chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Gestational diabetes, Induced labour, Premature baby, Premature labour
Clinical narrative: Patient was 33-34 weeks pregnant when RSV vaccine was received on 11/15/24. This was the patients 1st pregnancy.  Patient had gestational diabetes (diet controlled) and no other complications noted . Due date was 12/24/24, with a scheduled induction for 12/17/24.  Patient experienced spontaneous rupture of membranes on 11/XX/24, was transported to the hospital, induced with oxytocin, then gave birth to preterm baby on 11/XX/24 at 7pm. Birth weight was 5 lbs 10 oz.  Newborn was initially admitted to the ICU for monitoring due to low birth weight.  Newborn was discharged  from hospital on 11/XX/24 with no further complications.  Newborn is healthy and well nourished as of 1/1/25.  Preterm labor was 9 days after receiving the dose of RSV vaccine (Abrysvo).
Age: 32.0
Sex: F
Vaccine: RSV
Symptoms: Spontaneous rupture of membranes
Clinical narrative: Patient was 33-34 weeks pregnant when RSV vaccine was received on 11/15/24. This was the patients 1st pregnancy.  Patient had gestational diabetes (diet controlled) and no other complications noted . Due date was 12/24/24, with a scheduled induction for 12/17/24.  Patient experienced spontaneous rupture of membranes on 11/XX/24, was transported to the hospital, induced with oxytocin, then gave birth to preterm baby on 11/XX/24 at 7pm. Birth weight was 5 lbs 10 oz.  Newborn was initially admitted to the ICU for monitoring due to low birth weight.  Newborn was discharged  from hospital on 11/XX/24 with no further complications.  Newborn is healthy and well nourished as of 1/1/25.  Preterm labor was 9 days after receiving the dose of RSV vaccine (Abrysvo).
Age: 58.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Burning sensation, Injection site bruising, Injection site pain, Needle issue, X-ray normal
Clinical narrative: Pt received two injections in the left arm on 10/29/24. When Injecting the novavax vaccine it was discovered that the needle was faulty (needle would not allow injection to occur) and had to be switched out after initial poke to a new needle. Injection had no issue once needle was swapped. Pt states that over the next few days a bruise developed that extended down his entire left bicep and he started to develop a burning sensation about 3 days after injection. The sensation shoots from top of bicep to mid forearm and occasionally moves down to finger tips. Certain movements when he moves from close to body to out of body can aggravate the sensation, lifting weights or letting arm hang do not aggravate. Pt presented to urgent care on 11/3/24. They did an x ray and could not find anything wrong. Patient started OTC ibuprofen 400 mg every 8 hours. He is unsure that it was helping or if it was more of a placebo effect. Pt went to clinic for an annual check up 12/13. Was prescribed to start physical therapy which he will start on 1/6. Clinic hopes to do an MRI to get further imaging results after physical therapy is started.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV5
Symptoms: Bone disorder, Bone marrow oedema, Infant irritability, Injected limb mobility decreased, Magnetic resonance imaging abnormal
Clinical narrative: Baby reported as fussy starting after the vaccine, admitted to hospital 17 days after vaccine with decreased left leg movement and increased fussiness, found to have abnormal XR and MRI of left thigh consistent with possible osteomyelitis, treated with IV antibiotics and now home on po antibiotics, still with decreased leg movement at time of this report.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV5
Symptoms: Skin oedema, X-ray limb abnormal
Clinical narrative: Baby reported as fussy starting after the vaccine, admitted to hospital 17 days after vaccine with decreased left leg movement and increased fussiness, found to have abnormal XR and MRI of left thigh consistent with possible osteomyelitis, treated with IV antibiotics and now home on po antibiotics, still with decreased leg movement at time of this report.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Electromyogram, Laboratory test
Clinical narrative: Patient reports diffuse burning sensation, felt like he was burning from the inside out approximately three three weeks after vaccination
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Herpes simplex, Herpes simplex test positive
Clinical narrative: The injection reactivated a mostly dormant HSV-2 infection.  HSV-2 outbreaks have been continuous for two years.  Before the vaccine, outbreaks occurred approximately once per year.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acoustic stimulation tests abnormal, Blood test normal, Cerebrovascular accident, Computerised tomogram heart normal, Echocardiogram normal
Clinical narrative: Stroke (TIA) occurred 11/21/2023. Partial loss eye sight, hand tremor, partial hearing loss with severe tinnitus and moderate headaches that developed into debilitating migraines requiring ER attention and abortive medication.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fundoscopy, Headache, Hypoacusis, Magnetic resonance imaging head abnormal, Migraine
