chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, IPV, MMR
Symptoms: Decreased appetite, Injection site pain, Injection site pruritus, Irritability, Lethargy
Clinical narrative: Several vaccines given in both thighs. See child's record for full list and exact days. Nurse hotline was called at medical facility and message was left, detailing message and asking for a return call, but the return call was not transfered to my person properly by the facility we were staying in. He experienced high fevers, loss of appetite, extreme sleepiness, mood swings, irritability, and lethargy, pain and itching in both injection sights, so much that he refused to walk,, this continued, for two weeks, lessening in severity, but when activity was resumed the severity increased, until by the end of 2 weeks he could resume activity without any return of side effects
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, IPV, MMR
Symptoms: Mobility decreased, Mood swings, Pyrexia, Somnolence
Clinical narrative: Several vaccines given in both thighs. See child's record for full list and exact days. Nurse hotline was called at medical facility and message was left, detailing message and asking for a return call, but the return call was not transfered to my person properly by the facility we were staying in. He experienced high fevers, loss of appetite, extreme sleepiness, mood swings, irritability, and lethargy, pain and itching in both injection sights, so much that he refused to walk,, this continued, for two weeks, lessening in severity, but when activity was resumed the severity increased, until by the end of 2 weeks he could resume activity without any return of side effects
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Flatulence, Pain, Tenderness
Clinical narrative: 5 days after the injection I started having pain to the touch under my upper right rib. I had gas, bloating and tenderness/pain like gallbladder pain or pancreatitis. It lasted 5 days. Today is the first day I don't have pain to the touch and I seem to be on the mend.
Age: 11.0
Sex: F
Vaccine: FLU4, MNQ
Symptoms: Gait inability, Juvenile idiopathic arthritis, Tuberculosis
Clinical narrative: Per parent, case had 4 vaccines within 1 week of each other and woke up 2/5/2024 unable to walk. Was healthy prior and then diagnosed with juvenile arthritis. Then went on Humira in March of 2024. Diagnosed with TB in September of 2024 related to Humira administration.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Dermatitis, Rash, Rash erythematous, Rash papular
Clinical narrative: Rash began on Tuesday night on arm, traveled to neck, face, back. Then all over body. Had to go to Urgent Care. Then doctors who told me to go straight to the ER for IV medication. Raised red itchy inflamed rash. Stayed in ER for a few hours, Medication xs 15 days. Had to go to skin doctor, add two creams. On day 18 and still on FIVE medications and the rash is still here.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: Rash began on Tuesday night on arm, traveled to neck, face, back. Then all over body. Had to go to Urgent Care. Then doctors who told me to go straight to the ER for IV medication. Raised red itchy inflamed rash. Stayed in ER for a few hours, Medication xs 15 days. Had to go to skin doctor, add two creams. On day 18 and still on FIVE medications and the rash is still here.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Muscle spasms, Pain
Clinical narrative: Patient's mother, called health department on 9/9/2024 to say client had onset of muscle spasms & shooting pain down his right upper arm (from vaccine site) to his hand for 3 weeks starting on the day of vaccination. He received TDAP & MCV4 in his R bicep. 8/9/2024. He was seen in an urgent care clinic & at his pediatrician. Both offices gave him some medication for his discomfort (Mother couldn't remember what was given). He is no longer having symptoms. His pediatrician has referred him to neurology.
Age: 43.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Asthenia, Fatigue, Hypoaesthesia, Hypotension, Migraine with aura
Clinical narrative: Auora/onset of migraine, resolved with sleep.  Bilateral numbness and tingling in arms/fingers.  Low grade fever, fatigue, generalized weakness, low blood pressure.  Most resolved within 2 days, tingling/numbness in bilateral fingers remains 4 days post-vaccination.
Age: 43.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Auora/onset of migraine, resolved with sleep.  Bilateral numbness and tingling in arms/fingers.  Low grade fever, fatigue, generalized weakness, low blood pressure.  Most resolved within 2 days, tingling/numbness in bilateral fingers remains 4 days post-vaccination.
Age: 70.0
Sex: M
Vaccine: COVID19, FLU4, TDAP, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Injection site reaction involving redness, and itching and some pain  which began to resolve after about a week.  Not able to rule out allergic reaction.  Patient stated there was no difficulty breathing
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling of body temperature change, Headache, Lymphadenopathy, Muscle spasms
Clinical narrative: 3 cm tender left supraclavicular lymphadenopathy persists along with fatigue, intermittent headaches, feeling hot/cold, left hand cramping
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Bone pain, Injected limb mobility decreased, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Patient received trivalent Fluad vaccine on Thursday 09/5/24. Patient reports pain in left arm started on Saturday 09/07/2024. She describes the pain as "throbbing through entire arm" and that the pain "goes down to the bone". She reports not being able to lift her arm and that she cannot lay down on her left side due to the pain. She has taken Tylenol for the pain which provides occasional relief, but pain comes back once medications wears off.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Skin warm, Type III immune complex mediated reaction
Clinical narrative: Red arthrus reaction was described (warm to touch, sore, @ 2 to 3' diameter) - pt had no fever or symptoms otherwise - spouse noticed it not the pt - recommended contact primary physician asap to address and assess next stpes - requested follow up with pt to discuss outcome
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Immediate post-injection reaction, Induration, Pruritus, Tenderness
Clinical narrative: Tenderness, erythema, induration immediately after injection. Now pruritic starting today. Redness spreading past demarcation line. About 3-4 inches in diameter. No fever or chills.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: 18 hours from shot - nausea, headache, fatigue,  fever. 24 hours from shot joint aches - 36-48 hours after shot rash on body starting on torso spreading to extremities . minor headache.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: 18 hours from shot - nausea, headache, fatigue,  fever. 24 hours from shot joint aches - 36-48 hours after shot rash on body starting on torso spreading to extremities . minor headache.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Product administered at inappropriate site
Clinical narrative: Donor presented to the center with redness, tenderness and mild swelling to right deltoid that occurred the night of the administration.  Donor has been using warm & cold compress and anti- inflammatory otc medication. Donor believes the injection was administered too high in the deltoid.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Oropharyngeal pain, Rash, Rash erythematous, Upper-airway cough syndrome
Clinical narrative: Severe sore throat, post nasal drip for 2.5 days. On 3rd day after shot, broke out in red rash over trunk.
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: Patient had redness from the deltoid site to the elbow area 09/07/2024. called patient on 09/09/2024 for follow up and she stated that it is reducing and she had to take several doses of benadryl.
Age: 51.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site mass, Magnetic resonance imaging
Clinical narrative: Large in growth mass in left arm on injection site.
Age: 9.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered, Nausea, Product administered to patient of inappropriate age, Sleep disorder, Vomiting
Clinical narrative: Patient woke up in the middle of the night highly nauseous and vomiting. The parent called the store Saturday to verify which vaccines were administered which is where our other pharmacists identified that we had give then the wrong dose/12 and up COVID vaccination instead of the correct children dose. Patient was counseled to continue pushing fluids/pedialyte if symptoms persisted. She also counseled to seek ER/medical help if more severe signs of dehydration set in.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site warmth, Pain
Clinical narrative: Noticed in the morning that she has a rash at injection site that was hot to the touch. She experienced severe pain. She took zyrtec 10mg and levothryoxine in the morning.
Age: 37.0
Sex: F
Vaccine: FLUC4
Symptoms: Circumstance or information capable of leading to medication error, Product communication issue, Wrong product administered
Clinical narrative: Patient signed up for covid vaccine appointment, when questioned by the nurse the patient agreed to flu vaccine. Nurse reported going through screening questions with patient for vaccine. Patient was notified it was flu vaccine, patient was given flu vaccine. After vaccine was administered the patient states she wanted to covid vaccine. When asked if she wanted  the covid vaccine, patient declined.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Peripheral swelling, Pruritus, Vomiting
Clinical narrative: swollen itchy arms, vomiting, light headed, bad headache
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain in extremity
Clinical narrative: headache, swollen lymph node (2.5 cm) in left armpit, severe left arm soreness
Age: 7.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered, Nausea, Product administered to patient of inappropriate age, Sleep disorder, Vomiting
Clinical narrative: Patient woke up in the middle of the night highly nauseous and vomiting. The parent called the store Saturday to verify which vaccines were administered which is where our other pharmacists identified that we had give then the wrong dose/12 and up COVID vaccination instead of the correct children dose. Patient was counseled to continue pushing fluids/pedialyte if symptoms persisted. She also counseled to seek ER/medical help if more severe signs of dehydration set in. (afluria is trivalent but was not an option above)
Age: 65.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Dizziness postural, Dyspnoea, Feeling abnormal, Gait disturbance, Hypotension
Clinical narrative: She got her vaccines, at first it hurt her arm, and swelled and it was sore and could not move it.  It got really really sore and felt like it took over her whole body.  Her legs have been very very tired and weak and if she gets up she gets dizzy spells that come and go.  On Saturday she stayed down as she felt so bad.  Yesterday her whole body hurt like she got hit by a card.  Her BP is normally high and is now low and her feet are very cold.  She has not had to get her BP down as it's been down since she got the shots.  On Saturday her pain was so bad that she could not get a breath and it was hard to breathe due to the pain.  Today, she is no better and still having pain and having a hard time moving around.  She tried to talk a little with her cane so she does not get pneumonia, but her legs are too weak for her to walk.  She is not normally that weak, and is normally active.  She called the pharmacy and told her if she was not any better by this afternoon to call her doctor.  She just wants the vaccine reaction to be out of her symptoms.   She has back pain normally, but this pain is under her ribs and is very nauseous and has Zofran to take.  It feels like the flu without throwing up.
