chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: VARZOS
Symptoms: Incomplete course of vaccination
Clinical narrative: pateint did not recived second dose yet/late second dose; This non-serious case was reported by a other health professional via call center representative and described the occurrence of incomplete course of vaccination in a male patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix (received 1st dose 2 years ago).   On an unknown date, the patient did not receive the 2nd dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced incomplete course of vaccination (Verbatim: pateint did not recived second dose yet/late second dose). The outcome of the incomplete course of vaccination was unknown.   Additional Information: GSK receipt date: 05-SEP-2024 The physician's assistant called to inform that she had a patient who had received the 1st dose of Shingrix 2 years ago, but did not follow up with the second dose. Till the time of reporting, the patient did not receive 2nd dose of Shingrix, which led to incomplete course of vaccination. The vaccine administration facility was the same as primary reporter. The reporter consented to the follow up.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Illness, Myalgia
Clinical narrative: fatigue; muscle aches; headaches; chills / teeth chattering; sick; This spontaneous case was reported by a patient and describes the occurrence of ILLNESS (sick), FATIGUE (fatigue), MYALGIA (muscle aches), HEADACHE (headaches) and CHILLS (chills / teeth chattering) in a 77-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis.     Previously administered products included for Drug use for unknown indication: prevnar 20 on august 20 (August 20). Past adverse reactions to the above products included No adverse effect with prevnar 20 on august 20.    In March 2024, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. In March 2024, the patient experienced ILLNESS (sick). On an unknown date, the patient experienced FATIGUE (fatigue), MYALGIA (muscle aches), HEADACHE (headaches) and CHILLS (chills / teeth chattering). In March 2024, ILLNESS (sick) had resolved. At the time of the report, FATIGUE (fatigue), MYALGIA (muscle aches), HEADACHE (headaches) and CHILLS (chills / teeth chattering) outcome was unknown.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication was reported. Patient had no known allergies and medical history. Patient received other vaccines in the 4 weeks prior to COVID-19 vaccine. Patient received the vaccine that morning (sept, 9, 2024) and she was waiting to get her 'usual side effects' that she got with all prior vaccines. She stated that she will get the vaccine in the morning and by 3 in the afternoon, she started to get the fatigue, muscle aches, headaches and chills. She said sometimes she gets teeth chattering and was sick the day after the vaccine but by that evening, she was fine. She tries to plan her activities accordingly.   She doesn't not want to delay this dose too much because it had been a full 6months and COVID was 'wearing its ugly head'. She said she will be waiting 4 weeks until getting her flu shot. No treatment medication was reported.   This case was linked to US-MODERNATX, INC.-MOD-2024-773535, US-MODERNATX, INC.-MOD-2024-773536, US-MODERNATX, INC.-MOD-2024-773537 (Patient Link).
Age: 1.33
Sex: F
Vaccine: DTAP
Symptoms: Rash, Type III immune complex mediated reaction
Clinical narrative: Arthus reaction started about 24 hours post vaccination. No systemic symptoms, presented to ED for concern of rash. Treated with Tylenol. Recommended follow up with allergy and immunology prior to potential next vaccination.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Pruritus, Urticaria
Clinical narrative: Extreme hives all over the body, itching. Went to urgent care after 24 hr and Emergency room after 36hr of reciving vaccination. Reduces after receiving benadryl, pepcid, deltasone but comes back after 12 hrs
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Red itchy hives that started on bilateral lower extremites and started spreading to upper body. Pt has been advised to benadryl 25 to 50 mg q 6 hrs prn itching. Administered kenalog 40 mg im and prescribed medrol 4mg dose pack
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Product preparation error, Single component of a two-component product administered
Clinical narrative: I called patient to inform her that the shringrix comes in two parts the shingrix component and diluent. Patient was given just the diluent and needs to come back in for the full shringrix injection. She will also have not have any adverse reactions.
Age: 64.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash in area where shot was given. About 2 inches by 3 inches oval shape, and it was a little puffy. Showed it to the pharmacist who gave the shot. She suggested submitting this form and reporting it to my primary care provider, which I'm doing and did. The rash gradually began clearing and was gone after 4 days.
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Device occlusion, Injury associated with device, Needle issue, Underdose
Clinical narrative: Blockage in needle when administering vaccine resulting in partial vaccine given. Pharmacist changed needle 3 times before re-administering remainder of vaccine. Patient was injected with needle twice for one vaccine.
Age: 16.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction, health dept requested this
Age: 22.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event
Clinical narrative: No reaction, health dept wanted this done
Age: 46.0
Sex: F
Vaccine: RAB
Symptoms: Vaccination site erythema, Vaccination site warmth
Clinical narrative: Patient presented to nursing division requesting evaluation of vaccination site (Left deltoid)  Patient received dose #4 yesterday, 9/11/2024 at 2PM. Reports when she woke up this morning, she noticed a red, warm area at the site. Patient states she has had a similar reaction "years ago" to a vaccine that progressed to cellulitis. Patient reports no known allergies. Area noted to be reddened measuring approx. 2.5 inches(L) x 1 inch (W). Patient encouraged to reach out to her PMD for follow up. She requested that nursing also call PMD to facilitate care.
