chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, Pain in extremity, Product administration error, Wrong product administered
Clinical narrative: Patient only  complains of a very sore arm.  During submission of vaccine it was discovered that the patient had already received a new Covid Booster 3 days prior.  When requesting a vaccine, she told the pharmacy clerk RSV but Moderna was written on the paper and it was not confirmed before administration.  Physician alerted of error.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Orthosis user, Pain in extremity, Peripheral swelling
Clinical narrative: Extreme pain in right hand and wrist right hand swollen for two days after Pfizer covid  Bivalent vaccine still wearing a hand and wrist brace and wrist is swollen and still terrible pain
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age, Wrong patient received product
Clinical narrative: I administered the High Dose Influenza shot meant for her husband instead of the regular dose for 64 years of age and younger.  I realized right away the mix up.  I assured patient that she would be fine.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Fatigue
Clinical narrative: pt states became so totally weak and fatigued he was not able to get out of bed.  This lasted 3 days. He also states it seemed as if he had a urinary infection without having a urinary infection. pt states he is puzzled about the symptoms as he is in good shape but having extreme weakness and fatigue that is not normal for him. He has had some pain in his right side in his back which he thinks it maybe his kidney. He feels like he has Rhabdomyolysis so may see his physician for treatment.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient reports no side effects or issues.  It was discovered during vaccine documentation that the patient had received another Covid shot 3 days prior.  Error occured when pharmacy clerk wrote Moderna on the paper vs RSV (the intended vaccine).  Doctor informed of error.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Bronchitis, Chest X-ray, Chills, Diarrhoea
Clinical narrative: Fever 100.2, congestion, bronchitis,diarrhea,vomiting,chills, hot flashes, itching. Dissiness,weakness,
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Hot flush, Pruritus, Respiratory tract congestion, Vomiting
Clinical narrative: Fever 100.2, congestion, bronchitis,diarrhea,vomiting,chills, hot flashes, itching. Dissiness,weakness,
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: X-ray abnormal
Clinical narrative: Fever 100.2, congestion, bronchitis,diarrhea,vomiting,chills, hot flashes, itching. Dissiness,weakness,
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Blood pressure decreased, Dyskinesia, Feeling hot, Pallor
Clinical narrative: Pt turned very pale and got very warm right away after her flu shot. Then she went into a blank stare then had seizure like activity were she was jerking back and  forth and not responding then after a minute she wondered what happened. Her BP got down to 50/34 but then came back up with some time. Pt still feels week from the flu shot a little over 24 hours.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Seizure like phenomena, Staring, Unresponsive to stimuli
Clinical narrative: Pt turned very pale and got very warm right away after her flu shot. Then she went into a blank stare then had seizure like activity were she was jerking back and  forth and not responding then after a minute she wondered what happened. Her BP got down to 50/34 but then came back up with some time. Pt still feels week from the flu shot a little over 24 hours.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC15
Symptoms: Diarrhoea, Nodule
Clinical narrative: Both thighs had nodules - 1cm on left and about 0.5cm on R. Also has watery diarrhea.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 42.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Cardiac murmur, Chest pain, Dyspnoea, Rotator cuff repair, Upper respiratory tract infection
Clinical narrative: 11/16/2022 at 1000 Shoulder Surgery (Rotator cuff) Dr. MD
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: child had dizziness and fatigue the same day a few hours after, mother stated child was fine the next day.
Age: 84.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Muscle spasms
Clinical narrative: patient said she felt faint, and had some back spasm
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient began reporting dizziness approximately 5 minutes after vaccine given- patient's vitals monitored  over an hourwhich were stable; B/P 140/80's; juice and crackers provided.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort
Clinical narrative: The patient has a history of multiple sclerosis. She was seen in the ED on 9/27/23 with worsening shortness of breath and hypoxia that started after testing positive for COVID-19 on 9/18/23. She additionally reported cough, chest tightness, and congestion, and was previously seen in clinic where a chest x-ray showed pneumonia. The patient was admitted 9/27-9/28 with discharge diagnoses including acute hypoxic respiratory failure due to COVID-19 pneumonia versus superimposed bacterial pneumonia. The patient returned to the ED on 9/30/23 with increased work of breathing and acute hypoxemic respiratory failure due to severe COVID-19 and multifocal COVID pneumonia, among other diagnoses. Additionally, the patient was treated for possible bacterial pneumonia during her admission. During her re-admission, the patient did require supplemental oxygen, however by discharge she was weaned down to room air at rest and 3 L with exertion. Additionally, she completed a 10-day course of Paxlovid on 10/20/23 and a 10-day course of IV Remdesivir on 10/19/23.    Of note, the patient did receive four doses of the Moderna monovalent COVID vaccine (given 3/25/2021; 4/22/2021; 9/3/2021; 5/19/2022) and one dose of the Moderna bivalent COVID vaccine (given 10/20/2022).
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Dyspnoea, Hypoxia, Pneumonia bacterial, Respiratory tract congestion
Clinical narrative: The patient has a history of multiple sclerosis. She was seen in the ED on 9/27/23 with worsening shortness of breath and hypoxia that started after testing positive for COVID-19 on 9/18/23. She additionally reported cough, chest tightness, and congestion, and was previously seen in clinic where a chest x-ray showed pneumonia. The patient was admitted 9/27-9/28 with discharge diagnoses including acute hypoxic respiratory failure due to COVID-19 pneumonia versus superimposed bacterial pneumonia. The patient returned to the ED on 9/30/23 with increased work of breathing and acute hypoxemic respiratory failure due to severe COVID-19 and multifocal COVID pneumonia, among other diagnoses. Additionally, the patient was treated for possible bacterial pneumonia during her admission. During her re-admission, the patient did require supplemental oxygen, however by discharge she was weaned down to room air at rest and 3 L with exertion. Additionally, she completed a 10-day course of Paxlovid on 10/20/23 and a 10-day course of IV Remdesivir on 10/19/23.    Of note, the patient did receive four doses of the Moderna monovalent COVID vaccine (given 3/25/2021; 4/22/2021; 9/3/2021; 5/19/2022) and one dose of the Moderna bivalent COVID vaccine (given 10/20/2022).
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Superinfection
Clinical narrative: The patient has a history of multiple sclerosis. She was seen in the ED on 9/27/23 with worsening shortness of breath and hypoxia that started after testing positive for COVID-19 on 9/18/23. She additionally reported cough, chest tightness, and congestion, and was previously seen in clinic where a chest x-ray showed pneumonia. The patient was admitted 9/27-9/28 with discharge diagnoses including acute hypoxic respiratory failure due to COVID-19 pneumonia versus superimposed bacterial pneumonia. The patient returned to the ED on 9/30/23 with increased work of breathing and acute hypoxemic respiratory failure due to severe COVID-19 and multifocal COVID pneumonia, among other diagnoses. Additionally, the patient was treated for possible bacterial pneumonia during her admission. During her re-admission, the patient did require supplemental oxygen, however by discharge she was weaned down to room air at rest and 3 L with exertion. Additionally, she completed a 10-day course of Paxlovid on 10/20/23 and a 10-day course of IV Remdesivir on 10/19/23.    Of note, the patient did receive four doses of the Moderna monovalent COVID vaccine (given 3/25/2021; 4/22/2021; 9/3/2021; 5/19/2022) and one dose of the Moderna bivalent COVID vaccine (given 10/20/2022).
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Taste disorder
Clinical narrative: odd taste in mouth  all over body itching
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Patient was given a 3rd dose of Shingrix -- vaccination record was not complete / up to date and patient could not produce dated proof of vaccination.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Dermatitis, