chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Presyncope
Clinical narrative: Within 1-2 minutes of the administration of 0.1 ml intradermal Jynneos/BN vaccine in left forearm the client stated that he felt lightheaded. He appeared to be diaphoretic. No airway compromise was noted.  No difficulty breathing noted.  Client's legs were elevated onto an adjacent chair and from there was assisted to a supine position on the floor with feet elevated.  No impact injury.  Client was conscious and verbalizing and answering questions appropriately through the entire experience.  Client was given alcohol swab to breathe through nose while vital signs were taken on right upper arm with NIBP device at close intervals.  SaO2 was measured on right index finger.  All VS remained within normal limits.  Privacy screen was placed between clinic traffic and the client.  Client stated (after receiving the vaccine) that he occasionally, but infrequently, feels dizzy when anxious.  When client stated he was feeling improved and diaphoresis had abated, client was transitioned from supine to sitting and then standing positions with vital signs measured at each position change.   Assessment:  vasovagal response secondary to anxiety occasioned by receiving an injection.   Serial right arm vital signs noted below: 2:23 PM - 104/65 supine HR 60  SaO2 98 120/79 supine HR 60  SaO2 99 132/91 sitting HR 58  SaO2 98 177/78 standing HR 66 SaO2 98  When client felt improved and returned to prevaccination state he was transferred to postvaccination waiting area and instructed to remain for an additional 30 minutes before leaving and to communicate with postvaccination area nurses if he felt lightheaded again.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Moderna vaccine given as booster, should have waited for bivalent Moderna vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: The vaccine was given in the morning due to receiving  the notice to stop administering the vaccine  around 4:00 P:M.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond-use date
Age: 28.0
Sex: U
Vaccine: SMALLMNK
Symptoms: Loss of consciousness, Pallor
Clinical narrative: At 2:50 pm patient came to observation area, after 5 minutes of observation RN observed patient becoming pallor, eyes closed and loss consciousness for few seconds. Patient regained consciousness right away. RN elevated legs, vital signs initiated. No signs of respiratory distress. Water was provided. Patient stated he has history of vasovagal and didn't eat  anything before getting the vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect product formulation administered
Clinical narrative: The vaccine was given in the morning due to receive the notice to stop administering the vaccine late
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Does administered beyond-use date
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond-use date
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: The vaccine was given due to receive the notice to stop the vaccine late
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond-use-date.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Moderna vaccine given as booster, should have waited for bivalent Moderna vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer vial expiration date is 08/31/2022 but a dose was given on 09/07/2022.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: LOW O2, HEADACHE, DRY COUGH
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond-use-date.
Age: 42.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Induration, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt c/o redness, swelling, and itchiness at injection site 5 days post injection. Pt returned to clinic, RN supervisor noted 10 mm of induration. Pt sent to PCP for evaluation.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Injection site mass, Mouth swelling, Oral pruritus, Pain in extremity
Clinical narrative: PATIENT RECEIVED IMMUNZATIONS LATE AFTERNOON N 9/6/22, MOM CALLED THE FOLLOWING MORNING 9/7/22 STATING PTS MOUTH FELT ITCHY, NOTED REDNESS AND SWELLING AROUND MOUTH AND MOVING DOWN INTO NECK. THIS HAPPENED AT SCHOOL AT SCHOOL APPLIED BENADRYL CREAM AT THE TIME WHICH HELPED.ALSO NOTED RED AND SWOLLEN LEFT DELTOID WHERE IMMS WERE GIVEN. ADVISED MOTHER TO MONITOR BREATHING, PT DENIED ANY SOB OR BREATHING ISSUES AT THE TIME. ADVISED TO GIVE BENADRYL AS NEEDED ALSO. MOM CALLED BACK TODAY 9/8/22 STATING ARM IS STILL RED, SWOLLEN, PAINFUL, HARD LUMP AT VACCINE SITE. NOTED HIVES/REDNESS AROUND MOUTH AGAIN AND NECK. BENADRYL HELPS. PT AT SCHOOL AND IS DOING FINE, NO BREATHING ISSUES. ADVISED TO CONTINUE TO MONITOR SX AND FOLLOW UP AS NEEDED. MOTHER WAS OFFERED A CLINIC VISIT FOR EVAL BUT DECLINED.
