chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Vaccine: MNQ
Symptoms: Product storage error
Clinical narrative: Inadvertent Administration of a Vaccine Following a Temperature Excursion; This non-serious case was reported by a nurse via call center representative and described the occurrence of incorrect storage of drug in a patient who received Men ACWY-CRM NVS (Menveo) (batch number 3E99M, expiry date 31-DEC-2025) for prophylaxis.   On 12-JUN-2025, the patient received Menveo. On an unknown date, an unknown time after receiving Menveo, the patient experienced incorrect storage of drug (Verbatim: Inadvertent Administration of a Vaccine Following a Temperature Excursion). The outcome of the incorrect storage of drug was not applicable.   Additional Information: GSK Receipt Date: 12-JUN-2025 Registered Nurse reports temperature excursion for several vaccines including Menveo two vial vaccine. One dose of the vaccine was inadvertently Administration of a Vaccine Following a Temperature Excursion (above range: nine point nine degrees Celsius for forty five minutes) which led to incorrect storage of drug. Vaccination date and vaccine detail were obtained in this call. No further information was obtained in this call. No patient demographics were obtained in this call from the Registered Nurse's end.  No further information was obtained in this call.
Age: 78.0
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: Expired dose administered; Infanrix administered instead of Boostrix to adult patient;  This non-serious case was reported by a other health professional via call center representative and described the occurrence of expired vaccine used in a 78-year-old female patient who received DTPa (Infanrix) (batch number 9HP9Z, expiry date 21-APR-2024) for prophylaxis.   Co-suspect products included DTPa (Reduced antigen) (Boostrix) for prophylaxis.   Previously administered products included Dtpa (first dose given on July 22nd 2013, unknown brand name, manufactured by Sanofi, lot number C4432AB) and Adacel (second dose was Adacel given on January 20th 2015).   On 11-JUN-2025, the patient received Infanrix. On an unknown date, the patient received Boostrix. On 11-JUN-2025, an unknown time after receiving Infanrix and not applicable after receiving Boostrix, the patient experienced expired vaccine used (Verbatim: Expired dose administered) and wrong vaccine administered (Verbatim: Infanrix administered instead of Boostrix to adult patient). The outcome of the expired vaccine used and wrong vaccine administered were not applicable.   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: 12-JUN-2025 Practice Manager explained they accidentally administered Infanrix instead of Boostrix to an adult patient on June 11th 2025 which led to wrong vaccine administered. During the call it was also discovered that Infanrix was already expired, it expired on April 21st 2024 which led to expired vaccine used. There were 2 prior Diphtheria, Tetanus and Pertussis vaccines administered to this patient, first dose given on July 22nd 2013 (unknown brand name, manufactured by Sanofi, lot number C4432AB), and second dose was Adacel given on January 20th 2015.
Age: 58.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: giving DAPTACEL to a 58 year old male with no reported adverse event; Initial information received on 11-Jun-2025 regarding an unsolicited valid non-serious case received from a other health professional.  This case involves a 58 years old male patient who had diphtheria-15/tetanus/5 ac pertussis vaccine [Daptacel] with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  On an unknown date, the patient received an unknown dose of suspect diphtheria-15/tetanus/5 ac pertussis vaccine; Suspension for injection (lot number, strength and expiry date not reported) via unknown route in unknown administration site for Immunization with no reported adverse event (product administered to patient of inappropriate age).  Information on the batch number was requested corresponding to the one at time of event occurrence.  Action taken was not applicable.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 51.0
Sex: M
Vaccine: YF
Symptoms: Injection site erythema, Injection site induration, Pain, Pyrexia
Clinical narrative: Body aches, fever (104.2 reported at home day after), induration and erythema at injection site 12cm x 8.5 cm
Sex: F
Vaccine: TDAP
Symptoms: Malaise
Clinical narrative: Patient was given Tdap @ 13:10. Patient started to feel unwell and was laid on exam table. PCP came into examine and patient was okay to leave after 15 min.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: redness surrounding vaccine sites
Age: 52.0
Sex: M
Vaccine: HEP
Symptoms: Wrong product administered
Clinical narrative: Physician ordered Tdap vaccine for patient, however, after patient left clinic, physician was made aware that instead a dose of Hepatitis B vaccine was given in error by MA staff. Patient alerted, do not suspect any medical harm. Signs/symptoms reviewed to monitor for.
