chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: CHIK, JEV1
Symptoms: Confusional state, Encephalitis, Influenza virus test negative, Magnetic resonance imaging normal, Malaise
Clinical narrative: On 09/19/2024, patient received consult and vaccinations for upcoming international travel. On 10/03/2024, patient's spouse, called in to report status of client. Spouse stated that client began feeling ill on 09/27/24 and had fever of 103 degrees Fahrenheit.  Spouse took client to an urgent care clinic and states they were informed client had most likely caught a virus and discharged home. Spouse states symptoms worsened and patient became confused and unable to sit upright. Spouse stated she took client to the emergency room on 09/27/24 and client was admitted.  Spouse stated client had tests performed for Flu, Covid, RSV and an MRI all with negative results. Spouse stated the hospitalist informed her that  he felt patient was having an "encephalitis like response most likely caused by the IXCHIQ vaccine".  Spouse then stated client has an IgA deficiency they had "forgot about" since client has been asymptomatic since diagnosis. This was not listed on intake forms at time of consult. At time of call, spouse stated patient's symptoms had improved and was hopeful he would be discharged home within a few days. Follow up calls placed to client and spouse to check status and verify hospital information with no return calls received.
Age: 77.0
Sex: M
Vaccine: CHIK, JEV1
Symptoms: Posture abnormal, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Viral infection
Clinical narrative: On 09/19/2024, patient received consult and vaccinations for upcoming international travel. On 10/03/2024, patient's spouse, called in to report status of client. Spouse stated that client began feeling ill on 09/27/24 and had fever of 103 degrees Fahrenheit.  Spouse took client to an urgent care clinic and states they were informed client had most likely caught a virus and discharged home. Spouse states symptoms worsened and patient became confused and unable to sit upright. Spouse stated she took client to the emergency room on 09/27/24 and client was admitted.  Spouse stated client had tests performed for Flu, Covid, RSV and an MRI all with negative results. Spouse stated the hospitalist informed her that  he felt patient was having an "encephalitis like response most likely caused by the IXCHIQ vaccine".  Spouse then stated client has an IgA deficiency they had "forgot about" since client has been asymptomatic since diagnosis. This was not listed on intake forms at time of consult. At time of call, spouse stated patient's symptoms had improved and was hopeful he would be discharged home within a few days. Follow up calls placed to client and spouse to check status and verify hospital information with no return calls received.
Age: 40.0
Sex: M
Vaccine: UNK
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: 8 days after vaccination, experienced skin rash, itching, and heat in the area surrounding injection. Symptoms ended after one day.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: PATIENT REPORTS NO ADVERSE SYMPTOMS/ REACTION/  SIDE EFFECTS POST VACCINE
Age: 41.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Blood folate normal, Differential white blood cell count normal, Full blood count normal, Muscular weakness
Clinical narrative: Significant muscle weakness, without the presence of pain, noted in right arm on 10/10/24, day after vaccination. Weakness increased for first 24 hours, then has been steady but has not improved since. Patient visited urgent care on 10/13/24, no diagnosis given, labs and neuro e-consult done, no significant findings.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Swelling
Clinical narrative: PATIENT SHARED WITH ME SHE HAD A SEVERE REACTION TO HER FLUAD DOSE- SAID SHE NEEDED TO GO TO THE DOCTOR BECAUSE OF SWELLING AND LOSS OF MOBILITY; WAS TOLD TO ICE AND IF IT DOES NOT IMPROVE, SHE IS TO RETURN TO THE OFFICE FOR A FOLLOW UP.  SHE BELIEVES SHE WILL GO TO THE FOLLOW UP. SAID SHE HAS HAD 4 DOSES OF FLUAD IN HER LIFETIME, THIS IS THE WORST SHE HAS REACTED TO IT.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Discomfort, Myalgia, Paranasal sinus discomfort
Clinical narrative: Muscle soreness, full sinus, and right sided heaviness
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered a COVID vaccine from the age group 6mo-4yo. Patient required the 5-11yo dose, but received the lower dose. No adverse reactions. Human error.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: patient fainted
Age: 75.0
Sex: M
Vaccine: UNK, UNK, RSV
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: pt states he experienced sharp pain in his left arm to open car door after being vaccinated. He could not close the door or open the door with left arm. He went to grocery store and could not use left arm to push cart. He had to use his right arm to do anything and everything. He called pharmacy and was told to go to the emergency room. He put pain cream and iced it. Took advil and rested it. Today he continues to have extreme pain and will reach out to physician or go to UC.