Age: 11.0
Sex: F
Vaccine: HEPA, MNQ, TDAP
Symptoms: Peripheral swelling, Swelling, Vaccination site induration
Clinical narrative: PATIENT RECEIVED IMMUNZATIONS LATE AFTERNOON N 9/6/22, MOM CALLED THE FOLLOWING MORNING 9/7/22 STATING PTS MOUTH FELT ITCHY, NOTED REDNESS AND SWELLING AROUND MOUTH AND MOVING DOWN INTO NECK. THIS HAPPENED AT SCHOOL AT SCHOOL APPLIED BENADRYL CREAM AT THE TIME WHICH HELPED.ALSO NOTED RED AND SWOLLEN LEFT DELTOID WHERE IMMS WERE GIVEN. ADVISED MOTHER TO MONITOR BREATHING, PT DENIED ANY SOB OR BREATHING ISSUES AT THE TIME. ADVISED TO GIVE BENADRYL AS NEEDED ALSO. MOM CALLED BACK TODAY 9/8/22 STATING ARM IS STILL RED, SWOLLEN, PAINFUL, HARD LUMP AT VACCINE SITE. NOTED HIVES/REDNESS AROUND MOUTH AGAIN AND NECK. BENADRYL HELPS. PT AT SCHOOL AND IS DOING FINE, NO BREATHING ISSUES. ADVISED TO CONTINUE TO MONITOR SX AND FOLLOW UP AS NEEDED. MOTHER WAS OFFERED A CLINIC VISIT FOR EVAL BUT DECLINED.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diarrhoea, SARS-CoV-2 test positive, Syncope
Clinical narrative: SYNCOPE AND DIARRHEA
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent Pfizer COVID-19 vaccine rather than waiting for the availability of bivalent Pfizer COVID-19 vaccine. Patient had one Johnson & Johnson COVID-19 vaccine June 30, 2021.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Does administered beyond-use date
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Sensory disturbance, Weight increased
Clinical narrative: SUDDEN WEIGHT GAIN Swollen arms and legs SENSATION OF DECAY
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Client was given Pfizer Covid vaccine that had expired the day before it was administered. No adverse events reported. No treatment required. Per onsite Dr., since vaccine was administered less than 24 hours after expiration, it is not necessary to repeat dose. Parent/guardian notified.
Age: 0.75
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Restlessness
Clinical narrative: a 10-month-old patient, was given the 5-11 dilution of the COVID 19 vaccine. No side effects were observed from him other than restlessness during overnight sleeping. The nurse called his mother and informed her of the mix-up shortly after the injection.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash
Clinical narrative: Diffuse morbilliform rash 4 days after vaccination. Also had mild foot swelling. Resolved spontaneously.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS, LOSS OF APPETITE, SOB
Age: 46.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dyskinesia, Incorrect dose administered, Needle issue
Clinical narrative: At the time of administering the vaccine ID the client suddenly moved - jerking his arm away.  Vaccine was seen running down patients arm so full dose was not given.  Successfully re- administered on same arm using sub-cut method.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Client was given pfizer covid vaccine that had expired 7 days before it was administered. No adverse events reported. No treatment required. Per guidelines, dose is required to be repeated immediately. Parent/guardian notified, they will talk to child's PCP and oncologist to determine if child will have dose repeated..
Age: 20.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 9/7/22: Redness to injection site 9/8/22: Redness over entire deltoid region, swelling, warmth
Age: 78.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Nausea, Pyrexia
Clinical narrative: FEVER, COUGH, NAUSEA, SOB
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: FEVER, COUGH, NAUSEA, SOB
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a monovalent booster shot after guidance changed that only bi-valent vaccine was approved for booster dosing.
Age: 73.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 72.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Booster dose given from primary series Moderna vial. No adverse reaction reported.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypotonia, Joint range of motion decreased, Pain in extremity
Clinical narrative: arm soreness, can't lift arm over  head, lost muscle tone, joints hurt
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dry throat, Fatigue, Pain
Clinical narrative: Mom stated that patient had Karate for an hour the night of the vaccines and that he was complaining he was really tired and a little sore.  The next day, mom said he was still a little achy and tired.  Today 09/08/2022 1603 mom called and was concerned cause her son was complaining his throat felt dry and he just needed to take a drink.  Denies any other sickness, nor heat exposure or increase play in the heat nor sports.  Mom said he doesn't usually say his throat is dry and he needs to drink.  No other symptoms reported. Denies SOB, nor chest tightness, nor fever.  Encouraged mom to f/u with her PCP to make sure there are no other concerns the Doctor would want to know., and to go to ER if he feels closing of the throat, facial numbness, or difficulty breathing.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Diffuse hives developed 12 hours after the vaccination.
