chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: VARZOS
Symptoms: Syncope
Clinical narrative: the patient had 2 incidents of syncope; This serious case was reported by a other health professional via sales rep and described the occurrence of syncope in a elderly female patient who received Herpes zoster (Shingrix) for prophylaxis.   Additional patient notes included no other known current health issues.   On 12-FEB-2024, the patient received the 2nd dose of Shingrix. In FEB-2024, an unknown time after receiving Shingrix, the patient experienced syncope (Verbatim: the patient had 2 incidents of syncope) (serious criteria GSK medically significant). The outcome of the syncope was not reported.   The reporter considered the syncope to be possibly related to Shingrix.     The company considered the syncope to be possibly related to Shingrix.   Additional Information: GSK Receipt Date: 15-FEB-2024 Patient was around 88 years old. The reporter was told that the patient received second dose of Shingrix vaccine. Following the vaccination, and no other known current health issue, the patient had 2 incidents of syncope. The second time landed that patient in the emergency room. The emergency room doctor felt it was related to Shingrix. The reporter was saw the patient as a follow up on reporting day. The reporter did not consent to follow-up.
Sex: U
Vaccine: RSV
Symptoms: Influenza, Nasopharyngitis, Rhinorrhoea, Sneezing
Clinical narrative: sneezing; running nose; Cold; flu symptoms; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of sneezing in a patient who received RSVPreF3 adjuvanted (Arexvy) for prophylaxis.   On an unknown date, the patient received Arexvy. On an unknown date, an unknown time after receiving Arexvy, the patient experienced sneezing (Verbatim: sneezing), runny nose (Verbatim: running nose), cold (Verbatim: Cold) and flu symptoms (Verbatim: flu symptoms). The outcome of the sneezing, runny nose, cold and flu symptoms were not reported.   The reporter considered the sneezing, runny nose, cold and flu symptoms to be possibly related to Arexvy.     The company considered the sneezing, runny nose, cold and flu symptoms to be possibly related to Arexvy.   Additional Information: GSK Receipt Date: 14-FEB-2024 The case was received from the patient via interactive digital media.   The consumer stated that it was possible that he/she got sneezing, running nose, cold and flu symptoms after the Arexvy vaccine and that was how he/she was feeling.
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: developed swelling; itching; redness; This non-serious case was reported by a other health professional via call center representative and described the occurrence of swelling in a 52-year-old female patient who received Herpes zoster (Shingrix) (batch number 43Y5R) for prophylaxis.   On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced swelling (Verbatim: developed swelling), pruritus (Verbatim: itching) and erythema (Verbatim: redness). The outcome of the swelling, pruritus and erythema were unknown.   It was unknown if the reporter considered the swelling, pruritus and erythema to be related to Shingrix.     It was unknown if the company considered the swelling, pruritus and erythema to be related to Shingrix.   Additional Information: GSK Receipt Date: 15-FEB-2024 Healthcare professional reported adverse event (AE). Healthcare professional reported that the patient developed swelling, itching, and redness after receiving the first Shingrix dose. The reporter consented to follow up.
Sex: U
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: confirmed no side effects or symptoms; patient was administered improperly stored VARIVAX; This spontaneous report was received from pharmacy technician and refers to a patient of unknown age and gender. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant medications included sterile diluent.  On 31-JAN-2024, the patient was vaccinated with improperly stored dose of varicella virus vaccine live (oka/merck) (VARIVAX) injection (0.5 milliliter, lot #x023323 was valid, expiration date 20-SEP-2025, route of administration and anatomical location were not provided) for prophylaxis(Product storage error). No previous temperature excursion. Confirmed no side effects or symptoms (No adverse event).
Age: 0.42
Sex: M
Vaccine: RSV
Symptoms: Cough, Hypoxia, Nasopharyngitis, Oxygen saturation decreased, Respiratory syncytial virus test positive
Clinical narrative: Pt received RSV vaccine on 11/15/23. Pt has (+) RSV PCR test with lab along with cough and cold symptoms on 2/9 at PCP office visit. Pt seen 2x at ER 2/15 and 2/17 needing 1/2 liter oxygen for hypoxia with desats to 82%.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Brain scan abnormal, Deafness, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Immediately after shot, face and tongue numbness. Within a week sudden loud ringing in ears where previously there was never any ringing in ears. Ringing in ears progressed to-date with reports to multiple physicians and was told it was nothing to worry about. Progressively it got worse with time and now I finally found a physician who would take me seriously and we are pursuing treatment options. I now have hearing loss, which I never had before.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Tinnitus
Clinical narrative: Immediately after shot, face and tongue numbness. Within a week sudden loud ringing in ears where previously there was never any ringing in ears. Ringing in ears progressed to-date with reports to multiple physicians and was told it was nothing to worry about. Progressively it got worse with time and now I finally found a physician who would take me seriously and we are pursuing treatment options. I now have hearing loss, which I never had before.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid 19 2/18/2024
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Pain in extremity, Peripheral swelling
Clinical narrative: Pt expressing pain, swelling and bruising to left arm for 1 week.
