chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Blood test, Computerised tomogram normal, Immunoglobulin therapy, Limb discomfort, Lumbar puncture
Clinical narrative: 2/26/2024 - Dr visit to report feet felt heavy and tingling sensation.   3/19/2024 - Went back to Dr after having ultra sound and indicated that it was normal.  I could not walk at all at this time.  3/26 /2024 - Admitted to medical center.  After admittance, they conducted several test including spinal tap; MRI's and blood work.  They initially diagnosed me with Guillian Barre Syndrome. (GBS).  They also conducted CT Scans all with negative results.  Was discharged 5/10/2024 and was admitted to rehabilitation Hospital.  I was there for approx 5 weeks.  While at medical center they attempted to conduct EMG and Muscle Biopsy which could not be completed due to muscle spasm's in both legs during testing.  Assigned to physical therapy where on 6/26/2024 I was regressing.  Went back to ER and they performed CT Scans, MRI and spinal tap.  on 7/1/2024 thry 7/5/2024 was given IVIG treatment and on 7/6/2024 - 7/10/2024 was given plaza pherisis.  7/12/20224 - 7/23/2024 Was admitted to rehab center for until 7/26/2024 and began Physical Therapy.  on 12/9/2024 - 12/13/2024 was returned to medical Center for another treatment of plaxma pheresis.  Continued with Therapy from 1/1/2025 thru 3/17/2025.  Was moved to another physical therapy  on 3/10/2025 to current.  June 19,2025 went to another hospital after reviewing my case informed me that my diagnosis was Transverse Myalitus (TM).
Age: 68.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Magnetic resonance imaging, Muscle spasms, Myelitis transverse, Paraesthesia, Plasmapheresis
Clinical narrative: 2/26/2024 - Dr visit to report feet felt heavy and tingling sensation.   3/19/2024 - Went back to Dr after having ultra sound and indicated that it was normal.  I could not walk at all at this time.  3/26 /2024 - Admitted to medical center.  After admittance, they conducted several test including spinal tap; MRI's and blood work.  They initially diagnosed me with Guillian Barre Syndrome. (GBS).  They also conducted CT Scans all with negative results.  Was discharged 5/10/2024 and was admitted to rehabilitation Hospital.  I was there for approx 5 weeks.  While at medical center they attempted to conduct EMG and Muscle Biopsy which could not be completed due to muscle spasm's in both legs during testing.  Assigned to physical therapy where on 6/26/2024 I was regressing.  Went back to ER and they performed CT Scans, MRI and spinal tap.  on 7/1/2024 thry 7/5/2024 was given IVIG treatment and on 7/6/2024 - 7/10/2024 was given plaza pherisis.  7/12/20224 - 7/23/2024 Was admitted to rehab center for until 7/26/2024 and began Physical Therapy.  on 12/9/2024 - 12/13/2024 was returned to medical Center for another treatment of plaxma pheresis.  Continued with Therapy from 1/1/2025 thru 3/17/2025.  Was moved to another physical therapy  on 3/10/2025 to current.  June 19,2025 went to another hospital after reviewing my case informed me that my diagnosis was Transverse Myalitus (TM).
Age: 68.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Ultrasound scan normal
Clinical narrative: 2/26/2024 - Dr visit to report feet felt heavy and tingling sensation.   3/19/2024 - Went back to Dr after having ultra sound and indicated that it was normal.  I could not walk at all at this time.  3/26 /2024 - Admitted to medical center.  After admittance, they conducted several test including spinal tap; MRI's and blood work.  They initially diagnosed me with Guillian Barre Syndrome. (GBS).  They also conducted CT Scans all with negative results.  Was discharged 5/10/2024 and was admitted to rehabilitation Hospital.  I was there for approx 5 weeks.  While at medical center they attempted to conduct EMG and Muscle Biopsy which could not be completed due to muscle spasm's in both legs during testing.  Assigned to physical therapy where on 6/26/2024 I was regressing.  Went back to ER and they performed CT Scans, MRI and spinal tap.  on 7/1/2024 thry 7/5/2024 was given IVIG treatment and on 7/6/2024 - 7/10/2024 was given plaza pherisis.  7/12/20224 - 7/23/2024 Was admitted to rehab center for until 7/26/2024 and began Physical Therapy.  on 12/9/2024 - 12/13/2024 was returned to medical Center for another treatment of plaxma pheresis.  Continued with Therapy from 1/1/2025 thru 3/17/2025.  Was moved to another physical therapy  on 3/10/2025 to current.  June 19,2025 went to another hospital after reviewing my case informed me that my diagnosis was Transverse Myalitus (TM).
Age: 77.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Angiogram cerebral abnormal, Brain oedema, Carotid artery stenosis, Cerebral artery occlusion, Cerebral infarction
Clinical narrative: Dysarthria. Can answer simple questions.  Left facial weakness, dense right gaze preference and left field cut vs neglect. Right side 5/5, left with dense hemiparesis. Reflexes brisker on the left and left plantr response is extensor. Patient does not recognize his left hand and has absent sensation to temperature and vibration on the left.  NIHSS 23 CT shows early infarct of most of right hemisphere sparing right aca territory CTA shows occlusion of right mca Also left vertebral artery and has intracranial stenosis of both ica's  Impression: patient with large right mca stroke with dense left hemiparesis and early cerebral edema.