Age: 75.0
Sex: M
Vaccine: UNK, UNK, RSV
Symptoms: Injection site pain
Clinical narrative: pt states he experienced sharp pain in his left arm to open car door after being vaccinated. He could not close the door or open the door with left arm. He went to grocery store and could not use left arm to push cart. He had to use his right arm to do anything and everything. He called pharmacy and was told to go to the emergency room. He put pain cream and iced it. Took advil and rested it. Today he continues to have extreme pain and will reach out to physician or go to UC.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Atrial fibrillation, Cardiac operation, Catheterisation cardiac abnormal, Coronary artery disease
Clinical narrative: Next day had new onset Heart Arrhythmia and SOB. Diagnosed a month later with AFIB. Discovery through a a nuclear stress test that I was ischemic (past nuclear stress tests were normal). Discovered through catheterization I had a mycocardial bridge mid LAD though no plaque burden. Essentially INOCA (ischemic but non obstructive coronary disease) and subsequently had open heart surgery to unroof the bridge on 1-22-24. I continue to have some SOB post surgery.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram ambulatory abnormal, Ischaemia, Myocardial bridging, Scan myocardial perfusion abnormal
Clinical narrative: Next day had new onset Heart Arrhythmia and SOB. Diagnosed a month later with AFIB. Discovery through a a nuclear stress test that I was ischemic (past nuclear stress tests were normal). Discovered through catheterization I had a mycocardial bridge mid LAD though no plaque burden. Essentially INOCA (ischemic but non obstructive coronary disease) and subsequently had open heart surgery to unroof the bridge on 1-22-24. I continue to have some SOB post surgery.
Age: 34.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Extra dose administered
Clinical narrative: -Patient received  Abrysvo Vaccine on 9/17/24 in clinic. Pt was 33 weeks +3 days pregnant at the time of this vaccine.  Pt received a 2nd dose of Abrysvo vaccine in error on 10/9/24. Pt was 36 weeks +4 days pregnant at the time of this vaccine.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Child was given Pfizer 5-11 year old dose instead of the 6 month-4 year dose. Child is 2 years old.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient reported a rash that developed on her sternum starting on 10/5/2024. Patient reported that the rash was approximately half and inch long and "looked like a grain of rice." They endorsed that the rash did not cause them any discomfort. The patient reports that the rash resolved by 10/7/2024. The patient reports not taking any medications nor seeking medical attention.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertension
Clinical narrative: Patient complains of high blood pressure ever since having a flu shot.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Feeling cold, Hyperhidrosis, Influenza, Mobility decreased
Clinical narrative: Exactly 8 hours after booster (11:00pm) I started with flu symptoms that were worse than most flu?s I have had.  I was in horrible pain which was the worst part, I could hardly move my body, feverish both cold then sweating, nauseated and could barely move to turn or get up, barely making it to bathroom and back to bed, for 36 hours, followed by mild symptoms for next 8 -12 hours.  I never vomited but came close multiple times.  I was not well enough to have even made it to the ER, a 911 call was the only option and seemed overwhelming at the time.  I  felt clammy Monday morning 10/14, but was fine and made it to work.   With previous Covid shots and boosters I did not feel that bad. I previously had a little cold/feverish and was planted to my chair for 8 hours, but totally tolerable, not the torture that was endured.  I thought it should be reported.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Exactly 8 hours after booster (11:00pm) I started with flu symptoms that were worse than most flu?s I have had.  I was in horrible pain which was the worst part, I could hardly move my body, feverish both cold then sweating, nauseated and could barely move to turn or get up, barely making it to bathroom and back to bed, for 36 hours, followed by mild symptoms for next 8 -12 hours.  I never vomited but came close multiple times.  I was not well enough to have even made it to the ER, a 911 call was the only option and seemed overwhelming at the time.  I  felt clammy Monday morning 10/14, but was fine and made it to work.   With previous Covid shots and boosters I did not feel that bad. I previously had a little cold/feverish and was planted to my chair for 8 hours, but totally tolerable, not the torture that was endured.  I thought it should be reported.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Peripheral swelling
Clinical narrative: @0900 patient received Flulaval PFS  to left delt. with no issues.  @0920 patient noticed swelling to left hand above thumb, top of hand  and left ring finger. Patient left delt. injection site observed. no redness, swelling, or pain at incision site. patient to be monitored. measuments taken of left ring finger at 6 cm and left wrist at 18cm.  At, 0923 patient states that "she doesn't feel right." Oral benadryl 12.5 mg po to be given . Oral Benadryl was given at 0930 am.  Patient states 1015 still doesn't feel right feels like she is in a bubble, but thinks it may be due to benadryl.  1025 patient still not feeling right. Dr called at this time. Recommends patient going to ER to be eval. Family called at this time to take patient via private auto. Patient left building at 1040. Patient arrive to ER at 1115 and to call and keep RN supervisor updated.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Significant local swelling and erythema, + pruritis
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Stomatitis
Clinical narrative: Body aches, fever, and mouth inflammation.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Deep vein thrombosis, Echocardiogram, Electrocardiogram, Laboratory test