Age: 14.0
Sex: M
Vaccine: HPV9, IPV, MNQ, TDAP, VARCEL
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: After receiving 5 vaccines, patient became pale, sweating, and passed out, patient was in sitting position on exam table; patient leaned back on exam table by nurses. Cold cloth placed on patient and patient immediately wanted to sit up,  color returned to normal, juice and snack given. Patient remained in clinic x 30 minutes. Patient states feels fine and is able to ambulate out of clinic without assistance. Denies any problems current.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sleep-related event, Myoclonus, Rapid eye movement sleep behaviour disorder, Sleep disorder, Sleep study
Clinical narrative: Two weeks after the first vaccine I began acting my dreams out and having myoclonus, it has now persisted for three years.  I am now being treated for REM sleep behavior disorder.
Age: 0.33
Sex: M
Vaccine: DTAPIPV, HEP
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: Kinrix given along with pentacel
Age: 0.5
Sex: M
Vaccine: RV1
Symptoms: Constipation, Diarrhoea, Discomfort, Haematochezia, Immediate post-injection reaction
Clinical narrative: Parents states that pt received the Rotarix ,3rd vaccines in series on 01/15/2024. Dad stated that "immediately" after vaccine had a hard time passing stool. Stools were best described as loose or paste. At one-point pt did have some bright red blood in stool. Pt also seemed very uncomfortable when stooling was brought in by parents to a drs appointment. Dr stated that this was likely an adverse reaction from   Rotavirus vaccine.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Irritability
Clinical narrative: Patient visited the ED on 11/21/2023, complaining of abdominal pain and fussiness. Not sure if this was due to the wrong administration of the COVID 19 vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Expired product administered, Injection site pain, Pain in extremity
Clinical narrative: The Spikevax vaccine that was administered had a Beyond Use Date of 02/09/24 and was administered on 02/16/24. On 02/19/24 the patient called and reported that she was experiencing pain in her right arm from right below her shoulder all the way down to her wrist. The pain was not burning or a shooting pain, patient stated that the pain comes and goes. There is no swelling. We contacted Moderna and Moderna directed us to recommend that the patient follow up with her primary care regarding her pain.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiomegaly, Dizziness, Fatigue, Respiratory tract congestion
Clinical narrative: Hospitalization 10/4/22-10/6/22 A-fib with RVR, dizziness, congestion, fatigue, cardiomegaly,
Age: 1.67
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: On Feb 20th 2024    20 month old male patient was given Kinrix in error.  No adverse events reported
Age: 16.0
Sex: F
Vaccine: TD
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine given too early than the recommended interval.
Age: 30.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Exposure during pregnancy, Pain
Clinical narrative: Sharp and dull pains in left wrist.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Vertigo
Clinical narrative: Patient reports vertigo and two trips to ED, and referral to ENT which she attributes to the influenza vaccine.  According to patient symptoms started on the 25th, two days after vaccine. Referral to PT for vertigo treatment was also made.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient's mom reports patient's injection site remains red, swollen, and very itchy.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypoxia, Oedema peripheral, Respiratory failure, Troponin increased
Clinical narrative: Hospitalized 10/12/22-10/14/22 SOB, hypoxia, BLE edema, respiratory failure, elevated troponin,
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial vaginosis, Condition aggravated
Clinical narrative: This week I had a recurrence of bacterial vaginosis. I have had this before starting in August 2023, but I had a new occurrence falling in the timeframe asked about in the questionnaire. I do not believe that it was associated with my vaccination, but I did not want to report that I had no new health changes.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 85.0
Sex: F
Vaccine: RSV
Symptoms: Abdominal distension, Back pain, Pain in jaw
Clinical narrative: Patient contacted the pharmacy and stated that she had unexplained lower back pain and jaw pain beginning the evening of her vaccine as well as bloating. Pt states the back pain and bloating have subsided, but not the jaw pain. Advised to continue to monitor symptoms and if no improvement or other unexplained symptoms develop to contact physician.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event
Clinical narrative: there were no adverse effects
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Anaphylactic reaction, Electrocardiogram
Clinical narrative: Anaphylaxis
Age: 35.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient had an order to receive Prevnar 20 - Pneumococcal conjugate 20 valent from Dr.  The MA administered Pneumovax 23 in error instead.  No noted patient harm or known adverse affect at time of report.  MA reported error to MD and MD called to notify patient w/plan for patient to follow up next year and receive Prevnar 20 during future vaccination season.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Dizziness, Dyspnoea, General physical health deterioration, Muscle spasms
Clinical narrative: shortness of breath, heart palpitations, cramping in legs, blood clots in right leg, dizziness, heart issues.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Thrombosis
Clinical narrative: shortness of breath, heart palpitations, cramping in legs, blood clots in right leg, dizziness, heart issues.
Age: 46.0
Sex: F
Vaccine: HEPAB, HPV9
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Dose 3 of HPV vaccine was give 84 days from first dose (early by 3 months). Patient reported no adverse events or outcomes and questioned if she needs a 4th dose. I am currently reaching out to manufacturer to find the answer to the patient question.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Bell's palsy, Ear pain, Facial paralysis, Injection site erythema, Injection site pain
Clinical narrative: Reports redness, warmth, tenderness at the injection site for approx 3 days.  Right ear pain.  Drooping of right side of face.  Dx w/ bells palsy at ER on 2/12 treated w/ antiviral and steroid.  Still experiencing right ear pain and facial drooping on right side on 2/21.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth
Clinical narrative: Reports redness, warmth, tenderness at the injection site for approx 3 days.  Right ear pain.  Drooping of right side of face.  Dx w/ bells palsy at ER on 2/12 treated w/ antiviral and steroid.  Still experiencing right ear pain and facial drooping on right side on 2/21.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Brain fog, Confusional state, Death, Decreased appetite
Clinical narrative: 12/06/23: received Spikevax.  12/14/23 began to feel floaty, drowsy and has more brain fog.  12/17/23 increased confusion, sent to ER, was checked out, labs and imaging tests with no abnormal findings, MD stated this could be caused by the Spikevax, she was sent back home.  12/29/23 she was noted to be very pale, states she feels, weak, decreased appetite, weakness and c/o mild nausea.  01/03/24 weakness continues, she remained pale and was lethargic, sent to hospital, was admitted  with pulmonary embolism and GI bleed, and gastric cancer. 1/30/24 she returned home.  02/01/24 she expired.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gastric cancer, Gastrointestinal haemorrhage, Imaging procedure, Laboratory test normal
Clinical narrative: 12/06/23: received Spikevax.  12/14/23 began to feel floaty, drowsy and has more brain fog.  12/17/23 increased confusion, sent to ER, was checked out, labs and imaging tests with no abnormal findings, MD stated this could be caused by the Spikevax, she was sent back home.  12/29/23 she was noted to be very pale, states she feels, weak, decreased appetite, weakness and c/o mild nausea.  01/03/24 weakness continues, she remained pale and was lethargic, sent to hospital, was admitted  with pulmonary embolism and GI bleed, and gastric cancer. 1/30/24 she returned home.  02/01/24 she expired.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Nausea, Pallor, Pulmonary embolism, Somnolence
Clinical narrative: 12/06/23: received Spikevax.  12/14/23 began to feel floaty, drowsy and has more brain fog.  12/17/23 increased confusion, sent to ER, was checked out, labs and imaging tests with no abnormal findings, MD stated this could be caused by the Spikevax, she was sent back home.  12/29/23 she was noted to be very pale, states she feels, weak, decreased appetite, weakness and c/o mild nausea.  01/03/24 weakness continues, she remained pale and was lethargic, sent to hospital, was admitted  with pulmonary embolism and GI bleed, and gastric cancer. 1/30/24 she returned home.  02/01/24 she expired.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Surgery
Clinical narrative: 12/06/23: received Spikevax.  12/14/23 began to feel floaty, drowsy and has more brain fog.  12/17/23 increased confusion, sent to ER, was checked out, labs and imaging tests with no abnormal findings, MD stated this could be caused by the Spikevax, she was sent back home.  12/29/23 she was noted to be very pale, states she feels, weak, decreased appetite, weakness and c/o mild nausea.  01/03/24 weakness continues, she remained pale and was lethargic, sent to hospital, was admitted  with pulmonary embolism and GI bleed, and gastric cancer. 1/30/24 she returned home.  02/01/24 she expired.
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Blood test, Muscle tightness, Musculoskeletal stiffness
Clinical narrative: Have had tightness/stiffness in my shoulders, arms, hands/fingers, thighs, knees & feet.  A prescription of methylPREDNISolone, 4MG tablets for 6 days, was started on 1/30/2024 and provided relief on the second day and lasted 18 days. The stiffness has now returned and I am starting the prescription again today.
Age: 81.0
Sex: F
Vaccine: PNC20, PNC20, PNC20
Symptoms: Peripheral swelling
Clinical narrative: Limb swelling (Left hand)
Age: 81.0
Sex: F
Vaccine: PNC20, PNC20, PNC20
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Limb swelling (Left hand)
Age: 81.0
Sex: F
Vaccine: PNC20, PNC20, PNC20
Symptoms: Mobility decreased, Peripheral swelling
Clinical narrative: Limb swelling (Left hand)
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Magnetic resonance imaging, Pain in extremity
Clinical narrative: pain in arm following vaccination; pain has not improved over several weeks
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Conjunctivitis, Laryngitis, Oropharyngeal pain, Respiratory tract infection viral
Clinical narrative: Received shot on 11/02/2023.  Starting on 11/8/2023 I have had four sequential respiratory infections in four months.  Each of them starts with a viral like prodrome.  One (the first) with conjunctivitis.  Some have started with a sore throat or laryngitis.