Age: 35.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Headache, Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: nausea, bad headache, body aches, sweating, fever
Age: 0.42
Sex: M
Vaccine: HIBV, RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient, who is 5 months and 22 days old, was administered an RSV vaccine Abrysvo, intramuscularly into his right thigh in error. The Abrysvo vaccine is only approved for people 60 years of age or older.  The patient has not currently experienced any adverse reactions to receiving this vaccine.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injected limb mobility decreased, Pain in extremity, Vaccination site injury
Clinical narrative: Patient received vaccine from intern earlier in day around 12. Patient came back about an 3 hours later and stated that she has pain in her arm and that she could not lift her arm from pain, recommended patient to follow up with doctor because of suspected vaccine injury due to administration site.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Photophobia
Clinical narrative: Two days after the injection, my eyes became very sensitive to light and began tearing constantly. This also happened the last time I had the vaccine, but at the time, I didn't connect it.
Age: 33.0
Sex: F
Vaccine: RSV
Symptoms: Caesarean section, Exposure during pregnancy, Headache, Hypertension, Pre-eclampsia
Clinical narrative: I?m not sure which version of the rsv vaccine I received. I developed high blood pressure a few days after vaccine (headache and visual impairments) went to hospital Monday following vaccine and baby was delivered via c-section due to severe preeclampsia at 34 weeks 6 days
Age: 33.0
Sex: F
Vaccine: RSV
Symptoms: Premature delivery, Visual impairment
Clinical narrative: I?m not sure which version of the rsv vaccine I received. I developed high blood pressure a few days after vaccine (headache and visual impairments) went to hospital Monday following vaccine and baby was delivered via c-section due to severe preeclampsia at 34 weeks 6 days
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Nausea, Vomiting
Clinical narrative: Severe chest pain after Flu and Covid 19 2024 vaccination. Nausea and vomitting.
Age: 85.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient received a dose of Fluad on 7/27/2024 and again on 9/11/2024
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Disturbance in attention, Malaise, Myopericarditis
Clinical narrative: PFIZER #1 8/5/2021 PFIZER #2 8/26/2021  DEVELOPED VACCINE INDUCED SUBCLINICAL MYOPERICARDITIS POST EXERTIONAL MALAISE AND LOSS OF MENTAL CLARITY.  TREATED WITH COLCHICINE, NICOTINE PATCH, AND PROTOCOL.
Age: 48.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Extra dose administered
Clinical narrative: pt was given a second dose of a flushot. one on 09/12/24 and one on 7/24/24
Age: 5.0
Sex: F
Vaccine: FLUC4
Symptoms: Dry skin, Pallor, Rash, Rash erythematous, Rash papular
Clinical narrative: Fine raised erythematous sandpaper like rash on chest and abdomen, blanching left arm with 0.5cm erythematous raised area surrounding vaccine site. Recommend: Oral claritin in morning Oral benadryl at night Topical hydrocortisone to rash prn itching.
Age: 5.0
Sex: F
Vaccine: FLUC4
Symptoms: Streptococcus test negative, Vaccination site erythema, Vaccination site swelling
Clinical narrative: Fine raised erythematous sandpaper like rash on chest and abdomen, blanching left arm with 0.5cm erythematous raised area surrounding vaccine site. Recommend: Oral claritin in morning Oral benadryl at night Topical hydrocortisone to rash prn itching.
Age: 64.0
Sex: M
Vaccine: DT
Symptoms: Injection site oedema, Local reaction, Puncture site oedema, Urticaria
Clinical narrative: Local urticarial reaction with edema from the deltoid (puncture site) to the elbow.
Age: 61.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Blood potassium decreased, Blood test, Dizziness, Electrocardiogram normal, Gait inability
Clinical narrative: She got her vaccines, the following evenign she started getting the achy/flu type feeling, body aches and pains.  She did take some Ibuprofen and Tylenol for those symptoms 2 times.  The first day she took 600 Ibuprofen and 500 of Tylenol.  The next day she took 400 Ibupforen and 500 Tylenol and that covered it. She went on a hike that day, felt a little ache but did fine.  The next day she felt a little under the weather which is normal for her with the flu like symptoms, achiness.  She can be down in bed sometime.  Yesterday morning at 5:00 AM she went to get up and could not lift her head 2" as she had severe vertigo, and then had to put her head back down, and felt that it was really weird.  She kept trying to get up, and then after an hour she called her doctor and told them that she was not able to get out of bed.  She also had feeling like she was going to loose consciousness along with the dizzness.  She was told by the doctor to call 911 which she did and she went to the ER, which she was there for about 6 hours.  They wanted to rule out a stroke or heart condition and had MRI's, EKG's, tested her blood and urine.  Everything came out negeative except low potassium.  She came home yesterday and laid down and is OK while up and walking around, but getting out of bed she gets the spinning vertigo sensation.  They gave her Meclizine and she took it yesterday at the hospital as she could not walk.  They walked her around the ER and she was OK.  She is trying not to take it as it makes her very sleepy.  Right now she feels it's just getting out of bed is when she is feeling the dizziness.  She went to ER. When the paradics came her BP was 160/110, which is very high for her.  By the time she went to the hospital it was 120/80;  She has a pretty normal BP, and this morning it was 120/80.
