chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Feeling hot, Flushing, Hyperhidrosis
Clinical narrative: About 15 minutes post vaccination, her lips began to burn and tingle. She got tightness in her chest and began to have an "asthma" cough, flushing, diaphoresis, felt very hot.  She took Benadryl.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Oral discomfort, Paraesthesia oral
Clinical narrative: About 15 minutes post vaccination, her lips began to burn and tingle. She got tightness in her chest and began to have an "asthma" cough, flushing, diaphoresis, felt very hot.  She took Benadryl.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Syncope
Clinical narrative: Syncope episode after administration. Dizziness. Lasted about 20 minutes.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Amnesia, Brain fog, Fatigue, Pain in extremity
Clinical narrative: moderate to severe Arm soreness in both arms, worse on Left (covid arm).  Severe exhaustion and brain fog, short term memory loss- almost as bad as the times I have had COVID since April 2022, but have not experienced this after vaccine.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Ocular hyperaemia, Swelling face
Clinical narrative: First right eye became red then left. Later I developed a headache and swelling to my face. Around 9:30pm I took 25mg of Benadryl and 100mg of Ubrevely by morning I was back to normal.
Age: 22.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Syncope
Clinical narrative: During her observation period the patient fainted in the waiting area, following her vaccination.  She was uninjured (we checked several times).  She was instructed to lie down with her feet elevated on a chair, and we observed her the entire time.  Afterwards she recovered and was able to leave without further incident.  Again we checked to make sure she was fine, and uninjured, and she responded that she was.  Just a routine case of fainting.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Muscle spasms, Sleep disorder
Clinical narrative: I was awakened by severe muscle spasm in both right and left thighs. Which lasted approximately 15 minutes.  I attempted to stand during this time but unable to stand with out support.  Standing and walking resumed when the muscle spasms ended.  No further symptoms or problems after this event.  Of note I did have the FLU-AD at the same time the COVID was administered
Age: 3.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a combination vaccine of Dtap and Polio. Patient should have been given these 2 vaccines separately. This dose still counts as a valid dose and does not have to be repeated.
Age: 3.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a combination vaccine of Dtap and Polio. Patient should have been given these 2 vaccines separately. This dose still counts as a valid dose and does not have to be repeated.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Flushing, Head discomfort, Immediate post-injection reaction
Clinical narrative: Following the flu vaccine administration she began to feel nauseous and dizzy and had had fullness.  This was immediately after the injection was provided.  This has never happened to her before previously.  She has had multiple flu vaccines prior.  Her blood pressure went up to about 138/90 and heart rate was 105.  The patient was flushed.  There was no evidence of any tongue or uvula swelling.  No wheezing.  She did not lose consciousness.  I do not think this was anaphylaxis.  Patient was monitored in the clinic for over 30 minutes after the reaction occurred.  She began to feel better.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Following the flu vaccine administration she began to feel nauseous and dizzy and had had fullness.  This was immediately after the injection was provided.  This has never happened to her before previously.  She has had multiple flu vaccines prior.  Her blood pressure went up to about 138/90 and heart rate was 105.  The patient was flushed.  There was no evidence of any tongue or uvula swelling.  No wheezing.  She did not lose consciousness.  I do not think this was anaphylaxis.  Patient was monitored in the clinic for over 30 minutes after the reaction occurred.  She began to feel better.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Moderna SpikeVax. Patient reported swollen, red, painful, itchy arm at the injection site. Patient has no fever and has a "knot" in the muscle. Patient is treating with antihistamine OTC (she can't remember the name) and hydrocortizone cream. Her adverse reaction has lasted for 3 days. She did get the fluzone HD (flu shot) on other arm on the same day, no issues reported with that vaccine
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Somnolence for 2 days after receiving vaccine.
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Wrong product administered
Clinical narrative: Inadvertently gave client the wrong vaccine.  Client was in clinic with a sibling whom was also getting vaccines.  The syringe was placed on the wrong tray & vaccine was given to the wrong child.   Client's mother was present & informed of the mistake.