Clinical narrative: PFIZER #1 1/6/2021 MODERNA #1 7/4/2021, DEVELOPED VACCINE LEFT LEG LARGE DVT AND MULTIPLE PULMONARY EMBOLI WITH RECURRENCE IN 2024 ON ANTICOAGULATION.   TREATED WITH APIXABAN AND  PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Scan with contrast, Ultrasound Doppler
Clinical narrative: PFIZER #1 1/6/2021 MODERNA #1 7/4/2021, DEVELOPED VACCINE LEFT LEG LARGE DVT AND MULTIPLE PULMONARY EMBOLI WITH RECURRENCE IN 2024 ON ANTICOAGULATION.   TREATED WITH APIXABAN AND  PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Dizziness, Dyspnoea, Dysstasia
Clinical narrative: Approximately 6  hours after injection, I experienced mild shortness of breath, burning in chest, severe cramps in stomach. By midnight all back muscles were stiff , as were shoulders and it was very difficult to get up and walk. The following morning (October 14), back was still stiff, pins and needles feeling in stomach, abdomen and sides, lightheaded and fatigue, pain in throat. Treatment consisted of tylenol, advair inhaler, water and rest. Currently continuing treatment. Went to regularly scheduled physical therapy session for spinal stenosis which had been getting better since starting in September, Could not do exercise due to back stiffness resulting from vaccine and fatigue.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Musculoskeletal stiffness, Oropharyngeal pain, Paraesthesia
Clinical narrative: Approximately 6  hours after injection, I experienced mild shortness of breath, burning in chest, severe cramps in stomach. By midnight all back muscles were stiff , as were shoulders and it was very difficult to get up and walk. The following morning (October 14), back was still stiff, pins and needles feeling in stomach, abdomen and sides, lightheaded and fatigue, pain in throat. Treatment consisted of tylenol, advair inhaler, water and rest. Currently continuing treatment. Went to regularly scheduled physical therapy session for spinal stenosis which had been getting better since starting in September, Could not do exercise due to back stiffness resulting from vaccine and fatigue.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Fatigue, Malaise, Tremor
Clinical narrative: At 4:00 PM began feeling ill.  Chills, uncontrollable shaking of arms and legs, difficulty breathing (possibly due to the shaking), excessive yawning.  Temperature 99.6.  Felt better by 7:00 PM but was very fatigued thru the next day.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Yawning
Clinical narrative: At 4:00 PM began feeling ill.  Chills, uncontrollable shaking of arms and legs, difficulty breathing (possibly due to the shaking), excessive yawning.  Temperature 99.6.  Felt better by 7:00 PM but was very fatigued thru the next day.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Paraesthesia, Skin tightness
Clinical narrative: Pt presented to our clinic where she comes for primary care after receiving this vaccine at pharmacy. Her skin was quite red on bilateral arms, and face. (the rest of skin was covered, unknown if full body reacted.) Pt confirmed she felt fine other then her skin felt tight and tingly but it had dissipated since she had received the vaccine.  No airway difficulty, spoke with provider and advised patient to take an antihistamine to help symptoms, however they had worn off significantly while in clinic.
Age: 76.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site induration
Clinical narrative: patient stated on 10/14 that starting the time of vaccination and continuing for 1 week after that her Left arm at injection site was hard as a ball, but has since resolved
Age: 37.0
Sex: F
Vaccine: PNC20
Symptoms: Incorrect route of product administration, Injection site inflammation, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Pt had vaccine administered with incorrect size needle, highly likely that the intended IM route was a subcutaneous application instead. Adverse event was inflammation of the injection site and  heat, pt also cites pain in the arm that is impacting sleep and pain radiating up to the shoulder.
Age: 37.0
Sex: F
Vaccine: PNC20
Symptoms: Sleep disorder
Clinical narrative: Pt had vaccine administered with incorrect size needle, highly likely that the intended IM route was a subcutaneous application instead. Adverse event was inflammation of the injection site and  heat, pt also cites pain in the arm that is impacting sleep and pain radiating up to the shoulder.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Hypoaesthesia, Immediate post-injection reaction, Injected limb mobility decreased
Clinical narrative: Immediately following vaccination administration, severe pain within shoulder joint, leading to limited movement and numbness in had/fingers on vaccinated arm.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Injection site pain
Clinical narrative: Soreness at injection site began at hour 4, then worsened at hour 12. Shortness of breath after walking a few steps began at hour 18
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Eosinophil count increased, Full blood count, Lymphocyte count normal, Metabolic function test, Rash
Clinical narrative: Within 24 hrs of receiving dose, patient developed an itchy rash across abdomen that then progressed to bilateral inner arms and inner legs. Initially, the rash was with a reddened base that was itching, but quickly progressed to micro blistering across all areas that she reports as tiny vesicles. Currently, now 3 weeks after, skin is less itchy but still red and white patches have developed scattered under breasts and upper thigh.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic, Rash vesicular, White blood cell count normal
