chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Rash erythematous
Clinical narrative: Patient came to pharmacy on 12/5/23 (4 days post vaccination) with a red rash around a pinpoint scab from injection site. On the right arm, the patient had a hard lump (about 1 inch in diameter) around injection site, and the rash is about 3 inches in diameter. On left arm,  the patient has a small bruise around the injection site. Both injection sites are below the deltoid muscle, about halfway down the patient's arm. Pharmacist told patient to go to urgent care to be assessed.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Exposure during pregnancy, Headache
Clinical narrative: 35 weeks, 5 days pregnant.   EDD: 1/1/24  Elevated blood pressure began 24 hours after vaccination, around 138/70. Normal BP prior to vaccination was about 105/60.   Sustained headache for 48 hours.
Age: 60.0
Sex: F
Vaccine: RSV
Symptoms: Erythema
Clinical narrative: erythema on arm of vaccine administration approximately 9X6.5 inches
Age: 63.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Allergy test negative, Erythema, Lip swelling, Pruritus, Swelling
Clinical narrative: The adverse events are not always the same.  Swelling of lips, eyes and other areas of the body.  hives that itch and move to different areas, redness , tightness in the throat area..  lasts several days and will go away and will come back a few days or weeks later. I have been to several drs over the last year.  The best results have been with my dermatology group.  They referred me to a allergist who continued me on a daily dose of allegra  and added the momtelukast.  i am suppose to try coming off allegra every few weeks to see if it has stopped flaring up.  It continues to be an issue .  The thought is the Shingris vaccine is causing the issue.
Age: 63.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Swelling of eyelid, Throat tightness, Urticaria
Clinical narrative: The adverse events are not always the same.  Swelling of lips, eyes and other areas of the body.  hives that itch and move to different areas, redness , tightness in the throat area..  lasts several days and will go away and will come back a few days or weeks later. I have been to several drs over the last year.  The best results have been with my dermatology group.  They referred me to a allergist who continued me on a daily dose of allegra  and added the momtelukast.  i am suppose to try coming off allegra every few weeks to see if it has stopped flaring up.  It continues to be an issue .  The thought is the Shingris vaccine is causing the issue.
Age: 48.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Bell's palsy, Herpes zoster, Hypoaesthesia, Inflammation, Pain
Clinical narrative: I started getting a rash on my scalp on 11/20/23.  I was diagnosed with shingles on 11/23/23, and started antiviral (Vaclacycovir) treatment that night.  I started feeling numbness on my face on the morning of 11/24/23, and I was diagnosed with Bell's Palsy at an urgent care that day.  I was prescribed 60mg of prednisone at that time in addition to the antiviral.  Singles pain and inflammation is on the left side of my scalp, ear, neck, and face.
Age: 48.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Rash
Clinical narrative: I started getting a rash on my scalp on 11/20/23.  I was diagnosed with shingles on 11/23/23, and started antiviral (Vaclacycovir) treatment that night.  I started feeling numbness on my face on the morning of 11/24/23, and I was diagnosed with Bell's Palsy at an urgent care that day.  I was prescribed 60mg of prednisone at that time in addition to the antiviral.  Singles pain and inflammation is on the left side of my scalp, ear, neck, and face.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Herpes zoster, Pain in extremity, Rash
Clinical narrative: Pain in my arm, burning rash under my armpit, and shingles in my groin appeared two weeks later
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Acute kidney injury, Ammonia normal, Asthenia, Bacterial test positive, Blood bicarbonate increased
Clinical narrative: Patient has Alzheimer's, alert and confused at baseline. Pt received annual influenza vaccine 11/16/2023.  Daughter reported to nursing 11/18/2023 that it had appeared to her that mother's functional status, cognitive status, and cognitive function has declined acutely in the past few days.  No changes to ADL scoring noted.  Speech therapy eval ordered.  11/20/2023 Urine culture collected,  results received 11/24, 4+ e.coli, order to d/c ampicillin and start Bactrim, 11/21/2023 potassium level 4.4, no new orders.  Functional status did not improve. 11/28/23 pt vomited large amount of thick mucus, pinpoint pupils, responsive to verbal/tactile stimuli, extreme weakness, equal hand grasps, no facial droop.  Patient send to ED for eval. Patient hospitalized until 12/4/2023 with a diagnosis acute metabolic encephalopathy possible secondary to hypercalcemia versus possible UTI, versus possible adverse reaction to flu shot, hyponatremia, acute kidney injury, hypertension, hypothyroidism, advanced dementia. She was treated with IV hydration and antibiotics and returned to facility to discuss hospice care
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Blood calcium, Blood creatinine increased, Blood culture negative, Blood parathyroid hormone, Blood potassium normal