Age: 30.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Dizziness, Nausea, Vision blurred
Clinical narrative: The employee was vaccinated in the morning around 08:30 AM, she returned to work, around 03:00 PM, she began feeling dizzy, nauseous, and experiencing blurred vision. Her vitals at that time were BP: 113/68, HR:67, RR:16, SPO2:100% T: 98.1 F. She was brought to the nurse triage room and once her nausea resolved we laid her down on a patient table and elevated her legs. She disclosed that she has not had any food all day besides a bagel in the morning. I informed the manager that the employee should be sent home to rest. We brought her orange juice, water and a granola bar.  At 3:25 PM I retook her vitals BP 107/67 HR:61, RR:17 SPO2: 100% T: 98.1 F.  She denied pain. Her vision at this time was improving.  The employee contacted her mom to come pick her up from the clinic. At 3:45PM I retook her vitals, BP: 111/68 HR:63, RR:16, SPO2: 100% T: 98.2, 0/10 Pain. At this time her nausea resolved and her blurred vision resolved. Dizziness was the persistent symptom.  At 4:20 PM retook her vitals BP 114/77, HR:68, RR:16 SPO2:99%, 0/10 pain T: 98.3. The patient denied shortness of breath throughout this encounter, patient denied chest pain, nausea resolved, visual disturbances resolved. Dizziness improved but still present. At 4:25 PM family picked up employee. Informed employee to stay hydrated and get plenty of rest over the weekend. Informed her to monitor her temperature, gave her strict ED/EMS precautions for worsening symptoms. She verbalized understanding. Walked the employee out to her mother's care, the employee was able to ambulate independently.  She returned to work on Monday, 10/07/24, the employee informed me that she slept it off all weekend and was feeling much better.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Tinnitus
Clinical narrative: Caregiver reported that about 10-15 minutes after the immunization that she started to get severe, almost unbearable ringing in one ear, that slowly also affected the other ear.    The severe ringing lasted about 90 minutes.   Was not dizzy, mildly lightheaded for about 15 minutes after injection.   When reaching out to caregiver about 18 hours after immunization she reports that hearing is normal, ringing is completely resolved in one ear and only very mild in other ear.   No treatment provided.
Age: 42.0
Sex: F
Vaccine: COVID19, FLU3, COVID19
Symptoms: Immunisation reaction, Injection site erythema, Injection site swelling, Malaise, Mobility decreased
Clinical narrative: The night of the injection I started feeling sick. Woke up the next morning with a temp over 100 and could barely move, husband had to carry me to the toilet. While doing this husband noticed a reaction to the covid shot at the injection site. The area continued to swell and grow. It has been the size of a softball with red going almost up and down my whole upper arm. I was told his was called Covid arm. A lot of people that I have talked to have had the same reaction with this shot specifically.  It is supposed to be a rare occurrence, but for such a small area to have so many people getting the same reaction I believe there is something to that. I have had all of the other covid shots previously with no issues at all.  The pharmacist themselves said that I was the second person in two weeks to stop in and show them my arm. For such a small area and a small family run pharmacy to see that alone says that the vaccine should be looked at. Today the swelling seems to have stopped. I am watching to see if it starts to go down
Age: 42.0
Sex: F
Vaccine: COVID19, FLU3, COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The night of the injection I started feeling sick. Woke up the next morning with a temp over 100 and could barely move, husband had to carry me to the toilet. While doing this husband noticed a reaction to the covid shot at the injection site. The area continued to swell and grow. It has been the size of a softball with red going almost up and down my whole upper arm. I was told his was called Covid arm. A lot of people that I have talked to have had the same reaction with this shot specifically.  It is supposed to be a rare occurrence, but for such a small area to have so many people getting the same reaction I believe there is something to that. I have had all of the other covid shots previously with no issues at all.  The pharmacist themselves said that I was the second person in two weeks to stop in and show them my arm. For such a small area and a small family run pharmacy to see that alone says that the vaccine should be looked at. Today the swelling seems to have stopped. I am watching to see if it starts to go down
Age: 72.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient came to University's walk-in vaccine clinic requesting an RSV shot. Patient had to complete HealthWise Pharmacy's Vaccine Administration and Record and Informed Consent sheet prior to administration of the vaccine. All information was recorded and the patient had confirmed they had not received an RSV vaccine in the past. The vaccine was administered and the patient had no adverse reaction or problems. After administration, the vaccine was then billed for on the insurance but was not being covered due to the patient receiving the vaccine in the past. The pharmacy pulled up the patient's vaccination history, and the patient had received Arexvy on 10/19/2023.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Pyrexia
Clinical narrative: The resident developed areas of reddness on the injection site arm, trunk, and low grade fever of 99.7 the residents symptoms were treated with Benadryl and Tylenol and have since resolved.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Depressed level of consciousness, Seizure
Clinical narrative: He had brief seizure symptom. One of my technicians saw him bending back on his chair shivering with typical seizure symptom. I rushed to him to make sure he doesn't fall on the floor. He went partially unconscious for brief seconds but woke up when i shouted his name
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen, Echocardiogram, Electrocardiogram, Laboratory test, Myopericarditis
Clinical narrative: PFIZER #1 4/7/2021 PFIZER #2 4/28/2021 DEVELOPED COVID-19 VACCINE SUBCLINICAL MYOPERICARDITIS.  TREATED WITH COLCHICINE AND PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Product administered to patient of inappropriate age
Clinical narrative: Patient was given "high dose" flu shot for 65 years and older but is only 61 years old.  She also received a moderna covid vaccine, only adverse reaction she reported when I contacted her the next day was headache.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Brain fog, Nausea, Pain
Clinical narrative: Severe joint pain and extreme inflammation in all joints in left foot including ankle, and right hand including wrist.  Tooth pain upon chewing. Pain and inflammation generalized throughout the body, including left hand, right foot, knees.  Nausea from pain and brain fog.  Started 20mg prednisone on 10/7/24 and did not respond.  Increased to 30mg prednisone on 10/9/24 and did not respond.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: Severe joint pain and extreme inflammation in all joints in left foot including ankle, and right hand including wrist.  Tooth pain upon chewing. Pain and inflammation generalized throughout the body, including left hand, right foot, knees.  Nausea from pain and brain fog.  Started 20mg prednisone on 10/7/24 and did not respond.  Increased to 30mg prednisone on 10/9/24 and did not respond.
Age: 36.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Dizziness, Headache, Hyperhidrosis, Peripheral coldness
Clinical narrative: Client arrived to the Holding area after receiving a COVID and an influenza vaccination.  He reported that he just received his first influenza vaccination but had received multiple COVID vaccinations.  He later reported an NSAID allergy.  After approximately 5 minutes after arriving to the area, client complained of dizziness and sweating.  After approximately 15 minutes, he reported a slight headache.  After about 20 minutes in the holding area, client reported that his hands felt cold.  Blood pressure, pulse & respirations were within normal limits. No adventitious breath sounds were heard without a stethoscope; client denied shortness of breath.  He remained alert and oriented throughout his time in the Holding Area and was able to swallow, speak, and move all extremities without difficulty.  Skin color was unchanged from baseline and was warm and dry; exceptions include diaphoresis on forehead and cool, pale hands after he reported this change.  He tolerated 2 bottles of water and 2 carbohydrate snacks without nausea/vomiting.  Client was kept seated (except when ambulating to restroom with a spotter), cold compresses applied to forehead and neck, offered water and carbohydrate snacks.  After about 40 minutes without symptom improvement, he was referred  to the closest ED.  He was transported via wheelchair to a private vehicle and was instructed not to drive and to be taken to the nearest ED.  Client and family refused to be taken to ER via ambulance.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypersensitivity
Clinical narrative: HAD TO GO TO THE HOSPITAL WITH AN ALLERGIC TYPE REACTION AND THEN HAD COVID FOR AROUND A WEEK AFTER
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: No adverse event, Product preparation error
Clinical narrative: A sterile diluent (sterile water) was used to reconstitute the Shingrix vaccine instead of using the Shingrix vaccine diluent.  The RN was made aware of the error after the patient had been discharged from the clinic. The patient did not display any adverse reactions post injection and did not report any side effects or symptoms during follow up call on 10/7/24 (4 days later). The patient's PCP was made aware of the error.                                                                                                                                                       Recommendation: Since he did not receive the adjuvant solution, the vaccination should be considered invalid. Please call patient to check on sxs. Can defer revaccination for now and will discuss with at upcoming appt.
Age: 8.0
Sex: F
Vaccine: FLU3, IPV, MMR
Symptoms: Cough, Lip swelling, Pruritus
Clinical narrative: Child developed itching, coughing and swelling to lips. 0.15mg. Epi administered with positive reaction. Child discharged with Rx. for steriods and hydroxazine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Limb mass
Clinical narrative: Within seconds after receiving vaccine, I began to experience a very hot feeling down the side of my left back, down into my lower back (same side as the vaccine) that lasted until I went to bed that night. It was gone by morning. In addition, I developed a lump on the back of my left arm (that's still present to this day).
Age: 74.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Brain fog, Dysstasia, Gait inability, Muscular weakness
Clinical narrative: Patient had no reaction immediately to the vaccine but reports that the next morning she began to experience leg weakness to the point that she was unable to walk or stand. She also reports having a mental fog during this time that
Age: 51.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Abdominal discomfort, Chills, Immune system disorder, Pain, Pyrexia
Clinical narrative: Patient reported upset stomach, fever, pain, chills the night of which would be consistent with immune response then the following morning he had a hive like rash over his back torso area.
Age: 51.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Rash, Urticaria
Clinical narrative: Patient reported upset stomach, fever, pain, chills the night of which would be consistent with immune response then the following morning he had a hive like rash over his back torso area.
Age: 52.0
Sex: F
Vaccine: FLU3, HEP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: I administered patient a Flu vaccine instead of the Hepatitis B vaccine order by the provider. The provider's order routing slip looked as if he had requested the flu vaccine.  Pt. was brought by one of the Resident's MA. I verify patients full name and DOB. I told patient that I was going to administer the Flu vaccine and gave her the Vaccine Information Sheet for the flu vaccine, patient agreed with it.  After I administered the vaccine I took her back to the exam room, that's when patient told the medical assistant that I gave her the wrong vaccine information sheet, I went and spoke with patient and explained her that I gave her the flu vaccine information because i gave her the flu vaccine, patient stated that she wanted the Hepatitis-B vaccine, that's when I realized I administered the incorrect vaccine, patient was very comfortable about getting the correct vaccine (Hepatitis B) I administered the correct vaccine.  I notify the resident about the error, as per resident he stated that it was okay, that no harm can happen.  I also notify my supervisor immediately about the incident.  Time of Incident at 3:30 pm. No symptoms. No other reactions.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was accidentally administered 2 covid shots instead of a covid shot and a fluad (flu) shot. There were no averse effects. Monitored patient and checked in by phone with her later that evening to make sure she was doing ok.
Age: 17.0
Sex: F
Vaccine: MNP
Symptoms: Back pain, Headache, Neck pain, Pyrexia, Vomiting
Clinical narrative: fever (102), severe headache, neck pain, back ache and vomiting for several hours
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: Patient signed up to receive MMR and TDAP vaccine. both vaccines were prepare properly but during administration I mixed up the syringe for MMR for TDAP instead and gave the TDAP subcutaneously. The MMR was subsequently given Subcutaneously on right arm.  Patient did not report adverse events at the time and had no symptoms
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Balance disorder, Dyspnoea, Gait inability, Nausea
Clinical narrative: Next morning very shaky, then that night very strong and painful body aches torso (8 out of 10) then severe vertigo, unable to walk, then nausea with no vomiting, swollen eyelids. Blood pressure 183/105, HR 50, pulse ox 94, feeling of effort to breathe.  At 48 hours post vaccination feeling of (like) seasickness, shaky, very weak and unsteady
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Swelling of eyelid, Tremor, Vertigo
Clinical narrative: Next morning very shaky, then that night very strong and painful body aches torso (8 out of 10) then severe vertigo, unable to walk, then nausea with no vomiting, swollen eyelids. Blood pressure 183/105, HR 50, pulse ox 94, feeling of effort to breathe.  At 48 hours post vaccination feeling of (like) seasickness, shaky, very weak and unsteady
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Feeling hot, Flushing, Heart rate increased
Clinical narrative: Patient stated throat was closing, rapid heart rate, hot/flushed, body was heavy couldn't move, and chills. Blood pressure was 222/142
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Throat tightness
Clinical narrative: Patient stated throat was closing, rapid heart rate, hot/flushed, body was heavy couldn't move, and chills. Blood pressure was 222/142
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood lactic acid, Cardiac telemetry, Chest X-ray, Electrocardiogram
Clinical narrative: new onset atrial fibrillation with RVR
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Liver function test, Metabolic function test, Thyroid function test
Clinical narrative: new onset atrial fibrillation with RVR
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: new onset atrial fibrillation with RVR
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Inadvertently gave pfizer 6m-4y vaccine instead of age appropriate vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Bilateral hand swelling, redness
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Reading disorder, Vision blurred
Clinical narrative: swollen eyes, blurred vision, difficulty reading
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient was given influenza vaccine twice. On 10/3/24 at doctor's office and 10/9/24 at pharmacy.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery thrombosis, Eye movement disorder, Pulmonary thrombosis, Thrombosis, Tremor
Clinical narrative: patient's eyes rolled back when he was changing oil in his car, 911 was called and they determined he had blood clots in Right Calf, lungs and heart. Patient spent 1 week in hospital. Was given blood thinners to treat condition. Patient's experiencing tremors in right hand.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Laboratory test, Malaise, Mental impairment
Clinical narrative: PFIZER #1 3/18/2021 PFIZER #2 4/16/2021 DEVELOPED VACCINE SUBCLINICAL MYOPERICARDITIS, TINNITUS, POST-EXERTIONAL MALAISE, LOSS OF MENTAL CLARITY.  TREATED WITH PROTOCOL BASE SPIKE DETOXIFICATION COLCHICINE AND NICOTINE PATCH.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myopericarditis, Tinnitus
Clinical narrative: PFIZER #1 3/18/2021 PFIZER #2 4/16/2021 DEVELOPED VACCINE SUBCLINICAL MYOPERICARDITIS, TINNITUS, POST-EXERTIONAL MALAISE, LOSS OF MENTAL CLARITY.  TREATED WITH PROTOCOL BASE SPIKE DETOXIFICATION COLCHICINE AND NICOTINE PATCH.