Age: 12.0
Sex: F
Vaccine: MENB
Symptoms: No adverse event
Clinical narrative: THERE WAS NO ADVERSE EVENT. PATIENT IS DOING WELL.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Electroencephalogram, Joint range of motion decreased, Magnetic resonance imaging, Muscle atrophy
Clinical narrative: Right shoulder sharp, severe pain 2 days post injection. Loss of ROM, increasing pain and atrophy of deltoid and shoulder muscles over the course of 11 months.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Right shoulder sharp, severe pain 2 days post injection. Loss of ROM, increasing pain and atrophy of deltoid and shoulder muscles over the course of 11 months.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Dysstasia, Nausea, Palpitations
Clinical narrative: 1047 Approx. 5 mins post vaccination Pt. states feeling lightheaded and dizzy. States sl. SOB and feels "like her heart is racing". c/o sl. nausea and metallic taste. States has tunnel vision. Unable to stand. Inst. to lower head between legs.  1049 Assisted to exam table to recumbent position.  BP11/66 P64. Dizziness cont. Lungs clear to auscultation.  1056 BP 102/64 p64 r18. Dizziness and tunnel vision continues .1107 BP 102/74 P60. Denies difficulty breathing. PERL. Oriented and alert. Occas. stares into space but responds to questions.  1119 Assisted to sitting over edge of exam table. Immed. became dizzy and returned to recumbent position. . B/P 112/77 p60.  1124 EHS called. Pt. informed need to send to ER. Pt. in agreement. 1135 B/P 100/58 P60.  1142 C/o L arm tingling and mid sternal pressure.  1143 EMS arrived.  1148 Ems transported pt. to ER,
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Tunnel vision
Clinical narrative: 1047 Approx. 5 mins post vaccination Pt. states feeling lightheaded and dizzy. States sl. SOB and feels "like her heart is racing". c/o sl. nausea and metallic taste. States has tunnel vision. Unable to stand. Inst. to lower head between legs.  1049 Assisted to exam table to recumbent position.  BP11/66 P64. Dizziness cont. Lungs clear to auscultation.  1056 BP 102/64 p64 r18. Dizziness and tunnel vision continues .1107 BP 102/74 P60. Denies difficulty breathing. PERL. Oriented and alert. Occas. stares into space but responds to questions.  1119 Assisted to sitting over edge of exam table. Immed. became dizzy and returned to recumbent position. . B/P 112/77 p60.  1124 EHS called. Pt. informed need to send to ER. Pt. in agreement. 1135 B/P 100/58 P60.  1142 C/o L arm tingling and mid sternal pressure.  1143 EMS arrived.  1148 Ems transported pt. to ER,
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: SOB,
Age: 76.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram abnormal, Deafness unilateral, Tinnitus
Clinical narrative: Tinnitus and hearing loss in left ear.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Unresponsive to stimuli
Clinical narrative: Patient in office to receive first monkeypox vaccine. After vaccine administration patient reports feeling "a little dizzy." Nurse requested assistance from additional nurses in clinic. Patient became unresponsive while sitting in chair. Nurse beside patient at time so was able to keep patient from falling. Patient unresponsive <30 seconds.  Additional nurses helped to wake patient with physical and verbal stimuli and then proceeded to lower patient to the floor. Patient alert and oriented x3 upon awakening.  Initial blood @1336pressure reading 141/80 HR 84. Next blood pressure reading @1343 127/78 HR 71. Patient drinking juice and sitting up at this time. Patient reports that this has happened to him in the past and that he feels fine now. Patient kept in clinic 30 minutes after episode.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain
Clinical narrative: Pt received the bivalent Moderna vaccine yesterday but had pain worsening all night long since the injection. She was virtually seen by MD today & given benadryl & medrol dose pack.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: BY ERROR THE PATIENT RECEIVE COVID 19 PFIZER - BIOTECH PEDIATRIC VACCINE INSTEAD OF MODERNA TODDLER.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Stroke 4 days after booster administered.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Client was given Pfizer Covid vaccine that had expired the day before it was administered. No adverse events reported. No treatment required. Per onsite Dr. since vaccine was administered less than 24 hours after expiration, it is not necessary to repeat dose. Parent/guardian notified.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: This vaccine was prepared by a staff member and given to the pharmacist to check without the vial it was drawn out of. When preparing a subsequent dose, the lot numbers were examined. This was done for an original formation and not the new bivalent booster.