Age: 65.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Mobility decreased, Muscular weakness, Nausea, Pain, Pain in extremity
Clinical narrative: She got her vaccines, at first it hurt her arm, and swelled and it was sore and could not move it.  It got really really sore and felt like it took over her whole body.  Her legs have been very very tired and weak and if she gets up she gets dizzy spells that come and go.  On Saturday she stayed down as she felt so bad.  Yesterday her whole body hurt like she got hit by a card.  Her BP is normally high and is now low and her feet are very cold.  She has not had to get her BP down as it's been down since she got the shots.  On Saturday her pain was so bad that she could not get a breath and it was hard to breathe due to the pain.  Today, she is no better and still having pain and having a hard time moving around.  She tried to talk a little with her cane so she does not get pneumonia, but her legs are too weak for her to walk.  She is not normally that weak, and is normally active.  She called the pharmacy and told her if she was not any better by this afternoon to call her doctor.  She just wants the vaccine reaction to be out of her symptoms.   She has back pain normally, but this pain is under her ribs and is very nauseous and has Zofran to take.  It feels like the flu without throwing up.
Age: 65.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Peripheral coldness, Peripheral swelling, Walking aid user
Clinical narrative: She got her vaccines, at first it hurt her arm, and swelled and it was sore and could not move it.  It got really really sore and felt like it took over her whole body.  Her legs have been very very tired and weak and if she gets up she gets dizzy spells that come and go.  On Saturday she stayed down as she felt so bad.  Yesterday her whole body hurt like she got hit by a card.  Her BP is normally high and is now low and her feet are very cold.  She has not had to get her BP down as it's been down since she got the shots.  On Saturday her pain was so bad that she could not get a breath and it was hard to breathe due to the pain.  Today, she is no better and still having pain and having a hard time moving around.  She tried to talk a little with her cane so she does not get pneumonia, but her legs are too weak for her to walk.  She is not normally that weak, and is normally active.  She called the pharmacy and told her if she was not any better by this afternoon to call her doctor.  She just wants the vaccine reaction to be out of her symptoms.   She has back pain normally, but this pain is under her ribs and is very nauseous and has Zofran to take.  It feels like the flu without throwing up.
Age: 72.0
Sex: M
Vaccine: COVID19, FLUA4, PNC20, RSV, VARZOS
Symptoms: Feeding disorder, Headache, Pain
Clinical narrative: Patient has not been able to eat since Saturday (it is now Monday)  having major, aches, and pains and headaches
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Computerised tomogram head abnormal, Haemorrhagic stroke, Magnetic resonance imaging
Clinical narrative: My mother had a hemorrhagic stroke the morning after receiving this vaccine. My mother is extremely healthy. Blood pressure well controlled, no risk factors for stroke. Never a smoker, not on blood thinners. This vaccine caused my mother's stroke
Age: 69.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Asthenia, Confusional state, Mental status changes
Clinical narrative: Altered mental status within 1 to 2 days. Confusion and weakness.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Swelling
Clinical narrative: 2 TO 3 hours after received the vaccines, patient started with symptons: Local Redness and local swelling. On the 3rd day it started to improve. Today, at the doctor's physical exam, it was 8-11cm redness, no tenderness, no induration. For treatment: Cold compress and motrin for pain.
Age: 83.0
Sex: F
Vaccine: PNC20
Symptoms: Cerebral haemorrhage, Death, Depressed level of consciousness, Headache, Intensive care
Clinical narrative: Resident was vaccinated and had head pain, decreased level of consciousness, went to ER and was found to have a brain bleed and died in ICU
Age: 83.0
Sex: F
Vaccine: PNC20
Symptoms: Laboratory test
Clinical narrative: Resident was vaccinated and had head pain, decreased level of consciousness, went to ER and was found to have a brain bleed and died in ICU
Age: 65.0
Sex: F
Vaccine: RSV
Symptoms: Peripheral swelling
Clinical narrative: swelling of arm for ~2 weeks
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Exposure to communicable disease, Pyrexia, Rash
Clinical narrative: Patient's mother, called the clinic on 9/9/24 at approximately 0900. She reported that patient developed a fever and rash on his face, arms, shoulders, neck, and back starting Friday 9/6/24. Mom reported that she has been giving him motrin every 8 hours, and it has helped keep the fever down. Mom reports the rash is worse with heat or when his fever spikes. Mom reported she last gave motrin last night (9/8/24), and she has not had to administer any more motrin due to his temperature being normal. Mom denies any other symptoms at this time. Mom did report that her other child was sick last week with a cold. Encouraged mother to make an appointment with patient's pediatrician if his fever returned, the rash worsened, he developed any new symptoms, or she had any concerns.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Diarrhoea, Pyrexia, Rash
Clinical narrative: Developed a fever 7 days after vaccination. fever subsided and had loose stools,  on day 10 he developed a rash on his forehead, and lower abdomen.