Clinical narrative: Within 24 hrs of receiving dose, patient developed an itchy rash across abdomen that then progressed to bilateral inner arms and inner legs. Initially, the rash was with a reddened base that was itching, but quickly progressed to micro blistering across all areas that she reports as tiny vesicles. Currently, now 3 weeks after, skin is less itchy but still red and white patches have developed scattered under breasts and upper thigh.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Same day dizziness, unwell feeling but was able to go to the gym. Later evening first day site pain began and for three days, along with headache and some minor body aches which I expected, but went to the gym again the second day, then by the third day the excessive sinus drainage and pain and sore throat continued from a sleepless night along with extreme tiredness. I took a Covid test but it was neg.  Constant nasal and sinus drainage lasted into the fourth day with the sore throat and sore sinus, cough began later day 4 into 5 with sore throat gone, sinus and nasal drainage continuing into day 6  along with deep cough, dizziness and muscle weakness.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Muscular weakness, Oropharyngeal pain, Pain, Paranasal sinus hypersecretion
Clinical narrative: Same day dizziness, unwell feeling but was able to go to the gym. Later evening first day site pain began and for three days, along with headache and some minor body aches which I expected, but went to the gym again the second day, then by the third day the excessive sinus drainage and pain and sore throat continued from a sleepless night along with extreme tiredness. I took a Covid test but it was neg.  Constant nasal and sinus drainage lasted into the fourth day with the sore throat and sore sinus, cough began later day 4 into 5 with sore throat gone, sinus and nasal drainage continuing into day 6  along with deep cough, dizziness and muscle weakness.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinus pain, Sleep disorder
Clinical narrative: Same day dizziness, unwell feeling but was able to go to the gym. Later evening first day site pain began and for three days, along with headache and some minor body aches which I expected, but went to the gym again the second day, then by the third day the excessive sinus drainage and pain and sore throat continued from a sleepless night along with extreme tiredness. I took a Covid test but it was neg.  Constant nasal and sinus drainage lasted into the fourth day with the sore throat and sore sinus, cough began later day 4 into 5 with sore throat gone, sinus and nasal drainage continuing into day 6  along with deep cough, dizziness and muscle weakness.
Age: 85.0
Sex: M
Vaccine: PNC15
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient seen for rash on his chest.  Diagnosed as Shingles per Dr..  Per patient he received a pneumovax vaccine on 10/8/24.  He has complaints of a rash on his chest starting on 10/10/24 with severe pain.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure decreased, Depressed level of consciousness, Fall, Syncope, Vomiting
Clinical narrative: Patient fainted approximately 5 minutes after receiving vaccine.  She fell to the floor but no injuries occurred.  Patient regained consciousness but had trouble staying alert.  Patient did vomit and continued to have low blood pressure.  EMS was called, checked patient out.  During that time it was revealed patient had fainted the week prior also but did not receive medical attention.  Patient was released to her mother's care and left the store on her own accord
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red and hot around area of vaccine. Began 5 days after administration of vaccine. Patient takes antihistamine daily but does not seem to make a difference.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given the incorrect dose of Covid Moderna. Recieved the 12+ formulation instead of the 6m-11yr formula.  No signs or symptoms. Parents were informed to look out for and call us if anything changes.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given the 12+ formulation and should have received the 6m-11yr formulation.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: There were no adverse events after incident
Age: 89.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient received first HD flu vaccine  at 1029. Second dose of HD flu was received at 1039.  Patient was unaccompanied by caregiver and suffers from memory loss. She was unaware that she received the first vaccine.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Product storage error
Clinical narrative: Vaccine stored in a fridge that had a temperature excursion and inadvertently administered to patient.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Injection site nodule, Peripheral swelling
Clinical narrative: Patient received meninB on 10/09/2024 and soon after left arm was very swollen. A knot had formed during site injection.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient reported redness around injection site and felt warm to the touch. Patient went to see doctor on 10/14/24 and was prescribed Cephalexin and Prednisone.
Age: 45.0
Sex: U
Vaccine: FLU3
Symptoms: Peripheral swelling, Rash
Clinical narrative: The day after the vaccine, he said he woke up with a rash on both his hands, back of his arms, top of both his feet and his left foot is swollen.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Gait inability
Clinical narrative: patient called the pharmacy to say that they felt incredible weak and were unable to walk. they said it started in the morning after the vaccine, that nothing like this has happened before, and she was resting in bed while calling at roughly 1pm on 10/15. patient was instructed to report to the emergency room/ urgent care for evaluation and to speak to their neurologist
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Vomiting
Clinical narrative: Pt having headache and vomiting episodes x2 day after vaccine given
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Her son called the clinic on 10/9/2024 to report she has a rash that has formed under her right breast.  The rash is not bothersome to the patient.  They did not know if it is related to the vaccine.  They prefer not to go to a doctor for assessment only if it gets worse.  They want to manage it at home.  I gave them resources for free or reduced charge clinics.
Age: 2.0
Sex: M
Vaccine: DTPPVHBHPB, FLU3, HEPA, MMR, PNC20, VARCEL
Symptoms: Inappropriate schedule of product administration, Rash, Urticaria
Clinical narrative: Urticarial rash on face. Vital signs stable, airway clear. Benadryl given in clinic.