Age: 77.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Computerised tomogram head abnormal, Dysarthria, Extensor plantar response, Eye movement disorder, Facial paresis
Clinical narrative: Dysarthria. Can answer simple questions.  Left facial weakness, dense right gaze preference and left field cut vs neglect. Right side 5/5, left with dense hemiparesis. Reflexes brisker on the left and left plantr response is extensor. Patient does not recognize his left hand and has absent sensation to temperature and vibration on the left.  NIHSS 23 CT shows early infarct of most of right hemisphere sparing right aca territory CTA shows occlusion of right mca Also left vertebral artery and has intracranial stenosis of both ica's  Impression: patient with large right mca stroke with dense left hemiparesis and early cerebral edema.
Age: 77.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Hemianopia, Hemiparesis, Magnetic resonance imaging, Middle cerebral artery stroke, Neurologic neglect syndrome
Clinical narrative: Dysarthria. Can answer simple questions.  Left facial weakness, dense right gaze preference and left field cut vs neglect. Right side 5/5, left with dense hemiparesis. Reflexes brisker on the left and left plantr response is extensor. Patient does not recognize his left hand and has absent sensation to temperature and vibration on the left.  NIHSS 23 CT shows early infarct of most of right hemisphere sparing right aca territory CTA shows occlusion of right mca Also left vertebral artery and has intracranial stenosis of both ica's  Impression: patient with large right mca stroke with dense left hemiparesis and early cerebral edema.
Age: 77.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Reflexes abnormal, Sensory loss, Vertebral artery stenosis
Clinical narrative: Dysarthria. Can answer simple questions.  Left facial weakness, dense right gaze preference and left field cut vs neglect. Right side 5/5, left with dense hemiparesis. Reflexes brisker on the left and left plantr response is extensor. Patient does not recognize his left hand and has absent sensation to temperature and vibration on the left.  NIHSS 23 CT shows early infarct of most of right hemisphere sparing right aca territory CTA shows occlusion of right mca Also left vertebral artery and has intracranial stenosis of both ica's  Impression: patient with large right mca stroke with dense left hemiparesis and early cerebral edema.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Pain into entire right arm. Localized swelling and pain at site of injection
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Hypoaesthesia, Myalgia, Paraesthesia
Clinical narrative: Muscle aches and some joint pain. Most severe was waking up the morning following vaccination with my hands burning. This continued for 4-5 days. Currently I still have numbness in my right hand. And occasional tingling in my left hand.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Cataract, Tooth disorder
Clinical narrative: Cataract in right eye, memory loss, teeth issues
Age: 48.0
Sex: F
Vaccine: COVID19, FLU3, TDAP
Symptoms: Erythema
Clinical narrative: Developed redness on face similar looking to sunburn, but she did not get prolonged exposure to the sun. This occurred the morning after receiving the vaccines. No itching, swelling, trouble breathing was reported.
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Product use issue
Clinical narrative: Arexvy given to pregnant women; Arexvy given to pregnant women; This non-serious prospective pregnancy case was reported by a pharmacist via sales rep and described the occurrence of vaccine exposure during pregnancy in a female 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 vaccine exposure during pregnancy (Verbatim: Arexvy given to pregnant women) and product use in unapproved population (Verbatim: Arexvy given to pregnant women). The outcome of the vaccine exposure during pregnancy and product use in unapproved population were not applicable.    Pregnancy Outcome: Pregnancy was ongoing   Additional Information: GSK Receipt Date: 22-JUL-2025 The pharmacist reported that while attending the meeting, the presenter mentioned that several pregnant women had been given Arexvy which led to drug used in unapproved population and vaccine exposure during pregnancy. It was asked to remember that the one with the x should not be used in pregnancy.
Sex: F
Vaccine: HEPAB
Symptoms: Inappropriate schedule of product administration
Clinical narrative: late for her 2nd dose of the accelerated schedule for Twinrix; This non-serious case was reported by a consumer via call center representative and described the occurrence of drug dose administration interval too long in a female patient who received HAB (Twinrix) for prophylaxis.   Previously administered products included Twinrix (received 1st dose on an unknown date).   On an unknown date, the patient received the 2nd dose of Twinrix. On an unknown date, an unknown time after receiving Twinrix, the patient experienced drug dose administration interval too long (Verbatim: late for her 2nd dose of the accelerated schedule for Twinrix). The outcome of the drug dose administration interval too long was not applicable.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 25-JUL-2025 The patient self-reported this case. The patient was late for her 2nd dose of the accelerated schedule for Twinrix. The patient received 2nd dose of Twinrix, later than the recommended interval, which led to lengthening of vaccination schedule.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pt came in 8/1/25 stated arm is still sore and painful. Dr advised him to take Advil.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Reported Symptoms: 10028411:MYALGIA; Narrative: Other Relevant: HX:
Sex: M
Vaccine: FLU3
Symptoms: Bradycardia, Chest X-ray, Electrocardiogram, Feeling abnormal, Hypotension
Clinical narrative: Reported Symptoms: 10047166:VASOVAGAL REACTION; Narrative: Patient administered COVID vaccine and influenza vaccine during same clinic visit and reported feeling like about to pass out. Patient was hypotension and bradycardia. Patient was taken to ER for evaluation. Received IVF and work up to include EKG and chest x-ray. Patient was discharged home same day with plan to follow up with primary care doctor. Other Relevant HX: Other: VASOVAGAL REACTION