Age: 16.0
Sex: M
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was administered to youth that had expired the previous day (9/8/24). no adverse reaction noted.
Age: 62.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Vaccination site cellulitis
Clinical narrative: Patient came to pharmacy on Saturday 09/09/2024 to indicate that she went to the doctor to check her arm and doctor indicated she had cellulitis in the left upper arm in the area where she received the vaccination. She came with a prescription for Augmentin to treat it.
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Enterovirus test positive, Febrile convulsion, Human rhinovirus test positive, Influenza A virus test negative, Influenza B virus test negative
Clinical narrative: Febrile seizure about 14 hours after vaccination. Generalized shaking about one minute. No history of seizures.
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Respiratory pathogen panel, SARS-CoV-2 test negative, Tremor
Clinical narrative: Febrile seizure about 14 hours after vaccination. Generalized shaking about one minute. No history of seizures.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Computerised tomogram normal, Electrocardiogram normal, Feeling abnormal
Clinical narrative: Started feeling poorly that Saturday night.  Really went down hill the next day (9/1) with fever, sore arm headache, weakness.  Headache worsened Monday so I took a Sumatriptan pill then and the following day.  Did  not want to over do that so I went to PCP Wed a they recommended Ibuprofen /Tylenol alternating every 3 hours.  Absolutely miserable Thurs so I made appt for Urgent Care clinic the following morning.  They sent me straight to the ER, and after a couple hours they wanted to admit  me.  Pain was out of control.  Took a day of different narcotics in my IV, which only brought relief for about an hour or so.  Finally got under control Sat night a Sun am, so I was discharged that afternoon.  We do not know if vaccine was the trigger or not (I hope mot).  If it was a reaction, it would be my first ever.  Also was my first Moderna.  Have had Pfizer probably 4 or 5 times.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging normal, Migraine, Pain, Pain in extremity
Clinical narrative: Started feeling poorly that Saturday night.  Really went down hill the next day (9/1) with fever, sore arm headache, weakness.  Headache worsened Monday so I took a Sumatriptan pill then and the following day.  Did  not want to over do that so I went to PCP Wed a they recommended Ibuprofen /Tylenol alternating every 3 hours.  Absolutely miserable Thurs so I made appt for Urgent Care clinic the following morning.  They sent me straight to the ER, and after a couple hours they wanted to admit  me.  Pain was out of control.  Took a day of different narcotics in my IV, which only brought relief for about an hour or so.  Finally got under control Sat night a Sun am, so I was discharged that afternoon.  We do not know if vaccine was the trigger or not (I hope mot).  If it was a reaction, it would be my first ever.  Also was my first Moderna.  Have had Pfizer probably 4 or 5 times.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Started feeling poorly that Saturday night.  Really went down hill the next day (9/1) with fever, sore arm headache, weakness.  Headache worsened Monday so I took a Sumatriptan pill then and the following day.  Did  not want to over do that so I went to PCP Wed a they recommended Ibuprofen /Tylenol alternating every 3 hours.  Absolutely miserable Thurs so I made appt for Urgent Care clinic the following morning.  They sent me straight to the ER, and after a couple hours they wanted to admit  me.  Pain was out of control.  Took a day of different narcotics in my IV, which only brought relief for about an hour or so.  Finally got under control Sat night a Sun am, so I was discharged that afternoon.  We do not know if vaccine was the trigger or not (I hope mot).  If it was a reaction, it would be my first ever.  Also was my first Moderna.  Have had Pfizer probably 4 or 5 times.