Age: 36.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Brain fog, Fatigue, Muscular weakness, Myalgia, Tinnitus
Clinical narrative: Ear ringing in right ear for 24 hours. Muscle pain and weakness. Fatigue. Brain fog.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Swelling, Urticaria
Clinical narrative: patient developed hives and had some swelling
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Injection site reaction, Pain in extremity, Paraesthesia, Urticaria
Clinical narrative: On Thursday10/3 at 2:30 AM, she developed severe arm pain and paresthesias throughout her body, including arms, legs, and occipital region, along with a sensation of heaviness. Welts appeared at the injection site on Thursday. Symptoms persisted until Friday10/4 evening, prompting a visit to urgent care. At urgent care, the patient received intramuscular Benadryl and a steroid injection in her buttocks, with instructions to take oral Benadryl. Symptoms improved around Sunday 10/6 afternoon, approximately 4 days post- vaccination; totally resolved by Sunday evening.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Chills, Dizziness, Feeling abnormal, Flushing
Clinical narrative: A couple of minutes after my flu shot I experienced dizziness, was lightheaded, had chest tightness/pressure, a flush face, heart racing, and rapid breathing. This lasted a couple of minutes and then subsided. I felt okay most of the day at work, but later that evening I experienced chills (no fever) for multiple hours. The next morning I was dizzy and still felt off. This lasted multiple hours but subsided just over 24 hours after getting my flu shot.  I mentioned this to my PCP since I do have an intolerance to eggs, but she didn't think it was because of that. I have had the flu shot for many years and this was the first time I had any sort of reaction.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Respiratory rate increased
Clinical narrative: A couple of minutes after my flu shot I experienced dizziness, was lightheaded, had chest tightness/pressure, a flush face, heart racing, and rapid breathing. This lasted a couple of minutes and then subsided. I felt okay most of the day at work, but later that evening I experienced chills (no fever) for multiple hours. The next morning I was dizzy and still felt off. This lasted multiple hours but subsided just over 24 hours after getting my flu shot.  I mentioned this to my PCP since I do have an intolerance to eggs, but she didn't think it was because of that. I have had the flu shot for many years and this was the first time I had any sort of reaction.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: pt came to pharmacy bc md office instructed him so we could report. pt showed us that he had a rash on left arm bigger than his fist starting few inches above the elbow. he said that it also was itching and was instructed to take benadryl. he has no other issues. he said the itching starting after getting vaccine but he did not notice rash until morning of 10-10 but it could have been there, he did not look
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash pruritic, Rash vesicular
Clinical narrative: 73-year-old female presents with an itchy rash to her left forearm.  She was given the Shingrix vaccine about 2 days ago, and notes this rash appeared this morning.  Since onset about 4 hours ago, it has not significantly worsened.  She notes that has blistered, red and very itchy.  Rash patient was advised on use of topical steroid, as well as Benadryl cream in between steroid dosing.  She may also use H1 as well as H2 blocker and cool compresses to help with pruritus.  Advised against oral steroid status post vaccine as it would diminish vaccine response.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PT RECEIVED A HIGH DOSE FLU VACCINE INSTEAD OF A REGULAR FLU VACCINE DOSE.   PT DENIED ANY A/R AT TIME OF CALL ON 10/4/2024. AND F/U CALL TODAY 10/10/2024
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received a dose that was for 5-11year old age group instead of an adult dose
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oral herpes, Pain, Pain in extremity
Clinical narrative: Saturday, Sunday and Monday, I had headache and soreness in upper arm and felt achy but on Monday a.m. I began getting fever blisters under my nose, in my nose, on my nose, on my cheeks and chin.   I got this reaction with the last booster in 2023  as well and had to get a course of antiviral meds at that time to help heal them.    I waited a few days and it started to heal this time so I didn't go to the doctor this time.    I wanted to report it so it was tracked.    Last time, I didn't have the flu shot in 2023 at same time, but I did flu shot same day this time on 9/27/2024.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated.