Age: 58.0
Sex: F
Vaccine: JEV1
Symptoms: Asthenia, Decreased appetite, Diarrhoea, Dizziness, Fatigue
Clinical narrative: I felt perfectly fine until around 9:15pm.  By 9:30, I started having very intense diarrhea.  By 10pm, I was getting light headed, feeling like I might faint, feeling weak.  By around 10:15p, I started vomiting (and still having diarrhea).  By 10:45p, the  vomiting had stopped, and for the most part, also the diarrhea.  Since then, I've been slowly eating more, but still have fatigue.  It's getting a bit better each day.  But as of today - 5 days later - I still have a lower appetite and am experiencing fatigue.  I have a doctor appt set for next Monday, the 26th, with my PCP
Age: 58.0
Sex: F
Vaccine: JEV1
Symptoms: Vomiting
Clinical narrative: I felt perfectly fine until around 9:15pm.  By 9:30, I started having very intense diarrhea.  By 10pm, I was getting light headed, feeling like I might faint, feeling weak.  By around 10:15p, I started vomiting (and still having diarrhea).  By 10:45p, the  vomiting had stopped, and for the most part, also the diarrhea.  Since then, I've been slowly eating more, but still have fatigue.  It's getting a bit better each day.  But as of today - 5 days later - I still have a lower appetite and am experiencing fatigue.  I have a doctor appt set for next Monday, the 26th, with my PCP
Sex: M
Vaccine: UNK
Symptoms: Cardiac arrest, Chest X-ray, Death, Endotracheal intubation, Endotracheal intubation complication
Clinical narrative: Patient found unresponsive without a pulse on 2/14/24. EMS responded to residence and intubated but tube lost during CPR. No medications on route. Compressions began prior to arrival to Hospital and received 4 doses of EPINEPHrine  via endotracheal tube at hospital. Pt never regained pulse and asystole throughout process. Pronounced dead at 0511 of same day. Diagnosis of Cardiac arrest, cause unspecified. Not believed to be related to Beyfortus vaccine received on 02/13/24.
Sex: M
Vaccine: UNK
Symptoms: Pulse absent, Resuscitation, Unresponsive to stimuli
Clinical narrative: Patient found unresponsive without a pulse on 2/14/24. EMS responded to residence and intubated but tube lost during CPR. No medications on route. Compressions began prior to arrival to Hospital and received 4 doses of EPINEPHrine  via endotracheal tube at hospital. Pt never regained pulse and asystole throughout process. Pronounced dead at 0511 of same day. Diagnosis of Cardiac arrest, cause unspecified. Not believed to be related to Beyfortus vaccine received on 02/13/24.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Red, pain, itchy on injection site. Right arm. Bump is still present hasn't gone away.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to vaccine, Asthenia, Chills, Fatigue, Rash
Clinical narrative: Patient stated severe chills the night of the shot.  She felt weak and tired the day after shot.  Today 2 days post shot she is still tired and weak but has now developed a non-raised/non-itchy/red rash on trunk and pelvis.  Recommended antihistamine/tylenol and topical steroid if itch developed along with a dr call.  No signs and symptoms of severe allergic reaction but recommended 911 call if any  occur.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Patient stated severe chills the night of the shot.  She felt weak and tired the day after shot.  Today 2 days post shot she is still tired and weak but has now developed a non-raised/non-itchy/red rash on trunk and pelvis.  Recommended antihistamine/tylenol and topical steroid if itch developed along with a dr call.  No signs and symptoms of severe allergic reaction but recommended 911 call if any  occur.
Age: 0.42
Sex: F
Vaccine: DTAPIPV
Symptoms: Unevaluable event
Clinical narrative: None at this time
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given dose that was beyond use date on 2/9/24. contacted Moderna and re-vaccination not recommended
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haemorrhage
Clinical narrative: Brain bleed on Fri, Oct 13, 2023.  I also received a flu shot at the same time as my Covid booster. I received an RSV vaccine on Oct 6, 2023.
Age: 3.0
Sex: M
Vaccine: IPV
Symptoms: No adverse event
Clinical narrative: No adverse events noted. Provider notified, assessment done no further directive given.
Age: 68.0
Sex: U
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue
Clinical narrative: Shortness  of breath and fatigue
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Given a dose that was passed the beyond use date
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Diabetes mellitus, Glycosylated haemoglobin
Clinical narrative: patient was sent to the ER for new onset diabetes with blood glucose over 500 within several weeks of receiving Moderna Spikevax
Age: 37.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered, Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Pt given wrong dosage formulation for age.