Age: 1.83
Sex: F
Vaccine: DTAPIPVHIB, FLU4, HEPA, MMR, PNC15, VARCEL
Symptoms: Extra dose administered, Product communication issue
Clinical narrative: I was told to cover at facility, upon arriving I was handed the schedule with the vaccines that each kiddo was due for. Not too long after we did the routine huddle. The vaccines that each kiddo was due for were read out loud and reviewed with the provider. When the patient arrived, I roomed them and let them know that the patient was due for some vaccines. The patient's parents had told me that they wanted to go over vaccines with the provider. I let the provider know and she said she would talk with them. I continued doing what I was doing (rooming patients) and then staff came out and told me they were ready, and they wanted to do the vaccines, I asked her "They want to do all today? " And she said yes, and I went to go get them and administered them. It wasn't until a few days later that I was notified that the patient had received duplicate vaccines.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reactions noted. Patient mistakenly received High Dose at age 62. Medication licensed for 65 +. Please note Fluzone is Trivalent vaccine, not Quad.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: redness, itching, minor swelling
Age: 2.0
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine is to be given to patients 4-6 years of age. Pt was 2 years at the time of getting the vaccine. No adverse effects were noticed, treatment was not provided. Pt was seen by provider after the event and provider did not have any concern.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Burning sensation, Chest pain, Dyspnoea
Clinical narrative: Deep burning pain left arm, radiating cramping pain to chest, shoulders, both arms. Deep Itch to throat, shortness of breath, rash spread down left arm appears to be cellulitus. Sleept 2 days straight, unable to stay awake all day. Increased heart rate with chest pain.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Heart rate increased, Hypersomnia, Muscle spasms, Pain
Clinical narrative: Deep burning pain left arm, radiating cramping pain to chest, shoulders, both arms. Deep Itch to throat, shortness of breath, rash spread down left arm appears to be cellulitus. Sleept 2 days straight, unable to stay awake all day. Increased heart rate with chest pain.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash, Throat irritation
Clinical narrative: Deep burning pain left arm, radiating cramping pain to chest, shoulders, both arms. Deep Itch to throat, shortness of breath, rash spread down left arm appears to be cellulitus. Sleept 2 days straight, unable to stay awake all day. Increased heart rate with chest pain.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Immunisation reaction, Mobility decreased, Pain, Pyrexia
Clinical narrative: Patient received 2 vaccines (fluad and comirnaty) on Friday 09/06/2024 and day after (saturday) they had a high fever of 102F, trouble moving all over, and pain all over. Pt had to go to the hospital until night time the next day (sunday). Pt came in Monday to report it and felt mostly better at time of reporting. Dr suspects the reaction was due to covid vaccine.
Age: 69.0
Sex: M
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Administration Error - On 09/5/24, Patient called the Pharmacy and spoke to pharmacist. He asked if we had the RSV vaccine and we told him yes we did. He said he would come later in the day to get vaccinated.  When Patient came to the pharmacy, we had him fill out the vaccination form and handed him the VIS for the RSV vaccine.  The pharmacist typed, prepared and administered Adacel to the patient instead of the Abrysvo vaccine which was the intended vaccine to administer.   On Saturday, while home, the pharmacist realized she may have administered the wrong vaccine and called the technician to confirm what had been dispensed. The technician confirmed the wrong vaccine had been given.  Upon learning of her mistake, the pharmacist called the provider's office and notified the covering provider Dr of the error.  Dr asked the pharmacist to notify the patient and she did.
Age: 0.42
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was brought in by mother for well child visit. Pt was administered Kinrix vaccine instead of Pediarix vaccine. Pt tolerated well and were no immediate reactions.
Age: 11.0
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Flublok (18+)  was given instead of Fluzone (6mo+)
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient was given incorrect flu vaccine. Instead of high dose as ordered, patient was given fluarix.
Age: 66.0
Sex: F
Vaccine: RSV
Symptoms: Injected limb mobility decreased, Injection site pain, Pain, Sleep disorder, Vaccination site pain
Clinical narrative: She got the vaccine, and at first it was just sore as she would expect.  The sorness lingerd for 2 weeks, and it got to the point that when she would raise her arm out she could not raise it to shoulder high.  It hurt so bad, and then sometimes the pain would wake her up from sleep.  It is still tender where the shot went in.  She is able to raise it all the time, and then sometimes it catches and hurts.  She did not see her doctor about it, and she complained to the drug store and they informed her that it was one of the side effects.   She put warmth on it and that seemed to ease her symptoms.  She sleeps pretty soundly so it hurt pretty bad in order to wake her up.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Device leakage, Product leakage, Underdose
Clinical narrative: When administering vaccine, vaccine leaked from hub where needle connects to the syringe. Unknown amount of vaccine was lost and not administered to the patient. Merck was called for advice, recommended revaccinated. Notified patient and family that dose is invalid and should repeat dose.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pt called hospital and spoke with pt advocate to report an adverse event to the vaccine she had received on 8/23/2024. States it has been 2 weeks since vaccine was given and still has limited mobility of arm and pain to the injection site.