Age: 0.33
Sex: M
Vaccine: RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Rota virus was given at 4 month well visit while mom is on Remicade.  PCP notified; Family notified. No action needed per PCP.
Age: 1.0
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: This nurse administered 1.0 ml of the Hep A private supply on 10/15/24 at 08:40 am.  The nursing supervisor was notified and this nurse and the vaccine coordinator called and spoke with employee at the clinic who advised:                                                                                    "1.) Notify PCP and parent of vaccine error 2.) Monitor pt for any s/s of local or systemic reactions including but not limited to injection site swelling, redness, warmth, fever, fatigue.  3.) File a VAERS                                                                                                                                                                                                                                                                           Nursing supervisor reached out to family and informed mother.
Age: 75.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Headache, Malaise, Nausea, Pyrexia
Clinical narrative: Patient's husband reported that night she was "extremely" sick.  Reported Fever (did not take temp), headache, nausea (without vomiting)  Patient's husband wanted this reported.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Brain fog, Dizziness, Flushing, Nausea, Vertigo
Clinical narrative: Nausea the following evening (10/11), no vomiting, then on occasion felt flush, at night when he  laid down the room would start to spin a bit,  Continued through Saturday (10/12) and got so dizzy he thought he was going to pass out but sat down quickly.  Then it started improving.  Still doesn't feel 100% today on 10/15/24.  Today feels like his head is foggy and slightly nauseous. Received a RSV vaccine 2 weeks prior.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Cough, Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: Temperature of 99 and slight cough.  Ten days later developed 2 itchy red bumps above injection site.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Diarrhoea, Eye swelling, Lip swelling, Rash
Clinical narrative: SEVERE HEAD TO TOE RASH, FACE SWELLING LIPS AND EYES, STOMACH PAIN, DIARRHEA.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Swelling face
Clinical narrative: SEVERE HEAD TO TOE RASH, FACE SWELLING LIPS AND EYES, STOMACH PAIN, DIARRHEA.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal discomfort, Diarrhoea, Hot flush, Treatment failure
Clinical narrative: Intermittent  warm, fever-like, flashes.. lasting  approx. 36 hours. Stomach upset, culminating in about 12 hours of diarrhea. No relief from medication (Pepto-Bismol).
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given Fluzone HD on 8/21/24 and again on 8/24/24 in error. Patient states no adverse effects
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Circumstance or information capable of leading to device use error
Clinical narrative: Patient's FLUAD vaccine was being administered into R. deltoid; patient flinched (and pulled away from vaccinator) and needle was removed from arm. No dose was give at first attempt. A full dose was then administered to R. deltoid using new needle. Patient received 2 needle sticks, but only one dose of FLUAD
Age: 67.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: Symptoms were sudden and severe starting at 9:00 p.m.  Complains of nausea without vomiting, fever and chills (no actual temperature taken), body aches.  Symptoms continued throughout the night and into the morning. States body aches and chills was the worst symptom.  As of 10:00 a.m. on 10.15.24, patient was still having body aches and chills but states that "he was a little better." Patient is managing symptoms at home and does not feel the need to be seen in clinic or the Emergency Room.  States he has received flu and covid vaccines in the past and has never had any adverse symptoms like this before.
Age: 0.25
Sex: M
Vaccine: RSV
Symptoms: Incorrect dose administered
Clinical narrative: Patient given Adult Abrysvo instead of pediatric Beyfortus.
Age: 75.0
Sex: M
Vaccine: COVID19, FLU3, RSV
Symptoms: Cardiovascular symptom, Ultrasound scan normal
Clinical narrative: Pt developed symptoms, thinking they were having a cardiac event.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Patient developed a rash below the injection site 1 day after receiving the vaccination.
Age: 27.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Hypotension, Laboratory test normal, Loss of consciousness, Pallor, Skin laceration
Clinical narrative: As soon as he received the shots he started walking and collapsed face down, he was unconscious for about 20 seconds.  I called 911 and when they came his blood pressure was very low at 75, sugar was okay in 121.  We decided to take him to the hospital to check why this happened or find an explanation for it.  He had a cut in his chin and was bleeding and was very pale.
Age: 27.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Syncope
Clinical narrative: As soon as he received the shots he started walking and collapsed face down, he was unconscious for about 20 seconds.  I called 911 and when they came his blood pressure was very low at 75, sugar was okay in 121.  We decided to take him to the hospital to check why this happened or find an explanation for it.  He had a cut in his chin and was bleeding and was very pale.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Asthma, Condition aggravated, Cough, Pruritus
Clinical narrative: I have known asthma. I was seated at my work desk. About 15 minutes after receiving vaccine, my arm itched for several hours. Then about 3hours after receiving the vaccine, I had an asthma attack. I dont know if they are related to one another. Symptoms: coughing, wheezing, unable to talk. Treatment: I used my Ventolin HFA inhaler, 2 puffs at start of attack. About 15 minutes later, wheezing stopped but I still had cough so used another 1 puff ventolin. The employee health office was already closed at this time so I was unable to report it to the nurse and unable to obtain lot number and exact time of administration.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: I have known asthma. I was seated at my work desk. About 15 minutes after receiving vaccine, my arm itched for several hours. Then about 3hours after receiving the vaccine, I had an asthma attack. I dont know if they are related to one another. Symptoms: coughing, wheezing, unable to talk. Treatment: I used my Ventolin HFA inhaler, 2 puffs at start of attack. About 15 minutes later, wheezing stopped but I still had cough so used another 1 puff ventolin. The employee health office was already closed at this time so I was unable to report it to the nurse and unable to obtain lot number and exact time of administration.