Age: 6.0
Sex: M
Vaccine: IPV
Symptoms: Unevaluable event
Clinical narrative: none
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema of eyelid, Swelling of eyelid
Clinical narrative: EYELID SWELLING AND REDNESS. BOTH EYES. NO PAIN.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Nothing day of vaccination given - patient stated last covid vaccine was 1 year ago then upon further investigation into her profile after the vaccine was given it shown patient got Comirnaty on 9/2023. patient is aware and says she feels fine today (day vaccine was given) and she will check in with us if she does have adverse side effects. patient was confused and did not remember getting vaccine on 9/2023.
Age: 7.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine given at wrong age, given too early, no adverse reaction
Age: 0.67
Sex: F
Vaccine: COVID19, HEPA
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Hep A was inadvertently given, instead of Hep B.  Parent was notified by provider.  Patient had no complications.
Age: 5.0
Sex: M
Vaccine: MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine given at wrong age, given too early. no adverse reactions
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Nausea, Vomiting
Clinical narrative: Had concerning reaction 2 days after administration of vaccine. Patient expressed having nausea and stomach pains followed by emesis two days after she had the injection. She has history of GERD and used her prescribed medication for GERD to help with symptoms. She said she felt better 2 days after onset of symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse events, we realized after administration, the vaccine had been in the fridge for more than 1 month, the vaccine was moved from the freezer to the fridge on  1/9/24 and should've been pulled on 2/8/24 but if was administer on 2/21/24
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Asthenia, Crying, Disorientation, Dizziness, Eye movement disorder
Clinical narrative: My medical assistant and the parent (mom) report that immediately after vaccine was given, patient became pale and verbalized that she was dizzy. The medical assistant guided pt. to a lying position and left the room to call out for me (nurse practitioner) to help.  Mom reports that when the MA was absent, patient's "eyes rolled back" and she began "shaking" and would not respond to mom for several seconds. Mom states it looked like a seizure. When I came to room, patient appeared pale and weak. She seemed disoriented and scared. I elevated her feet and within 3 minutes she was guided up to a seated position and took a sip of water. She remained in the room for an additional 15 minutes. When I checked on her again, she was crying and held in mom's arms. Improved perfusion/skin color. She was able to stand and stated she felt "normal."
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Fear, Immediate post-injection reaction, Pallor, Seizure like phenomena, Tremor
Clinical narrative: My medical assistant and the parent (mom) report that immediately after vaccine was given, patient became pale and verbalized that she was dizzy. The medical assistant guided pt. to a lying position and left the room to call out for me (nurse practitioner) to help.  Mom reports that when the MA was absent, patient's "eyes rolled back" and she began "shaking" and would not respond to mom for several seconds. Mom states it looked like a seizure. When I came to room, patient appeared pale and weak. She seemed disoriented and scared. I elevated her feet and within 3 minutes she was guided up to a seated position and took a sip of water. She remained in the room for an additional 15 minutes. When I checked on her again, she was crying and held in mom's arms. Improved perfusion/skin color. She was able to stand and stated she felt "normal."
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Unresponsive to stimuli
Clinical narrative: My medical assistant and the parent (mom) report that immediately after vaccine was given, patient became pale and verbalized that she was dizzy. The medical assistant guided pt. to a lying position and left the room to call out for me (nurse practitioner) to help.  Mom reports that when the MA was absent, patient's "eyes rolled back" and she began "shaking" and would not respond to mom for several seconds. Mom states it looked like a seizure. When I came to room, patient appeared pale and weak. She seemed disoriented and scared. I elevated her feet and within 3 minutes she was guided up to a seated position and took a sip of water. She remained in the room for an additional 15 minutes. When I checked on her again, she was crying and held in mom's arms. Improved perfusion/skin color. She was able to stand and stated she felt "normal."
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Dizziness, Fatigue, Gaze palsy, Musculoskeletal stiffness, Pallor
Clinical narrative: My medical assistant and the parent (mom) report that immediately after vaccine was given, patient became pale and verbalized that she was dizzy. The medical assistant guided pt. to a lying position and left the room to call out for me (nurse practitioner) to help.  Mom reports that when the MA was absent, patient's "eyes rolled back" and she began "shaking" and would not respond to mom for several seconds. Mom states it looked like a seizure. When I came to room, patient appeared pale and weak. She seemed disoriented and scared. I elevated her feet and within 3 minutes she was guided up to a seated position and took a sip of water. She remained in the room for an additional 15 minutes. When I checked on her again, she was crying and held in mom's arms. Improved perfusion/skin color. She was able to stand and stated she felt "normal."
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Seizure, Tremor, Vision blurred
Clinical narrative: My medical assistant and the parent (mom) report that immediately after vaccine was given, patient became pale and verbalized that she was dizzy. The medical assistant guided pt. to a lying position and left the room to call out for me (nurse practitioner) to help.  Mom reports that when the MA was absent, patient's "eyes rolled back" and she began "shaking" and would not respond to mom for several seconds. Mom states it looked like a seizure. When I came to room, patient appeared pale and weak. She seemed disoriented and scared. I elevated her feet and within 3 minutes she was guided up to a seated position and took a sip of water. She remained in the room for an additional 15 minutes. When I checked on her again, she was crying and held in mom's arms. Improved perfusion/skin color. She was able to stand and stated she felt "normal."