Clinical narrative: Patient has Alzheimer's, alert and confused at baseline. Pt received annual influenza vaccine 11/16/2023.  Daughter reported to nursing 11/18/2023 that it had appeared to her that mother's functional status, cognitive status, and cognitive function has declined acutely in the past few days.  No changes to ADL scoring noted.  Speech therapy eval ordered.  11/20/2023 Urine culture collected,  results received 11/24, 4+ e.coli, order to d/c ampicillin and start Bactrim, 11/21/2023 potassium level 4.4, no new orders.  Functional status did not improve. 11/28/23 pt vomited large amount of thick mucus, pinpoint pupils, responsive to verbal/tactile stimuli, extreme weakness, equal hand grasps, no facial droop.  Patient send to ED for eval. Patient hospitalized until 12/4/2023 with a diagnosis acute metabolic encephalopathy possible secondary to hypercalcemia versus possible UTI, versus possible adverse reaction to flu shot, hyponatremia, acute kidney injury, hypertension, hypothyroidism, advanced dementia. She was treated with IV hydration and antibiotics and returned to facility to discuss hospice care
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Blood sodium increased, Blood thyroid stimulating hormone normal, Blood urea increased, Chest X-ray normal, Cognitive disorder
Clinical narrative: Patient has Alzheimer's, alert and confused at baseline. Pt received annual influenza vaccine 11/16/2023.  Daughter reported to nursing 11/18/2023 that it had appeared to her that mother's functional status, cognitive status, and cognitive function has declined acutely in the past few days.  No changes to ADL scoring noted.  Speech therapy eval ordered.  11/20/2023 Urine culture collected,  results received 11/24, 4+ e.coli, order to d/c ampicillin and start Bactrim, 11/21/2023 potassium level 4.4, no new orders.  Functional status did not improve. 11/28/23 pt vomited large amount of thick mucus, pinpoint pupils, responsive to verbal/tactile stimuli, extreme weakness, equal hand grasps, no facial droop.  Patient send to ED for eval. Patient hospitalized until 12/4/2023 with a diagnosis acute metabolic encephalopathy possible secondary to hypercalcemia versus possible UTI, versus possible adverse reaction to flu shot, hyponatremia, acute kidney injury, hypertension, hypothyroidism, advanced dementia. She was treated with IV hydration and antibiotics and returned to facility to discuss hospice care
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Computerised tomogram head normal, Culture urine positive, Dementia, Drug screen positive, Escherichia test positive
Clinical narrative: Patient has Alzheimer's, alert and confused at baseline. Pt received annual influenza vaccine 11/16/2023.  Daughter reported to nursing 11/18/2023 that it had appeared to her that mother's functional status, cognitive status, and cognitive function has declined acutely in the past few days.  No changes to ADL scoring noted.  Speech therapy eval ordered.  11/20/2023 Urine culture collected,  results received 11/24, 4+ e.coli, order to d/c ampicillin and start Bactrim, 11/21/2023 potassium level 4.4, no new orders.  Functional status did not improve. 11/28/23 pt vomited large amount of thick mucus, pinpoint pupils, responsive to verbal/tactile stimuli, extreme weakness, equal hand grasps, no facial droop.  Patient send to ED for eval. Patient hospitalized until 12/4/2023 with a diagnosis acute metabolic encephalopathy possible secondary to hypercalcemia versus possible UTI, versus possible adverse reaction to flu shot, hyponatremia, acute kidney injury, hypertension, hypothyroidism, advanced dementia. She was treated with IV hydration and antibiotics and returned to facility to discuss hospice care
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Haematocrit decreased, Hypercalcaemia, Hypertension, Hyponatraemia, Hypothyroidism
Clinical narrative: Patient has Alzheimer's, alert and confused at baseline. Pt received annual influenza vaccine 11/16/2023.  Daughter reported to nursing 11/18/2023 that it had appeared to her that mother's functional status, cognitive status, and cognitive function has declined acutely in the past few days.  No changes to ADL scoring noted.  Speech therapy eval ordered.  11/20/2023 Urine culture collected,  results received 11/24, 4+ e.coli, order to d/c ampicillin and start Bactrim, 11/21/2023 potassium level 4.4, no new orders.  Functional status did not improve. 11/28/23 pt vomited large amount of thick mucus, pinpoint pupils, responsive to verbal/tactile stimuli, extreme weakness, equal hand grasps, no facial droop.  Patient send to ED for eval. Patient hospitalized until 12/4/2023 with a diagnosis acute metabolic encephalopathy possible secondary to hypercalcemia versus possible UTI, versus possible adverse reaction to flu shot, hyponatremia, acute kidney injury, hypertension, hypothyroidism, advanced dementia. She was treated with IV hydration and antibiotics and returned to facility to discuss hospice care
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Magnetic resonance imaging head normal, Metabolic encephalopathy, Miosis, Red blood cell count decreased, Secretion discharge
Clinical narrative: Patient has Alzheimer's, alert and confused at baseline. Pt received annual influenza vaccine 11/16/2023.  Daughter reported to nursing 11/18/2023 that it had appeared to her that mother's functional status, cognitive status, and cognitive function has declined acutely in the past few days.  No changes to ADL scoring noted.  Speech therapy eval ordered.  11/20/2023 Urine culture collected,  results received 11/24, 4+ e.coli, order to d/c ampicillin and start Bactrim, 11/21/2023 potassium level 4.4, no new orders.  Functional status did not improve. 11/28/23 pt vomited large amount of thick mucus, pinpoint pupils, responsive to verbal/tactile stimuli, extreme weakness, equal hand grasps, no facial droop.  Patient send to ED for eval. Patient hospitalized until 12/4/2023 with a diagnosis acute metabolic encephalopathy possible secondary to hypercalcemia versus possible UTI, versus possible adverse reaction to flu shot, hyponatremia, acute kidney injury, hypertension, hypothyroidism, advanced dementia. She was treated with IV hydration and antibiotics and returned to facility to discuss hospice care
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Urinary tract infection, Vitamin B12, Vomiting, White blood cell count increased, White blood cells urine positive
Clinical narrative: Patient has Alzheimer's, alert and confused at baseline. Pt received annual influenza vaccine 11/16/2023.  Daughter reported to nursing 11/18/2023 that it had appeared to her that mother's functional status, cognitive status, and cognitive function has declined acutely in the past few days.  No changes to ADL scoring noted.  Speech therapy eval ordered.  11/20/2023 Urine culture collected,  results received 11/24, 4+ e.coli, order to d/c ampicillin and start Bactrim, 11/21/2023 potassium level 4.4, no new orders.  Functional status did not improve. 11/28/23 pt vomited large amount of thick mucus, pinpoint pupils, responsive to verbal/tactile stimuli, extreme weakness, equal hand grasps, no facial droop.  Patient send to ED for eval. Patient hospitalized until 12/4/2023 with a diagnosis acute metabolic encephalopathy possible secondary to hypercalcemia versus possible UTI, versus possible adverse reaction to flu shot, hyponatremia, acute kidney injury, hypertension, hypothyroidism, advanced dementia. She was treated with IV hydration and antibiotics and returned to facility to discuss hospice care
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Psoriasis
Clinical narrative: Onset of psoriasis. Began on legs below the knee, spread to scalp and back, and is currently on all parts of my body including extremities, trunk, scalp, and genitals.
Age: 74.0
Sex: F
Vaccine: PNC20
Symptoms: Pyrexia
Clinical narrative: Fever of 101.3 F. Advil/Tylenol, fever reduced
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient came into the pharmacy to request a shingles vaccine. Vaccine was processed and administered following the normal procedures. When verifying reporting to the state immunization registry, it was discovered that this was the 3rd dose the patient had received of Shingrix. GSK was contacted for safety data, which was provided. Patient was contacted to inform her another dose was unnecessary and to inform of possible adverse effects but the line rang off the hook with no answer on multiple attempts.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Flushing, Injection site pain, Injection site reaction, Injection site swelling, Somnolence
Clinical narrative: Flushing of face, red raised bump at site of vaccine(swelling redness on both thighs at site of vaccine). Given zyrtec 2.5 mL X1 observed. Sleepy in the office but then easily arousable with a normal cardiovascular, respiratory,neurologic exam. Slightly red thighs after 30 minutes but minimal tenderness and no hives noted.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient came into the pharmacy to request a shingles vaccine. Vaccine was processed and administered following the normal procedures. When verifying reporting to the state immunization registry, it was discovered that this was the 3rd dose the patient had received of Shingrix. GSK was contacted for safety data, which was provided. Patient completed the original series in 2019. Was able to reach the patient and she expressed understanding and had not experienced any significant adverse effects.
Age: 25.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Nausea, Pain
Clinical narrative: localized skin reaction to injection site, redness/swelling to L deltoid. Nausea/Body aches within 24 hours of vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: "The patient never presented adverse events to the vaccine expired".
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: "The patient never presented adverse events to the vaccine expired".
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oedema peripheral, Tinnitus
Clinical narrative: Swelling under arm pits and tinnitus.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Angiogram cerebral, Arteriogram carotid, Headache, Scan with contrast
Clinical narrative: After second series, experienced headache, stomach ache, and started hearing whooshing sound in right ear (pulsatile tinnitus) which started within ~12 hours of vaccination.  The other symptoms subsided  by 24-26 hours, mild headache brought on by mild activity (e.g. goind upstairs) persisted for ~3 days, and the whooshing has never gone away ( nearly 3 years now).
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: After second series, experienced headache, stomach ache, and started hearing whooshing sound in right ear (pulsatile tinnitus) which started within ~12 hours of vaccination.  The other symptoms subsided  by 24-26 hours, mild headache brought on by mild activity (e.g. goind upstairs) persisted for ~3 days, and the whooshing has never gone away ( nearly 3 years now).
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: "The patient never presented adverse events to the vaccine expired".
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, Dyspnoea, Positive airway pressure therapy, Respiratory failure
Clinical narrative: The patient was brought to the ED via EMS on 10/28 for shortness of breath. Per EMS, the patient began having difficulty breathing about an hour prior. She was given a nebulizer at her group home prior to arrival. Initially the patient had O2 sats of 80% on nasal cannula at her group home, and so was placed on CPAP en route which improved sats to 98%. The patient tested positive for COVID-19 in the ED by PCR. Ultimately, she was admitted 10/28/23 - 11/2/23 with discharge diagnoses including COVID and acute on chronic hypercarbic hypoxic respiratory failure. Of note, the patient has received the Moderna Monovalent COVID vaccine series (given 2/23/2021; 3/23/2021; 12/7/2021) and the Bivalent COVID vaccine series (given 3/21/23).