Clinical narrative: Stroke (TIA) occurred 11/21/2023. Partial loss eye sight, hand tremor, partial hearing loss with severe tinnitus and moderate headaches that developed into debilitating migraines requiring ER attention and abortive medication.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus, Tremor, Ultrasound Doppler, Visual acuity tests, Visual impairment
Clinical narrative: Stroke (TIA) occurred 11/21/2023. Partial loss eye sight, hand tremor, partial hearing loss with severe tinnitus and moderate headaches that developed into debilitating migraines requiring ER attention and abortive medication.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Bickerstaff's encephalitis, Diplopia, Fatigue, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Received vaccine on 7/1/2023 and was hospitalized with a diagnosis of Guillain-Barre on 7/13/2023.  Woke up on 7/13/2023 with double vision, headache, gait instability.  No fever no diarrhea, no vomiting, did have some nausea.  By about 5 to 6 pm  needed assistance walking and was admitted.  Received IVIG after a week to 10 days was sent to inpatient rehab.  Was seen on f/u at Neurology clinic in 9/2023 and diagnosed with a variant of Guillain-Barre called Bickerstaff Brainstem Encephalitis.  Most problematic and persistent symptoms is neuropathic pain to legs and easily fatigue.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Immunoglobulin therapy, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal
Clinical narrative: Received vaccine on 7/1/2023 and was hospitalized with a diagnosis of Guillain-Barre on 7/13/2023.  Woke up on 7/13/2023 with double vision, headache, gait instability.  No fever no diarrhea, no vomiting, did have some nausea.  By about 5 to 6 pm  needed assistance walking and was admitted.  Received IVIG after a week to 10 days was sent to inpatient rehab.  Was seen on f/u at Neurology clinic in 9/2023 and diagnosed with a variant of Guillain-Barre called Bickerstaff Brainstem Encephalitis.  Most problematic and persistent symptoms is neuropathic pain to legs and easily fatigue.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Neuralgia
Clinical narrative: Received vaccine on 7/1/2023 and was hospitalized with a diagnosis of Guillain-Barre on 7/13/2023.  Woke up on 7/13/2023 with double vision, headache, gait instability.  No fever no diarrhea, no vomiting, did have some nausea.  By about 5 to 6 pm  needed assistance walking and was admitted.  Received IVIG after a week to 10 days was sent to inpatient rehab.  Was seen on f/u at Neurology clinic in 9/2023 and diagnosed with a variant of Guillain-Barre called Bickerstaff Brainstem Encephalitis.  Most problematic and persistent symptoms is neuropathic pain to legs and easily fatigue.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Borrelia test negative, Facial paralysis
Clinical narrative: Left sided 7th nerve palsy (Bell's Palsy)
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Musculoskeletal discomfort, Pruritus, Rash
Clinical narrative: Dec 3 - patient began feeling chills, low energy, generally poor as might be typical per the listed side effects of this vaccine. These symptoms continued through Dec 4 & 5.  On Dec 6 (+3 days) discomfort was felt on right hip, tender to the touch. Patient had a right total hip arthroplasty on August 6, four months prior. Dec 7 - hip tenderness increased and a rash covering buttocks on right side was noticed. Patient has never had a rash from any cause previously. Rash lasted until December 11, 4-5 days, after which the skin was sensitive and itchy. Symptoms dissipated from that date forward.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Sensitive skin, Tenderness
Clinical narrative: Dec 3 - patient began feeling chills, low energy, generally poor as might be typical per the listed side effects of this vaccine. These symptoms continued through Dec 4 & 5.  On Dec 6 (+3 days) discomfort was felt on right hip, tender to the touch. Patient had a right total hip arthroplasty on August 6, four months prior. Dec 7 - hip tenderness increased and a rash covering buttocks on right side was noticed. Patient has never had a rash from any cause previously. Rash lasted until December 11, 4-5 days, after which the skin was sensitive and itchy. Symptoms dissipated from that date forward.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Vomiting
Clinical narrative: chills, vomit and shortness of breath
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Malaise
Clinical narrative: Severe shingles started after one day, went to urgent care 3 days later and twice more. Took 3 months to recover. 3 years later still have lingering long covid symptoms
Age: 34.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Blister, Discomfort, Oral disorder, Pruritus, Throat lesion
Clinical narrative: Developed vesicular lesions on head, neck, torso, arms and legs on 11/19/24.  Within a week there were approximately 500+ lesions.  At day 8 there were no new lesions and over the next 10 days the lesions scabbed and healed.  Lesions were uncomfortable and itchy.  A few lesions were present in the mouth/throat.