Sex: M
Vaccine: FLU3
Symptoms: Presyncope
Clinical narrative: Reported Symptoms: 10047166:VASOVAGAL REACTION; Narrative: Patient administered COVID vaccine and influenza vaccine during same clinic visit and reported feeling like about to pass out. Patient was hypotension and bradycardia. Patient was taken to ER for evaluation. Received IVF and work up to include EKG and chest x-ray. Patient was discharged home same day with plan to follow up with primary care doctor. Other Relevant HX: Other: VASOVAGAL REACTION
Age: 58.0
Sex: M
Vaccine: FLUX
Symptoms: Pruritus, Rash
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; Narrative: Other Relevant HX: Other: RASH; PRURITUS
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Rales
Clinical narrative: Reported Symptoms: 10013963: DYSPNEA; 10054910:CRACKLE LUNG; Narrative: Other Relevant HX: Other: RESPIRATORY CRACKLES; DYSPNEA
Age: 70.0
Sex: M
Vaccine: FLUX
Symptoms: Hypothermia
Clinical narrative: Reported Symptoms: 10021113:HYPOTHERMIA; Narrative: Other Relevant HX: Other: HYPOTHERMIA
Sex: M
Vaccine: FLUX
Symptoms: Rash
Clinical narrative: Reported Symptoms: 10037844:RASH; Narrative: Other Relevant: HX: Other: Rash
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Peripheral swelling, Pruritus, Throat tightness, Wheezing
Clinical narrative: Reported Symptoms: 10023094: ITCHY SKIN; 10043517: THROAD CONSTRICTION; Narrative: Other Relevant HX: 62 y/o male PMH HTN, HLD, DM2, PTSD, CKD, osteoarthritis, obesity. Patient had previously been vaccinated for this flu season on 10/7/2024 at outside facility, documented via immunization note by LPN on 11/22/24. Of note, patient had appointment on 10/7/24 where he refused influenza vaccine. At most recent visit on 1/8/2025, patient reported received second influenza vaccine approximately one week prior through Employee Health, as they had not noticed previous immunization in October. On the day of the immunization, he reported experiencing throat constriction, difficulty breathing, left arm swelling and itching. Patient considered going to the ED but symptoms mostly subsided. Wheezing lasted for a few days. The patient attributed this to use of influenza vaccine. There is no record of the second influenza vaccination in system. Unable to view occupation health documentation. Other: itchy arm, throat constriction
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthma, Rash
Clinical narrative: Reported Symptoms: 10003553:ASTHMA; 10037844:RASH; Narrative: Other Relevant HX: Other: asthma
Age: 1.5
Sex: F
Vaccine: COVID19, HEPA
Symptoms: Epistaxis
Clinical narrative: profuse bloody nose (epistaxis) 10 minutes long  treated with vaseline in L nostril and pressure to bridge of nose occured within 10 minutes of receiving vaccines
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Erythema, Rash, Swollen tongue, Urticaria
Clinical narrative: Reported Symptoms: 10014257:EDEMA TONGUE; 10020197:HIVES; 10037087:PRURITUS; 10037844:RASH; Narrative: Patient was administered first dose of zoster vaccine at primary care visit on 8/29/2024. On 9/3/2024 the pt messaged the provider stating he had tongue swelling (not life threatening) which has gone away and most of body covered in hives. Provider recommended pt to go to ER. Pt did not agree to go to the ER that day. Pt presented to emergency department on 9/5/2024 after going to an urgent care which recommended he seek emergency care. At the emergency department the patient had a rash and joint pain which he stated occurred after administration of the zoster vaccine. The emergency department note, reports that he had a rash and redness that was diffuse in nature. He was experiencing urticarial but seemed to have resolved. He did not have a fever or trouble breathing. The pt was stable and discharged the same day with prednisone. Other Relevant HS: Other: Tongue swelling/Rash/Hives
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal dreams, Insomnia
Clinical narrative: Reported Symptoms: 10022437:INSOMNIA; 10047666:VIVID DREAMS; Narrative: 95 year old male reports to that he had reaction to moderna vaccine. The vaccine was administered on 7/3/24 and the adverse reaction was reported on 7/8/24 to primary care team. He experienced insomnia and vivd dreams after having the vaccination. No further report of issue after 7/8. Other Relevant HX: Other: INSOMNIA, VIVID DREAMS
Sex: M
Vaccine: FLUX
Symptoms: Guillain-Barre syndrome
Clinical narrative: Reported Symptoms: 10018767: GUILLAIN-BARRE SYNDROME; Narrative: Other Relevant HX: Other: GUILLAIN BARRE
Sex: M
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: Reported Symptoms: 10021097:HYPOTENSION; Narrative: Other Relevant HX: Other: HYPOTENSION
Sex: M
Vaccine: COVID19
Symptoms: Myasthenia gravis
Clinical narrative: Reported Symptoms: 10028418;MYASTHENIA GRAVIS AGGRAVATED; Narrative: myasthenia gravis Other Relevant HX: Other: myasthenia gravis
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Oedema mouth, Swelling face
Clinical narrative: Reported Symptoms: 1002424:ANGIOEDEMA; 10042691:SWELLING OF FACE; 10054496:EDEMA MOUTH; Narrative: Pt is a 81 y/o who received his 6th COVID-19 injection into left deltoid. Following injection administration, left jaw swelling/warm to touch noted. Patient seen in the ED  for orofacial angioedema with a localized reaction without anaphylaxis and provided with acetaminophen and methylprednisolone IV doses x 1. ACEI also discontinued. Decreased swelling noted following methylprednisolone dose. Other Relevant HX: Per ED notes: "#Acute orofacial angioedema/localized reaction without anaphylxis following  COVID-19 booster (Moderna), improved: - Improved, but not fully resolved following Methylprednisolone 40mg IV x1 - Acetaminophen 650mg x 1 administered in fast track Pt was seen for orofacial swelling following his COVID-19 vaccination.   As he is also on lisinopril, opted to discontinue and start amplodipine for hypertension. Given a potential drug-drug interaction between simvastatin and amlodipine, stopped simvastatin and started atorvastatin. He was given  7 day course of cetirizine 10mg BID to start the evening of 10/26 and a 5 day course or prednisone 20mg to start 10/27. He may not need to take the prednisone, but opted to provide as a true allergic reaction cannot be fully excluded at this time." Other: FACIAL SWELLING; ORAL SWELLING