Age: 36.0
Sex: F
Vaccine: HPV9
Symptoms: Extrasystoles, Palpitations
Clinical narrative: I received my first shot in the series on 04/12/25. Two weeks later, I experienced skipped heartbeats and palpitations for almost a month. It is now two days past my second dose, and my heart has begun skipping beats again. It happens multiple times a day, whether I am resting or active.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acoustic stimulation tests, Balance disorder, Cerebrospinal fluid leakage, Computerised tomogram, Craniofacial fracture
Clinical narrative: I was required by my employer to have the vaccine, or be fired.  Within 4-6 hours of the first injection, I broke out into shingles on the back of my neck, right side.  As I was already on Gabapentin, Dr. (now deceased) called in a rx of Valtrex to help alleviate the issue with shingles.  As time went on, I began developing issues with balance, frequent falls that landed me in the ER, passing out, and multiple specialty visits.  I was officially diagnosed with POTS in April 2025; it is a general consensus this is likely d/t the COVID vaccines I was required to take in order to maintain my job.  My PCP did not permit me to have a COVID vaccine in 2024 as a result of the +2 years of testing / follow-ups I had been going through to find a diagnosis.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Ear tube insertion, Fall, Herpes zoster, Laboratory test, Loss of consciousness
Clinical narrative: I was required by my employer to have the vaccine, or be fired.  Within 4-6 hours of the first injection, I broke out into shingles on the back of my neck, right side.  As I was already on Gabapentin, Dr. (now deceased) called in a rx of Valtrex to help alleviate the issue with shingles.  As time went on, I began developing issues with balance, frequent falls that landed me in the ER, passing out, and multiple specialty visits.  I was officially diagnosed with POTS in April 2025; it is a general consensus this is likely d/t the COVID vaccines I was required to take in order to maintain my job.  My PCP did not permit me to have a COVID vaccine in 2024 as a result of the +2 years of testing / follow-ups I had been going through to find a diagnosis.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging, Myringotomy, Postural orthostatic tachycardia syndrome, Surgery
Clinical narrative: I was required by my employer to have the vaccine, or be fired.  Within 4-6 hours of the first injection, I broke out into shingles on the back of my neck, right side.  As I was already on Gabapentin, Dr. (now deceased) called in a rx of Valtrex to help alleviate the issue with shingles.  As time went on, I began developing issues with balance, frequent falls that landed me in the ER, passing out, and multiple specialty visits.  I was officially diagnosed with POTS in April 2025; it is a general consensus this is likely d/t the COVID vaccines I was required to take in order to maintain my job.  My PCP did not permit me to have a COVID vaccine in 2024 as a result of the +2 years of testing / follow-ups I had been going through to find a diagnosis.
Age: 13.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event
Clinical narrative: There were no adverse effects to the patient. The patient was given Proquad and should have received MMR and varicella as the patient was 13 years old at the time vaccine was administered.
Age: 16.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There was no adverse effects to the patient. The patient received Proquad, which should not have been administered as the patient was 16 at the time Proquad was administered.
Age: 69.0
Sex: M
Vaccine: PNC20
Symptoms: Asthenia, Decreased appetite, Fatigue, Injection site erythema, Injection site rash
Clinical narrative: patient developed significant redness / rash around vaccine site throughout day of vaccination, as well as the following day. also reports significant fatigue, fever, decreased appetite and significant weakness.
Age: 69.0
Sex: M
Vaccine: PNC20
Symptoms: Pyrexia
Clinical narrative: patient developed significant redness / rash around vaccine site throughout day of vaccination, as well as the following day. also reports significant fatigue, fever, decreased appetite and significant weakness.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Fatigue, Skin warm
Clinical narrative: Pt. developed redness, warmth to touch, and fatigue 6 days after vaccination.