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Asthenia, Crying, Disorientation, Dizziness, Eye movement disorder
Clinical narrative: After infection, patient grew pail and reported being dizzy. Nurse laid her down on bed and left to get the doctor. Patient started having a seizure. Her eyes rolled back into her head and her arms were stiff and shaking. Seizure was over by the time nurse returned with the doctor. Patient said she thought she was dying. She said she could see me (mom) but I was fuzzy and it was black all around me with a ring of red. She has been having spells of dizziness all day and has been exhausted.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Fear, Immediate post-injection reaction, Pallor, Seizure like phenomena, Tremor
Clinical narrative: After infection, patient grew pail and reported being dizzy. Nurse laid her down on bed and left to get the doctor. Patient started having a seizure. Her eyes rolled back into her head and her arms were stiff and shaking. Seizure was over by the time nurse returned with the doctor. Patient said she thought she was dying. She said she could see me (mom) but I was fuzzy and it was black all around me with a ring of red. She has been having spells of dizziness all day and has been exhausted.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Unresponsive to stimuli
Clinical narrative: After infection, patient grew pail and reported being dizzy. Nurse laid her down on bed and left to get the doctor. Patient started having a seizure. Her eyes rolled back into her head and her arms were stiff and shaking. Seizure was over by the time nurse returned with the doctor. Patient said she thought she was dying. She said she could see me (mom) but I was fuzzy and it was black all around me with a ring of red. She has been having spells of dizziness all day and has been exhausted.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Dizziness, Fatigue, Gaze palsy, Musculoskeletal stiffness, Pallor
Clinical narrative: After infection, patient grew pail and reported being dizzy. Nurse laid her down on bed and left to get the doctor. Patient started having a seizure. Her eyes rolled back into her head and her arms were stiff and shaking. Seizure was over by the time nurse returned with the doctor. Patient said she thought she was dying. She said she could see me (mom) but I was fuzzy and it was black all around me with a ring of red. She has been having spells of dizziness all day and has been exhausted.
Age: 7.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Seizure, Tremor, Vision blurred
Clinical narrative: After infection, patient grew pail and reported being dizzy. Nurse laid her down on bed and left to get the doctor. Patient started having a seizure. Her eyes rolled back into her head and her arms were stiff and shaking. Seizure was over by the time nurse returned with the doctor. Patient said she thought she was dying. She said she could see me (mom) but I was fuzzy and it was black all around me with a ring of red. She has been having spells of dizziness all day and has been exhausted.
Age: 21.0
Sex: M
Vaccine: TYP
Symptoms: Pain, Rash, Swelling, Wrong product administered
Clinical narrative: Patient arrived to clinic for PPD placement. Nurse grabbed Typhoid vial instead of PPD vial and administered 0.1 mL of Typhoid into patient's right arm. Patient notified of mistake and instructed to report to the ER if he experiences any symptoms. Patient went to ER that afternoon for localized rash and swelling. ER provider instructed him to take Motrin and apply warm compresses and return to ER if he develops streaking at the site, fever, or chills. Nurse called Support Center, provider there stated localized pain is normal and that patient should use cold compresses instead. Nurse notified patient and provided patient with the hotline number is he had any other concerns.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Clients(husband and wife)inadvertently given additional dose of covid vaccine. Clients in for covid vaccination, paperwork and covid card show 5 previous covid vaccinations, last one dated 10/13/2022, clients stated information was correct, Spikevax 2023-4 given on 02/21/2024, it was discovered after the vaccine, a Pfizer covid vaccine Comirnaty 2023-24 had been given on 10/03/2023 .