Age: 34.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Varicella virus test positive
Clinical narrative: Developed vesicular lesions on head, neck, torso, arms and legs on 11/19/24.  Within a week there were approximately 500+ lesions.  At day 8 there were no new lesions and over the next 10 days the lesions scabbed and healed.  Lesions were uncomfortable and itchy.  A few lesions were present in the mouth/throat.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Gait disturbance, Injection site erythema, Injection site hypersensitivity, Injection site swelling, Irritability
Clinical narrative: Swelling of thigh for about 4 days, mild fever (Tylenol), sensitivity to injection site, limping for about 4 days, increased irritability, redness over whole thigh where injection site was.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol, Blood test, Chest X-ray, Dizziness, Dyspnoea
Clinical narrative: Pain in face/jaw/mouth, severe insomnia for two months (treatment at two months: trazodone 50 mg), fatigue/exhaustion, dizziness, light headedness, shortness of breath, heavy limbs, numb fingers, positional vertigo, orthostatic hypotension. This developed into a chronic condition without recovery which progressed in severity. Exertion caused extreme exhaustion the next day and for several days after,  some exertion caused worsening illness which did not improve with rest. I had to stop working altogether and live in bed for the last year. this illness has been for over 3.5 years so far (jan 1 2025). Still working with specialists on exact diagnosis. Rheumatologist diagnosed fibromyalgia and suspected ME/CFS as well.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Facial pain, Fatigue, Fibromyalgia, Hypoaesthesia
Clinical narrative: Pain in face/jaw/mouth, severe insomnia for two months (treatment at two months: trazodone 50 mg), fatigue/exhaustion, dizziness, light headedness, shortness of breath, heavy limbs, numb fingers, positional vertigo, orthostatic hypotension. This developed into a chronic condition without recovery which progressed in severity. Exertion caused extreme exhaustion the next day and for several days after,  some exertion caused worsening illness which did not improve with rest. I had to stop working altogether and live in bed for the last year. this illness has been for over 3.5 years so far (jan 1 2025). Still working with specialists on exact diagnosis. Rheumatologist diagnosed fibromyalgia and suspected ME/CFS as well.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Insomnia, Limb discomfort, Mobility decreased, Oral pain
Clinical narrative: Pain in face/jaw/mouth, severe insomnia for two months (treatment at two months: trazodone 50 mg), fatigue/exhaustion, dizziness, light headedness, shortness of breath, heavy limbs, numb fingers, positional vertigo, orthostatic hypotension. This developed into a chronic condition without recovery which progressed in severity. Exertion caused extreme exhaustion the next day and for several days after,  some exertion caused worsening illness which did not improve with rest. I had to stop working altogether and live in bed for the last year. this illness has been for over 3.5 years so far (jan 1 2025). Still working with specialists on exact diagnosis. Rheumatologist diagnosed fibromyalgia and suspected ME/CFS as well.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Orthostatic hypotension, Pain in jaw, Scan myocardial perfusion, Stool analysis, Urine analysis
Clinical narrative: Pain in face/jaw/mouth, severe insomnia for two months (treatment at two months: trazodone 50 mg), fatigue/exhaustion, dizziness, light headedness, shortness of breath, heavy limbs, numb fingers, positional vertigo, orthostatic hypotension. This developed into a chronic condition without recovery which progressed in severity. Exertion caused extreme exhaustion the next day and for several days after,  some exertion caused worsening illness which did not improve with rest. I had to stop working altogether and live in bed for the last year. this illness has been for over 3.5 years so far (jan 1 2025). Still working with specialists on exact diagnosis. Rheumatologist diagnosed fibromyalgia and suspected ME/CFS as well.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo positional
Clinical narrative: Pain in face/jaw/mouth, severe insomnia for two months (treatment at two months: trazodone 50 mg), fatigue/exhaustion, dizziness, light headedness, shortness of breath, heavy limbs, numb fingers, positional vertigo, orthostatic hypotension. This developed into a chronic condition without recovery which progressed in severity. Exertion caused extreme exhaustion the next day and for several days after,  some exertion caused worsening illness which did not improve with rest. I had to stop working altogether and live in bed for the last year. this illness has been for over 3.5 years so far (jan 1 2025). Still working with specialists on exact diagnosis. Rheumatologist diagnosed fibromyalgia and suspected ME/CFS as well.
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB, FLU3, PNC15, RV5
Symptoms: Vomiting
Clinical narrative: Vomiting occurred several after vaccination. This reaction had previously occurred at 2 months of age when he received Vaxelis, Vaxneuvance and RotaTeq. At that time the patient had uncorrected congenital hydronephrosis and it was unsure which if any vaccine was contributing to this vomiting. At 4 months of age the patient received Vaxelis and Vaxneuvance with no subsequent vomiting. He then had recurrence of vomiting on receiving the above vaccines at 6 months of age. He was treated with Zofran and vomiting improved.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pain, Pain in extremity
Clinical narrative: Severe pain beginning in arm, continuing to full body pain. Severe arm pain with red stripes beginning two inches below injection site. The stripes hurt badly as well.