Age: 56.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Blindness unilateral
Clinical narrative: Pt has lost his eye vision on one side for about 5 minutes
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling
Clinical narrative: Patient developed bruising at the site of the injection and redness/swelling below the injection site down to elbow same day of injection.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Malaise, Mobility decreased, Taste disorder, Vision blurred
Clinical narrative: my tastes is off my food s dont taste right real bland and my eye sight got blurry get going like dry eye and a star can up on my left eye lid i am using Neom/Poly/Dex OP 0.1% oin san. And after shot I was sick for a week or so in bed just like i had ssickness
Age: 42.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Fall, Fatigue, Head injury, Head titubation, Hyperhidrosis
Clinical narrative: I received both flu and Covid vaccines at 2:30pm on 10/5/24. At 2:00am on 10/6/24 I passed out from standing. I fell backwards and hit my head on the floor. My head then spasmed up and down a few times. This was reported by my husband who witnessed the event. I was unconscious for less than a minute. When I regained consciousness, my whole body broke out into a full sweat. No fever was indicated. My neck and shoulder muscles were very sore and stiff for 4 days following the event. Excessive fatigue was also noted for those 4 days. I emailed my PCP regarding this incident.
Age: 42.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Loss of consciousness, Musculoskeletal stiffness, Myalgia
Clinical narrative: I received both flu and Covid vaccines at 2:30pm on 10/5/24. At 2:00am on 10/6/24 I passed out from standing. I fell backwards and hit my head on the floor. My head then spasmed up and down a few times. This was reported by my husband who witnessed the event. I was unconscious for less than a minute. When I regained consciousness, my whole body broke out into a full sweat. No fever was indicated. My neck and shoulder muscles were very sore and stiff for 4 days following the event. Excessive fatigue was also noted for those 4 days. I emailed my PCP regarding this incident.
Age: 0.42
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Influenza was given before 6 months - no side effects noted.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Muscular weakness
Clinical narrative: Patient reported numbness and weakness  in  both legs that lasted a few days after the vaccine
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Cough, Dizziness, Nasal congestion, Nausea
Clinical narrative: pt states about 4 hours after being vaccinated she became dizzy, had fever, chills, stuffy nose, cough and body aches with nausea. Took tylenol that helped very little. Today she still has the same symptoms and they are not any better than the day of the vaccine. She will reach out to her doctor for medical advice. Hopes that the manufacturer reconsiders administering this vaccine due to the strength of it causing side effects.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Pyrexia
Clinical narrative: pt states about 4 hours after being vaccinated she became dizzy, had fever, chills, stuffy nose, cough and body aches with nausea. Took tylenol that helped very little. Today she still has the same symptoms and they are not any better than the day of the vaccine. She will reach out to her doctor for medical advice. Hopes that the manufacturer reconsiders administering this vaccine due to the strength of it causing side effects.
Age: 65.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: Symptoms began on 10.14.24 at approx 10:00 p.m. Complaints of nausea without vomiting, fever with chills (no actual temperature taken), body aches.  Symptoms continued throughout the night and into early morning.  Body aches and chills were the worst of the symptoms. Patient took Ibuprofen 400 mg this a.m. which has help alleviate symptoms.  Has managed symptoms at home and does not feel the need to be seen in clinic or the emergency room at this time. Patient has received flu and covid vaccines before and reports never having reactions/symptoms like this before.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Developed redness and swelling at the injection site, approximately 6 inches in diameter. Prompted evaluation by physician and treatment with benadryl.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse events reported. Patient received 2 doses of the vaccine (on 08/13/2024 and 10/14/2024).
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Joint swelling, Mobility decreased
Clinical narrative: Pain and swelling in left rotator cuff, paralysis/unable to lift left arm.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Minor shingles-like rash on leg
Age: 0.42
Sex: M
Vaccine: FLU3
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse effect. It was given to early.