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The patient was brought to the ED via EMS on 10/28 for shortness of breath. Per EMS, the patient began having difficulty breathing about an hour prior. She was given a nebulizer at her group home prior to arrival. Initially the patient had O2 sats of 80% on nasal cannula at her group home, and so was placed on CPAP en route which improved sats to 98%. The patient tested positive for COVID-19 in the ED by PCR. Ultimately, she was admitted 10/28/23 - 11/2/23 with discharge diagnoses including COVID and acute on chronic hypercarbic hypoxic respiratory failure. Of note, the patient has received the Moderna Monovalent COVID vaccine series (given 2/23/2021; 3/23/2021; 12/7/2021) and the Bivalent COVID vaccine series (given 3/21/23).
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Loss of personal independence in daily activities, Pain, Shoulder injury related to vaccine administration
Clinical narrative: Suspect SIRVA Onset of left shoulder pain 1 day following vaccine which has persisted, at least until today 12/5/23 Ongoing aching at injection site exacerbated flexion and abduction to 90 degrees Pain with dressing and golfing No weakness
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Loss of personal independence in daily activities, Pain, Pain in extremity
Clinical narrative: I experienced severe, sharp pain in my left arm at the time of the injection on 9/5/23.  Pain was severe in the initial two weeks following the injection then gradually improved until plateauing with no further improvement around 6-8 weeks post injection.  On 11/9/23, I contacted my primary care physician who diagnosed me with SIRVA and referred me for physical therapy.  Physical therapy began 11/28/23 and is on-going with limited improvement so far.  I continue to experience pain when extending my arm to the side or backward resulting in a limited range of motion and some impairment in normal daily activities.  I also have pain when sleeping on my left side resulting in significantly reduced quality of sleep.
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Poor quality sleep, Shoulder injury related to vaccine administration, Sleep disorder
Clinical narrative: I experienced severe, sharp pain in my left arm at the time of the injection on 9/5/23.  Pain was severe in the initial two weeks following the injection then gradually improved until plateauing with no further improvement around 6-8 weeks post injection.  On 11/9/23, I contacted my primary care physician who diagnosed me with SIRVA and referred me for physical therapy.  Physical therapy began 11/28/23 and is on-going with limited improvement so far.  I continue to experience pain when extending my arm to the side or backward resulting in a limited range of motion and some impairment in normal daily activities.  I also have pain when sleeping on my left side resulting in significantly reduced quality of sleep.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Chills, Dyspnoea, Hypopnoea, Injection site pain, Injection site reaction
Clinical narrative: 5 days after shot got a 2in diameter round lesion above the skin,  dark red rash, painful to the touch and hot Severe pain down my right arm from  back of neck down to my wrist Shallow and labored breathing nausea Migrane fever and chills
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Migraine, Nausea, Pain in extremity, Pyrexia, Rash erythematous
Clinical narrative: 5 days after shot got a 2in diameter round lesion above the skin,  dark red rash, painful to the touch and hot Severe pain down my right arm from  back of neck down to my wrist Shallow and labored breathing nausea Migrane fever and chills
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Skin lesion, Tenderness
Clinical narrative: 5 days after shot got a 2in diameter round lesion above the skin,  dark red rash, painful to the touch and hot Severe pain down my right arm from  back of neck down to my wrist Shallow and labored breathing nausea Migrane fever and chills
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient came for covid vaccine booster. Nurse gave 0.25ml moderna spikevaxx 12+ . No adverse reaction.
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Impaired driving ability, Influenza like illness, Injected limb mobility decreased, Injection site pain
Clinical narrative: She got her vaccines, she had no initial reaction.  The next arm her right deltoid (COVID) it got sore, and it was hard for her to raise her arm.  The left side only hurt when she moved, but it didn't bother her too much.  She took it was for a couple of days as she wanted them to take feeling that the more rest you get the better the vaccine with take.  She had achiness, flu-like symptoms, every part of her ached, felt like she had the flu.  She just took it was for a couple of days, and possibly took some Tylenol.   After a couple of days she thought that she was better.  Then on the following Tuesday she started feeling very light headed and faint, but every time she got up she had to sit back down for fear that she was going to fall down.  She could not do anything as she could not get up as the symptoms did not go away.  This persisted for 5 days and could not think, pronounced dizziness.  She had not been anywhere for a long time due to having the flu-like symptoms and did not go anywhere due to that.  It then did go away and did not go to UC as she did not think that she would be able to drive there.  She did not call her doctor as she felt that it would go away feeling that it was from the flu shot or that she possibly had gotten a bug from somewhere.   The symptoms of light headed feeling was gone in about 5 days, and then felt safe enough to drive and go places again.