Age: 63.0
Sex: U
Vaccine: COVID19, TDAP
Symptoms: Urticaria
Clinical narrative: Pustulosis; Red welt; scarring on face; erruption; discolouration on my face; Covid pustulosis / pustule on my face, my neck, my chest, my arm and i have them on my parts of my legs and my trunk; This non-serious case was reported by a other health professional via other manufacturer and described the occurrence of pustular rash in a adult patient who received DTPa (Reduced antigen) (Boostrix) (batch number X357E) for prophylaxis.   Co-suspect products included Tozinameran (Comirnaty) (batch number Lm2215) for prophylaxis.   The patient's past medical history included pain in arm and hormone replacement therapy. Previously administered products included COVID-19 vaccine (received 1st dose of pfizer12yr+ Covid-19 Bivalent on 20 march 2023 with lot number GJ3274 by intramuscular route in left arm of dose 0.3 ml) and COVID-19 vaccine (received 2nd dose of Pfizer 2023-24 Covid 12yr+SYR on 05 october 2023 with lot number HG4677 by intramuscular route in left arm of dose 0.3 ml). Concurrent medical conditions included hypercalciuria, recurrent urinary tract infection (more than 20 year ago), vitamin d deficiency and drug allergy (Diuretics, Doxepin, Gabapentin). Concomitant products included estradiol;estriol;progesterone;vitamin E nos (Phytob L 4x), estradiol, methenamine, colecalciferol (Vitamin D3) and phosphorus.   On 05-SEP-2024, the patient received Boostrix (intramuscular, left arm) .5 ml and the 3rd dose of Comirnaty (intramuscular, right arm) .3 ml. On an unknown date, an unknown time after receiving Boostrix, the patient experienced pustular rash (Verbatim: Pustulosis), erythema urticarial (Verbatim: Red welt), scar (Verbatim: scarring on face), eruption facial (Verbatim: erruption), skin discoloration (Verbatim: discolouration on my face) and pustule (Verbatim: Covid pustulosis / pustule on my face, my neck, my chest, my arm and i have them on my parts of my legs and my trunk). The outcome of the pustular rash, erythema urticarial, scar, eruption facial, skin discoloration and pustule were not resolved.   It was unknown if the reporter considered the pustular rash, erythema urticarial, scar, eruption facial, skin discoloration and pustule to be related to Boostrix.     It was unknown if the company considered the pustular rash, erythema urticarial, scar, eruption facial, skin discoloration and pustule to be related to Boostrix.   Additional Information: GSK Receipt Date: 18-DEC-2024 The patient received Boostrix and Comirnaty on the same day and the reporter reported that it was difficult to say at this point that there was any permanent damage, possible scarring on face occur. Patient was still getting the eruption and had discoloration on face where they had appears. Patient had red welts that morphed into a welt with a pustule on the top of it, it did not go away and covid pustulosis /pustule on face, neck, chest, arm and had them on parts of legs and trunk. It was unknown if the reporter considered the pustular rash, erythema urticarial, scar, eruption facial, skin discoloration and pustule to be related to Comirnaty.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pain in extremity
Clinical narrative: pain down arm and chest; pain down arm and chest; This is a spontaneous report received from a Consumer or other non HCP.  A 63-year-old female patient (unknown if pregnant) received BNT162b2 (BNT162B2), on 21Jan2021 as dose 1, single (Lot number: EL9262, Expiration Date: 31May2021) at the age of 59 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "ICD Placement", start date: Sep2020 (unspecified if ongoing); "Shellfish allergy" (unspecified if ongoing); "Left bundle branch block" (unspecified if ongoing); "ARVD" (unspecified if ongoing); "PSVT" (unspecified if ongoing); "Allergies" (unspecified if ongoing); "GERD" (unspecified if ongoing); "palpitations" (unspecified if ongoing). Concomitant medication(s) included: ZYRTEC [CETIRIZINE HYDROCHLORIDE] taken for hypersensitivity; PROTONIX [OMEPRAZOLE] taken for gastrooesophageal reflux disease; METOPROLOL taken for palpitations; ROSUVASTATIN. The following information was reported: PAIN IN EXTREMITY (non-serious), CHEST PAIN (non-serious) all with onset Jan2021, outcome "unknown" and all described as "pain down arm and chest".  Follow-up (09Dec2024): This is a spontaneous follow-up report received from a Consumer or other non HCP. Updated information: Reporter information, Relevant medical history (Shellfish allergy, Left bundle branch block, ARVD, PSVT, Allergies, GERD and Palpitations were added), Product detail (vaccination facility details, anatomical location, lot number and expiration date were added) and Concomitant drugs (Zyrtec, Protonix, Metoprolol and Rosuvastatin were added) updated. Follow-up (19Dec2024): Follow-up attempts are completed.  Follow-up (20Dec2024): This is a spontaneous follow-up report received from a Consumer (patient). Updated information: date of birth, age at vaccination, and narrative.; Sender's Comments: Linked Report(s) : US-PFIZER INC-PV202400135173 same patient, different event, different dose of vaccine;
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Eye movement disorder, Immediate post-injection reaction, Injection site rash, Malaise, Pallor
Clinical narrative: My 11 year old son is NOT allergic to bakers yeast or latex received the gardesil vaccine and within seconds his eyes rolled back he slumped in the chair he was unresponsive and started seizing. He developed an immediate rush from his injection site to his wrist, racing heart beat, pale white complexion and high temperature. His doctor pulled his sweatshirt off pant legs up put ice packs on him and gave him benadryl. An hour later he was ok enough to come home but was still not feeling great and threw up a lot.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Palpitations, Posture abnormal, Pyrexia, Rash, Unresponsive to stimuli
Clinical narrative: My 11 year old son is NOT allergic to bakers yeast or latex received the gardesil vaccine and within seconds his eyes rolled back he slumped in the chair he was unresponsive and started seizing. He developed an immediate rush from his injection site to his wrist, racing heart beat, pale white complexion and high temperature. His doctor pulled his sweatshirt off pant legs up put ice packs on him and gave him benadryl. An hour later he was ok enough to come home but was still not feeling great and threw up a lot.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Vomiting
Clinical narrative: My 11 year old son is NOT allergic to bakers yeast or latex received the gardesil vaccine and within seconds his eyes rolled back he slumped in the chair he was unresponsive and started seizing. He developed an immediate rush from his injection site to his wrist, racing heart beat, pale white complexion and high temperature. His doctor pulled his sweatshirt off pant legs up put ice packs on him and gave him benadryl. An hour later he was ok enough to come home but was still not feeling great and threw up a lot.