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Pyrexia
Clinical narrative: Reported Symptoms: 10010300:CONFUSION; 10016558:FEVER; Narrative: Other Relevant HX: Other:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Pyrexia, Vomiting
Clinical narrative: Reported Symptoms: 10016558:FEVER; 10047700:VOMITING; 10047862:WEAKNESS; 10047865:WEAKNESS GENERALIZED; Narrative: Other Relevant HX: Other: weakness
Sex: M
Vaccine: COVID19
Symptoms: Cough, Erythema, Muscle spasms
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10011290:CRAMP LEGS; 10015150:ERYTHEMA; Narrative: Unable to find documentation on when/where vaccine was given. Other Relevant HX: Other: COUGH, ERYTHEMA; LEG CRAMP
Age: 74.0
Sex: M
Vaccine: FLUX, FLUX
Symptoms: Guillain-Barre syndrome, Hyporeflexia, Muscular weakness, Papular-purpuric gloves-and-socks syndrome
Clinical narrative: Reported Symptoms: 10018767:GUILLAIN-BARRE SYNDOME; Narrative: ER (recently released from outside hospital), bilat LE weakness 4/5 in some muscle groups, diffuse hyporeflexia, glove and stocking syndrome Other Relevant HX: Other: guillain barre
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Reported Symptoms: 10025186:LYMPH NODES ENLARGED; Narrative: Other Relevant HX: Other: swollen lymph nodes under arms
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Reported Symptoms: 10013573:DIZZINESS; 10042772:SYNCOPE; Narrative: Other Relevant HX: Other: SYNCOPE
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Reported Symptoms: 10028813:NAUSEA; 10047700:VOMITING; Narrative: Other Relevant HX: Other: NAUSEA AND VOMITING
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Peripheral swelling
Clinical narrative: Reported Symptoms: 10023698:LARGE ARM SWELLING; Narrative: patient got vaccine outside facility so many unknown factors such as lot, expiration Other Relevant HX: Other: SWELLING OF ARM
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site swelling, Rash
Clinical narrative: Reported Symptoms: 10037087: PRURITUS; 10037844: RASH; 10053425: INJECTION SITE SWELLING; Narrative: Other Relevant HX: Pruritus and swelling at injection site.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Respiratory distress
Clinical narrative: Reported Symptoms: 10013963:DYSPNEA; 10038687:RESPIRATORY DISTRESS;  Narrative: Other Relevant HX: Other: dyspnea, respiratory distress
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Computerised tomogram neck abnormal, Dysphagia, Injection site inflammation, Laryngeal oedema
Clinical narrative: Reported Symptoms: 10002218: ANAPHYLAXIS; Narrative: Patient presents to ER for follow-up on laryngeal edema. States that he had the flu shot on Sunday at pharmacy and within 30 minutes he felt as though his throat were closing up. He went immediately to hospital ER for treatment where he received a shot of steroids. CT of the neck showed inflammation of his larynx and esophagus. ENT did offer admission to the hospital for treatment, but the patient had improved and he declined. The patient was sent home on prednisone 50mg daily for the next 4 days. However, his symptoms started to recur this morning and he was scheduled to be seen 10/01/2024. States that he can breath without difficulty, but swallowing is problematic. Denies overt drooling, and he can swallow soft foods with some difficulty. Denies and regurgitation of food or vomiting. He was given Triamcinolone 80mg IM x 1dose. Other Relevant HX: Other: ANAPHYLAXIS
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: Reported Symptoms: 10002218: ANAPHYLAXIS; Narrative: Patient presents to ER for follow-up on laryngeal edema. States that he had the flu shot on Sunday at pharmacy and within 30 minutes he felt as though his throat were closing up. He went immediately to hospital ER for treatment where he received a shot of steroids. CT of the neck showed inflammation of his larynx and esophagus. ENT did offer admission to the hospital for treatment, but the patient had improved and he declined. The patient was sent home on prednisone 50mg daily for the next 4 days. However, his symptoms started to recur this morning and he was scheduled to be seen 10/01/2024. States that he can breath without difficulty, but swallowing is problematic. Denies overt drooling, and he can swallow soft foods with some difficulty. Denies and regurgitation of food or vomiting. He was given Triamcinolone 80mg IM x 1dose. Other Relevant HX: Other: ANAPHYLAXIS
Age: 75.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Cardiac disorder, Dyspnoea, Intensive care, Respiratory tract infection
Clinical narrative: Reported Symptoms: 10040604:SHORTNESS OF BREATH; 10054112: HOSPITALISATION; Narrative: patient came in for flu/covid vaccine and developed shortness of breath/taken by ambulance to outside hospital and admitted to ICU/IV antibiotics for symptoms of underlying respiratory infection and cardiac condition Other Relevant HX: Other: patient came in for flu/covid vaccine and developed shortness of breath/taken by ambulance to outside hospital and admitted to ICU/IV antibiotics for resp infection
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Reported Symptoms: 10033371:PAIN; 10062428:GENERALIZED ACHING; Narrative: Typical body aches and pains as seen with routine vaccinations. Other Relevant HX: Other: GENERALIZED ACHES AND PAINS
Sex: M
Vaccine: FLU3
Symptoms: Hypersensitivity, Pruritus, Rash, Urticaria
Clinical narrative: Reported Symptoms: 10037844:RASH; 10046735:URTICARIA; Narrative: Patient presented to emergency department accompanied by his wife with complaint of allergic reaction to the flu vaccine. He states that he got the vaccine on September 11, 2023 and the next day began having itching and welts. He states he got some over-the-counter Benadryl which improved symptoms Other Relevant HX: Other: URTICARIA