Age: 1.58
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Diarrhoea
Clinical narrative: Slight temperature up to 100.4 F. since several hours after Covid vaccine given on 9/2, as well as diarrhea 4 x daily.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Condition aggravated, Disturbance in attention, Fatigue, Feeling abnormal
Clinical narrative: Weeks after vaccination my brain was fogging; everything was stiff; no concentration; fatigue. So I went to doctor and he ran a blood test and he said that my lupus has came back. I don't blame that vaccination.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, SARS-CoV-2 test negative, Systemic lupus erythematosus
Clinical narrative: Weeks after vaccination my brain was fogging; everything was stiff; no concentration; fatigue. So I went to doctor and he ran a blood test and he said that my lupus has came back. I don't blame that vaccination.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary tract infection
Clinical narrative: Chronic urinary tract infections that flared with each injection, have not cleared up yet.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 1.25
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Quadracel was given to a child younger than what vaccine is approved for
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was NOT given bivalent booster.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Injection site swelling
Clinical narrative: Immediately after injection, the injection site swelled up. Pt did not experience any pain. Applied ice pack to area for 15 minutes.  Pt took 400mg ibuprofen. Swelling went down before leaving the pharmacy. ( 25 minutes after injectin)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: administration error/vaccine given beyond use date.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product use in unapproved indication
Clinical narrative: Gave Monvalent shot as a booster after no longer FDA approved
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arrhythmia, Heart rate increased
Clinical narrative: Severe arrhythmia lasting several hours.  Increase in heart rate to over 150 beats per minute.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: PATIENT CALLED PHARMACY 4 HOURS AFTER RECIEVING THE NEW COVID BIVALENT (MODERNA) BOOSTER, STATING THAT HER LEGS WERE VERY ITCHY (NO RASH REPORTED. SHE WAS INSTRUCTED TO TAKE BENADRYL TO HELP COUNTER THE REACTION
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Asthma, Bronchiolitis, Chest X-ray, Condition aggravated
Clinical narrative: 28 DAYS AFTER VACCINE, PATIENT ENDED UP WITH BRONCHILITIS/ASTHMA
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain, Anal incontinence, Anticoagulant therapy, Blood test, Computerised tomogram abdomen abnormal
Clinical narrative: I was on the golf course in August after playing 15 holes.  I had been sweating but I was drinking plenty of water.  I got to box 16 and fell to all fours.  I was sweating profusely.  I asked to be helped back to the car so I could get into the air condition.  When we got to my car I realized I was confused.  I sat down on the ground for a minute.  I lost control of my bowels.  I cleaned up and got into the car and cooled off and drove home.  I got more Gatorade and something to eat and I felt fine.  I got home.  A few hours later I had another bowel movement that was all blood.  Another two hours went by and I went to bathroom again and it was all blood again.  I went the ER and the pain was so bad I was on all fours.  It was abdominal cramps.  I had a CT scan and blood work.  One doctor told me I had diverticulosis.  I was given Fentanyl for pain.  Went home and then I rested for a few hours and then I had more abdominal pain and blood.  I went back to ER and was admitted.  I had another scan and they found clots around my colon.  They also saw a clot in a vein from my heart  to my liver.  I have been a jogger all my life..  They put me on Eliquis to prevent clots.  I've been fine ever since.  I've been to several doctors and no one can tell me what caused the clots.  I also saw a gastroenterologist.  I have an appointment with  a vascular doctor in a week or so as well as a hematologist.  I also saw an internal doctor at the hospital.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Confusional state, Fall, Haematochezia, Hyperhidrosis, Pain
Clinical narrative: I was on the golf course in August after playing 15 holes.  I had been sweating but I was drinking plenty of water.  I got to box 16 and fell to all fours.  I was sweating profusely.  I asked to be helped back to the car so I could get into the air condition.  When we got to my car I realized I was confused.  I sat down on the ground for a minute.  I lost control of my bowels.  I cleaned up and got into the car and cooled off and drove home.  I got more Gatorade and something to eat and I felt fine.  I got home.  A few hours later I had another bowel movement that was all blood.  Another two hours went by and I went to bathroom again and it was all blood again.  I went the ER and the pain was so bad I was on all fours.  It was abdominal cramps.  I had a CT scan and blood work.  One doctor told me I had diverticulosis.  I was given Fentanyl for pain.  Went home and then I rested for a few hours and then I had more abdominal pain and blood.  I went back to ER and was admitted.  I had another scan and they found clots around my colon.  They also saw a clot in a vein from my heart  to my liver.  I have been a jogger all my life..  They put me on Eliquis to prevent clots.  I've been fine ever since.  I've been to several doctors and no one can tell me what caused the clots.  I also saw a gastroenterologist.  I have an appointment with  a vascular doctor in a week or so as well as a hematologist.  I also saw an internal doctor at the hospital.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Thrombosis, Ultrasound Doppler, Ultrasound abdomen abnormal, Ultrasound kidney, Venous thrombosis
Clinical narrative: I was on the golf course in August after playing 15 holes.  I had been sweating but I was drinking plenty of water.  I got to box 16 and fell to all fours.  I was sweating profusely.  I asked to be helped back to the car so I could get into the air condition.  When we got to my car I realized I was confused.  I sat down on the ground for a minute.  I lost control of my bowels.  I cleaned up and got into the car and cooled off and drove home.  I got more Gatorade and something to eat and I felt fine.  I got home.  A few hours later I had another bowel movement that was all blood.  Another two hours went by and I went to bathroom again and it was all blood again.  I went the ER and the pain was so bad I was on all fours.  It was abdominal cramps.  I had a CT scan and blood work.  One doctor told me I had diverticulosis.  I was given Fentanyl for pain.  Went home and then I rested for a few hours and then I had more abdominal pain and blood.  I went back to ER and was admitted.  I had another scan and they found clots around my colon.  They also saw a clot in a vein from my heart  to my liver.  I have been a jogger all my life..  They put me on Eliquis to prevent clots.  I've been fine ever since.  I've been to several doctors and no one can tell me what caused the clots.  I also saw a gastroenterologist.  I have an appointment with  a vascular doctor in a week or so as well as a hematologist.  I also saw an internal doctor at the hospital.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: I gave patient the original second booster dose after the CDC had released information that the Bivalent vaccine would be available in the coming week.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Fatigue, Headache, Pyrexia
Clinical narrative: Fever, severe joint pain, headache, fatigue
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Numbness on right side of face/mouth/tongue (prior site of trigeminal neuritis flare)  ~1 hour after injection.
Age: 1.75
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came in 5 days early for 2nd Pfizer vaccine. Immunizations clinic staff didn't check interval time and that resulted in vaccine being administered 5 days early.
Age: 27.0
Sex: U
Vaccine: HPV9
Symptoms: Photopsia, Retinal white dots syndrome, Visual field defect, Visual impairment
Clinical narrative: Patient received vaccine on 8/23/22. On 8/25/22 patient developed changes in vision including a flash in their left lateral eye worsening to area of vision being slightly off center and a gray/white flashing spot that is like a curtain over field of vision. Patient had an emergent office visit and was initially diagnosed with ocular migraine related to SSRI they are taking. Patient was then seen by a retina specialist and was diagnosed with Multiple Evanescent White Dot Syndrome.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED EXPIRED VACCINE
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered expired vaccine.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Dyskinesia, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: 1 min post vaccination(5:43pm) pt complained of dizziness/lightheadedness. Water provided. Pallor noticed, pt appeared diaphoretic. LOC for approximately 7 seconds with slight jerking of limbs noted. Pt regained consciousness while still seated. Pt placed in lying position on a cot. VS initiated, WNL for pt. Ice packs applied to nape of neck and extremities. VS taken q4. Pt reported feeling better while on cot, denies any symptoms. Pt transferred to seated position at 1758, tolerated well. Pt went from standing to sitting at 1804, tolerated well.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED EXPIRED VACCINE
Age: 1.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Unevaluable event
Clinical narrative: none, no fever @ this time.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED EXPIRED VACCINE
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED EXPIRED VACCINE
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED EXPIRED VACCINE
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: NO ADVERSE REACTION REPORTED. VACCINE WAS GIVEN ON THE DAY MONOVALENT COVID VACCINE NO LONGER APPROVED BY FDA AND REPLACED BY BIVALENT VACCINE. PATIENT AND PCP WAS CONTACTED AND AWARED THAT PATIENT HAS TO WAIT 2 MONTHS BEFORE HE CAN GET  BIVALENT BOOSTER VACCINE.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Bordetella test negative, Chills, Headache, Myalgia
Clinical narrative: On 7/20/22 sudden mild fever, muscle and joint pain,  chills, headache.  Resolved in 36 hours. Then on 8/3/22 the same symptoms occurred and was advised to go to urgent care,   Physicians assistant prescribed Deoxycycline antibiotic and blood test for Lyme disease as I had been hiking and found a tick in my home.  Tick was not engorged and I had no indication it had attached to my skin.  The blood  test I was told came back negative.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: On 7/20/22 sudden mild fever, muscle and joint pain,  chills, headache.  Resolved in 36 hours. Then on 8/3/22 the same symptoms occurred and was advised to go to urgent care,   Physicians assistant prescribed Deoxycycline antibiotic and blood test for Lyme disease as I had been hiking and found a tick in my home.  Tick was not engorged and I had no indication it had attached to my skin.  The blood  test I was told came back negative.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED EXPIRED VACCINE
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: NO ADVERSE REACTION REPORTED. VACCINE WAS GIVEN ON THE DAY MONOVALENT COVID VACCINE NO LONGER APPROVED BY FDA AND REPLACED BY BIVALENT VACCINE. PATIENT AND PCP WAS CONTACTED AND AWARED THAT PATIENT HAS TO WAIT 2 MONTHS BEFORE SHE CAN GET  BIVALENT BOOSTER VACCINE.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Heart rate increased, Hypertension, Laboratory test normal, SARS-CoV-2 test positive
Clinical narrative: I started experiencing  tachycardia/ hypertension. When my blood pressure goes down my heart beat goes up.  I took my blood pressure and send my doctor the result through email.  He immediately called me after my email. I spoke with my doctor through tele health, within 10 days after my talk with doctor. I went to see him. He took blood  pressure  which was showing the same results I had. The blood test was showing cortisone level was low.  He prescribed me Floranex  and a Holter monitor for 2 weeks. He also performed cortisol level test which was normal. After 3-4 weeks everything was normal again.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: I started experiencing  tachycardia/ hypertension. When my blood pressure goes down my heart beat goes up.  I took my blood pressure and send my doctor the result through email.  He immediately called me after my email. I spoke with my doctor through tele health, within 10 days after my talk with doctor. I went to see him. He took blood  pressure  which was showing the same results I had. The blood test was showing cortisone level was low.  He prescribed me Floranex  and a Holter monitor for 2 weeks. He also performed cortisol level test which was normal. After 3-4 weeks everything was normal again.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No symptoms noted.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Affect lability, Anxiety, Chills, Condition aggravated, Depression