Sex: F
Vaccine: FLU3
Symptoms: Bronchitis, Chills, Cough, Eye swelling, Ocular hyperaemia
Clinical narrative: I received the Fluzone High-Dose Triv 2024-25 on Monday 12/09/2024 thru my Pharmacy. 24 hours later, I started to have chills, slight fever, coughing, and a sore throat. By Thurs, the 12th , my eyes were swollen and bloodshot and the coughing had gotten worse. By Monday, the 16th the cough had turned into bronchitis and the eyes were still red. I ended up having to going to my NP to seek treatment for my coughing and red eyes. I was given a Z pak and drops for my eyes all of which took care of the problem. I had gotten flu shots for years and never had this kind of reation to them.
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: I received the Fluzone High-Dose Triv 2024-25 on Monday 12/09/2024 thru my Pharmacy. 24 hours later, I started to have chills, slight fever, coughing, and a sore throat. By Thurs, the 12th , my eyes were swollen and bloodshot and the coughing had gotten worse. By Monday, the 16th the cough had turned into bronchitis and the eyes were still red. I ended up having to going to my NP to seek treatment for my coughing and red eyes. I was given a Z pak and drops for my eyes all of which took care of the problem. I had gotten flu shots for years and never had this kind of reation to them.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Pain, Vaginal ulceration
Clinical narrative: Had second dose shingles vaccination 12/13/24. On 12/23/24, began developing vaginal sores and swollen lymph nodes in the groin area. Only occurred on left side of body. Sores remain today but are not as painful and seem to be healing.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Gastrointestinal disorder
Clinical narrative: Gastro intestinal issues after 2nd Shingles Vaccine. Shingrix.
Age: 48.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Back pain, Blood creatine increased, Dry eye, Fatigue
Clinical narrative: Fatigue  Creatine Protein High Inflammation Sed Rate Inflammation High Blood Messure Joint pain / Back Pain Dry Eyes Sar Total Spike
Age: 48.0
Sex: M
Vaccine: UNK
Symptoms: Hypertension, Inflammation, Red blood cell sedimentation rate, Urine analysis
Clinical narrative: Fatigue  Creatine Protein High Inflammation Sed Rate Inflammation High Blood Messure Joint pain / Back Pain Dry Eyes Sar Total Spike
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bronchitis chronic, C-reactive protein increased, Dry eye, Fatigue
Clinical narrative: Chronic Bronchitis       Fatigue UTI's                          D- Dimer Elevated Joint Pain                    C Reactive Protein High Dry Eyes                     Hemoglobin Low Back Pain                    Inflamation Sed-Rate Inflamation High Blood pressure
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Haemoglobin decreased, Hypertension, Inflammation, Red blood cell sedimentation rate abnormal
Clinical narrative: Chronic Bronchitis       Fatigue UTI's                          D- Dimer Elevated Joint Pain                    C Reactive Protein High Dry Eyes                     Hemoglobin Low Back Pain                    Inflamation Sed-Rate Inflamation High Blood pressure
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis
Clinical narrative: Chronic Bronchitis       Fatigue UTI's                          D- Dimer Elevated Joint Pain                    C Reactive Protein High Dry Eyes                     Hemoglobin Low Back Pain                    Inflamation Sed-Rate Inflamation High Blood pressure
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, PNC20, VARCEL
Symptoms: Product lot number issue
Clinical narrative: Pt was due for HIB and PCV at time of visit. HIB lot number was documented under PCV20 order. Unable to determine if pt received either or both vaccines at visit.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Chills, Headache, Injection site erythema, Injection site pain
Clinical narrative: First 24 hours: fever, chills, headache, body ache; injection site pain/redness. Next five days/ongoing: nerve pain/itching/burning over all of body; injection site pain/redness.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Neuralgia, Pain, Pruritus, Pyrexia
Clinical narrative: First 24 hours: fever, chills, headache, body ache; injection site pain/redness. Next five days/ongoing: nerve pain/itching/burning over all of body; injection site pain/redness.
Age: 70.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: patient received second dose of vaccine
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Irritability, Pyrexia, Urticaria
Clinical narrative: Vaccine given 12/23.  Fussy and fever to 101 F within 48 hours.  Hives around injection site started 12/28.  Mom giving oral benadryl and topical hydrocortisone cream 1% several times a day but the hives have been recurrent.
Age: 11.0
Sex: M
Vaccine: MENB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The resident under the supervison of an attending staff provider ordered the Men B vaccine in error and the MA who administered this vaccine is newer and did not catch the error before administration.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: patient received second dose of rsv
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: hives
Age: 0.25
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine error, given to a 3 month old
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Induration, Necrosis
Clinical narrative: Timeframe within the first 24 hours with severe pain and induration without necrosis.  This is consistent with an Arthus reaction.  The primary intervention to be made is to defer subsequent Tetanus-Diphtheria vaccinations for 10 years in order to limit likelihood of recurrence.
Age: 25.0
Sex: F
Vaccine: COVID19, HPV9
Symptoms: Ageusia, Dry eye, Hypoaesthesia oral
Clinical narrative: Dry eyes, no taste, numb lips and tongue. Mouth seems to have a slight droop delay when puckering up. No treatment at the moment but appointment has been scheduled for further testing.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pain in extremity, SARS-CoV-2 test
Clinical narrative: I had no adverse reactions to the injection other than a sore arm for a day or two.  However, I became ill with COVID on 12/29/2024 which was within 2 months of vaccination.