Age: 1.75
Sex: F
Vaccine: UNK
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The Kinrix combination vaccine was given to a 1 year 42 week old child on 12/6/2023. The vaccine is recommended for children 4 years of age or older that are receiving their 4th or 5th dose. The medication error occurred because separate doses of the DTaP and IPV should have been given to this 1 year old child. No adverse reaction occurred. No treatment needed. According to the CDC guidelines, the dose is valid and does not need to be repeated. Parent was notified that the child should have received two separate injections instead of one. No additional follow up is needed  at this time.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Fatigue, Headache, Inflammation, Influenza like illness
Clinical narrative: Ever since she received the vaccine in August (almost 2 months ago), pt has been having a rash. Currently, it is not painful, not itchy, not burning. It is red, deep purple and patchy. It is located down the leg, on the torso, back and arm. Pt states the patches appeared on her arms 3.5-4 weeks ago. Patches on torso and back appeared last week. Pt states she has been having inflammation around her entire body. The patches and inflammation have been moving around her torso and down her left leg. She has one spot on her leg the size of  cup saucer. Pt states she is having severe pain in her muscles and can?t move her arms. She was attributing this pain to her chronic back pain, but now is wondering if the pain is due to the vaccines. She stated her symptoms appeared within 5 days of receiving the vaccines. Pt stated later in the conversation that the rash on her arm cleared up. She states her ?activities of daily living? have been impacted. She feels a lot weaker. She hurts 24/7. Pt also called 8/18/24 reporting potential side effects from the vaccines she received 8/14/24. Here are the rx notes from those encounters: "pt called stating she is having some side effects she assumes is from the shingles shot on 8/14. pt describes painful arm. injection site was swollen and large red area. Pt states the redness and swelling has almost completely resolved. pt states fever resolved the after 2nd day. pt also mentioned headache, flu/covid-like symptoms, weak, fatigue, vomitting. covid test was negative. she stated she is starting to get worried. ...? Employee called pt the next day. Here is his note: "I called patient. she is still not feeling well. she states she feels so sick she doesn't know how she could even be seen. She has taken 2 covid tests and both were negative....?  The following day we called the pt again. Here is reporter's note "I called pt 8/20 2:54. She is feeling a lot better, but not completely. She got ready for the day for the first time since getting the vaccine. She described rashes on the sides of her face she attributes to all the vomitting 2 days ago. Still has scratchy throat, no vomitting today, no fever. Biggest thing is weakness/fatigue...She is feeling quite a bit better and does not think she needs to be seen at this time...?
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Loss of personal independence in daily activities, Malaise, Mobility decreased
Clinical narrative: Ever since she received the vaccine in August (almost 2 months ago), pt has been having a rash. Currently, it is not painful, not itchy, not burning. It is red, deep purple and patchy. It is located down the leg, on the torso, back and arm. Pt states the patches appeared on her arms 3.5-4 weeks ago. Patches on torso and back appeared last week. Pt states she has been having inflammation around her entire body. The patches and inflammation have been moving around her torso and down her left leg. She has one spot on her leg the size of  cup saucer. Pt states she is having severe pain in her muscles and can?t move her arms. She was attributing this pain to her chronic back pain, but now is wondering if the pain is due to the vaccines. She stated her symptoms appeared within 5 days of receiving the vaccines. Pt stated later in the conversation that the rash on her arm cleared up. She states her ?activities of daily living? have been impacted. She feels a lot weaker. She hurts 24/7. Pt also called 8/18/24 reporting potential side effects from the vaccines she received 8/14/24. Here are the rx notes from those encounters: "pt called stating she is having some side effects she assumes is from the shingles shot on 8/14. pt describes painful arm. injection site was swollen and large red area. Pt states the redness and swelling has almost completely resolved. pt states fever resolved the after 2nd day. pt also mentioned headache, flu/covid-like symptoms, weak, fatigue, vomitting. covid test was negative. she stated she is starting to get worried. ...? Employee called pt the next day. Here is his note: "I called patient. she is still not feeling well. she states she feels so sick she doesn't know how she could even be seen. She has taken 2 covid tests and both were negative....?  The following day we called the pt again. Here is reporter's note "I called pt 8/20 2:54. She is feeling a lot better, but not completely. She got ready for the day for the first time since getting the vaccine. She described rashes on the sides of her face she attributes to all the vomitting 2 days ago. Still has scratchy throat, no vomitting today, no fever. Biggest thing is weakness/fatigue...She is feeling quite a bit better and does not think she needs to be seen at this time...?