Clinical narrative: within 15 minutes - wooziness, within 1 hour dissociative, lability then giddiness, within 9 hours - severe depressive thoughts and anxiety, so emotional rollercoaster, at 12 hours, chills, headache, arm ache at injection sight.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Headache, Injection site pain
Clinical narrative: within 15 minutes - wooziness, within 1 hour dissociative, lability then giddiness, within 9 hours - severe depressive thoughts and anxiety, so emotional rollercoaster, at 12 hours, chills, headache, arm ache at injection sight.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Given less than 28 days after MMR
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angioedema, Lip swelling
Clinical narrative: Patient came into the pharmacy at around 3 pm 9/7/2022 to receive COVID-19 Pfizer bivalent booster vaccine for his second booster shot. He had 3 shots of Pfizer (2 doses for primary series and one booster dose). Patient monitored after vaccine administration for any adverse effects. None were shown. Patient returned to the pharmacy next day, 9/8/2022, at around 11:30 am, and showed signs of lip swelling/angioedema. He reported symptoms started during his work meeting around 10:30 am - 11 am. Patient recommended to take Benadryl to help with the reaction and to continue monitoring for worsening symptoms. The pharmacy followed-up with patient later in the day around 4 pm. Patient's wife picked up the phone due to patient not being able to speak. He had gone to urgent care due to more lip swelling. Urgent care gave patient an injection (unknown since wife didn't remember the name) and prescribed Pepcid, Allegra and prednisone. Patient currently resting. Pharmacy will follow-up in the next days to monitor patient.
Age: 37.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: Patient vaccinated on the left arm SQ, might have bruising in a day. Unknown as of now. No signs of adverse event after vaccination.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Dyspnoea, Facial paralysis, Headache
Clinical narrative: The first day, hours later,  I experienced muscle soreness, nausea, headache and fever. 2nd day, continued headache, nausea, muscle soreness and fever albeit controlled with tylenol and mild chest discomfort. 3rd day, the chest discomfort became more concerning. My legs  buckled out from underneath me in weakness.  At this point I sought treatment at the local emergency room. Upon arrival the intake nurse noticed I had left side facial droop. I spent the day and evening in the ER. I followed up with my PCP who strongky advised I absolutely do not take any additional doses.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired quality of life, Laboratory test, Loss of personal independence in daily activities, Myalgia, Nausea
Clinical narrative: The first day, hours later,  I experienced muscle soreness, nausea, headache and fever. 2nd day, continued headache, nausea, muscle soreness and fever albeit controlled with tylenol and mild chest discomfort. 3rd day, the chest discomfort became more concerning. My legs  buckled out from underneath me in weakness.  At this point I sought treatment at the local emergency room. Upon arrival the intake nurse noticed I had left side facial droop. I spent the day and evening in the ER. I followed up with my PCP who strongky advised I absolutely do not take any additional doses.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The first day, hours later,  I experienced muscle soreness, nausea, headache and fever. 2nd day, continued headache, nausea, muscle soreness and fever albeit controlled with tylenol and mild chest discomfort. 3rd day, the chest discomfort became more concerning. My legs  buckled out from underneath me in weakness.  At this point I sought treatment at the local emergency room. Upon arrival the intake nurse noticed I had left side facial droop. I spent the day and evening in the ER. I followed up with my PCP who strongky advised I absolutely do not take any additional doses.