Age: 61.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Hypertension, Influenza like illness, Magnetic resonance imaging normal, Malaise, Mobility decreased
Clinical narrative: She got her vaccines, the following evenign she started getting the achy/flu type feeling, body aches and pains.  She did take some Ibuprofen and Tylenol for those symptoms 2 times.  The first day she took 600 Ibuprofen and 500 of Tylenol.  The next day she took 400 Ibupforen and 500 Tylenol and that covered it. She went on a hike that day, felt a little ache but did fine.  The next day she felt a little under the weather which is normal for her with the flu like symptoms, achiness.  She can be down in bed sometime.  Yesterday morning at 5:00 AM she went to get up and could not lift her head 2" as she had severe vertigo, and then had to put her head back down, and felt that it was really weird.  She kept trying to get up, and then after an hour she called her doctor and told them that she was not able to get out of bed.  She also had feeling like she was going to loose consciousness along with the dizzness.  She was told by the doctor to call 911 which she did and she went to the ER, which she was there for about 6 hours.  They wanted to rule out a stroke or heart condition and had MRI's, EKG's, tested her blood and urine.  Everything came out negeative except low potassium.  She came home yesterday and laid down and is OK while up and walking around, but getting out of bed she gets the spinning vertigo sensation.  They gave her Meclizine and she took it yesterday at the hospital as she could not walk.  They walked her around the ER and she was OK.  She is trying not to take it as it makes her very sleepy.  Right now she feels it's just getting out of bed is when she is feeling the dizziness.  She went to ER. When the paradics came her BP was 160/110, which is very high for her.  By the time she went to the hospital it was 120/80;  She has a pretty normal BP, and this morning it was 120/80.
Age: 61.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Pain, Urine analysis normal, Vertigo
Clinical narrative: She got her vaccines, the following evenign she started getting the achy/flu type feeling, body aches and pains.  She did take some Ibuprofen and Tylenol for those symptoms 2 times.  The first day she took 600 Ibuprofen and 500 of Tylenol.  The next day she took 400 Ibupforen and 500 Tylenol and that covered it. She went on a hike that day, felt a little ache but did fine.  The next day she felt a little under the weather which is normal for her with the flu like symptoms, achiness.  She can be down in bed sometime.  Yesterday morning at 5:00 AM she went to get up and could not lift her head 2" as she had severe vertigo, and then had to put her head back down, and felt that it was really weird.  She kept trying to get up, and then after an hour she called her doctor and told them that she was not able to get out of bed.  She also had feeling like she was going to loose consciousness along with the dizzness.  She was told by the doctor to call 911 which she did and she went to the ER, which she was there for about 6 hours.  They wanted to rule out a stroke or heart condition and had MRI's, EKG's, tested her blood and urine.  Everything came out negeative except low potassium.  She came home yesterday and laid down and is OK while up and walking around, but getting out of bed she gets the spinning vertigo sensation.  They gave her Meclizine and she took it yesterday at the hospital as she could not walk.  They walked her around the ER and she was OK.  She is trying not to take it as it makes her very sleepy.  Right now she feels it's just getting out of bed is when she is feeling the dizziness.  She went to ER. When the paradics came her BP was 160/110, which is very high for her.  By the time she went to the hospital it was 120/80;  She has a pretty normal BP, and this morning it was 120/80.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Injection site swelling
Clinical narrative: patient requested one shot in each arm. patient was getting covid and flu shot. placed flu shot in left arm without any issues. placed shot in right arm and patients arm starting bleeding and it started to swell immediately. It was about the size of a quarter. Wiped with alcohol swab a couple of times, bleeding stopped. We had her stay in the immunization booth to monitor swelling. Patient stayed for around 15 minutes, swelling went down. She said she had no issues at all, no problems breathing or any issues with allergic reaction. She said she had a bone spur removed in that arm and she hasn't received a shot in the arm since. She said that I did a great job giving the shot and she had no idea anything happened til she felt the blood on her arm. She has no issues and was ready to leave.
Age: 70.0
Sex: M
Vaccine: UNK
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received a 2nd Fluad trivalent flu shot on 9/11/24.  Patient received first Fluad trivalent flu shot on 8/18/24 - Lot # 388459 from Seqirus as well.  Patient did not have any physical manifestations of adverse events and patient did not report any symptoms when they were contacted today (9/12/24)
Age: 56.0
Sex: M
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pediatric dose given to adult patient.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered
Clinical narrative: Patient received a extra dose of HPV vaccine by mistake.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Borrelia test negative, Computerised tomogram, Dyspnoea, Echocardiogram normal
Clinical narrative: Weakness and fatigue. Inability to walk. Over the course of a few days became weaker, shortness of breath, more fatigue, high blood pressure 160/108 at times. Went to PCP, Cardiologist.  Labs looked ok. Cardio did ECHO which was normal.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Electromyogram, Fatigue, Gait inability, Hypertension, Laboratory test normal
Clinical narrative: Weakness and fatigue. Inability to walk. Over the course of a few days became weaker, shortness of breath, more fatigue, high blood pressure 160/108 at times. Went to PCP, Cardiologist.  Labs looked ok. Cardio did ECHO which was normal.
