 18 year old male patient. The patient had no pertinent medical history and no drug reactions/allergies. On 10-APR-2015 the patient was vaccinated with 0.5 ml dose of GARDASIL 9 (lot # L001312) intramuscularly. No concomitant medication reported. On 10-APR-2015 the patient received a dose of GARDASIL 9 and within 5 seconds he slumped over, fell off the table, hit his head, became unconscious, started having tonic clonic movements, became incontinent and urinated on himself. The patient came to after about 3 minutes but he had no recollection of the events, he was sweaty and nauseous. The patient was transported to the Emergency Room. The patient was not admitted to the hospital and that he was released the same day (10-APR-2015). The patient was diagnosed with closed head injury from the fainting episode. When asked the patients present status the medical assistant stated the patient was ok but still felt tired. The reporter is requesting a lot check. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: HPV9, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Craniocerebral injury, Fall, Fatigue, Hyperhidrosis, Loss of consciousness
Clinical narrative: Information has been received from a Certificate Medical Assistant referring to a 18 year old male patient. The patient had no pertinent medical history and no drug reactions/allergies. On 10-APR-2015 the patient was vaccinated with 0.5 ml dose of GARDASIL 9 (lot # L001312) intramuscularly. No concomitant medication reported. On 10-APR-2015 the patient received a dose of GARDASIL 9 and within 5 seconds he slumped over, fell off the table, hit his head, became unconscious, started having tonic clonic movements, became incontinent and urinated on himself. The patient came to after about 3 minutes but he had no recollection of the events, he was sweaty and nauseous. The patient was transported to the Emergency Room. The patient was not admitted to the hospital and that he was released the same day (10-APR-2015). The patient was diagnosed with closed head injury from the fainting episode. When asked the patients present status the medical assistant stated the patient was ok but still felt tired. The reporter is requesting a lot check. Additional information has been requested.
Age: 18.0
Sex: M
Vaccine: HPV9, MNQ, TDAP, HPV4, MNQ, TDAP
Symptoms: Nausea, Posture abnormal, Syncope, Tonic clonic movements, Urinary incontinence
Clinical narrative: Information has been received from a Certificate Medical Assistant referring to a 18 year old male patient. The patient had no pertinent medical history and no drug reactions/allergies. On 10-APR-2015 the patient was vaccinated with 0.5 ml dose of GARDASIL 9 (lot # L001312) intramuscularly. No concomitant medication reported. On 10-APR-2015 the patient received a dose of GARDASIL 9 and within 5 seconds he slumped over, fell off the table, hit his head, became unconscious, started having tonic clonic movements, became incontinent and urinated on himself. The patient came to after about 3 minutes but he had no recollection of the events, he was sweaty and nauseous. The patient was transported to the Emergency Room. The patient was not admitted to the hospital and that he was released the same day (10-APR-2015). The patient was diagnosed with closed head injury from the fainting episode. When asked the patients present status the medical assistant stated the patient was ok but still felt tired. The reporter is requesting a lot check. Additional information has been requested.
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dysgeusia, Feeling abnormal, Headache, Immediate post-injection reaction, Nausea
Clinical narrative: This happened as soon as the shot was given. Burning in arm from shot. Went up my arm to the top of my head (numbness). I started to shake my face got white my ears red. Then a lot of sweating and bad headache. Sick to stomach and throwing up, lasted 2 days. Bad taste at back of tongue. Chills started that night lasted 2 days. Now I still have weakness, light headed, headache, trouble walking. Urine smells and orange color. Heart pounds (sometimes). Breathing a little shallow (sometimes).
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Vomiting
Clinical narrative: This happened as soon as the shot was given. Burning in arm from shot. Went up my arm to the top of my head (numbness). I started to shake my face got white my ears red. Then a lot of sweating and bad headache. Sick to stomach and throwing up, lasted 2 days. Bad taste at back of tongue. Chills started that night lasted 2 days. Now I still have weakness, light headed, headache, trouble walking. Urine smells and orange color. Heart pounds (sometimes). Breathing a little shallow (sometimes).
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal discomfort, Asthenia, Blood test, Burning sensation, Chromaturia
Clinical narrative: This happened as soon as the shot was given. Burning in arm from shot. Went up my arm to the top of my head (numbness). I started to shake my face got white my ears red. Then a lot of sweating and bad headache. Sick to stomach and throwing up, lasted 2 days. Bad taste at back of tongue. Chills started that night lasted 2 days. Now I still have weakness, light headed, headache, trouble walking. Urine smells and orange color. Heart pounds (sometimes). Breathing a little shallow (sometimes).
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Dysgeusia, Erythema, Gait disturbance, Headache
Clinical narrative: This happened as soon as the shot was given. Burning in arm from shot. Went up my arm to the top of my head (numbness). I started to shake my face got white my ears red. Then a lot of sweating and bad headache. Sick to stomach and throwing up, lasted 2 days. Bad taste at back of tongue. Chills started that night lasted 2 days. Now I still have weakness, light headed, headache, trouble walking. Urine smells and orange color. Heart pounds (sometimes). Breathing a little shallow (sometimes).
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Hyperhidrosis, Hypoaesthesia, Hypopnoea, Nausea, Pallor
Clinical narrative: This happened as soon as the shot was given. Burning in arm from shot. Went up my arm to the top of my head (numbness). I started to shake my face got white my ears red. Then a lot of sweating and bad headache. Sick to stomach and throwing up, lasted 2 days. Bad taste at back of tongue. Chills started that night lasted 2 days. Now I still have weakness, light headed, headache, trouble walking. Urine smells and orange color. Heart pounds (sometimes). Breathing a little shallow (sometimes).