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Continuous pain in the arm / shoulder since injection
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: large area between injection site and elbow was swollen and red for 2 weeks
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Chest X-ray, Feeling abnormal, Immediate post-injection reaction, Injected limb mobility decreased, Malaise
Clinical narrative: She got her vaccine, immediately had pain in her arm within a few minutes.  3 days later she started having respiratory distress, and 5 days later she was really sick and went to the doctor.  It took several months of antibiotics to break it up.  She had never had a reaction to any vaccine before or medicines other than Penicillin when she was a child.  She was treated with the first time was 1 antibiotic.  She was still sick, went back and then took 2 antibiotics which cleared it up.  It is still not perfectly gone, still not green anymore or thick, but does still cough up balls of mucous.  She is still having the pain in her arm and they recommended that she call us.  She has other treatments and nothing  helps her pain.  She cannot lift her arm above her head.  She states that this is ridiculous that she cannot get somebody to treat her condition or give her recommendations.  The pain wakes her up at night and cannot sleep on the arm that she normally sleeps on and is miserable.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity, Productive cough, Respiratory distress, Sleep disorder, Sputum discoloured
Clinical narrative: She got her vaccine, immediately had pain in her arm within a few minutes.  3 days later she started having respiratory distress, and 5 days later she was really sick and went to the doctor.  It took several months of antibiotics to break it up.  She had never had a reaction to any vaccine before or medicines other than Penicillin when she was a child.  She was treated with the first time was 1 antibiotic.  She was still sick, went back and then took 2 antibiotics which cleared it up.  It is still not perfectly gone, still not green anymore or thick, but does still cough up balls of mucous.  She is still having the pain in her arm and they recommended that she call us.  She has other treatments and nothing  helps her pain.  She cannot lift her arm above her head.  She states that this is ridiculous that she cannot get somebody to treat her condition or give her recommendations.  The pain wakes her up at night and cannot sleep on the arm that she normally sleeps on and is miserable.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Contusion, Erythema, Skin warm, Urticaria
Clinical narrative: Hives, Redness, hot to touch, and bruise
Age: 52.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Patient states that on 2/20/24 the site became red. Then on 2/21/24  he could feel a knot and had pain at the injection site. Referred patient to his PCP or Urgent Care.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Headache, Laboratory test, Oropharyngeal pain, Pain
Clinical narrative: Headache, cough, sore throat, body aches starting 2/17/2024.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash pruritic
Clinical narrative: Patient developed pruritic rash 2-3 hours after vaccine administration. Patient still had symptoms when she presented to me the following day but the rash had improved. Patient was prescribed diphenhydramine and prednisone today - patient is currently being treated. Patient denied shortness of breath, wheezing, lightheadedness, difficulty swallowing, lip/tongue swelling.
Age: 0.08
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Haematochezia, Irritability, Mucous stools
Clinical narrative: Mom was changing baby's diaper around 6:00pm and heard the baby making some gasping sound repeatedly and notices mucous and blood in her stool. There was no paleness or blue color to her. Mom called EMS and by the time EMS got there her vitals were normal and she wasn't making that sound anymore. Baby was a little fussy for a bit but took a bottle of breastmilk shortly after the episode. Diapers that were changed at 7 and 8pm also contained blood and mucous, but the ones after that were back to normal.  The patient was fine the next day with no episode of abnormal breathing and normal stools.
Age: 1.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Patient was diagnosed with Shingles on 02/16/2024. She was placed on Valtrex and seems to be responding.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test abnormal, Blood folate decreased, Blood iron decreased, Gastrointestinal disorder, Pain
Clinical narrative: In October I developed digestive issues and random bouts of pain throughout my body. Sometimes throbbing, sometimes just pain. it comes and goes. It goes all over my body from back to feet. Random pulses of pain.  From December to January I visited the emergency room for the pain and the digestive issues.
Age: 16.0
Sex: M
Vaccine: FLU4, HEP, HEPA, HPV9, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No records were located at the time client was in office.  9 vaccines were administered without any issues.  Later in the afternoon it was discovered that the client had already had a round of vaccines on 1/19/24 with name being spelled differently and MCV4, Hep A and Flu was not needed for this individual.  No adverse events have occurred to my knowledge, but wanted to report  just in case.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Asthenia, Bradycardia, Dizziness, Fall, Head injury
Clinical narrative: After the immunizations, he then felt dizzy and suddenly collapsed and fell. He might have lost consciousness. He hit his head against the stool. Father stated that his extremities were shaking for a few seconds. He then woke up. Father put him back on the examination table. He felt weak and also thirsty and asked for water to drink. About 5 minutes after the immunization at 11:00 AM, I was called in to check the patient. He was feeling weak but he was verbal. BP 90/56, PR 43 (bradycardia but BP was OK). He drank the water but he then threw up the water. Vital signs checked at 11:05 AM showed BP 99/54, PR 54; at 11:10 AM BP 102/67, PR 54.  The vitals continued to improve, At 11:35 AM BP 95/72, PR 57. The patient was feeling much better. He was then released. He was able to walk out of the clinic by himself. No medicine or oxygen was administered  during this vaccine reaction because he continued to show improvement without medication. The head showed no obvious trauma wound or swelling although he stated his head (right temporal area) was hurting. Pupils: isocoric. Advised to watch for 3 days for dizziness, and frequent vomiting as symptoms of head injury. No medicine or oxygen was administered.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Headache, Loss of consciousness, Syncope, Thirst, Tremor