Sex: M
Vaccine: COVID19-2
Symptoms: Thrombosis
Clinical narrative: Reported Symptoms: 10043607:THROMBOSIS; Narrative: Note: Patient received vaccine, however has since received Pfizer COVID-19 vaccine without issues Other Relevant HX: Other: THROMBOSIS
Age: 73.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea
Clinical narrative: Reported Symptoms: 10013963: DYSPNEA; Narrative: Other Relevant HX: Other: DYSPNEA
Age: 89.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Sleep disorder, Ultrasound Doppler normal
Clinical narrative: Reported Symptoms: 10003239: ARTHRALGIA; 10047862:WEAKNES; 10047865: WEAKNESS GENERALIZED; Narrative: Patient is a 89-year-old man with a history of AAA, CAD, CHF, inguinal hernia presenting for leg pain and weakness. Accompanied by his daughter who helps provide significant history. State that last week he received an influenza vaccination. Beginning that night he had significant pain to his right leg. Described as occasional calf pain predominantly upper leg pain radiating to his groin. No injury. Described longstanding weakness. No fevers or chills. They are concerned about a possible blood clot. Using Tylenol and ibuprofen but patient having trouble sleeping as ibuprofen wears off. Patient was daughter also notes that she discontinued his Lasix several months ago as she felt it was making him lightheaded and he had more bilateral lower extremity edema. On initial exam he was comfortable appearing and hemodynamically normal. Lack of focal neuro symptoms reassuring against CVA. Labs reassuring against significant infection, occult blood loss or metabolic derangement. Description of the symptoms not consistent with symptomatic AAA. X-rays reassuring against fracture dislocation, do show significant arthritis in both of the knee joint. Ultrasound reassuring against DVT. Overall favor arthritic pain as the cause of his symptoms. Do question whether lower extremity edema is contributing as well and advised them to resume his Lasix and follow up with the primary provider. They were in agreement with this. Advised patient to attempt use of naproxen over Advil for extended coverage
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Reported Symptoms: 10037087: PRURITUS; 10037844: RASH; 10046735: URTICARIA; Narrative: Other Relevant HX: URITCARIA; RASH
Age: 46.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Injection site reaction, Rash erythematous, Rash papular
Clinical narrative: Reported Symptoms: 10037844: RASH; Narrative: PT CALLED AND REPORTED VIA PHONE THAT HAD BILATERAL RAISED, RED RASH AREA TO DELTOID REGION WHERE COVID AND INFLUENZA VACCINES ADMINISTERED. PT STATED SELF-ADMINISTERED x1DOSE OF ORAL BENADRYL WHICH IMPROVED RASH. Other Relevant HX: Other:
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Reported Symptoms:: 10037844:RASH; Narrative: Other Relevant HX: Other: Rash
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Mobility decreased, Syncope
Clinical narrative: Reported Symptoms: 10042772: SYNCOPE; 10047862; WEAKNESS; Narrative: Patient reportedly collapsed, fainted and could not move two days after receiving vaccine Other Relevant HX: Other: SYNCOPE; WEAKNESS.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Ocular discomfort, Pyrexia, Respiratory depression
Clinical narrative: Reported Symptoms: 10008493:CHEST TIGHTNESS OF; 10013573:DIZZINESS; 10016558:FEVER; 10038678:RESPIRATORY DEPRESSION; 10028811:SENSATION OF PRESSURE IN EYE; Narrative: Other Relevant HX: Other: chest tightness, pressure under eyes
Sex: M
Vaccine: COVID19-2
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; 10046735:URTICARIA; Narrative: Other Relevant HX: Other: URTICARIA; RASH
Sex: M
Vaccine: FLU3
Symptoms: Bradycardia, Chest X-ray, Electrocardiogram, Feeling abnormal, Hypotension
Clinical narrative: Reported Symptoms: 10047166: VASOVAGAL REACTION; Narrative: Patient administered COVID vaccine and influenza vaccine during same clinic visit and reported feeling like about to pass out. Patient was hypotension and bradycardia. Patient was taken to ER for evaluation. Received IVF and work up to include EKG and chest x-ray. Patient was discharged home same day with plan to follow up with primary care doctor. Other Relevant HX: VASOVAGAL REACTION
Sex: M
Vaccine: FLU3
Symptoms: Presyncope
Clinical narrative: Reported Symptoms: 10047166: VASOVAGAL REACTION; Narrative: Patient administered COVID vaccine and influenza vaccine during same clinic visit and reported feeling like about to pass out. Patient was hypotension and bradycardia. Patient was taken to ER for evaluation. Received IVF and work up to include EKG and chest x-ray. Patient was discharged home same day with plan to follow up with primary care doctor. Other Relevant HX: VASOVAGAL REACTION
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Reported Symptoms: 10028411: MYALGIA; Narrative: Other Relevant HX: Other: Myalgia
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Peripheral swelling, Pruritus, Throat tightness
Clinical narrative: Reported Symptoms: 10023094: ITCHY SKIN; 10043517: THROAT CONSTRICTION; Narrative: Other Relevant HX: 62 y/o male PMH HTN, HLD, DM2, PTSD, CKD, osteoarthritis, obesity. Patient had previously been vaccinated for this flu season on 10/7/2024 at outside facility, documented via immunization note by LPN on 11/22/24. Of note, patient had appointment on 10/7/24  where he refused influenza vaccine. At most recent visit on 1/8/2025, patient reported receiving second influenza vaccine approximately one week prior through Employee Health, as they had not noticed previous immunization in October. On the day of the immunization, he reported experiencing throat constriction, difficulty breathing, left arm swelling and itching. Patient considered going to the ED but symptoms mostly subsided. Wheezing lasted for a few days. The patient attributed this to used of influenza vaccine. There is no record of the second influenza vaccine in the system. Unable to view occupational health documentation. Other: itchy arm, throat constriction
Sex: M
Vaccine: FLUX
Symptoms: Rash
Clinical narrative: Reported Symptoms: 10037844: RASH; Narrative: Other Relevant HX: Other: RASH.