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain, Syncope
Clinical narrative: She got her vaccines, she had no initial reaction.  The next arm her right deltoid (COVID) it got sore, and it was hard for her to raise her arm.  The left side only hurt when she moved, but it didn't bother her too much.  She took it was for a couple of days as she wanted them to take feeling that the more rest you get the better the vaccine with take.  She had achiness, flu-like symptoms, every part of her ached, felt like she had the flu.  She just took it was for a couple of days, and possibly took some Tylenol.   After a couple of days she thought that she was better.  Then on the following Tuesday she started feeling very light headed and faint, but every time she got up she had to sit back down for fear that she was going to fall down.  She could not do anything as she could not get up as the symptoms did not go away.  This persisted for 5 days and could not think, pronounced dizziness.  She had not been anywhere for a long time due to having the flu-like symptoms and did not go anywhere due to that.  It then did go away and did not go to UC as she did not think that she would be able to drive there.  She did not call her doctor as she felt that it would go away feeling that it was from the flu shot or that she possibly had gotten a bug from somewhere.   The symptoms of light headed feeling was gone in about 5 days, and then felt safe enough to drive and go places again.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Axillary pain, Breast pain, Cough, Fatigue, Feeling cold
Clinical narrative: I felt fine all day after receiving the vaccination except for a runny nose which was new. I arrived home about 6PM & it hit me like a brick. I ached EVERYWHERE & could barely move. I live with chronic pain so this is significant. I was very fatigued, nauseous & cold. I did not have a temperature.  Took Tylenol & fell asleep.  Woke up about an hour & a half later & felt just as bad. I was literally not functional.  Before I went to bed for the night, the pain was getting worse in my right arm, underarm, side of right breast & right flank. Slept very poorly. The next morning was actually worse. COVID-19 test was negative. Still no temperature. By evening I could get up & walk without crumbling in pain. The pain was settling under my right shoulder blade. Sunday was slightly better. Throughout all of this, I could not take a deep breath. Coughing & sneezing were very painful. As of today,, have severe pain below my right shoulder blade as times & cannot take a deep breath.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Flank pain, Hypopnoea, Mobility decreased, Musculoskeletal pain, Nausea
Clinical narrative: I felt fine all day after receiving the vaccination except for a runny nose which was new. I arrived home about 6PM & it hit me like a brick. I ached EVERYWHERE & could barely move. I live with chronic pain so this is significant. I was very fatigued, nauseous & cold. I did not have a temperature.  Took Tylenol & fell asleep.  Woke up about an hour & a half later & felt just as bad. I was literally not functional.  Before I went to bed for the night, the pain was getting worse in my right arm, underarm, side of right breast & right flank. Slept very poorly. The next morning was actually worse. COVID-19 test was negative. Still no temperature. By evening I could get up & walk without crumbling in pain. The pain was settling under my right shoulder blade. Sunday was slightly better. Throughout all of this, I could not take a deep breath. Coughing & sneezing were very painful. As of today,, have severe pain below my right shoulder blade as times & cannot take a deep breath.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Pain, Pain in extremity, Poor quality sleep, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I felt fine all day after receiving the vaccination except for a runny nose which was new. I arrived home about 6PM & it hit me like a brick. I ached EVERYWHERE & could barely move. I live with chronic pain so this is significant. I was very fatigued, nauseous & cold. I did not have a temperature.  Took Tylenol & fell asleep.  Woke up about an hour & a half later & felt just as bad. I was literally not functional.  Before I went to bed for the night, the pain was getting worse in my right arm, underarm, side of right breast & right flank. Slept very poorly. The next morning was actually worse. COVID-19 test was negative. Still no temperature. By evening I could get up & walk without crumbling in pain. The pain was settling under my right shoulder blade. Sunday was slightly better. Throughout all of this, I could not take a deep breath. Coughing & sneezing were very painful. As of today,, have severe pain below my right shoulder blade as times & cannot take a deep breath.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Sneezing
Clinical narrative: I felt fine all day after receiving the vaccination except for a runny nose which was new. I arrived home about 6PM & it hit me like a brick. I ached EVERYWHERE & could barely move. I live with chronic pain so this is significant. I was very fatigued, nauseous & cold. I did not have a temperature.  Took Tylenol & fell asleep.  Woke up about an hour & a half later & felt just as bad. I was literally not functional.  Before I went to bed for the night, the pain was getting worse in my right arm, underarm, side of right breast & right flank. Slept very poorly. The next morning was actually worse. COVID-19 test was negative. Still no temperature. By evening I could get up & walk without crumbling in pain. The pain was settling under my right shoulder blade. Sunday was slightly better. Throughout all of this, I could not take a deep breath. Coughing & sneezing were very painful. As of today,, have severe pain below my right shoulder blade as times & cannot take a deep breath.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: nurse gave 0.25ml of the moderna spikevaxx 12+.  No adverse reaction noted. no treatment necessary
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: chills, achey joints and muscles, fatigue, headache,  sore arm,  heart palpitations.
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity, Palpitations
Clinical narrative: chills, achey joints and muscles, fatigue, headache,  sore arm,  heart palpitations.
Age: 60.0
Sex: M
Vaccine: FLUR4, TDAP, VARZOS
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Customer received the 2 vaccines on the left deltoid(Adacel and Flublok) and Shingrix on the right deltoid. He said that his arm was sore from the vaccines but he expected the pain/soreness to go away in a few days but that has not happened. Customer said his arm has been hurting since then. He said he finds it difficult to perform simple activities like putting on seatbelt and raising his hand over his head. He also said that he has gone to see a Doctor and a Chiropractor but the pain is still there. He plans to go for an XRAY to see if there is any damage to his arm.
Age: 0.92
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pediatric patient (11 month old) patient was erroneously administered a vaccine indicated for patients 5 y/o-11y/o
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: Patient stopped at pharmacy today (12/5/23) stating that she had itching at vaccination site since 11/26/23 until yesterday 12/4/23.  On 12/4/23 she said it started with immense pain, can not touch it.  She was in the hospital for a port installation, and they told her we should have reported the event.  We were unaware till today.   Pt stated she thinks she must be allergic to an item in the vaccine.   Treating with ice packs.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Confusional state, Dyspnoea, Hypoxia
Clinical narrative: The patient has a history of oxygen-dependent COPD and rheumatoid arthritis on immunosuppression. She was seen in the ED on 10/31/23 with nausea, vomiting, and confusion. EMS was called, and the patient was found to be hypoxic to 88-90% on baseline 2 L NC. Two duo-nebs were administered by EMS with improvement to 96%. In the ED, the patient endorsed persistent shortness of breath. In She was tested for COVID-19 which returned positive. Ultimately, the patient was admitted to the hospital on 10/31/23 - 11/2/23. Discharge diagnoses included acute on chronic hypoxic respiratory failure and  COVID-19 infection. Of note, the patient has been vaccinated against COVID-19 (patient vaccinated on 1/15/2021; 3/18/2021; 12/22/2021; 5/11/2022; 9/21/2022; 10/12/2023).
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Respiratory failure, SARS-CoV-2 test positive, Vomiting
Clinical narrative: The patient has a history of oxygen-dependent COPD and rheumatoid arthritis on immunosuppression. She was seen in the ED on 10/31/23 with nausea, vomiting, and confusion. EMS was called, and the patient was found to be hypoxic to 88-90% on baseline 2 L NC. Two duo-nebs were administered by EMS with improvement to 96%. In the ED, the patient endorsed persistent shortness of breath. In She was tested for COVID-19 which returned positive. Ultimately, the patient was admitted to the hospital on 10/31/23 - 11/2/23. Discharge diagnoses included acute on chronic hypoxic respiratory failure and  COVID-19 infection. Of note, the patient has been vaccinated against COVID-19 (patient vaccinated on 1/15/2021; 3/18/2021; 12/22/2021; 5/11/2022; 9/21/2022; 10/12/2023).
Age: 54.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Mobility decreased, Product administered at inappropriate site
Clinical narrative: Patient states both vaccines were administered high up on the arm close to the shoulder. Patient began experiencing shoulder pain and limited range of motion.
Age: 39.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pain, Product preparation issue
Clinical narrative: Abrysvo was given without reconstituting. Patient reported pain at the injection site.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Vaccine Error: A medical assistant accidentally administered a Pfizer COVID vaccine 5-11Y to a 14 year patient.
Age: 64.0
Sex: M
Vaccine: PNC20
Symptoms: Arthralgia, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: when inputing new pt onto registry, got a notification that there was a potential duplicated profile (pts first name spelled one way), spoke with pt and confirmed his name is spelled differently, explained what happened with site, he doesnt quite remember getting the vaccine at another location, but said it could be, his doctor just said he is due for the vaccine, when I asked if he was okay, he did mention that the site of injection was sore and warm to the touch, pt reported joint aching and low-grade fever (symptoms for 3 days) but he is okay now, pt did report switching mds within the last year so he thinks they did not know he already received the prevnar 20, let him know I will update his profile so this does not happen again  called clinic to let them know what happened, spoke with staff, she will let dr. know what happened, she confirmed that she does not see any previous record of this vaccine given to pt so likely the change in prescriber could have led to this happening
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chemotherapy, Dyspnoea
Clinical narrative: The patient was seen in the ED on 11/1/23 with shortness of breath, fatigue, headache, and fever that began earlier that evening. Additionally, she was recently diagnosed with multiple myeloma and was started on her first dose of chemotherapy 24 hours prior. A COVID-19 Rapid PCR test was done int he ED which resulted positive. Ultimately, she was admitted 11/1/23 - 11/6/23. Discharge diagnoses included septic shock and acute hypoxemic respiratory failure secondary to COVID-19 pneumonia, among other diagnoses. She required supplemental oxygen via nasal cannula but was weaned off several days prior to discharge. Of note, the patient has received the Pfizer monovalent COVID vaccine (given 4/10/21; 5/1/21; 3/3/22) and the Pfizer Bivalent COVID vaccine (given 12/12/22).