Age: 46.0
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Hot flush, Hyperhidrosis, Injection site erythema, Injection site induration, Injection site inflammation
Clinical narrative: VARICELLA RECATION WAS HARD RED INFLAMED MARK RADIATING FROM INJRCTION SITE TO ELBOW WITH PAIN. MMR REACTION WAS REDNESS BURNING SENSATION WITH RED HARD LUMP AND VERY PAINFUL . FLU VACCINE WAS BURNING SENSATION THAT OCURRED RIGH TAFTER INJECTION FOLLOWED WITH SWEATS AND HOT FLASHES.
Age: 46.0
Sex: F
Vaccine: FLU3, MMR, VARCEL
Symptoms: Injection site pain
Clinical narrative: VARICELLA RECATION WAS HARD RED INFLAMED MARK RADIATING FROM INJRCTION SITE TO ELBOW WITH PAIN. MMR REACTION WAS REDNESS BURNING SENSATION WITH RED HARD LUMP AND VERY PAINFUL . FLU VACCINE WAS BURNING SENSATION THAT OCURRED RIGH TAFTER INJECTION FOLLOWED WITH SWEATS AND HOT FLASHES.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash, Rash morbilliform, Swelling face
Clinical narrative: Patient has rash on thighs, hands and mostly on his face, low grade fever, some mild facial swelling.
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Incorrect route of product administration
Clinical narrative: Administered via intramuscular route incorrectly vs subcutaneously.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Patient experienced pain at injection site following vaccination- most likely exacerbating past rotator cuff pathology. Patient now needs to have a surgical procedure due to persistent pain.
Age: 79.0
Sex: F
Vaccine: HEP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose 3 given 6 weeks after dose 2.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swollen tongue
Clinical narrative: 06/15/25: TONGUE AND LOWER LIP SWOLLEN, STARTED ON BENADRYL PRN WITH (+) EFFECT.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Cough, Dyspnoea, Hyperhidrosis, Lymphadenopathy, Pyrexia
Clinical narrative: Lymph nodes swollen, denies difficulty breathing/distress; cough, fever this morning-did not take temperature-was sweating; throat itchy
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Throat irritation
Clinical narrative: Lymph nodes swollen, denies difficulty breathing/distress; cough, fever this morning-did not take temperature-was sweating; throat itchy
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: 06/15/25: EXPIRED AT 2030.
Age: 58.0
Sex: F
Vaccine: PNC21
Symptoms: Cellulitis, Immunisation reaction
Clinical narrative: Information from provider documentation: Cellulitis of right upper extremity/ Adverse effect of vaccine, initial encounter: States pneumonia vaccine was administered on 06/05/2025 her right arm. She reported that the injection site had become red, warm to the touch, and had been progressively worsening since the day after the shot. The redness intensifies throughout the day and is accompanied by burning and itching. She denies fevers, chills, dysphagia or swelling and stated that the typical post-vaccine arm soreness had resolved, leaving only the redness and warmth.  She has a history of vaccine administration without prior adverse reactions and has allergies to penicillin and sulfa, which cause nausea and vomiting.   She expressed concern about taking antihistamines due to her eye condition, as she is being monitored for glaucoma.    ? Possible bacterial infection.    ? Prescribed Keflex 500 mg four times a day for seven days, noting the potential for cross-reactivity but deeming it appropriate based on the nature of her penicillin allergy.   ? Advised to monitor for spreading redness, fevers, or chills over the next two days and to report any worsening symptoms.  ? Recommended to use over-the-counter anti-itch cream or hydrocortisone to help with the itching. ? Discussed possibility of soft tissue infection or a vaccine reaction causing an infection between the skin layers.                                                                    Patient follow-up on 6/16/25:  Patient stated she sees "definite improvement". She stated the site "remains a little bit sore, but the redness and swelling have gone down... not totally resolved but has improved". Patient denied any issues with the antibiotic and is due to complete the antibiotic course by Thursday 6/19/25. She stated she had skipped one dose on Saturday 6/14/25 and noticed that her arm was burning a bit more. She stated she took her dose as soon as she could and is back on schedule. Patient expressed her appreciation for the follow-up. Encouraged patient to call us with any changes or if symptoms worsen.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site swelling, Rash erythematous
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Headache-Medium, Additional Details: Chill headaches 1st night. subsided after 24 hours. delayed local reaction a couple days after on 6/5/25. warm, tender, and pinkish-red rash patient has been icing area.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tenderness
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Headache-Medium, Additional Details: Chill headaches 1st night. subsided after 24 hours. delayed local reaction a couple days after on 6/5/25. warm, tender, and pinkish-red rash patient has been icing area.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Loss of personal independence in daily activities, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient reported not being able to do daily functions and she was thrown out of the loop. Couldn't do anything just sitting there and she had a similar situation with the previous COVID vaccine received 01/04/2024 where she had no recollection of what happened for those couple of days following the vaccine.