Age: 11.0
Sex: F
Vaccine: COVID19, HPV9, MNQ
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Child received a second dose of the Pfizer Covid-19 23-24 vaccine on 7/26/24, 1 week after she had her first dose on 7/19/24. I was unaware of the first dose she received and gave her what I thought was her first dose of the Covid-19 vaccine. She had no adverse reactions to this second dose.
Age: 13.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Conversion disorder, Disorientation, Hypotonia, Injection site haemorrhage, Joint contracture
Clinical narrative: Both injections were administered in the same arm of the child -- the patient slumped unconscious after the second injection was withdrawn. The child's mother is a vaccine instructor and showed RPh location shot was given, RPh saw blood from the site and confirmed it was administered too low. RPh suspects the radial nerve may have been hit, which may have caused the patient to lose consciousness. Child was unconscious for around a minute before waking up disoriented and hysteric, needing to be calmed down. Mother verbally reported patient becoming pale and her fingers starting to curl before consciousness was fully lost, and mother reported that patient has never reacted this way to a vaccination before.
Age: 13.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Loss of consciousness, Pallor, Product administered at inappropriate site
Clinical narrative: Both injections were administered in the same arm of the child -- the patient slumped unconscious after the second injection was withdrawn. The child's mother is a vaccine instructor and showed RPh location shot was given, RPh saw blood from the site and confirmed it was administered too low. RPh suspects the radial nerve may have been hit, which may have caused the patient to lose consciousness. Child was unconscious for around a minute before waking up disoriented and hysteric, needing to be calmed down. Mother verbally reported patient becoming pale and her fingers starting to curl before consciousness was fully lost, and mother reported that patient has never reacted this way to a vaccination before.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Feeling hot
Clinical narrative: Redness, Heat
Age: 1.5
Sex: M
Vaccine: HPV9
Symptoms: Wrong product administered
Clinical narrative: 18 month old came in for a Well Child check and was due for a HEPA2 vaccine but was given HPV .
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Hormone level abnormal, Lymphadenopathy, Menstrual clots
Clinical narrative: Swollen lymph node in underarm pit on side of vaccination. So swollen could not rest arm down. Stayed swollen for 1 week after vaccination.  Menstrual cycle disruptions. Very heavy periods, extreme cramping and heavy bleeding with sheets of tissue and clotting during cycle and irregular cycles following vaccination. Lasting for 3 years after vaccination. Hormonal imbalance after vaccination.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Menstruation irregular, Mobility decreased
Clinical narrative: Swollen lymph node in underarm pit on side of vaccination. So swollen could not rest arm down. Stayed swollen for 1 week after vaccination.  Menstrual cycle disruptions. Very heavy periods, extreme cramping and heavy bleeding with sheets of tissue and clotting during cycle and irregular cycles following vaccination. Lasting for 3 years after vaccination. Hormonal imbalance after vaccination.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeding disorder, Mobility decreased, Myalgia, Toothache
Clinical narrative: Extreme Muscle Pain for 24 hours <-- unable to even leave bed, could not eat.  Day 2 after vaccination - teeth pain on left side, though not unbearable, I decided it's important to report.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Body rash and severe itching that occurred 2 days after the shot continues at a reduced level on third day
Age: 64.0
Sex: M
Vaccine: FLUA4
Symptoms: Pain in extremity
Clinical narrative: Mild arm pain
Age: 26.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Foetal growth abnormality, Induced labour, Maternal condition affecting foetus, Placental disorder
Clinical narrative: Pregnancy was normal, 2 weeks after getting vaccine placenta had stopped working and sac was empty. Had to get reduced due to baby not able to breathe. Baby estimated due date was 3/28, baby was born.