Age: 70.0
Sex: M
Vaccine: FLUX
Symptoms: Hypothermia
Clinical narrative: Reported Symptoms: 100211113:HYPOTHERMIA; Narrative: Other Relevant HX: Other: HYPOTHERMIA.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Rales
Clinical narrative: Reported Symptoms: 10013963:DYSPNEA; 10054910:CRACKLES LUNGS; Narrative: Other Relevant HX: Other: RESPIRATORY CRACKLES; DYSPNEA
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Reported Symptoms: 10069271:PRODUCT EXPIRATION DATE ISSUE; Narrative: Administered after the Out of Freezer Beyond Use Date. No adverse sequelae observed. Other Relevant HX: N/A Other: Administered after the Out of Freezer Beyond Use Date. No adverse sequelue observed.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Reported Symptoms: 10069271:PRODUCT EXPIRATION DATE ISSUE; Narrative: Administered after the Out of Freezer Beyond Use Date. No adverse sequelae observed. Other Relevant HX: N/A Other: Administered after the Out of Freezer Beyond Use Date. No adverse sequelae observed.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Reported Symptoms: 10029829:NUMBNESS; Narrative: Signs/symptoms: NUMBNESS (2/4/25@09:11:57) Other Relevant HX: Other: numbness
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10013963:DYSPNEA; Narrative: pericarditis per pt was advised not to take anymore. Other Relevant HX: pericarditis per pt was advised not to take anymore. Other: chest pain, dyspnea
Age: 36.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Dizziness, Feeling hot
Clinical narrative: Reported Symptoms: 10013573: Dizziness; 100116334: FEELING HOT; Narrative: Other Relevant HX: Other: patient stated she felt hot.
Sex: M
Vaccine: FLUX
Symptoms: Blister, Rash
Clinical narrative: Reported Symptoms: 10005216: BLISTERS; 10037844: RASH; Narrative: Note: Vaccine not given at the center. No record of when/where patient received vaccine (1st documented influenza vaccine was in 2004 while enlisted) Other Relevant HX: Other: BLISTER; RASH.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Breast mass, Chest pain, Chest wall abscess, Computerised tomogram abnormal
Clinical narrative: Reported Symptoms: 10025197:LYMPHADENOPATHY; Narrative: 12/30/24 - Pt reported approx. 7-10 days after the Covid vaccine he started having severe pain and soreness under both arms radiating into the outer and ended edges of chest. Pain and soreness lasted approx. 6-8 days at which time it dissipated. About a week later, while showering, Pt found a medium sized lump/know in right breast where the lymph notes extend. A pea-size knot found under left arm below the arm pit close to left breast. Pt went to ED when lumps became larger in size and CT scan performed. Masses were found on both sides of chest - possibly malignant. Pt referred to breast cancer specialist. Pt had mammogram, ultrasound and needle biopsy. Fluid extracted and tissue sample obtained. No malignancy discovered. MD plans to remove the large mass from the right breast and any other infection or necrotic lump nodes he finds during surgery and then will partially close the incision placing and leaving a drain in place until he is sure the problem is corrected. He is listing this as a "chest wall abscess" at the moment and said that once the mass is removed and sent to pathology and he can get eyes on the inside that's the best diagosis he can come up with. Pt reported having surgery in Jan. 2025 (R. axillary surgery 1/9/25 and L. axillary surgery 1/31/25). Pt received cephalexin post surgery and reports fairing well. Other Relevant HX: HTN Abnormal Liver enzymes R shoulder RC and bicips tendon repair 03/2023 - R shoulder injury MVC 07/22 Chronic Low back -DJD L/S spine Polyarthralgia/Myofasial
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Diagnostic aspiration, Drain placement, Lymphadenopathy, Mammogram, Pain
Clinical narrative: Reported Symptoms: 10025197:LYMPHADENOPATHY; Narrative: 12/30/24 - Pt reported approx. 7-10 days after the Covid vaccine he started having severe pain and soreness under both arms radiating into the outer and ended edges of chest. Pain and soreness lasted approx. 6-8 days at which time it dissipated. About a week later, while showering, Pt found a medium sized lump/know in right breast where the lymph notes extend. A pea-size knot found under left arm below the arm pit close to left breast. Pt went to ED when lumps became larger in size and CT scan performed. Masses were found on both sides of chest - possibly malignant. Pt referred to breast cancer specialist. Pt had mammogram, ultrasound and needle biopsy. Fluid extracted and tissue sample obtained. No malignancy discovered. MD plans to remove the large mass from the right breast and any other infection or necrotic lump nodes he finds during surgery and then will partially close the incision placing and leaving a drain in place until he is sure the problem is corrected. He is listing this as a "chest wall abscess" at the moment and said that once the mass is removed and sent to pathology and he can get eyes on the inside that's the best diagosis he can come up with. Pt reported having surgery in Jan. 2025 (R. axillary surgery 1/9/25 and L. axillary surgery 1/31/25). Pt received cephalexin post surgery and reports fairing well. Other Relevant HX: HTN Abnormal Liver enzymes R shoulder RC and bicips tendon repair 03/2023 - R shoulder injury MVC 07/22 Chronic Low back -DJD L/S spine Polyarthralgia/Myofasial