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: pain down arm, verified shot was given in middle of deltoid-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: patient reported pain numbness in arm shot was given in, shot given using proper c technique, and verified with patient shot was given in the middle of deltoid, i do not believe this is a radial nerve injury, advised patient sometimes vaccine can cause pain and if not better in 2 more days see a doctor
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Flatulence, Injection site pain, Pruritus
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Medium, Systemic: gas, loss of taste-Medium, Additional Details: loss of taste, itchy scalp
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: permanent skin discoloration at injection site-Mild, Additional Details: patient came in to pharmacy on 6.4.25 for pfizer covid-19 vaccine and stated that he experienced permanent discoloration at injection site after having mild redness
Age: 24.0
Sex: F
Vaccine: PNC21
Symptoms: Fatigue, Flushing, Hyperhidrosis, Hypotension, Lethargy
Clinical narrative: Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: passed out for about 30 seconds-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Patient experienced syncope after receiving the pnuemonia and shingles shot (patient is immunosuppressed) and loss consciousness breifly (about 30 seconds).  After coming to patient was offered water and an ice pack while blood pressure was measured (104/60 mmhg). After sitting with the patient for 15 minutes, the patient felt she was okay to go. She stated that while this never happened before with vaccines, this has happened before when receiving prescribed medication infusions., Other Vaccines:  VaccineTypeBrand: Shingrix; Manufacturer: glaxosmithkline; LotNumber: PJ353; Route: lintramuscular; BodySite: left deltoid; Dose: 1; VaxDate: 06/07/2025
Age: 24.0
Sex: F
Vaccine: PNC21
Symptoms: Loss of consciousness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: passed out for about 30 seconds-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Patient experienced syncope after receiving the pnuemonia and shingles shot (patient is immunosuppressed) and loss consciousness breifly (about 30 seconds).  After coming to patient was offered water and an ice pack while blood pressure was measured (104/60 mmhg). After sitting with the patient for 15 minutes, the patient felt she was okay to go. She stated that while this never happened before with vaccines, this has happened before when receiving prescribed medication infusions., Other Vaccines:  VaccineTypeBrand: Shingrix; Manufacturer: glaxosmithkline; LotNumber: PJ353; Route: lintramuscular; BodySite: left deltoid; Dose: 1; VaxDate: 06/07/2025
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Mobility decreased
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Medium, Additional Details: patient had pain in her arm joint - could not lift her arm without significant pain. After dr appt, MRI possbile is still having pain. Patient also stated she was running fever 104 the afternoon and next day after vaccine.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Medium, Additional Details: patient had pain in her arm joint - could not lift her arm without significant pain. After dr appt, MRI possbile is still having pain. Patient also stated she was running fever 104 the afternoon and next day after vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hypertension, Injection site bruising, Injection site erythema
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Medium, Systemic: anxiety-Mild, Systemic: Hypertension-Mild, Other Vaccines:  VaccineTypeBrand: Twinrix; Manufacturer: GSK; LotNumber: P2443; Route: IM; BodySite: Left arm; Dose: 1; VaxDate: 06/05/2025
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Medium, Systemic: anxiety-Mild, Systemic: Hypertension-Mild, Other Vaccines:  VaccineTypeBrand: Twinrix; Manufacturer: GSK; LotNumber: P2443; Route: IM; BodySite: Left arm; Dose: 1; VaxDate: 06/05/2025
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: patient developed redness and swelling- went to urgent care and was prescribed medications for swelling and possible infection- patient is requesting reimbursement for medications filled on 6/03/25 - fluconazole, clindamycin and prednisone