Age: 26.0
Sex: F
Vaccine: RSV
Symptoms: Premature delivery, Ultrasound foetal abnormal
Clinical narrative: Pregnancy was normal, 2 weeks after getting vaccine placenta had stopped working and sac was empty. Had to get reduced due to baby not able to breathe. Baby estimated due date was 3/28, baby was born.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: patient moved arm when needle was inserted, and needle came out of patients arm with no vaccine administered. Needle was switched and then vaccine was administered.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Communication disorder, Confusional state, Dehydration, Incoherent, Influenza A virus test negative
Clinical narrative: Patient is a victim of stroke that occurred in 2007. Approximately 4 hours after Arexvy administration last December he became confused, lethargic, unable to manipulate utensils and unresponsive to questioning. He was able to speak her name but otherwise unable to communicate. Fearing that he was experiencing another stroke he was transported to the emergency room. He was treated for dehydration using IV fluids, given preemptory antibiotics and kept overnight for observation while CVA, flu A/B and Covid were ruled out. Patient became coherent upon receiving fluids and recovered quickly. A secondary MRI was obtained a few days later confirming the absence of CVA.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Influenza B virus test negative, Lethargy, Magnetic resonance imaging normal, Musculoskeletal disorder, SARS-CoV-2 test negative
Clinical narrative: Patient is a victim of stroke that occurred in 2007. Approximately 4 hours after Arexvy administration last December he became confused, lethargic, unable to manipulate utensils and unresponsive to questioning. He was able to speak her name but otherwise unable to communicate. Fearing that he was experiencing another stroke he was transported to the emergency room. He was treated for dehydration using IV fluids, given preemptory antibiotics and kept overnight for observation while CVA, flu A/B and Covid were ruled out. Patient became coherent upon receiving fluids and recovered quickly. A secondary MRI was obtained a few days later confirming the absence of CVA.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient is a victim of stroke that occurred in 2007. Approximately 4 hours after Arexvy administration last December he became confused, lethargic, unable to manipulate utensils and unresponsive to questioning. He was able to speak her name but otherwise unable to communicate. Fearing that he was experiencing another stroke he was transported to the emergency room. He was treated for dehydration using IV fluids, given preemptory antibiotics and kept overnight for observation while CVA, flu A/B and Covid were ruled out. Patient became coherent upon receiving fluids and recovered quickly. A secondary MRI was obtained a few days later confirming the absence of CVA.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Heart rate increased, Injection site pain, Pain
Clinical narrative: Severe Hives, rapid heart beat, soreness at the point of injection, fever, chills, body aches, headache.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: Severe Hives, rapid heart beat, soreness at the point of injection, fever, chills, body aches, headache.
Age: 54.0
Sex: F
Vaccine: FLUC4
Symptoms: Anxiety, Pruritus, Rash, Rash erythematous
Clinical narrative: pink rash on one or both arms, itching, anxiety. gave 50 mg of liquid diphenhydramine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Chills with uncontrollable shivering, low-grade fever for the first 2 days after the vaccine followed by 6 days of fatigue.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Gait disturbance, Hyperhidrosis
Clinical narrative: patient stated she may have had a fever, she had chills when she went to bed.  around 10pm  she woke up drenched in sweat.  she went to the restroom and had severe dizziness to the point that she was unable to make it back to bed without the assistance of her spouse.  about 18 hours after vaccination she said the extreme dizziness resolved, and any mild to moderate dizziness was gone about 24 hours after receiving the dose.  she did not have any of these with the first shingrix dose.
Age: 25.0
Sex: M
Vaccine: HEP, HEP
Symptoms: No adverse event
Clinical narrative: Patient had no symptoms, signs.
Age: 25.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient had no symptoms, signs.
Age: 25.0
Sex: M
Vaccine: HEP, HEP
Symptoms: No adverse event
Clinical narrative: Patient was given the peds dose of Hep B. After being reported to provider, patient was given in additional dose.
Age: 25.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient was given the peds dose of Hep B. After being reported to provider, patient was given in additional dose.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Cardiac function test, Chest pain, Electrocardiogram, Fear
Clinical narrative: She got her vaccine, and said that she shot her at the top of her shoulder, and she was wondering why did she not give her the shot in hre muscle.  It hurt really bad.  Then it started to get very sore, and she didn't pay much attention to it as she felt she would get a sore arm.  She had things to do and as the day went on it got sorer and sorer and put a heating pad on it and rubbed it. The next day she went to pick up something with both her hands and the left hand could not hold onto it.  She felt that the arm was sore, but the pain was starting to move up and down the arm.  The pain was spreading around her arm and going into her back and stuff.  It got worse and then by the following Wednesday and was getting orange juice as she was starting to feel sick, and started having headaches where her head was killing her and started to take aspirin.  She continued to have the headaches regularly.  She was in store on Wednesday and went to get the juice from the lady and it dropped it.  Her chest was then starting to hurt, and the pain was on the left side which scared her.  She felt that maybe she was having a heart attack.  She went to the hospital that was close to store and felt that she was dying.  She made it over to the clinic and told them she thought she was having a heart attack as she was in so much pain.  She said she could deal with the pain if they told her that it was not a heart attack.  They did blood work, EKG's and other tests and told her that it was not a heart attack.  The pain was still there, but since she was ruled out for the heart attack the fear went away, but the pain was still there.  She then figured it was from the shot for sure and said that there would be no more.  