Clinical narrative: After the immunizations, he then felt dizzy and suddenly collapsed and fell. He might have lost consciousness. He hit his head against the stool. Father stated that his extremities were shaking for a few seconds. He then woke up. Father put him back on the examination table. He felt weak and also thirsty and asked for water to drink. About 5 minutes after the immunization at 11:00 AM, I was called in to check the patient. He was feeling weak but he was verbal. BP 90/56, PR 43 (bradycardia but BP was OK). He drank the water but he then threw up the water. Vital signs checked at 11:05 AM showed BP 99/54, PR 54; at 11:10 AM BP 102/67, PR 54.  The vitals continued to improve, At 11:35 AM BP 95/72, PR 57. The patient was feeling much better. He was then released. He was able to walk out of the clinic by himself. No medicine or oxygen was administered  during this vaccine reaction because he continued to show improvement without medication. The head showed no obvious trauma wound or swelling although he stated his head (right temporal area) was hurting. Pupils: isocoric. Advised to watch for 3 days for dizziness, and frequent vomiting as symptoms of head injury. No medicine or oxygen was administered.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: After the immunizations, he then felt dizzy and suddenly collapsed and fell. He might have lost consciousness. He hit his head against the stool. Father stated that his extremities were shaking for a few seconds. He then woke up. Father put him back on the examination table. He felt weak and also thirsty and asked for water to drink. About 5 minutes after the immunization at 11:00 AM, I was called in to check the patient. He was feeling weak but he was verbal. BP 90/56, PR 43 (bradycardia but BP was OK). He drank the water but he then threw up the water. Vital signs checked at 11:05 AM showed BP 99/54, PR 54; at 11:10 AM BP 102/67, PR 54.  The vitals continued to improve, At 11:35 AM BP 95/72, PR 57. The patient was feeling much better. He was then released. He was able to walk out of the clinic by himself. No medicine or oxygen was administered  during this vaccine reaction because he continued to show improvement without medication. The head showed no obvious trauma wound or swelling although he stated his head (right temporal area) was hurting. Pupils: isocoric. Advised to watch for 3 days for dizziness, and frequent vomiting as symptoms of head injury. No medicine or oxygen was administered.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2, COVID19-2
Symptoms: Biopsy, Chest pain, Eye pain, Facial pain, Glossodynia
Clinical narrative: The first moderna shot put me to sleep on the way home.  The second shot gave me a fever over 100 F for 5 or more days, after which there was barely tolerable pain in the left shoulder at the site of the injection.  In the past three year the symptoms have spread down my left arm, then up into the left side of my  neck and the left side of my face, tongue and eyesocket.  It has now spread down into the left side of my chest down to at least the groin.  Symptoms are inversely proportional to the distance from the injections.  And proportional to nerve density and muscle tone.  Symptoms are sensitivity to any type of pressure on the nerves, cold, impact, compression, exceleration and elevation relative to the heart.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2, COVID19-2
Symptoms: Groin pain, Hypersensitivity, Injection site pain, Neck pain, Pain in extremity
Clinical narrative: The first moderna shot put me to sleep on the way home.  The second shot gave me a fever over 100 F for 5 or more days, after which there was barely tolerable pain in the left shoulder at the site of the injection.  In the past three year the symptoms have spread down my left arm, then up into the left side of my  neck and the left side of my face, tongue and eyesocket.  It has now spread down into the left side of my chest down to at least the groin.  Symptoms are inversely proportional to the distance from the injections.  And proportional to nerve density and muscle tone.  Symptoms are sensitivity to any type of pressure on the nerves, cold, impact, compression, exceleration and elevation relative to the heart.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2, COVID19-2
Symptoms: Pathology test, Pyrexia, Somnolence, Swelling
Clinical narrative: The first moderna shot put me to sleep on the way home.  The second shot gave me a fever over 100 F for 5 or more days, after which there was barely tolerable pain in the left shoulder at the site of the injection.  In the past three year the symptoms have spread down my left arm, then up into the left side of my  neck and the left side of my face, tongue and eyesocket.  It has now spread down into the left side of my chest down to at least the groin.  Symptoms are inversely proportional to the distance from the injections.  And proportional to nerve density and muscle tone.  Symptoms are sensitivity to any type of pressure on the nerves, cold, impact, compression, exceleration and elevation relative to the heart.
Age: 57.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Two days after injection patient started having red, hard, warm spot on her arm that grew in size until she came back to the clinic and placed on an antibiotic 6 days post vaccine.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Cyanosis, Diplopia, Dyskinesia, Dysstasia
Clinical narrative: Red injection site then bad arm pain,vomiting ,sick to stomach then slowly my right leg started giving out when I?d stand or try to walk and my right hand lost grip , noticed intense jerking movements and double vision. Barely could stand , then I lost consciousness ,Turned blue / medics came and ran some test and had to bring me in because my oxygen was only 71% and even on high flow air it would not pass 80%, couldn?t walk, weakness, muscle spasms , went into ICU
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Gait disturbance, Gait inability, Injection site erythema, Intensive care, Laboratory test
Clinical narrative: Red injection site then bad arm pain,vomiting ,sick to stomach then slowly my right leg started giving out when I?d stand or try to walk and my right hand lost grip , noticed intense jerking movements and double vision. Barely could stand , then I lost consciousness ,Turned blue / medics came and ran some test and had to bring me in because my oxygen was only 71% and even on high flow air it would not pass 80%, couldn?t walk, weakness, muscle spasms , went into ICU