Age: 44.0
Sex: M
Vaccine: TDAP
Symptoms: Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Weakness and fatigue. Inability to walk. Over the course of a few days became weaker, shortness of breath, more fatigue, high blood pressure 160/108 at times. Went to PCP, Cardiologist.  Labs looked ok. Cardio did ECHO which was normal.
Age: 69.0
Sex: M
Vaccine: UNK
Symptoms: Wrong product administered
Clinical narrative: Patient should have received FluAD was only offered Fluarix and received Fluarix
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Given undiluted 2024-2025 Pfizer BioTech Covid Vaccine in right arm
Age: 89.0
Sex: F
Vaccine: UNK
Symptoms: Extra dose administered
Clinical narrative: PATIENT RECIEVED 2 DOSES OF AREXVY. 1 DOSE WAS GIVEN 9/23/23 AND 2ND DOSE WAS GIVEN 8/19/24. RECOMMENDATION IS ONLY 1 DOSE TO BE GIVEN
Age: 40.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chest pain, Fatigue, Headache, Pain in extremity
Clinical narrative: She got her vaccines, had pain in her arm which is normal for her.  Then later on the symptom of chest pain and was trying to think if there was anyother reason why she was having it.  She felt that maybe it was indigestion.  Then she had some fatigue and a headache, which she felt was normal.  The chest pain is not normal and was concerning to her.  She did not do anything at first as she just thought it was going to get better.  She did not take anything for it.  She has gone to a cardiologist in the past and was told that her heart was good, so she is not worried about anything like that.  Yesterday she had more chest pain and it was not getting any better, and was fatigued and took it easy.  She decided that she should call her doctor and see him, and made an appointment last night and this morning when she woke up the pain was better.  She called her doctor to tell him what was going on and is still trying to decide if she should see him or not as it is getting better.   If it continues to get better she may not go to the doctor.  She looked up symptoms on the CDC website and was concerned about pericarditis and myocarditis and that it can go away on it's own.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness and swelling to the injection site of the right deltoid. Itchy at the site.
Age: 8.0
Sex: M
Vaccine: HEP, IPV, MMRV, MNQ, TDAP
Symptoms: Product preparation error
Clinical narrative: MMRV was accidentally constituted with meningococcal instead of the diluent.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was accidently given two Spikevax vaccines instead of one Spikevax and one Fluzone HD. No adverse reactions occurred on day of administration nor fifteen minutes after. Also, patient was given a flu shot  in the left arm. No adverse reactions occurred at site of administration
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt received her vaccine in the R deltoid muscle. Mom contacted our office on 9-12-24 with concerns due to a large localized reaction to the site. Describing a large localized erythematous tender reaction. Doctor was notified and shown the picture and instructed nurse to have Mom give Tylenol, Motrin, and Benadryl, that it should resolve in a few days. No other  symptoms present, pt is afebrile. Nurse informed Mom to contact our office if symptoms don't improve or she runs a fever.
Sex: F
Vaccine: RSV
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: 13 day old infant received adult dose of RSV vaccine (Arexvy) instead of intended Beyfortus. Writer of this report unaware of reaction to vaccine. Pt's parents will need to be contacted for further information.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site reaction, Syncope
Clinical narrative: 2 days later, patient went on a bike ride and at mile 13 got dizzy. She stopped and then fainted. She states she also had a red circle on left arm where vaccine was. It has resolved now. She states she rides bikes often going 30 miles with no problem. Left arm appears normal now, with no red circle.
Age: 65.0
Sex: F
Vaccine: COVID19, FLU4, PNC20
Symptoms: Erythema, Injection site erythema, Injection site rash, Rash macular
Clinical narrative: Big blotchy rash on left upper arm. notice the morning of 9/11/24. big red blotches spreads past elbow
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Eye swelling, Injection site swelling, Pain in extremity, Peripheral swelling, Swelling
Clinical narrative: Pt endorsed that when she woke up the following day 11Sep24 @ around 0600, the left side of her body from face, cheek, eyes, left arm, left shoulder and back were swollen. Took 2 tylenol and a hot shower, went back to sleep and woke up at 1100 am and the swelling is gone.  Today, she mentioned that her left arm is still sore but no swelling noted. Patient mentioned to the writer that 3 months ago, she had undergone a carpal tunnel surgery on left hand and since the surgery she has been having on and off issues with it like occasional numbNESS.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling face
Clinical narrative: Pt endorsed that when she woke up the following day 11Sep24 @ around 0600, the left side of her body from face, cheek, eyes, left arm, left shoulder and back were swollen. Took 2 tylenol and a hot shower, went back to sleep and woke up at 1100 am and the swelling is gone.  Today, she mentioned that her left arm is still sore but no swelling noted. Patient mentioned to the writer that 3 months ago, she had undergone a carpal tunnel surgery on left hand and since the surgery she has been having on and off issues with it like occasional numbNESS.
Age: 90.0
Sex: F
Vaccine: RSV
Symptoms: Blister
Clinical narrative: evening following the vaccine noted with bulla and duskiness of 3rd right digit distally. Bulla present on dorsal DIP joint and tip of 2nd right digit the next day. No further bulla or changes as of 9/12.
Age: 7.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, VARCEL
Symptoms: Circumstance or information capable of leading to medication error, Product administered to patient of inappropriate age
Clinical narrative: Patient came to clinic on 8/15/24 for immunizations. On day of visit, I verified patient name and date of birth with mother using Interpreter. Mother stated patient's date of birth. According to database, patient needed a DTaP vaccine due to the patient birth year of 2017 with an age of 6. On 9/12/24 patient came into clinic with step-father. Mother was called for permission to vaccinate. Interpreter verified patient's date of birth with mother. Mother initially stated that patient's date of birth then self-corrected stating that patient was born in 2016. Once date of birth was changed in  system, patient age became 7 and DTaP vaccine became an inadvertent dose based on patient age. Dose was still accepted by systemas a valid dose.
Age: 0.75
Sex: M
Vaccine: MENB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was due for a Hepatitis B vaccine, and instead given a Meningococcal B vaccine. The patient was not harmed.  The physician was notified of this and will call and let mother know.  The Health Department was notified of this as well. Patient will come back into the office to get the Hepatitis B vaccine.
Age: 1.17
Sex: M
Vaccine: RAB
Symptoms: Pyrexia, Vomiting
Clinical narrative: Developed fever to 102 about 2 hours after vaccine given.  At that point Mom gave antipyretics as she did not want fever to go higher. Also developed vomiting for the next 24 hours.  Fever subsided after 13 hours.  No respiratory distress, facial swelling or rash. Child was not seen in office or other facility when this occurred.  He was evaluated in office 5 days later and asymptomatic at the time.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Aphasia, Cheilitis, Erythema, Feeding disorder, Migraine
Clinical narrative: He got his vaccine, he didn't notice anything, until about 7-10 days later when his whole body, as well as his mouth was very sore.  He started seeing marks on his head, and he shaved his chest as he has a hairy chest and noticed purple red sore from his feet to his head.  He also had sores in his mouth and on his lips.  He could not talk, could not eat and had severe migraines.  He thought his mouth condition was something from something cut his mouth.  He started eating softer foods, and then his whole mouth including his gums and lips had sores.  He went to the UC on 9/3/24 and they gave him a prescription for Prednisone, which was a waste of time, this did not help him at all.  She did not give him anything for his mouth sores.  The sores went away in his body but still has the marks on his body.  The marks are itchy, scabs now and has the red marks but not as colorful with the scabs all around it.  The scabs are still itching.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Noninfective gingivitis, Oral pain, Pain, Pruritus, Scab
Clinical narrative: He got his vaccine, he didn't notice anything, until about 7-10 days later when his whole body, as well as his mouth was very sore.  He started seeing marks on his head, and he shaved his chest as he has a hairy chest and noticed purple red sore from his feet to his head.  He also had sores in his mouth and on his lips.  He could not talk, could not eat and had severe migraines.  He thought his mouth condition was something from something cut his mouth.  He started eating softer foods, and then his whole mouth including his gums and lips had sores.  He went to the UC on 9/3/24 and they gave him a prescription for Prednisone, which was a waste of time, this did not help him at all.  She did not give him anything for his mouth sores.  The sores went away in his body but still has the marks on his body.  The marks are itchy, scabs now and has the red marks but not as colorful with the scabs all around it.  The scabs are still itching.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Skin discolouration, Skin disorder, Skin ulcer, Stomatitis, Therapeutic product ineffective
Clinical narrative: He got his vaccine, he didn't notice anything, until about 7-10 days later when his whole body, as well as his mouth was very sore.  He started seeing marks on his head, and he shaved his chest as he has a hairy chest and noticed purple red sore from his feet to his head.  He also had sores in his mouth and on his lips.  He could not talk, could not eat and had severe migraines.  He thought his mouth condition was something from something cut his mouth.  He started eating softer foods, and then his whole mouth including his gums and lips had sores.  He went to the UC on 9/3/24 and they gave him a prescription for Prednisone, which was a waste of time, this did not help him at all.  She did not give him anything for his mouth sores.  The sores went away in his body but still has the marks on his body.  The marks are itchy, scabs now and has the red marks but not as colorful with the scabs all around it.  The scabs are still itching.
Age: 80.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Day after vaccines patient noticed some redness and pain at the injection site.  I explained that it will likely go away soon, but if it gets worse or looks infected, to call her doctor.
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Culture stool, Diarrhoea, Diarrhoea haemorrhagic, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Onset of fever followed by diarrhea within first 24 hours, with bloody diarrhea by day 5; Supplement formula with probiotic and Pedialyte, monitoring  S/S Intussusception; 9/12/2024 Concurrent Otitis Media treating with amoxicillin
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Occult blood positive, Otitis media, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Onset of fever followed by diarrhea within first 24 hours, with bloody diarrhea by day 5; Supplement formula with probiotic and Pedialyte, monitoring  S/S Intussusception; 9/12/2024 Concurrent Otitis Media treating with amoxicillin
Age: 0.5
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Have not heard of any adverse effects due to vaccine administration, I was just advised to fill form out.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Hypoaesthesia, Throat tightness
Clinical narrative: Patient felt numbness on the right side of her face with slight throat tightness that subsided after 4 hours. Went to Urgent Care for treatment but did not receive any treatment.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Pulse absent, Pupil fixed, Pupillary reflex impaired
Clinical narrative: Nursing Notes related to event.  Resident found deceased of unknown cause within 24 hours of vaccine administration: Note Text: Residents body picked up by funeral home at 11:45.  9/12/2024 07:48 Nursing Note  Note Text: Employee receved call from head nurse on unit stating that resident was found deceased in his bed. Resident has no apical pulse, no radial pulse, eyes fixed and nonreactive to light. Pronounced at 0715. Message left for guardian. hospice updated.   9/12/2024 07:40 Nursing Note  Note Text: No emesis this shift. Two episodes of loose stools. Temp 97.7 and o2 sat 95 % RA.  9/11/2024 22:45 Nursing Note  Note Text: Last rounds resident had another extra large watery stool and more emesis.  [linked]   9/11/2024 21:36 Nursing Note  Note Text: Resident had 4 watery stools this shift, vomited x 1. Intake 900 cc of fluid, no PO food or medications. Temp. 97.2.  Nursing  9/11/2024 19:04 Nursing Note  Note Text: Received COVID booster vaccine in right deltoid with no issues. Staff to monitor for side effects. Temp 97.2 O2 sat 90% on room air. 9/11/2024 12:58 Nursing Note  Note Text: Resident had 2 very large liquid stools this shift. Resident had supp on 11-7. Fluids encouraged and tolerated well. 97.5 55 20 unable to obtain bp due to positioning 93%RA appears comfortable. Resident also had COVID/FLU vaccine this shift. Supervisor updated  Nursing N N view   9/11/2024 06:24 Nursing Note  Note Text: Res is day 4 on BM list, prn dulcolax supp pr given a/o with good effect. Res had a medium BM this shift. Fluids offered, taken 120cc. No s/sx of pain/discomfort noted.  9/10/2024 17:02 Hospice   Note Text: Resident discussed at Hospice. continues appropriate for hospice services with  Hospice.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nursing Notes related to event.  Resident found deceased of unknown cause within 24 hours of vaccine administration: Note Text: Residents body picked up by funeral home at 11:45.  9/12/2024 07:48 Nursing Note  Note Text: Employee receved call from head nurse on unit stating that resident was found deceased in his bed. Resident has no apical pulse, no radial pulse, eyes fixed and nonreactive to light. Pronounced at 0715. Message left for guardian. hospice updated.   9/12/2024 07:40 Nursing Note  Note Text: No emesis this shift. Two episodes of loose stools. Temp 97.7 and o2 sat 95 % RA.  9/11/2024 22:45 Nursing Note  Note Text: Last rounds resident had another extra large watery stool and more emesis.  [linked]   9/11/2024 21:36 Nursing Note  Note Text: Resident had 4 watery stools this shift, vomited x 1. Intake 900 cc of fluid, no PO food or medications. Temp. 97.2.  Nursing  9/11/2024 19:04 Nursing Note  Note Text: Received COVID booster vaccine in right deltoid with no issues. Staff to monitor for side effects. Temp 97.2 O2 sat 90% on room air. 9/11/2024 12:58 Nursing Note  Note Text: Resident had 2 very large liquid stools this shift. Resident had supp on 11-7. Fluids encouraged and tolerated well. 97.5 55 20 unable to obtain bp due to positioning 93%RA appears comfortable. Resident also had COVID/FLU vaccine this shift. Supervisor updated  Nursing N N view   9/11/2024 06:24 Nursing Note  Note Text: Res is day 4 on BM list, prn dulcolax supp pr given a/o with good effect. Res had a medium BM this shift. Fluids offered, taken 120cc. No s/sx of pain/discomfort noted.  9/10/2024 17:02 Hospice   Note Text: Resident discussed at Hospice. continues appropriate for hospice services with  Hospice.
Age: 41.0
Sex: M
Vaccine: HEPAB
Symptoms: Pain, Screaming
Clinical narrative: Scream after vaccine was administered. Painful reaction
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea that lasted for 5 days.
Age: 72.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient had redness, swelling, and heat on arm the day after
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Injection site pain, Injection site swelling, Injection site warmth, Rash
Clinical narrative: My whole right shoulder has been sore & hot since the shot, followed by swelling, and a large red rash that goes down the front of my arm. It has been 4 days since my vaccination and it has not changed.
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash erythematous
Clinical narrative: My whole right shoulder has been sore & hot since the shot, followed by swelling, and a large red rash that goes down the front of my arm. It has been 4 days since my vaccination and it has not changed.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Contusion, Pain
Clinical narrative: Huge bruise after the vaccine given along with normal hurting of a COVID vaccine. First time this has happened to me.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Muscle spasms, Pyrexia
Clinical narrative: Fever, headache, fatigue, achy joints, when stretching, muscles sometimes cramped.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Joint swelling, Myalgia
Clinical narrative: The next day has extremely sore muscles that felt like I worked out too hard. Felt different and deeper than usual muscle fatigue from vaccinations. On Friday, two days after, all of my joints were swollen and continued to swell for the next few days. I thought I was going to have to cut off my engagement ring they were so swollen. Doctor gave me steroids which seemed to help the issue a bit but did not completely resolve it. Now, almost 2 weeks after, the swelling and joint stiffness is mostly gone, but not entirely resolved. My joints are still mildly stiff, especially in the morning or after working out.  I had no other symptoms like fever, etc besides the joint and muscle pain.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMR, PNC20
Symptoms: Fatigue, Irritability, Pyrexia, Rash erythematous, Rash maculo-papular
Clinical narrative: fever tmax 101, fatigue, runny nose, fussiness, erythematous maculopapular rash starting at trunk and spreading up to face, upper extremities, lower extremities.  symptoms x 3-4 days. doing Tylenol and nasal suction.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMR, PNC20
Symptoms: Rhinorrhoea
Clinical narrative: fever tmax 101, fatigue, runny nose, fussiness, erythematous maculopapular rash starting at trunk and spreading up to face, upper extremities, lower extremities.  symptoms x 3-4 days. doing Tylenol and nasal suction.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Pain, Pain in extremity
Clinical narrative: He got his vaccine, he had a slightly sore arm starting on Saturday.  Then late Saturday/Sunday he had severe back pain, severe fatigue, tiredness and whole body aches and pains.  He did not take anything for his symptoms.  Up until yesterday he still had aches, pains and a backpain.  The aches and pains are gone, and has slight back pain and says he is almost 85% back to normal.   He called the pharmacy today and told them about the reaction and informed them that they were going to make a report.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic fatigue syndrome, Mast cell activation syndrome, Orthostatic hypotension
Clinical narrative: Outcome: Orthostatic Hypotension, ME/CFS, MCAS.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Mass, Tenderness
Clinical narrative: Reports moderate fatigue and small 'bumps' at the base of skull, behind ears and on the right side of the neck in the crook between the neck and shoulders.  Patient reports them being glandular and are tender to the touch
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Erythema, Fatigue, Feeling abnormal
Clinical narrative: She got her vaccine, starting around 12:00 on Saturday she started feeling different, her arm turned red, painful area.  At about 3:00 she started getting chills.  She was working doing volunteer and had to come home around 5:00 and she covered up with blankets and stuff to get warm, which she could not get warm and had them all Saturday night and into Sunday morning.  Her arms hurts, her had a severe backache, leg pain, and still has the leg pain today.  She was running a fever as well.  She had fatigue and body aches all over.  The chills stopped on Sunday, the fever stopped on Sunday, she still had achiness yesterday and still having aches and pains today, especally in her legs.   She did Tylenol for her symptoms.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pain in extremity, Pyrexia
Clinical narrative: She got her vaccine, starting around 12:00 on Saturday she started feeling different, her arm turned red, painful area.  At about 3:00 she started getting chills.  She was working doing volunteer and had to come home around 5:00 and she covered up with blankets and stuff to get warm, which she could not get warm and had them all Saturday night and into Sunday morning.  Her arms hurts, her had a severe backache, leg pain, and still has the leg pain today.  She was running a fever as well.  She had fatigue and body aches all over.  The chills stopped on Sunday, the fever stopped on Sunday, she still had achiness yesterday and still having aches and pains today, especally in her legs.   She did Tylenol for her symptoms.
Age: 69.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Extra dose administered
Clinical narrative: Patient recieved a second dose of Abrysvo
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Fine motor delay, Full blood count normal, Gross motor delay, Lymphadenopathy, Speech disorder
Clinical narrative: Swollen Lymph nodes in neck and many in groin area x 2 weeks.  Slowed gross and fine motor.  Recession in speech development
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Pain in extremity
Clinical narrative: Sore arm, bruise, redness
Age: 75.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Erythema, Pruritus, Rash, Tenderness
Clinical narrative: Localized Itching and rash, redness, tenderness. Treatment included recommendation to use topical benadryl. Follow-up next day
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pruritus
Clinical narrative: Patient received the updated COVID vaccine through Pfizer yesterday.  4-6 hours after receiving the vaccine, patient developed generalized itching.  Soreness at the injection site without increasing redness or itching.  No other associated symptoms such as shortness of breath, difficulty with breathing, difficulty with swallowing.  Patient has not taking in any new foods, no change in soaps or detergents.  Patient has been on Celebrex for 1 month.