Age: 81.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Dizziness, Pain
Clinical narrative: FELT LIKE SHE HAD BEEN SMASHED, HER WHOLE BODY HURT FOR TWO DAYS.  HAS BEEN DIZZY EVER SINCE.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Underdose
Clinical narrative: patient has severe dementia (lives in a locked facility).  pulled away during administration of flu shot, as a result, only got 1/4 of the dose.  second vaccine administered.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac monitoring normal, Concussion, Dizziness, Fatigue
Clinical narrative: POTS symptoms. Dizzy, lightheaded, fatigue, fainting caused when moving positions. Fainted twice in 2023, when moving from swatted to standing, causing concussion 1st time. I?m currently undiagnosed since I do not have healthcare, but clinic has my data from the 1st fainting and concussion, as well as a heart monitoring test, bloodwork, etc.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: POTS symptoms. Dizzy, lightheaded, fatigue, fainting caused when moving positions. Fainted twice in 2023, when moving from swatted to standing, causing concussion 1st time. I?m currently undiagnosed since I do not have healthcare, but clinic has my data from the 1st fainting and concussion, as well as a heart monitoring test, bloodwork, etc.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, HEPA, PNC20
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: provider got a notifation from system that the HEP A vaccine was given too soon. No Adverse reaction.
Age: 68.0
Sex: F
Vaccine: PNC20
Symptoms: Axillary pain, Pain in extremity
Clinical narrative: pt came back 10.15.2024 stating still experiencing pain in the right arm and under her armpit. she forget she is not to get shots in her right arm since previous breast cancer with lymph node involvement. she asked if this was normal and what she should do
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Ageusia, Dry mouth, Glossodynia, Lip disorder, Lip pain
Clinical narrative: Pt experienced "dry mouth" after dinner (approx.. 7pm) night of 10/10/24. The next morning, her tongue felt fuzzy and tender, red. Lost taste sensation. Throat with "burning sensation." Jawline was tender. Lips with painful bumps. Pt states she took OTC Ibuprofen 10/11/24 AM and PM and again 10/12/24 PM. She also states she rinsed her mouth with warm water and salt. Pt states she had some relief after Ibuprofen and salt water rinse.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness, Throat irritation, Tongue discomfort, Tongue erythema
Clinical narrative: Pt experienced "dry mouth" after dinner (approx.. 7pm) night of 10/10/24. The next morning, her tongue felt fuzzy and tender, red. Lost taste sensation. Throat with "burning sensation." Jawline was tender. Lips with painful bumps. Pt states she took OTC Ibuprofen 10/11/24 AM and PM and again 10/12/24 PM. She also states she rinsed her mouth with warm water and salt. Pt states she had some relief after Ibuprofen and salt water rinse.
Age: 55.0
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events, Abrysvo (RSV) Vaccine was given at age 55 which is  less than 60.
Age: 67.0
Sex: F
Vaccine: FLU3, PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: 48 hours after vaccination, pt experienced swelling, redness, ithcing, burning sensation in left upper arm. swelling right side of face, runny right nostril, facial itching.
Age: 67.0
Sex: F
Vaccine: FLU3, PNC20
Symptoms: Rhinorrhoea, Swelling face
Clinical narrative: 48 hours after vaccination, pt experienced swelling, redness, ithcing, burning sensation in left upper arm. swelling right side of face, runny right nostril, facial itching.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: na
Age: 32.0
Sex: M
Vaccine: FLU3
Symptoms: Tinnitus
Clinical narrative: patient experiencing tinnitus after flu shot.
Age: 20.0
Sex: M
Vaccine: PNC21
Symptoms: Loss of consciousness, Tremor
Clinical narrative: Patient received their COVID vaccine in their right arm with no issues. RPh gave Fluraix in the left arm and a few seconds after that patient began to shake and passed out. Patient passed out for roughly a minutes. Patient was given water, a cold towelette, and some ice. Patient was monitored for 15 minutes. At the 15 minute mark he informed the pharmacist he felt normal and left this healthcare provider's watch.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: CVA (Stroke)
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Headache
Clinical narrative: The following morning I got a really bad headache that last for 24hrs, first time ever having a reaction from the flu shot.