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Plasma cell myeloma, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The patient was seen in the ED on 11/1/23 with shortness of breath, fatigue, headache, and fever that began earlier that evening. Additionally, she was recently diagnosed with multiple myeloma and was started on her first dose of chemotherapy 24 hours prior. A COVID-19 Rapid PCR test was done int he ED which resulted positive. Ultimately, she was admitted 11/1/23 - 11/6/23. Discharge diagnoses included septic shock and acute hypoxemic respiratory failure secondary to COVID-19 pneumonia, among other diagnoses. She required supplemental oxygen via nasal cannula but was weaned off several days prior to discharge. Of note, the patient has received the Pfizer monovalent COVID vaccine (given 4/10/21; 5/1/21; 3/3/22) and the Pfizer Bivalent COVID vaccine (given 12/12/22).
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Septic shock
Clinical narrative: The patient was seen in the ED on 11/1/23 with shortness of breath, fatigue, headache, and fever that began earlier that evening. Additionally, she was recently diagnosed with multiple myeloma and was started on her first dose of chemotherapy 24 hours prior. A COVID-19 Rapid PCR test was done int he ED which resulted positive. Ultimately, she was admitted 11/1/23 - 11/6/23. Discharge diagnoses included septic shock and acute hypoxemic respiratory failure secondary to COVID-19 pneumonia, among other diagnoses. She required supplemental oxygen via nasal cannula but was weaned off several days prior to discharge. Of note, the patient has received the Pfizer monovalent COVID vaccine (given 4/10/21; 5/1/21; 3/3/22) and the Pfizer Bivalent COVID vaccine (given 12/12/22).
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Feeling hot, Flushing, Hypersensitivity
Clinical narrative: 20 minutes after administration of Flucelvax IM vaccine patient experienced flushing, redness in face and upper arms and "hot" sensation. Verbal order given to RN by NP and PCP to administer 50 mg Benadryl PO, administered at 9:25 AM. Pt monitored for 45 minutes afterwards . No improvement in symptoms, sending to ambulance. Pt's condition improved during transport to ED, given dose PO prednisone, pt reported symptoms resolved after 1 hour, returned home asymptomatic. Allergic reaction most likely r/t vaccine, stable condition, no respiratory or cardiovascular distress.
Age: 40.0
Sex: M
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: The patient reports redness/rash to the injection site. Patient has been treated with doxycycline.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The vaccine was administered without proper dilution. At time of contact with parent ~12 hours later, pt had not had any type of reaction.  I advised parents to monitor for increased risk of side effects for next 72 hours and to reach out to poison center/ pediatrician for additional monitoring. Reached out ~30 hours after initial vaccination and no answer.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Asthenia, COVID-19, Cough, Dyspnoea
Clinical narrative: The patient has a history of COPD. He was seen in the ED on 10/31 after a fall where his right leg gave out. He additionally reported two weeks of cold symptoms with worsening breathing. Ultimately the patient was discharged home, however returned to the ED the next day, 11/1, after another fall. He reported right knee pain, generalized weakness, and noted that his cough had worsened. He was tested for COVID-19 by PCR which returned positive. Ultimately, the patient was admitted 11/1/23 - 11/6/23. Discharge diagnosis was COVID, and it was felt that the falls were secondary to COVID. Of note, the patient has received the Pfizer Monovalent COVID vaccine (given 3/7/21; 3/28/21; 1/10/22) and the Moderna Bivalent COVID vaccine (given 3/29/23).
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fall, Muscular weakness, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: The patient has a history of COPD. He was seen in the ED on 10/31 after a fall where his right leg gave out. He additionally reported two weeks of cold symptoms with worsening breathing. Ultimately the patient was discharged home, however returned to the ED the next day, 11/1, after another fall. He reported right knee pain, generalized weakness, and noted that his cough had worsened. He was tested for COVID-19 by PCR which returned positive. Ultimately, the patient was admitted 11/1/23 - 11/6/23. Discharge diagnosis was COVID, and it was felt that the falls were secondary to COVID. Of note, the patient has received the Pfizer Monovalent COVID vaccine (given 3/7/21; 3/28/21; 1/10/22) and the Moderna Bivalent COVID vaccine (given 3/29/23).
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Bronchitis viral, COVID-19, Cough, Rhinorrhoea
Clinical narrative: The patient has a history of diabetes and Parkinson's disease. He was seen in the ED on 11/4/23 for weakness, runny nose, and cough. A COVID PCR test performed in the ED resulted positive. Ultimately, the patient was admitted 11/4/23 - 11/6/23, with discharge diagnoses including acute COVID-19 and viral bronchitis, among other diagnoses. During admission, the patient received 6mg IV dexamethasone x2. Of note, the patient has received the Pfizer Monovalent COVID vaccine (given 1/26/21; 2/16/21; 9/26/21; 4/21/22) and the Pfizer Bivalent COVID vaccine (given 10/28/22).
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The patient has a history of diabetes and Parkinson's disease. He was seen in the ED on 11/4/23 for weakness, runny nose, and cough. A COVID PCR test performed in the ED resulted positive. Ultimately, the patient was admitted 11/4/23 - 11/6/23, with discharge diagnoses including acute COVID-19 and viral bronchitis, among other diagnoses. During admission, the patient received 6mg IV dexamethasone x2. Of note, the patient has received the Pfizer Monovalent COVID vaccine (given 1/26/21; 2/16/21; 9/26/21; 4/21/22) and the Pfizer Bivalent COVID vaccine (given 10/28/22).