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia, Rash, Rash erythematous, SARS-CoV-2 test negative
Clinical narrative: Ever since she received the vaccine in August (almost 2 months ago), pt has been having a rash. Currently, it is not painful, not itchy, not burning. It is red, deep purple and patchy. It is located down the leg, on the torso, back and arm. Pt states the patches appeared on her arms 3.5-4 weeks ago. Patches on torso and back appeared last week. Pt states she has been having inflammation around her entire body. The patches and inflammation have been moving around her torso and down her left leg. She has one spot on her leg the size of  cup saucer. Pt states she is having severe pain in her muscles and can?t move her arms. She was attributing this pain to her chronic back pain, but now is wondering if the pain is due to the vaccines. She stated her symptoms appeared within 5 days of receiving the vaccines. Pt stated later in the conversation that the rash on her arm cleared up. She states her ?activities of daily living? have been impacted. She feels a lot weaker. She hurts 24/7. Pt also called 8/18/24 reporting potential side effects from the vaccines she received 8/14/24. Here are the rx notes from those encounters: "pt called stating she is having some side effects she assumes is from the shingles shot on 8/14. pt describes painful arm. injection site was swollen and large red area. Pt states the redness and swelling has almost completely resolved. pt states fever resolved the after 2nd day. pt also mentioned headache, flu/covid-like symptoms, weak, fatigue, vomitting. covid test was negative. she stated she is starting to get worried. ...? Employee called pt the next day. Here is his note: "I called patient. she is still not feeling well. she states she feels so sick she doesn't know how she could even be seen. She has taken 2 covid tests and both were negative....?  The following day we called the pt again. Here is reporter's note "I called pt 8/20 2:54. She is feeling a lot better, but not completely. She got ready for the day for the first time since getting the vaccine. She described rashes on the sides of her face she attributes to all the vomitting 2 days ago. Still has scratchy throat, no vomitting today, no fever. Biggest thing is weakness/fatigue...She is feeling quite a bit better and does not think she needs to be seen at this time...?
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Throat irritation, Vomiting
Clinical narrative: Ever since she received the vaccine in August (almost 2 months ago), pt has been having a rash. Currently, it is not painful, not itchy, not burning. It is red, deep purple and patchy. It is located down the leg, on the torso, back and arm. Pt states the patches appeared on her arms 3.5-4 weeks ago. Patches on torso and back appeared last week. Pt states she has been having inflammation around her entire body. The patches and inflammation have been moving around her torso and down her left leg. She has one spot on her leg the size of  cup saucer. Pt states she is having severe pain in her muscles and can?t move her arms. She was attributing this pain to her chronic back pain, but now is wondering if the pain is due to the vaccines. She stated her symptoms appeared within 5 days of receiving the vaccines. Pt stated later in the conversation that the rash on her arm cleared up. She states her ?activities of daily living? have been impacted. She feels a lot weaker. She hurts 24/7. Pt also called 8/18/24 reporting potential side effects from the vaccines she received 8/14/24. Here are the rx notes from those encounters: "pt called stating she is having some side effects she assumes is from the shingles shot on 8/14. pt describes painful arm. injection site was swollen and large red area. Pt states the redness and swelling has almost completely resolved. pt states fever resolved the after 2nd day. pt also mentioned headache, flu/covid-like symptoms, weak, fatigue, vomitting. covid test was negative. she stated she is starting to get worried. ...? Employee called pt the next day. Here is his note: "I called patient. she is still not feeling well. she states she feels so sick she doesn't know how she could even be seen. She has taken 2 covid tests and both were negative....?  The following day we called the pt again. Here is reporter's note "I called pt 8/20 2:54. She is feeling a lot better, but not completely. She got ready for the day for the first time since getting the vaccine. She described rashes on the sides of her face she attributes to all the vomitting 2 days ago. Still has scratchy throat, no vomitting today, no fever. Biggest thing is weakness/fatigue...She is feeling quite a bit better and does not think she needs to be seen at this time...?
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Itching to area below injection site, redness and swelling below the site of injection
Age: 66.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site swelling, Injection site warmth, Pain, Sleep disorder
Clinical narrative: 66-year-old female sent having received both flu and COVID vaccines in her left arm yesterday.  She reports that the pain is very severe.  She also notes swelling and warmth to the left upper arm.  Patient reports the pain was so terrible that she could not sleep last night so she took 2 Ambien.  She took Advil this morning without relief of symptoms.  She reports she has also used both cold and warm compresses.  66-year-old female with symptoms and exam consistent with vaccine reaction, localized.  She did receive both COVID and flu in the left arm yesterday and has severe pain, localized swelling, redness and warmth patient was advised on use of warm compresses, Tylenol, Advil and diclofenac gel.  Patient advised to follow-up for symptoms that worsen or fail to improve.  She does not appear to have any systemic symptoms, no anaphylactic symptoms appreciated.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, DTAPIPV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse events occurred. Pt was double vaccinated though
Age: 1.25
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Left side leg redness, slightly warm to touch, extended medial to thigh, not directly ascending vaccine injection site.   Informed parent to give Children's Benadryl, cool compress. If not improving contact back for further instruction.