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Product experienced a temperature excursion below known manufacturer stability data prior to administration.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Product experienced a temperature excursion below known manufacturer stability data prior to administration.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Product experienced a temperature excursion below known manufacturer stability data prior to administration.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: Product experienced a temperature excursion below known manufacturer stability data prior to administration.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Adrenal adenoma, Fatigue, Hepatic cyst, Magnetic resonance imaging, Myalgia
Clinical narrative: Thrombocytopenia, liver cysts, adrenal adenoma , severe fatigue since vax, muscle aches severe since vax
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Platelet count, Thrombocytopenia
Clinical narrative: Thrombocytopenia, liver cysts, adrenal adenoma , severe fatigue since vax, muscle aches severe since vax
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Impaired driving ability, Impaired work ability, Tinnitus, Vertigo
Clinical narrative: Dizziness the following morning, could not drive or work, head spinning, ears ringing, vision blurring
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vision blurred
Clinical narrative: Dizziness the following morning, could not drive or work, head spinning, ears ringing, vision blurring
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Burning sensation, Chills, Headache, Influenza like illness, Muscle spasms
Clinical narrative: Flu like symptoms with fever, chills, shaking, muscle spasms, headache, fever 101 F, constant need to urinate with a slight burning sensation.   Symptoms ongoing at this time.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Pyrexia, Tremor
Clinical narrative: Flu like symptoms with fever, chills, shaking, muscle spasms, headache, fever 101 F, constant need to urinate with a slight burning sensation.   Symptoms ongoing at this time.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Myalgia
Clinical narrative: Headache muscle aches
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Chills, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: Several times in the last month I've become lethargic and nausous feeling and diarrhea for a day or 2 then fine but still feeling very tired. Since the 3rd shot the injection site would flare up every once in a while, but this last one has been pretty constant. Yesterday it started to hurt and has a hard round knot and the more I touched it the worse it got. I was unable to move my arm without shooting pain. Today was even worse, can't lift or move hardly and no strength to even open a cat food can. Nausea feeling & lethargic and slight chills thruout the day today but no diarrhea. I'm very concerned about how it's made me feel. I have tested negative for covid every time I've felt like this and checked it to make sure. I don't have insurance so I haven't been seen by a physician. No extreme reactions to any of the vaccines other than sore arm and tired for a day and then it was fine. This is very troubling why I keep feeling bad
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site nodule, Injection site pain, Lethargy, Mobility decreased, Nausea
Clinical narrative: Several times in the last month I've become lethargic and nausous feeling and diarrhea for a day or 2 then fine but still feeling very tired. Since the 3rd shot the injection site would flare up every once in a while, but this last one has been pretty constant. Yesterday it started to hurt and has a hard round knot and the more I touched it the worse it got. I was unable to move my arm without shooting pain. Today was even worse, can't lift or move hardly and no strength to even open a cat food can. Nausea feeling & lethargic and slight chills thruout the day today but no diarrhea. I'm very concerned about how it's made me feel. I have tested negative for covid every time I've felt like this and checked it to make sure. I don't have insurance so I haven't been seen by a physician. No extreme reactions to any of the vaccines other than sore arm and tired for a day and then it was fine. This is very troubling why I keep feeling bad
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: Several times in the last month I've become lethargic and nausous feeling and diarrhea for a day or 2 then fine but still feeling very tired. Since the 3rd shot the injection site would flare up every once in a while, but this last one has been pretty constant. Yesterday it started to hurt and has a hard round knot and the more I touched it the worse it got. I was unable to move my arm without shooting pain. Today was even worse, can't lift or move hardly and no strength to even open a cat food can. Nausea feeling & lethargic and slight chills thruout the day today but no diarrhea. I'm very concerned about how it's made me feel. I have tested negative for covid every time I've felt like this and checked it to make sure. I don't have insurance so I haven't been seen by a physician. No extreme reactions to any of the vaccines other than sore arm and tired for a day and then it was fine. This is very troubling why I keep feeling bad
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Ear pain, Headache, Pain, Pain in jaw, Toothache
Clinical narrative: symptoms started 1 day after vaccine. Got shot at 11 am. started out at 1pm next day as tooth pain, then moved to jaw, then radiated up to side to ear, then across forehead (took advil 400mg about 3:30pm), and currently 7:17pm and not feeling the side effects.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Induration, Injection site erythema, Injection site pain, Pain, Swelling