Age: 88.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient had no reaction, it was a duplicate therapy. Patient received the arexvy vaccine on 12/22/2023 and received another arexvy vaccine on 12/31/2024. Patient's state shot records did not have the vaccine reported on 12/22/2023.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Pt given high-dose flu instead of intended covid vaccine. No adverse reaction. Had already been given annual flu shot on 11/29/24.
Age: 60.0
Sex: F
Vaccine: FLU3, RSV
Symptoms: Blood test, Dizziness, Headache, Malaise, Rash
Clinical narrative: COULDNT STOP SNEEZING, WELTS AND RASHES, FEELING SICK, DIZZINESS,TERRIBLE HEADACHES, ALL THE TIME
Age: 60.0
Sex: F
Vaccine: FLU3, RSV
Symptoms: Sneezing, Urticaria
Clinical narrative: COULDNT STOP SNEEZING, WELTS AND RASHES, FEELING SICK, DIZZINESS,TERRIBLE HEADACHES, ALL THE TIME
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given 0.3mLs of the UNDILUTED Covid -19 6m-<5yr vaccine in their left vastus lateralis.
Age: 64.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received Varicella Vaccination 6 days after receiving MMR vaccine.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident expired
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: Shoulder pain, decreased range of motion, needing PT treatments
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received a duplicate Arexvy shot.  Last dose was given 12/13/23 at our location but our system did not stop this duplicate fill.  I called and spoke with the patient and she was not aware she had the shot back in 2023.  She was very understanding.
Age: 43.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Catheterisation cardiac, Chest pain, Dyspnoea, Electrocardiogram abnormal, Myocardial infarction
Clinical narrative: Once I can home from my vaccination on 12/19/24 about an hour later my chest started to hurt. I was getting shortage of breath and chest pain.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Agraphia, Amnesia, Aphasia, Balance disorder, Blood test
Clinical narrative: Could no longer spell, read, use computer, difficulty writing, remembering, loss of ability to put thoughts into words, balance issues.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgraphia, Magnetic resonance imaging, Reading disorder
Clinical narrative: Could no longer spell, read, use computer, difficulty writing, remembering, loss of ability to put thoughts into words, balance issues.
Age: 73.0
Sex: M
Vaccine: UNK
Symptoms: Blood test, Inflammation, Mobility decreased, Pain, X-ray
Clinical narrative: pt says a couple of days after the flu vaccine he was stepping of a boat onto a dock and he felt a twinge in his hip area that went down both sides of his legs but stopped before reaching his knees. It began to progress after the next few days moving up his body towards his torso and both arms, wrist, hands and neck. He was tolerating it dealing with other family matters. He contacted his physician and he was prescribed methopredisone. This medicine helped with the pain from the inflammation he was having from the vaccine. A couple of days after the medicine was out of his system he was  back to where he could barely move. His doctor prescribed more steroids. He scheduled an appt with a Rheumotologist Dr. on 11/25/24. He had labs and xrays. He has not received his evaluations from the results on his test until he has a follow up appt. He is not any better at this time.
Age: 0.25
Sex: F
Vaccine: IPV
Symptoms: Pallor, Vomiting
Clinical narrative: No events occured in clinic.  Parents called clinic to report that baby had turned pale and vomited x1 approximately 0930 the morning of the vaccine.   Infant was at home.  No respiratory distress reported.    Approximately 1 hour after administration of vaccine.  Advised to bring infant in to assess.  Infant brought back to clinic at approximately 1040 am on 1/2/25.  Exam was WNL, respirations were noted to be even and unlabored at time of exam.  Injection site without redness or swelling.  VS Stable.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: After administering the vaccine, I realized it had not yet been diluted with saline as we are supposed to for the 6mo-4yr vial. The mother of the patient was contacted, the physician was notified, and a hospital report was made. No adverse reaction from the patient at this time.
Age: 1.75
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Gave an expired vaccine. Exp. date 12/31/2024
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Patient is under the age 19 and should have been given the pediatric dose vaccine but was given the adult dose
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: Cough x1 month, congestion, sore throat
Age: 1.25
Sex: M
Vaccine: DTAP, FLU3, HEPA
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was mistakenly given Hepatitis A vaccine before it was due. No adverse affects for patient.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Catheterisation cardiac normal, Chest X-ray, Dyspnoea, Echocardiogram normal, Electrocardiogram
Clinical narrative: Shortness of breath resulting in being unable to exercise ( 2x weekly one mile swimmer) could not complete 5 laps! Also walking any distance, normal housework ?all an extreme effort.  Just did not feel ?right? or like myself.  Went to urgent care on November 8th, sent to ER.  After a whole day of EKG, chest x-ray, bloodwork to check heart enzymes, I was released and told to go to a cardiologist within 72 hours.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Exercise tolerance decreased, Feeling abnormal, Myocardial necrosis marker
Clinical narrative: Shortness of breath resulting in being unable to exercise ( 2x weekly one mile swimmer) could not complete 5 laps! Also walking any distance, normal housework ?all an extreme effort.  Just did not feel ?right? or like myself.  Went to urgent care on November 8th, sent to ER.  After a whole day of EKG, chest x-ray, bloodwork to check heart enzymes, I was released and told to go to a cardiologist within 72 hours.