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Other Vaccines:  VaccineTypeBrand: SHINGRIX; Manufacturer: VSK; LotNumber: 93KK4; Route: IM; BodySite: LEFT UPPER ARM; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: PNEUMOCOCCAL 21-VALENT CONJUGATE VACCINE(CAPVAXIVE); Manufacturer: MERK; LotNumber: Y019158; Route: IM; BodySite: LEFT UPPER ARM; Dose: ; VaxDate: UNKNOWN
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Blister, Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Blister-Mild, Additional Details: Local Reaction:warm and red, one small blister
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Skin warm
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Blister-Mild, Additional Details: Local Reaction:warm and red, one small blister
Age: 59.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Additional Details: no fever per patient stated there was flushing/inflammation/bruising/swelling required doctor visit no antibiotics required
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Arthralgia, Autoimmune disorder, Brain fog, Chills
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Brain fog that comes and goes until now-Severe, Systemic: Joint Pain-Severe, Additional Details: She says the symptoms started 2am after the day of injection.  Doctor told her it was likely a strong autoimmune reaction.  She reports that brain fog still comes and goes even after the other symptoms have since dissipated.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Confusional state, Dizziness, Fatigue, Injection site pain, Lethargy
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Brain fog that comes and goes until now-Severe, Systemic: Joint Pain-Severe, Additional Details: She says the symptoms started 2am after the day of injection.  Doctor told her it was likely a strong autoimmune reaction.  She reports that brain fog still comes and goes even after the other symptoms have since dissipated.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Brain fog that comes and goes until now-Severe, Systemic: Joint Pain-Severe, Additional Details: She says the symptoms started 2am after the day of injection.  Doctor told her it was likely a strong autoimmune reaction.  She reports that brain fog still comes and goes even after the other symptoms have since dissipated.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Additional Details: pt fainted after vaccine, laid down for 5 minutes. went to lobby to wait. felt light headed again. laid down for 10 more minutes with glucose tab, chocolate, and water. felt better after.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Malaise, Pyrexia
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Fever-Mild, Additional Details: patient stated that she had difficulty breathing within the 1 st he after getting the 3 vaccines, she went to ER  and admitted for 2 days and she was given benadryl IV , pt still have diffulty breathing but she stated that it got betther but still not feeling well, Other Vaccines:  VaccineTypeBrand: Heplisav B; Manufacturer: ; LotNumber: 946062; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Priorix; Manufacturer: ; LotNumber: 4N222; Route: sc; BodySite: left  upper arm; Dose: ; VaxDate: UNKNOWN
Age: 85.0
Sex: M
Vaccine: PNC21
Symptoms: Injection site swelling, Peripheral swelling
Clinical narrative: Site: Swelling at Injection Site-Medium, Systemic: left arm swollen down to left hand-Medium
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Illness, Influenza, Pain, Pyrexia
Clinical narrative: Systemic: Body Aches Generalized-Medium, Systemic: Fever-Medium, Systemic: Fever, fatigue-Medium, Additional Details: Patient reported that she was really sick after receiving the Moderna covid vaccine. She describes it as a bad case of the flu; body aches, fever, and fatigue that lasted 2 days.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Influenza like illness
Clinical narrative: Systemic: Weakness-Mild, Additional Details: Flu like symptoms and patient not sure which vaccine gave the adverse reaction, Other Vaccines:  VaccineTypeBrand: flu quad 2023-2024; Manufacturer: ; LotNumber: 370266; Route: intramusculr; BodySite: ; Dose: ; VaxDate: 09/19/2023