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ, TDAP
Symptoms: Blood glucose normal, Emotional disorder, Muscle rigidity, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: PATIENT GIVEN HPV,TDAP,MENB,AND MCV4. FIVE MINUTES POST VACCINATION PATIENT BECAME STIFF AND UNRESPONSIVE WHILE SEATED IN THE CHAIR. PATIENT WAS ASSISTED BY NURSING STAFF TO FLOOR. CLIENT'S ARMS STIFF AND RIGID WITH EYES CLOSED FOR APPROXIMATELY 1 MINUTE BEFORE SPASMS TO EXTREMITIES WERE NOTED. SPASMS LASTED AN ADDITIONAL 30 SECONDS BEFORE PATIENT BECAME ALERT. PATIENT EMOTIONAL UPON ALERTNESS. ALERT AND ORIENTED X 4.  FAMILY PRESNT, 911 CALLED, V/S CHECKED PRIOR TO EMS ARRIVAL.   HEART RATE - 57 BP- 102/58 O2 - 98% GLUCOSE - 99 RR- 16
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ, TDAP
Symptoms: Unresponsive to stimuli
Clinical narrative: PATIENT GIVEN HPV,TDAP,MENB,AND MCV4. FIVE MINUTES POST VACCINATION PATIENT BECAME STIFF AND UNRESPONSIVE WHILE SEATED IN THE CHAIR. PATIENT WAS ASSISTED BY NURSING STAFF TO FLOOR. CLIENT'S ARMS STIFF AND RIGID WITH EYES CLOSED FOR APPROXIMATELY 1 MINUTE BEFORE SPASMS TO EXTREMITIES WERE NOTED. SPASMS LASTED AN ADDITIONAL 30 SECONDS BEFORE PATIENT BECAME ALERT. PATIENT EMOTIONAL UPON ALERTNESS. ALERT AND ORIENTED X 4.  FAMILY PRESNT, 911 CALLED, V/S CHECKED PRIOR TO EMS ARRIVAL.   HEART RATE - 57 BP- 102/58 O2 - 98% GLUCOSE - 99 RR- 16
Age: 79.0
Sex: F
Vaccine: COVID19, FLU3, PNC20, RSV
Symptoms: Burning sensation, Feeling abnormal
Clinical narrative: Shortly after receiving 4 vaccines, 2 in each arm, patient said was feeling "weird."   Was sitting and had to place head down on table.  Burning in neck and back.  Never had trouble breathing.  Never lost consciousness.  Husband and she said never had issues before and had had all vaccines in past except RSV.   Started feeling better after about 5 minutes.  Paramedics arrived and she was "99%" better.  They checked her out and 5-10 minutes later she and husband walked out of store.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, UNK, UNK, UNK
Symptoms: Crying, Haematochezia, Irritability, Mucous stools, Stool analysis abnormal
Clinical narrative: Fussiness, constant crying, and refusing to sit in a car seat 03/02/24. He started having mucous-y bowel movements. This lasted until  03/06/24 when he had a bowel movement which was bloody.  Patient was taken to the hospital where they gave him IV fluids and an ultrasound to rule out intussusception. On 04/03/2024 he had a follow up appointment with Dr. where he had a stool sample taken which showed blood still in the stool. He was taken to a GI doctor in the same month and was not examined but suggested he may have a dairy allergy although he had no symptoms before receiving the rotavirus vaccine.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, UNK, UNK, UNK
Symptoms: Ultrasound abdomen
Clinical narrative: Fussiness, constant crying, and refusing to sit in a car seat 03/02/24. He started having mucous-y bowel movements. This lasted until  03/06/24 when he had a bowel movement which was bloody.  Patient was taken to the hospital where they gave him IV fluids and an ultrasound to rule out intussusception. On 04/03/2024 he had a follow up appointment with Dr. where he had a stool sample taken which showed blood still in the stool. He was taken to a GI doctor in the same month and was not examined but suggested he may have a dairy allergy although he had no symptoms before receiving the rotavirus vaccine.
Age: 78.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: pt actually requested and received a 2nd RSV shot.  He did  not mention already having received it last year until he said, that didn't hurt, like last year
Age: 1.75
Sex: M
Vaccine: FLUN3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was given Flumist at 21 months of age.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Product storage error
Clinical narrative: Vaccine stored in a fridge that had a temperature excursion and inadvertently administered to patient.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pruritus
Clinical narrative: Employee complained of new onset of itching at vaccination site the day following administration. Per employee, symptoms lasted x 7 days. Denies concerns or symptoms at this time.
Age: 74.0
Sex: F
Vaccine: TDAP
Symptoms: Angina pectoris, Arthralgia
Clinical narrative: The night after the injection, while laying flat on my back with a pillow under my head ready to go to sleep, my heart started to hurt periodically. When I sat up, my heart stopped hurting. So I stacked pillows up high under my torso and head to be able to sleep that way without pain in my heart all night long. This only happened the night of the injection and has not repeated since. A couple days later I had soreness in my left shoulder where the Tdap shot was injected. That also went away after that period of time.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Feeling abnormal, Loss of consciousness, Nausea, Pallor
Clinical narrative: right after pt received the vaccine he said "I don't feel right" & he passed out. he became very pale, color was almos greenish. he came to quickly  a few seconds later & said he didn't know what happened.he laid down for a while, was observed in our office for approximately 45 minutes. during that time he drank cold water, ate some peanut butter filled pretzels, sat with mom. BP remained normal. his color started to improve but said he still felt nauseated. after 45 minutes pt said he felt better,  he left our office with mom to go get food- pt had not eaten anything all day prior to getting the vaccine. mom called the next day to report he ate dinner right after appt, ate 2 more times last night, drank a protein shake this morning & went to school. he again became pale & nauseated so he went to the school nurse who called mom to pick him up. mom called our office ot report he was still pale & nauseated.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Product storage error
Clinical narrative: Vaccine stored in a fridge that had a temperature excursion and inadvertently administered to patient.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cerebrovascular accident, Computerised tomogram, Hot flush
Clinical narrative: Complained of hot flashes and weakness, suffered a stroke a couple of days later. Note: the new higher strength flu shot was taken at the same time on a different arm. This was the first time the patient has taken this higher strength flu shot AND both flu and covid shot concurrently