Age: 10.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: There was no adverse event
Age: 12.0
Sex: M
Vaccine: MNP
Symptoms: Unevaluable event
Clinical narrative: none
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Inflammation, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: On the day following the injection, my left hand became red, swollen, and painful, accompanied by a fever. By the third day, the entire left hand was painful, with a deep red, circular swelling and a yellowish center, along with persistent fever. I took ibuprofen and Tylenol to manage the pain and inflammation. After consulting my physician, I was advised to monitor the symptoms for two more days, continue the pain medication, and consider antibiotics if necessary.
Age: 1.17
Sex: M
Vaccine: HEPA, HIBV
Symptoms: No adverse event, Product preparation issue
Clinical narrative: The child may have only received diluent instead of HIB reconstituted with diluent. There were three patients of which may have been affected. Two received appropriately prepared HIB vaccines and one received diluent. It is unclear which patient of the three received only diluent. No adverse reactions have occurred since the time of administration. The dose is planned to be repeated during the child's 18 month visit to ensure proper vaccination, and the child will be monitored for any reactions at that time. Parents have been notified and expressed understanding of the situation and have no further concerns.
Age: 15.0
Sex: M
Vaccine: MNP
Symptoms: Unevaluable event
Clinical narrative: none
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Product preparation error
Clinical narrative: Clinical prepared MMR with the incorrect diluent designated for Hib, not MMR and administered
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient had already received a flu vaccine for the season on 9/20/24. Flu was mistakenly administered again.
Age: 1.08
Sex: M
Vaccine: HIBV, PNC20
Symptoms: Product preparation issue
Clinical narrative: Hib may not have been administered, only the diluent
Age: 1.25
Sex: F
Vaccine: COVID19, HEPA, HIBV
Symptoms: No adverse event, Product preparation issue
Clinical narrative: The child may have only received diluent instead of HIB reconstituted with diluent. There were three patients of which may have been affected. Two received appropriately prepared HIB vaccines and one received diluent. It is unclear which patient of the three received only diluent. No adverse reactions have occurred since the time of administration. The dose is planned to be repeated during the childs 18 month visit to ensure proper vaccination, and the child will be monitored for any reactions at that time. Parents have been notified and expressed understanding of the situation and have no further concerns.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Peripheral swelling
Clinical narrative: PATIENT STATES THAT ARM SWELLED UP AND SHE WENT TO THE HOSPITAL AND THEY HAVE SINCE PRESCRIBED HER ANTIBIOTICS FOR CELLULITIS. TODAY ON 1/2/2025 ARM DIDN'T LOOK SWOLLEN ANY MORE. PATIENT SAYS THIS HAS HAPPENED BEFORE WITH A PNEUMONIA SHOT GIVEN AT HER DOCTOR'S OFFICE.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization related to COVID 19 following completion of primary vaccine series
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered
Clinical narrative: PATIENT DID NOT NEED THIRD DOSE  RECEIVED DOSE 3/7/2018 / 8/26/2024 AND 11/15/2024
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization related to COVID 19 following completion of primary vaccine series
Age: 72.0
Sex: F
Vaccine: PNC20, PNC20
Symptoms: Injection site pain, Loss of personal independence in daily activities, Pain, Sleep disorder
Clinical narrative: Ache in arm at injection site with radiation to left forearm, impacting ability to sleep and exercise, constant. 8 weeks of pain.
Age: 72.0
Sex: F
Vaccine: PNC20, PNC20
Symptoms: Asthenia, Injection site pain, Loss of personal independence in daily activities, Myalgia, Pain
Clinical narrative: Ache in arm at injection site with radiation to left forearm, impacting ability to sleep and exercise, constant. 8 weeks of pain.
Age: 72.0
Sex: F
Vaccine: PNC20, PNC20
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Ache in arm at injection site with radiation to left forearm, impacting ability to sleep and exercise, constant. 8 weeks of pain.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: This immunization event occurred after the specified maximum age for this vaccine
Age: 70.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient was given two RSV (Abrysvo) shots.  1) first on 09/27/2023.  2) second on 10/16/2024. No adverse events experienced.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: This immunization event occurred after the specified maximum age for this vaccine
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization related to COVID 19 following completion of primary vaccine series
Age: 62.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient scheduled a flu shot in the health center today.  Patient was vaccinated in health center today 1/2/2025.  After discharge, vaccine was documented in immunization registry and staff discovered patient received identical flu vaccine on 11/6/2024 from same lot at an off site flu clinic this fall.  Patient was notified of repeat vaccine and stated " I forgot I had a flu shot". Patient had no adverse or side effect from original vaccine on 11/6/2024 and reports no adverse effect today.