Age: 58.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Inflammation, Peripheral swelling
Clinical narrative: Received a call from patient who reported a reaction to the vaccines. Per patient, she currently has swollen legs and inflammation in both hands
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Head discomfort, Tremor, Vomiting
Clinical narrative: pt states she developed violent chills and was shaking all over. She had extreme vomiting. She feels like she has a vice around her head. Pt will contact her doctor if she doesn't recover soon.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Malaise, Nausea, Pain
Clinical narrative: Vaccine was administered on left arm around 11:45 at a Community Event. Flu vaccine (Afluria) was concurrently administered on the right arm. No adverse reaction was noted. Around 3:00 p.m. while on the way home, patient suddenly felt a sudden dull pain on the left upper chest. This was followed by nausea and malaise.  *Unable to retrieve Lot Number of vaccine*
Age: 0.67
Sex: F
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine was not properly stored, and was given to member. Vaccine was not refrigerated and was given to patient at room temperature.
Age: 19.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: On 10/03/24 Employee requested COVID and Flu vaccine.  RN reviewed COVID and Flu consent forms with employee. Employee disclosed hx of syncope due to fear of needles after blood draws and receiving vaccines. Employee was unable to state which vaccines caused syncope in the past. Employee reports in the past has fainted after observing the needle being used during blood draws and receiving vaccines. Employee reports receiving COVID-19 vaccines in the past but declines to receive flu vaccine in past. Employee declined previous allergic/adverse reactions to COVID vaccine. RN asked employee if she would like to proceed with vaccines considering the last syncope episode approximately 1 year ago. Employee consented to receive both flu and COVID vaccine.   Employee received Flu vaccine at 3:15PM and COVID Vaccine at 3:18 PM.  After administration of Flu vaccine, employee was diaphoretic and reported dizziness and nausea. A cold pack was applied to the back of the neck, and an alcohol pad was provided to the employee to help with nausea. RN asked Employee, once again if she wanted to continue with the covid vaccine. Employee consented and COVID vaccine was administered. Employee reported dizziness and nausea after administration of COVID vaccine. Employee remained in site of RN and was observed for 30 minutes. After 30 minutes, employee reported no symptoms and returned to work.  Approximately 1 hour after vaccine administration, RN was informed that employee was feeling dizzy and nauseous. Employee was transferred to exam table Employee was asked to lay back on exam table with legs raised.  The following vitals were taken: 1615: HR: 124 1624: BP: 147/87 HR-128 o2: 100% Symptoms: nausea, dizziness, 1626: HR: 112 1630: BP: 118/66 HR: 97 o2: 97% Symptoms: Reports nausea has decreased. Dizziness continues but has improved.  1636: BP: 118/34 HR: 104 O2: 98%  R: FNP arrived at 1630-1636, cleared to return to work.  1645: Reported no dizziness, no nausea, denies vision changes, denies palpitations, walked back to work. Reports feeling better overall
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site mass
Clinical narrative: Lump on L leg is possibly related to MMR/V since that is exact spot where vaccines was given and no other causes for lump
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site hypoaesthesia
Clinical narrative: Received vaccine in Right deltoid in the appropriate injection site. No symptoms on day of injection. Awoke the following A.M w/ right arm numbness upper arm from elbow to shoulder extending into armpit. Day 7 mild improvement in deltoid, though numbness continues posterior side of arm extending into armpit still.  Maintained full ROM right arm, no redness, swelling , or pain at Injection site. Day 8 slightly more improved w/ numbness.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: vaccine was drawn up with sterile diluent at 0.7 ml.   reconstituted and full amount given to the patient.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Product storage error
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine 2024-2025 Formula was not properly stored and was given to member. Vaccine was not refrigerated and was given to member at room temperature.
Age: 1.75
Sex: F
Vaccine: DTAPIPV, HEPA, PNC20
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: DTap and IPV due to be given, KINRIX (combo vaccine) was administered-Vaccine was administered below the required age and # of dose due-No adverse reactions noted
Age: 3.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: DTap and IPV due, Quadracel given (combo vaccine)-Vaccine given under the age and # dose required
Age: 3.0
Sex: F
Vaccine: DTAPIPV, HEP, PNC20
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: DTap and IPV due-KINRIX (combo vaccine) was given-Vaccine given was under the required age and # dose-No adverse reactions
Age: 52.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Blister
Clinical narrative: Patient reported that blisters appeared on his arm the day after receiving both vaccines. He also reported that the adverse event is improving.
Age: 62.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: The patient was given an Afluria flu shot on 10/10/24. He wanted a COVID shot, but was given a flu shot. However, the patient had already received a flu shot on 09/19/24. Therefore, he now has received 2 flu shots.
Age: 69.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Body temperature increased, Injection site erythema, Injection site warmth
Clinical narrative: Low grade temp 100.4. Redness at injection site, warm to the touch recorded on 10/5. Low grade temp resolved with acetaminophen. Redness/warmth decreasing in left deltoid.