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Weakness-Mild, Additional Details: Patient not sure which vaccine gave the reaction, Other Vaccines:  VaccineTypeBrand: Flu quad 2023-24; Manufacturer: ; LotNumber: 370266; Route: intramuscular; BodySite: right; Dose: ; VaxDate: 09/21/2023
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient was placed in the examination table for vaccination for Tdap and MCV4, Menquadfi. She was very anxious about the vaccination. after vaccines were given, patient was feeling light headed and was lowered to the bed. she stayed there for few minutes . She took some cold water that the father bought as well as washed her face with cold water and felt better. no fall, no hit on the body nor swelling noted at any site. PATIENT LEFT THE ROOM SMILING after waiting for 15 more minutes with dad , Other Vaccines:  VaccineTypeBrand: Tdap; Manufacturer: GSK; LotNumber: 793PT; Route: Intramuscular; BodySite: left deltoid; Dose: 1; VaxDate: 06/10/2025, VaccineTypeBrand: Menquadfi; Manufacturer: sanofi; LotNumber: U8494AA; Route: Intramuscular; BodySite: Right deltoid; Dose: 1; VaxDate: 06/10/2025
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Other Vaccines:  VaccineTypeBrand: priorix; Manufacturer: gsk; LotNumber: 955e2; Route: sq; BodySite: right arm; Dose: 1; VaxDate: 06/10/2025
Age: 73.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Fall, Head injury, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted on the chair. Father said she also fell and hit her head. We called 911. Paramedics arrived and monitored patient and patient left with medics.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Electrocardiogram abnormal, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: EMT  stated abnormal EKG-Severe
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Anaphylactic reaction, Arthralgia, Asthenia, Fatigue, Flushing
Clinical narrative: Site: Itching at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: CAN NOT FOLD HAND OR FEET-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Unable to Sleep-Medium, Systemic: Weakness-Severe, Additional Details: CAN NOT FOLD HANDS OR FEET , BECAME SENSITIVE TO HEAT, CAN NOT HANDLE HOT WATER OR WEATHER, HIVES
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Headache, Hyperhidrosis, Injection site pruritus, Lethargy, Mobility decreased
Clinical narrative: Site: Itching at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: CAN NOT FOLD HAND OR FEET-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Unable to Sleep-Medium, Systemic: Weakness-Severe, Additional Details: CAN NOT FOLD HANDS OR FEET , BECAME SENSITIVE TO HEAT, CAN NOT HANDLE HOT WATER OR WEATHER, HIVES
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Pain, Pruritus, Rash, Sleep disorder, Temperature intolerance
Clinical narrative: Site: Itching at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: CAN NOT FOLD HAND OR FEET-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Unable to Sleep-Medium, Systemic: Weakness-Severe, Additional Details: CAN NOT FOLD HANDS OR FEET , BECAME SENSITIVE TO HEAT, CAN NOT HANDLE HOT WATER OR WEATHER, HIVES
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Urticaria
Clinical narrative: Site: Itching at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: CAN NOT FOLD HAND OR FEET-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Unable to Sleep-Medium, Systemic: Weakness-Severe, Additional Details: CAN NOT FOLD HANDS OR FEET , BECAME SENSITIVE TO HEAT, CAN NOT HANDLE HOT WATER OR WEATHER, HIVES
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Joint injury
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines:  VaccineTypeBrand: fluad; Manufacturer: ; LotNumber: 388466; Route: im; BodySite: left deltoid; Dose: ; VaxDate: 10/07/2024
Age: 17.0
Sex: M
Vaccine: MMR
Symptoms: Dizziness, Flushing, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient had just come from the pharmacy where he had an MMR vaccine administered. Patient was pale, diaphoretic, nauseous, not feeling well, and dizzy. Brought patient into the room to lay down on the bed. Patient states that he has never had a reaction like this before. After about 5 minutes color returned to the patients face and she stated he was feeling better. Deferred other vaccines at this time.