Age: 50.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Dehydration, Headache, Loss of consciousness, Nausea
Clinical narrative: Loss of consciousness 0230 9/10/24, extreme and extended nausea is continuing, headache was severe on 9/10/24 but has since passed.  Dehydration is persistent.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Administration site erythema, Administration site swelling, Administration site warmth
Clinical narrative: THE PATIENT CONTACTED THE CENTER REPORTING THAT THE CHILD HAD A RED, HOT AND SWOLLEN RIGHT ARM WHERE THE DTAP AND POLIO VACCINE (QUADRACEL) WAS ADMINISTERED.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dysgeusia, Pharyngeal swelling
Clinical narrative: Patient complained of funny taste in back of throat and felt like her throat was swelling. Took under observation and administered 1 Epipen. Called EMS and EMT's took her to a nearby hospital.
Age: 27.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy
Clinical narrative: Pregnant patient received Arexvy.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: Patient accidently given the spikevax vaccine after CDC recommendation to stop all vaccines as of 8/31/24
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia
Clinical narrative: Patient developed fever on Sep 06 .  His hand started swelling up on 09/8  from elbow to the wrist, and swollen more on Sep 9-11 up to his fingers.  He said today (09-12) his hand feels little better than before, but still swelling and pain
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: Patient accidently given the spikevax vaccine after CDC recommendation to stop all vaccines as of 8/31/24, no adverse event noted.
Age: 54.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Neuropathy peripheral, Paraesthesia
Clinical narrative: Instant nerve sensation (neuropathy ) in arm radiating to hand.  Sensation still exist after almost a week after being injected.  No chest pain/discomfort, just tingling sensation in arm and hand.  This did not exist prior to being vaccinated.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: Patient accidently given the spikevax vaccine after CDC recommendation to stop all vaccines as of 8/31/24, no adverse event noted.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Blood glucose normal, Dyskinesia, Eye movement disorder, Nausea, Reflex test
Clinical narrative: Patient was vaccinated, 2-3 minutes post injection I heard the patient drop something within the room. I went back into the room and the patient was unresponsive to verbal communication, Dr. was called back into the room immediately. Her head was rolling back and forth, eyes were rolling back in her head and throwing her arms around. Patient then began to seize,  Dr., myself and the mother kept the patient stable and as we were preparing to lower her to the ground she became alert again. Dr. began to speak with the patient, confirmed she knew who we were, what day it was and where she was. She did not know what had happened. Monitored O2 saturation and pulse along with blood sugar. Patient was given juice and water. Patient felt she was going to vomit but no episodes of emesis. Patient was released after 20 minutes post episode stable, responsive with reflexes checked.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Seizure, Unresponsive to stimuli
Clinical narrative: Patient was vaccinated, 2-3 minutes post injection I heard the patient drop something within the room. I went back into the room and the patient was unresponsive to verbal communication, Dr. was called back into the room immediately. Her head was rolling back and forth, eyes were rolling back in her head and throwing her arms around. Patient then began to seize,  Dr., myself and the mother kept the patient stable and as we were preparing to lower her to the ground she became alert again. Dr. began to speak with the patient, confirmed she knew who we were, what day it was and where she was. She did not know what had happened. Monitored O2 saturation and pulse along with blood sugar. Patient was given juice and water. Patient felt she was going to vomit but no episodes of emesis. Patient was released after 20 minutes post episode stable, responsive with reflexes checked.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: Patient accidently given the spikevax vaccine after CDC recommendation to stop all vaccines as of 8/31/24, no adverse event noted but required by state to report as an adverse event.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Food allergy, Rash, Urticaria
Clinical narrative: Patient experienced rash/hives on legs about 3-5 days after receiving the Comirnaty vaccine. Patient believed to have an adverse reaction due to having  a new diagnosis of alpha-gal
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Skin warm
Clinical narrative: Red rash, warm to the touch and painful, patient was going to contact her doctor to see if an antibiotic would be needed
Age: 52.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Arthralgia, Injection site erythema, Injection site induration, Joint swelling, Myalgia
Clinical narrative: Erythema and induration 12 inch circle around injection site. Significant swelling of the upper arm including should and elbow joint swelling and pain Fever up to 103; body aches-general myalgias for about 5 days  The swelling and redness were the worst on day 5 post-vaccination and by day 7 were mostly gone.  They started about 24 hours after the vaccine and progressively got worse up to day 5.
Age: 52.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Pain, Peripheral swelling, Pyrexia
Clinical narrative: Erythema and induration 12 inch circle around injection site. Significant swelling of the upper arm including should and elbow joint swelling and pain Fever up to 103; body aches-general myalgias for about 5 days  The swelling and redness were the worst on day 5 post-vaccination and by day 7 were mostly gone.  They started about 24 hours after the vaccine and progressively got worse up to day 5.
Age: 56.0
Sex: M
Vaccine: FLUC4
Symptoms: Laboratory test abnormal, Myocarditis
Clinical narrative: Acute myocarditis