Age: 1.42
Sex: M
Vaccine: HIBV, PNC20
Symptoms: Abscess drainage, Abscess sterile, Culture tissue specimen negative, Injection site reaction
Clinical narrative: No reaction directly following vaccine injection but 6 weeks after vaccine was given pt developed a abcess on his left thigh in the location the vaccine was given. pt then had abcess drained and it came back sterile. pt is in healing process now. No abnormalities noted on right thigh at this time. pt has had abcesses in the past in both thighs and has been seen by infectious disease specialist but cause is still unknown.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Anaphylactic reaction, Dyspnoea, Flushing, Nausea, Rash
Clinical narrative: 1/1/2025 about 10:45 Anaphylaxis.   I have NEVER had this in my life before.  i did not have this with the 1st shot.   Flushed face, swollen tongue, trouble breathing, red rash and hives over legs, groin, stomach, upper back and neck, nausea,
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous, Swollen tongue, Urticaria
Clinical narrative: 1/1/2025 about 10:45 Anaphylaxis.   I have NEVER had this in my life before.  i did not have this with the 1st shot.   Flushed face, swollen tongue, trouble breathing, red rash and hives over legs, groin, stomach, upper back and neck, nausea,
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC15
Symptoms: Injection site nodule
Clinical narrative: Patient with nontender, non erythematous firm nodule at site of injection site on bilateral thighs.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: I accidentally gave the MMRV and the varivax instead of the MMR. I just picked up the wrong one and even though I check my meds twice-I never saw the V on the end of it.  Child had no adverse events and is fine per mothers statement.
Age: 7.0
Sex: M
Vaccine: COVID19, FLU3, HEP, MMRV, TDAP
Symptoms: Vaccination site erythema, Vaccination site pain
Clinical narrative: REDDNESS TO AREA OF VACCINAE SITE, TENDER TO TOUCH,
Age: 16.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient given Menquadfi as above at 1310 which was 3rd dose of meningoccal and should not have been administered.  It was dicsovered after given. Immunization Program nurse notified by Nursing Supervisor that 3rd dose of meningoccal given after second given in 6/2024.  Received word from DH Vaccine Program nurse that patient should not have negative outcome from extra dose but Dr would also be notified. Patient did not exhibit any adverse side effects while in clinic around 30-35 minutes when she left at 1345.  Mom aware of extra dose as well as she was out in car when vaccine administered.
Age: 0.58
Sex: M
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was scheduled to receive the flu vaccine, but the COVID vaccine was administered by mistake. The flu vaccine was administered after. Patient did not have any adverse reaction to the COVID vaccine. They were eligible to receive that vaccine and were given the correct dose, it was simply against their wishes to receive it.
Age: 1.25
Sex: M
Vaccine: HEPA, HIBV
Symptoms: No adverse event, Product preparation issue
Clinical narrative: The child may have only received diluent instead of HIB reconstituted with diluent. There were three patients of which may have been affected. Two received appropriately prepared HIB vaccines and one received diluent. It is unclear which patient of the three received only diluent. No adverse reactions have occurred since the time of administration. The dose is planned to be repeated during the child's 18 month visit to ensure proper vaccination, and the child will be monitored for any reactions at that time. Parents have been notified and expressed understanding of the situation and have no further concerns.
Age: 75.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Underdose
Clinical narrative: 75 yo patient received Moderna vaccine for pediatric dose, not adult dose. Have scheduled to receive correct dosing for 01/20/2025.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Product administered at inappropriate site
Clinical narrative: Pt came into clinic for wcc, was given vaccine at end of visit, MMRV and quadracel. Both vaccines were given in the left arm, quadracel was given  IM and mmrv was given slightly below, SC. Patient aslo did have pretzels in clinic prior to leaving and receiving vaccines.  Prior to today's vaccines, pt had received mmr and var in seperate vaccines.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fall, Intensive care, Neuralgia, Thrombectomy
Clinical narrative: WOKE UP WENT OUT TO PLACE WHERE EXCERCISE HOLDING ONTO CHAIR WHERE I DO LEG DIDN'T EVEN START THEM SAID 'YOU NEED TO COME NOW' SAW ME 'SOFT FALL' DON'T REMEMBER THE FALL BUT "I WAS ON THE FLOOR GASPING FOR AIR" .  CALLED 911 THEY DIRECTED HIM TO GIVE HIM AN ASPIRIN (325 MG) , SX: NON THAT I WAS AWARE OF ON 10/25 TAKEN BY AMBULANCE {TO HOSPITAL] ADMITTED TO ICU MET WITH CARDIAC TEAM. NEVER LOST CONSCIOUSNESS, TROPONIN WAS WAY OFF THE CHARTS, HAD A "WINDOW OF TIME" THAT WAS EXPLAINED. MADE DECISION TO HAVE [BLOOD CLOT REMAOVED] . I HAD ... CATHETERIZATION, THEY WENT UP THROUGH THE GROIN . OUTCOME WAS THAT I WAS 2 DAYS IN THE ICU THEN WENT TO POST OP [AFTER THAT] 2 DAYS POST OP, CAME HOME ON THE 29TH . PER HUSBAND, SAID THEY GOT "95-98% OF [THE CLOT]" . SUBSEQUENTLY HAD "LITTLE PINGS" FROM PARTS OF THE CLOT "HITTING THE NERVES" . MD PLANS FOLLOW UP ON 2/8 FOR VASCULAR. IN DISCUSSION, MD ASKED "WHAT HAD I BEEN DOING" ; PATIENT EXPLAINED "I HAD THE COVID VACCINE ON WEDNESDAY" AT WHICH TIME MD'S "EYES WENT UP". PATIENT WAS ADVISED NOT TO TAKE ANY MORE VACCINES.