Age: 75.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Arthralgia
Clinical narrative: Severe Joint pain for 4 weeks. Patient to meet with provider in week to go over symptoms. Patient
Age: 75.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Arthralgia, Asthenia, Mobility decreased, Muscular weakness, Myalgia
Clinical narrative: Severe Joint pain for 4 weeks. Patient to meet with provider in week to go over symptoms. Patient
Age: 75.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Pain, Pain in extremity
Clinical narrative: Severe Joint pain for 4 weeks. Patient to meet with provider in week to go over symptoms. Patient
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Vaccine administration error: administered pediatric dose of Engerix (0.5 mL) to an adult.
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: pt was given expired hep b dose on 12/4/23. dose expired on 11/18/23. Workflow is being followed, both staff and our supervisor has been notified. Called CDC; CDC stated the vaccine in a non live agent and may be repeated immediately, and recommended that the dose be marked as invalid. Filed a vaers report. Called and discussed with parent.
Age: 82.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Ocular discomfort, Pain, Pain in jaw
Clinical narrative: Pt says starting about 3 hours after injection, pt started feeling very sore and tired on the left side. started severe jaw pain and bulging feeling in her eye.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Heart rate decreased, Hypotension, Loss of consciousness
Clinical narrative: After all appropriate screening questions were asked, patient received Spikevax Moderna COVID vaccine at 0947 in left deltoid by RN. RN then left the room as MD was in exam room to observe the patient for any adverse reactions.  MD reports approximately 7-10 minutes after the vaccine was administered patient began to report feeling lightheaded.  Patient was asked to lay down on exam room table where vital signs were immediately taken. Patient's blood pressure was 80/30 and heart rate of 40. Two liters of oxygen was placed on patient where oxygen saturation remained 100%. Patient began to go in and out consciousness. At this time staff attempted to take another blood pressure, however, blood pressure machine unable to detect a blood pressure due to patient's blood pressure being too low. Oxygen level remained 100% on 2 liters of oxygen however patient's pulse dropped to 29 per pulse oximeter. At this time AED pads were placed on the patient in the event patient needed to be defibrillated however no shocks needed to given. Patient's PCP and nursing staff did perform chest compression for approximately one minute due to patient's low heart rate and going in and out of consciousness.  Chest compression stopped due to patient becoming alert. At this time EMS had arrived to the clinic to take over care. EMS staff inserted an IV in patient's right arm, performed an EKG and check the patient's glucose level which was 150. EMS staff also performed vital signs where patient's blood pressure increased to 113/57, heart rate of 51 and oxygen level of 100% on 2 liters. Patient was then transported to stretcher and sent to local ED via ambulance.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation
Clinical narrative: After all appropriate screening questions were asked, patient received Spikevax Moderna COVID vaccine at 0947 in left deltoid by RN. RN then left the room as MD was in exam room to observe the patient for any adverse reactions.  MD reports approximately 7-10 minutes after the vaccine was administered patient began to report feeling lightheaded.  Patient was asked to lay down on exam room table where vital signs were immediately taken. Patient's blood pressure was 80/30 and heart rate of 40. Two liters of oxygen was placed on patient where oxygen saturation remained 100%. Patient began to go in and out consciousness. At this time staff attempted to take another blood pressure, however, blood pressure machine unable to detect a blood pressure due to patient's blood pressure being too low. Oxygen level remained 100% on 2 liters of oxygen however patient's pulse dropped to 29 per pulse oximeter. At this time AED pads were placed on the patient in the event patient needed to be defibrillated however no shocks needed to given. Patient's PCP and nursing staff did perform chest compression for approximately one minute due to patient's low heart rate and going in and out of consciousness.  Chest compression stopped due to patient becoming alert. At this time EMS had arrived to the clinic to take over care. EMS staff inserted an IV in patient's right arm, performed an EKG and check the patient's glucose level which was 150. EMS staff also performed vital signs where patient's blood pressure increased to 113/57, heart rate of 51 and oxygen level of 100% on 2 liters. Patient was then transported to stretcher and sent to local ED via ambulance.
Age: 72.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient received a second dose of influenza 2023-24  vaccine on 11-18-23. Patient initially received Fluzone HD 2023-24 on 9-8-23.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Injection site pain
Clinical narrative: Mom notes for approx 1mo after his initial HPV vaccine he experienced pain at the injection site & still on occasion experiences pain there. Mother would like to hold vaccine. Report will be make to VAERS.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Asthenia
Clinical narrative: Pt reports shoulder pain/weakness shortly after receiving vaccination which continued for several days
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Cardio-respiratory arrest, Hyperhidrosis, Hypotension
Clinical narrative: Patient was in to get COVID vaccine with her father and mother.  About 10 minutes after getting the vaccine patient became diapharetic, hypotensive, and bradycardic to the 30s.  Code called, EMS arrived.  Patient slightly better by time of EMS transport to hospital for further care.