Age: 17.0
Sex: M
Vaccine: MMR
Symptoms: Pallor
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient had just come from the pharmacy where he had an MMR vaccine administered. Patient was pale, diaphoretic, nauseous, not feeling well, and dizzy. Brought patient into the room to lay down on the bed. Patient states that he has never had a reaction like this before. After about 5 minutes color returned to the patients face and she stated he was feeling better. Deferred other vaccines at this time.
Age: 25.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Injection site pain, Syncope
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: dizzy/fainted-Mild, Additional Details: she fainted a few seconds after getting vaccine she has a history of fainting when giving blood, Other Vaccines:  VaccineTypeBrand: vaxchora; Manufacturer: bavarian; LotNumber: 4344103; Route: oral; BodySite: mouth; Dose: 1; VaxDate: UNKNOWN
Age: 53.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Fatigue, Flushing
Clinical narrative: Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Additional Details: Gave patient 50mg of diphenhydramine and monitor blood pressure every 15 minutes. Adverse events resolve and No hospitalization required
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Hyperhidrosis, Hypotension, Lethargy
Clinical narrative: Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Additional Details: Gave patient 50mg of diphenhydramine and monitor blood pressure every 15 minutes. Adverse events resolve and No hospitalization required
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient received vaccine on 06/10/2025, reported developing rash in the evening on 06/11/2025. Came back to pharmacy for assistance, counseled patient to take benadryl orally and apply hydrocortisone on rash for itching. Advised patient to go to urgent care if worsening symptoms or if they do not improve in a few days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Mild
Age: 61.0
Sex: F
Vaccine: PNC21
Symptoms: Chills, Dizziness, Erythema, Flushing, Hyperhidrosis
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient had vaccine on june 7th, only symptom she reports was muscle soreness. On June 8 she experienced flu like symptoms including but not limited to hot sweats, body ache, soreness on arm of injection to which she took tylenol. June 9, she started gettting redness all around arm and itchiness. fever and sweat were gone, but soreness still present. She stopped taking tylenol. patient reported to the pharmacy on june 12 witgh soreness, and redness. states the redness is getting better,still itc
Age: 61.0
Sex: F
Vaccine: PNC21
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site pruritus, Myalgia
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient had vaccine on june 7th, only symptom she reports was muscle soreness. On June 8 she experienced flu like symptoms including but not limited to hot sweats, body ache, soreness on arm of injection to which she took tylenol. June 9, she started gettting redness all around arm and itchiness. fever and sweat were gone, but soreness still present. She stopped taking tylenol. patient reported to the pharmacy on june 12 witgh soreness, and redness. states the redness is getting better,still itc
Age: 61.0
Sex: F
Vaccine: PNC21
Symptoms: Pain, Pruritus, Pyrexia
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient had vaccine on june 7th, only symptom she reports was muscle soreness. On June 8 she experienced flu like symptoms including but not limited to hot sweats, body ache, soreness on arm of injection to which she took tylenol. June 9, she started gettting redness all around arm and itchiness. fever and sweat were gone, but soreness still present. She stopped taking tylenol. patient reported to the pharmacy on june 12 witgh soreness, and redness. states the redness is getting better,still itc
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nerve damage, Injection site pain, Joint injury
Clinical narrative: Site: Pain at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient got a covid shot 8 months ago and stated that she now has nerve damage near the injection site and her doctor said that it was a result from a vaccine. Patient asked for corporates phone number and the name of the immunizer because she would like compensation. Exact details were not provided so the severity of the injury is unknown.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Improper documentation when ordering vaccine. Selected 'no' instead of 'yes' when asked if diluted-Mild, Additional Details: Improper documentation when ordering vaccine. Selected 'no' instead of 'yes' when asked if diluted
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Myalgia, Rash
Clinical narrative: Large area of rash under breasts, mylagia, tired
Age: 1.42
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error
Clinical narrative: Patient given Pentacel mixed with regular saline diluent rather than being mixed with the provided Pentacel diluent
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No Adverse Events occurred
Age: 61.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Feeling abnormal, Pain, Pyrexia
Clinical narrative: Presented to the ED with reports of "pain all over." Started feeling poorly the afternoon after receiving both vaccines. Subjective fevers reported. Hospitalized for diffuse pain on 6/13/2025.