She then started to use Voltaren and the heating pad and went on to sleep. She was given some Tylenol at the hospital to take for the pain.  She was told to rub it, massage it and to get moving it.  The pain did not go away and it feels like it inside her arm, and it just hurts up and down the arm and at times cannot grab things like she used to.  The muscles got a little bit better, but she still has the pain going inside her arm, and she still has it.  The muscle has relaxed and are not hurting as much and has the pain going up and down the arm into her shoulder.  She does not what else to do, and cannot take all of the pain pills and is dealing with it, rubbing it and trying not to move it a certain way so that she won't aggravate the pain by doing that motion.  She took all the COVID vaccines and never had any problems with them.  Pain medicines make her throw up, but this is a pain that is bothering her that she does not have the control with her hands and be able to do everything that she used to do.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Headache, Incorrect route of product administration, Injection site pain, Laboratory test
Clinical narrative: She got her vaccine, and said that she shot her at the top of her shoulder, and she was wondering why did she not give her the shot in hre muscle.  It hurt really bad.  Then it started to get very sore, and she didn't pay much attention to it as she felt she would get a sore arm.  She had things to do and as the day went on it got sorer and sorer and put a heating pad on it and rubbed it. The next day she went to pick up something with both her hands and the left hand could not hold onto it.  She felt that the arm was sore, but the pain was starting to move up and down the arm.  The pain was spreading around her arm and going into her back and stuff.  It got worse and then by the following Wednesday and was getting orange juice as she was starting to feel sick, and started having headaches where her head was killing her and started to take aspirin.  She continued to have the headaches regularly.  She was in store on Wednesday and went to get the juice from the lady and it dropped it.  Her chest was then starting to hurt, and the pain was on the left side which scared her.  She felt that maybe she was having a heart attack.  She went to the hospital that was close to store and felt that she was dying.  She made it over to the clinic and told them she thought she was having a heart attack as she was in so much pain.  She said she could deal with the pain if they told her that it was not a heart attack.  They did blood work, EKG's and other tests and told her that it was not a heart attack.  The pain was still there, but since she was ruled out for the heart attack the fear went away, but the pain was still there.  She then figured it was from the shot for sure and said that there would be no more.  She then started to use Voltaren and the heating pad and went on to sleep. She was given some Tylenol at the hospital to take for the pain.  She was told to rub it, massage it and to get moving it.  The pain did not go away and it feels like it inside her arm, and it just hurts up and down the arm and at times cannot grab things like she used to.  The muscles got a little bit better, but she still has the pain going inside her arm, and she still has it.  The muscle has relaxed and are not hurting as much and has the pain going up and down the arm into her shoulder.  She does not what else to do, and cannot take all of the pain pills and is dealing with it, rubbing it and trying not to move it a certain way so that she won't aggravate the pain by doing that motion.  She took all the COVID vaccines and never had any problems with them.  Pain medicines make her throw up, but this is a pain that is bothering her that she does not have the control with her hands and be able to do everything that she used to do.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Malaise, Musculoskeletal disorder, Myalgia, Pain
Clinical narrative: She got her vaccine, and said that she shot her at the top of her shoulder, and she was wondering why did she not give her the shot in hre muscle.  It hurt really bad.  Then it started to get very sore, and she didn't pay much attention to it as she felt she would get a sore arm.  She had things to do and as the day went on it got sorer and sorer and put a heating pad on it and rubbed it. The next day she went to pick up something with both her hands and the left hand could not hold onto it.  She felt that the arm was sore, but the pain was starting to move up and down the arm.  The pain was spreading around her arm and going into her back and stuff.  It got worse and then by the following Wednesday and was getting orange juice as she was starting to feel sick, and started having headaches where her head was killing her and started to take aspirin.  She continued to have the headaches regularly.  She was in store on Wednesday and went to get the juice from the lady and it dropped it.  Her chest was then starting to hurt, and the pain was on the left side which scared her.  She felt that maybe she was having a heart attack.  She went to the hospital that was close to store and felt that she was dying.  She made it over to the clinic and told them she thought she was having a heart attack as she was in so much pain.  She said she could deal with the pain if they told her that it was not a heart attack.  They did blood work, EKG's and other tests and told her that it was not a heart attack.  The pain was still there, but since she was ruled out for the heart attack the fear went away, but the pain was still there.  She then figured it was from the shot for sure and said that there would be no more.  She then started to use Voltaren and the heating pad and went on to sleep. She was given some Tylenol at the hospital to take for the pain.  She was told to rub it, massage it and to get moving it.  The pain did not go away and it feels like it inside her arm, and it just hurts up and down the arm and at times cannot grab things like she used to.  The muscles got a little bit better, but she still has the pain going inside her arm, and she still has it.  The muscle has relaxed and are not hurting as much and has the pain going up and down the arm into her shoulder.  She does not what else to do, and cannot take all of the pain pills and is dealing with it, rubbing it and trying not to move it a certain way so that she won't aggravate the pain by doing that motion.  She took all the COVID vaccines and never had any problems with them.  Pain medicines make her throw up, but this is a pain that is bothering her that she does not have the control with her hands and be able to do everything that she used to do.