Clinical narrative: Localized swelling and redness immediately below injection site. Injection site seemed lower than usual, so unsure if reaction due to poor technique or vaccine. I notified the pharmacy with my concerns. Reddened area is firm-to-touch and appropriately 13 hours post injection. Some swelling a few hours after injection, but no redness until next morning. Area was sore-to-touch and upon moving arm. Reddened area was approximately half dollar in size.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong technique in product usage process
Clinical narrative: Localized swelling and redness immediately below injection site. Injection site seemed lower than usual, so unsure if reaction due to poor technique or vaccine. I notified the pharmacy with my concerns. Reddened area is firm-to-touch and appropriately 13 hours post injection. Some swelling a few hours after injection, but no redness until next morning. Area was sore-to-touch and upon moving arm. Reddened area was approximately half dollar in size.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received Moderna COVID vaccine on 2/20/21 (lot # 012M20A), 3/19/21 (lot # 045A21A), 2/15/22 (lot # 045L12A), and 4/13/22 (lot # 002M21A). On 9/5/22, patient admitted to our inpatient facility (med/surg unit) with acute hypoxic respiratory failure due to COVID19 infection. As of today (9/8/22), patient is still admitted in the med/surg unit.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Myalgia, Pain in extremity
Clinical narrative: PATEINT REPORTED EVENT TO PHARMACY 9/8/22. THE PATIENT STATES THAT THE ARM WAS SORE FROM THE VACCINE IMMEDIATELY AFTER THE VACCINE AS EXPECTED, BUT THE SORENESS NEVER SUBSIDED AND STATES THAT THE PAIN GOT WORSE THIS MOST RECENT WEEK. WHEN SDESCRIBING THE PAIN, HE SAYS IT IS DULL, AND IS EXACERBATED BY PHYSICAL ACTIVITY/EXERCISE. THE PAIN IS LOCALIZED TO THE MUSCLE BUT HE CANNOT PINPOINT. THERE IS NO REDNESS OR HEAT AT THE INJECTION SITE.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: No symptoms Dose given as was told that it was the second dose returned later asking for bivalent and upon checking history had already gotten 3 doses before
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema, Swelling, Vaccination site bruising
Clinical narrative: A red line extends along a lymphatic drainage pathway in the left arm of the patient, with a slightly raised profile, from the overall contusion formed from the vaccination site.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Lip swelling, Peripheral swelling
Clinical narrative: patient reports that 24 hours after his vaccine he experience swelling in his arm, hand, and lips
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, Dizziness, Fatigue, Headache, Influenza
Clinical narrative: All over flu pain morning after shot. Took advil and Tylenol. Extreme irritable and anxious throughout the day. About noon completely exhausted.  Took more advil & Tylenol. Walked the dog. Was dizzy.  Came home. Took a Norco. Went to bed. Woke up 3 hours later with 100 temp and more pain including slight headache. . Took more Advil Tylenol.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Irritability, Pain
Clinical narrative: All over flu pain morning after shot. Took advil and Tylenol. Extreme irritable and anxious throughout the day. About noon completely exhausted.  Took more advil & Tylenol. Walked the dog. Was dizzy.  Came home. Took a Norco. Went to bed. Woke up 3 hours later with 100 temp and more pain including slight headache. . Took more Advil Tylenol.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Wrong product administered
Clinical narrative: Patient was given a meningitis B vaccine. He should have gotten a MCV instead. Parents were notified on 08/18/2022
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Decreased appetite, Dizziness, Fatigue, Headache
Clinical narrative: Felt fine for a few hours when I got home. Then felt woozy, had chills and hot flashes, exhausted (slept for 14 hours straight), muscle pain for over 18 hours, pain at injection site from when I got the shot to now, decreased appetite, headaches
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hot flush, Injection site pain, Myalgia
Clinical narrative: Felt fine for a few hours when I got home. Then felt woozy, had chills and hot flashes, exhausted (slept for 14 hours straight), muscle pain for over 18 hours, pain at injection site from when I got the shot to now, decreased appetite, headaches
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Extra dose administered, Incorrect product formulation administered, No adverse event, Wrong product administered
Clinical narrative: The patient made an appointment for the new Covid-19 Moderna (grey label) booster.  The contracted immunizer requested a new vial of bivalent moderna booster as she was running low.  The technician grabbed a vial from the refrigerator and verified with the pharmacist on duty.  The vial that was incorrectly grabbed was the monovalent Moderna booster (purple label).  The immunizer administered the monovalent booster to the patient.  When writing the lot number on the Vaccine Administration Record (VAR,) she realized the mistake.  She informed the patient.  She then administered a dose of the bivalent Moderna booster.  When this came to the pharmacist's attention, he called the Moderna medical phone line.  They referred him to the CDC medical phone line.  The pharmacist called the CDC and the representative  said that if a monovalent vaccine had been administered by mistake, the patient should wait two months before receiving a bivalent booster.  The pharmacist informed the immunizer of this guideline.  The pharmacist spoke with the patient on the phone.  She was aware of the mistake and reported no adverse reaction.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: Patient was given a Dtap and should have gotten Tdap. parent was notified and child had no symptoms.