Age: 1.08
Sex: F
Vaccine: DTAPIPVHIB, IPV
Symptoms: Decreased appetite, Somnolence, Wrong product administered
Clinical narrative: Vaccine administration error. DTaP and polio vaccines were due. Pentacel and polio vaccines were administered. No adverse reaction occurred at the time of administration. The patient's mother reported patient was drowsy and had a decreased appetite on the day of vaccination but returned to her normal activity level the next morning. The patient's mother reported this is common behavior for her after receiving vaccines. As of 06/05/2025 at 12:00 pm, no additional symptoms were reported.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Antibody test negative, Antinuclear antibody negative, Arthralgia, Aspartate aminotransferase increased
Clinical narrative: Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia.  Rated her pain a 3-4 out of 10 on average.  This was very atypical for her.  Developed dysphagia and regurgitation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Autoantibody positive, Barium swallow normal, Biopsy muscle abnormal, Blood creatine phosphokinase increased, Blood lactate dehydrogenase increased
Clinical narrative: Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia.  Rated her pain a 3-4 out of 10 on average.  This was very atypical for her.  Developed dysphagia and regurgitation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood phosphorus normal, Blood uric acid decreased, Borrelia test negative, C-reactive protein normal
Clinical narrative: Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia.  Rated her pain a 3-4 out of 10 on average.  This was very atypical for her.  Developed dysphagia and regurgitation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Electromyogram abnormal, Fatigue, Full blood count, HIV test negative
Clinical narrative: Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia.  Rated her pain a 3-4 out of 10 on average.  This was very atypical for her.  Developed dysphagia and regurgitation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatitis viral test negative, Magnetic resonance imaging abnormal, Metabolic function test, Monocyte percentage increased, Muscle atrophy
Clinical narrative: Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia.  Rated her pain a 3-4 out of 10 on average.  This was very atypical for her.  Developed dysphagia and regurgitation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Myopathy, Myositis, Red blood cell sedimentation rate normal
Clinical narrative: Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia.  Rated her pain a 3-4 out of 10 on average.  This was very atypical for her.  Developed dysphagia and regurgitation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Regurgitation, Rheumatoid factor negative, Serum ferritin increased, Thyroid function test normal, Vitamin D decreased
Clinical narrative: Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia.  Rated her pain a 3-4 out of 10 on average.  This was very atypical for her.  Developed dysphagia and regurgitation
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Development of fatigue, joint pain, muscle pain, and muscle weakness as well as dysphagia.  Rated her pain a 3-4 out of 10 on average.  This was very atypical for her.  Developed dysphagia and regurgitation
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Blood glucose decreased, Hyperhidrosis, Loss of consciousness, Pallor, Seizure
Clinical narrative: A few minutes after vaccination, child had an episode of pallor, passing out/syncope, and per mom: seizing episode. Provider immediately responded, had child lay flat on exam table. HR low (55) - see notes below and diaphoretic and pallor. Monitored for about 15 min, noted BP and HR increased to appropriate levels during that monitoring. Child was less diaphoretic and color returned. Noted had not eaten breakfast. Child was given sucker/lollipop and snack to assist in correcting any drop in blood glucose.   Believed to be a vasovagal response and possible low blood glucose event d/t fasting and stressor of receiving vaccines. Noted child was fearful at the time of vaccination.   VS after event:  1050: 93/55, hr 55 (laying) 1052: 95/61 hr 88 (laying) 1055: 98/59 hr 90 (sitting) 1100: 91/62 hr 96 (standing) no breakfast, nervous