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Reported Symptoms: 10025197:LYMPHADENOPATHY; Narrative: 12/30/24 - Pt reported approx. 7-10 days after the Covid vaccine he started having severe pain and soreness under both arms radiating into the outer and ended edges of chest. Pain and soreness lasted approx. 6-8 days at which time it dissipated. About a week later, while showering, Pt found a medium sized lump/know in right breast where the lymph notes extend. A pea-size knot found under left arm below the arm pit close to left breast. Pt went to ED when lumps became larger in size and CT scan performed. Masses were found on both sides of chest - possibly malignant. Pt referred to breast cancer specialist. Pt had mammogram, ultrasound and needle biopsy. Fluid extracted and tissue sample obtained. No malignancy discovered. MD plans to remove the large mass from the right breast and any other infection or necrotic lump nodes he finds during surgery and then will partially close the incision placing and leaving a drain in place until he is sure the problem is corrected. He is listing this as a "chest wall abscess" at the moment and said that once the mass is removed and sent to pathology and he can get eyes on the inside that's the best diagosis he can come up with. Pt reported having surgery in Jan. 2025 (R. axillary surgery 1/9/25 and L. axillary surgery 1/31/25). Pt received cephalexin post surgery and reports fairing well. Other Relevant HX: HTN Abnormal Liver enzymes R shoulder RC and bicips tendon repair 03/2023 - R shoulder injury MVC 07/22 Chronic Low back -DJD L/S spine Polyarthralgia/Myofasial
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Reported Symptoms: 10069271: PRODUCT EXPIRATION DATE ISSUES; Narrative: Administered after the Out of Freezer Beyond Use Date. No adverse sequelae observed. Other Relevant HX: N/A Other: Administered after the out of Freezer Beyond Use date. No adverse sequelae observed.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Reported Symptoms: 10069271: PRODUCT EXPIRATION DATE ISSUE; Narrative: administered after the Out of Freezer Beyond Use Date. No adverse sequelae observed. Other Relevant HX: N/A Other: administered after the Out of Freezer Beyond Used Date. No adverse sequelae observed.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Reported Symptoms: 10069271: PRODUCT EXPIRATION DATE ISSUE; Narrative: administered after the Out of Freezer Beyond Use Date. No adverse sequelae observed. Other Relevant HX: N/A. Other: Administered after the Out of Freezer Beyond Use Date. No Adverse sequelae Observed.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; Narrative: Patient received his first Moderna COVID-19 vaccine on 3/4/2021. Patient called the clinical contact center on 3/11/2021 reporting a rash on the left side of his neck the day after receiving the vaccine. Patient denied having difficulty breathing or swallowing, wheezing, pain, fevers or chills, nor nausea or vomiting. Patient reported self-treating of the rash with Caladryl clear that helped with reported symptoms, but requested additional medications to further help his rash. Patient was advised by the primary care team to take OTC diphenhydramine to help with the rash to which patient stated that it did help. Though, he still experienced a slight itch. Patient then presented to the centers Emergency Department on 3/16/2021 with complaints of continued rash with no relief from over-the-counter medications. Patient continued to deny having difficulty breathing or swallowing, wheezing, pain, fevers or chills, nor nausea or vomiting. No further workup was done for differential diagnoses. Patient was discharged from the ED with a prescription for hydrocortisone 2% topical cream, which helped with the itching. Of note, patient completed the Moderna COVID-19 vaccine series and had an 6 additional COVID-19 vaccine boosters (Moderna and Pfizer) with no complaints of itching and skin rash. Other Relevant HX: Other:
Sex: M
Vaccine: FLUX
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Reported Symptoms: 10067482: NO ADVERSE EVENT; Narrative: Patient received duplicate high dose vaccine (once on 09/30/204 and once 12/31/21) Text from facility: Pt requested a flu vaccine, I checked the pt's immunization record in system medication administration note I noticed the alert that the vaccine was not due and I went back to the immunization report and that is when I found the previous injection. I called inpatient pharmacy to ask if there was any steps I needed to take and was instructed that no adverse effects were expected. When the patient completed his visit I explained to him that he had received a second dose that I had contacted pharmacy and his doctor and that no adverse side effects were expected. The patient stated that he appreciated my honesty and would contact his PCP if he had any further concerns. I have informed Dr who is the physician for the patient who he saw today. I also informed my ANM of what happened. Other Relevant HX: Other: none
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash
Clinical narrative: Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other:
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Reported Symptoms: 10063978: WRONG VACCINE ADMINISTERED; Narrative: From Center: Patient in clinic for routine PCP appt. During intake, patient requested influenza vaccine-in reminders. Patient 60 but accidentally given high dose >65 vaccine. PCP and Pharmacist notified. Other Relevant HX: Other: Incorrect vaccine administered.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Reported Symptoms: 10047700:VOMITING; Narrative: Other Relevant HX: Other:
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea
Clinical narrative: Reported Symptoms: 10013963: DYSPNEA; Narrative: Other Relevant HX: Other DYSPNEA.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Limb mass, Peripheral swelling, Thrombosis
Clinical narrative: Reported Symptoms: 10043607: THROMBOSIS; Narrative: 12/17/24 - Pt presented to ED with c/o right lower extremity swelling and pain since 5:30 pm today. Pt does have history of DVT/PE on Eliquis. No calf tenderness noted to extremity. Pt currently on Eliquis 2.5mg twice daily. Pt stated he felt a knot in his leg earlier today and began to have some swelling in the anterior medical region. ED provider noted some tenderness and swelling. Venous duplex ordered to rule out DVT. Imaging shows bilateral femoral clots (chronic) and SVT in left leg below the knee. Apixaban 10mg BID x 7d, then 5mg BID for at least 6 months was prescribed. 11/5/24 - Nurse documented Pt had DVT after each Covid vaccine. Other Relevant HX: PMH: Hypertension, peripheral neuropathy, PE, diabetes, anxiety, hyperlipidemia, depression, CVA Other: THROMBOSIS
Age: 64.0
Sex: M
Vaccine: FLUX
Symptoms: Dyspnoea
Clinical narrative: Reported Symptoms: 10013963: DYSPNEA; Narrative: Other Relevant HX: Other: Dyspnea
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Renal impairment
Clinical narrative: Reported Symptoms: 10017474:FUNCTION KIDNEY DECREASED; 10033556:PALPITATION; 10042697:SWELLING OF KNEES; Narrative: Unknown-Patient reported getting vaccine outside the facility Other Relevant HX: Other: knee swelling and decreased kidney function
Vaccine: MMR
Symptoms: Product preparation issue
Clinical narrative: accidentally administered the PRIORIX diluent on unknown date; accidentally administered the PRIORIX diluent on unknown date; This non-serious case was reported by a nurse via call center representative and described the occurrence of inappropriate preparation of medication in a patient who received MMR (Priorix) (batch number 222h3) for prophylaxis.   On an unknown date, the patient received Priorix. On an unknown date, an unknown time after receiving Priorix, the patient experienced inappropriate preparation of medication (Verbatim: accidentally administered the PRIORIX diluent on unknown date) and inappropriate dose of vaccine administered (Verbatim: accidentally administered the PRIORIX diluent on unknown date). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were not applicable.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 25-JUL-2025 The reporter was the HCP (nurse manager) who stated that a patient was accidentally administered the Priorix diluent on unknown date which led to inappropriate preparation of medication and inappropriate dose of vaccine administered. The patient was then given the correct reconstituted vaccine. The healthcare professional to call back with more information.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Product storage error
Clinical narrative: Administration of Bexsero after it was activated for an unknown time; This non-serious case was reported by a other health professional via call center representative and described the occurrence of incorrect storage of drug in a 17-year-old female patient who received Men B NVS (Bexsero) (batch number A5AD4, expiry date 31-JAN-2027) for prophylaxis.   On 16-JUL-2025, the patient received Bexsero. On an unknown date, an unknown time after receiving Bexsero, the patient experienced incorrect storage of drug (Verbatim: Administration of Bexsero after it was activated for an unknown time). The outcome of the incorrect storage of drug was not applicable.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK receipt date: 18-JUL-2025 A practice manager called in to request data about the validity and safety of a dose of Bexsero after the prefilled syringe had been storage for an unknown amount of time, either minutes or days, and then administered to a 17-year-old, which led incorrect storage drug.
Sex: M
Vaccine: MENB
Symptoms: Intercepted product prescribing error
Clinical narrative: Possible administration to a 30 YO PX; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of intercepted drug prescribing error in a 30-year-old male patient who received Men B NVS (Bexsero) for prophylaxis.   Previously administered products included Pneumonia vaccine (received pneumonia vaccine on an unknown date). Concomitant products included iptacopan hydrochloride monohydrate (Fabhalta).   On an unknown date, the patient received Bexsero. On an unknown date, an unknown time after receiving Bexsero, the patient experienced intercepted drug prescribing error (Verbatim: Possible administration to a 30 YO PX). The outcome of the intercepted drug prescribing error was not applicable.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 23-JUL-2025 Pharmacist reported that they had a patient, who was 30 years old and he was on a medication, the medication was called Fabhalta. It affected the immune system and lower the ability to fight infection, so as part of him being on this medication, he needs to be vaccinated for strepto pneumonia and meningitis.  He already got his pneumonia vaccine, they went to do the meningitis and the doctor sent the prescription, you know the Menveo and then the Bexsero.  But the problem was that Bexsero, and all the Meningococcal B, all have an age for 10 to 25 years old in their indication, so he was 30. The healthcare professional mentioned that they have not administer the Bexsero vaccine to the patient, however, as this was prescribed by patient seems that the patient will receive the vaccine at the age of 30 years old which led to intercepted product prescribing error.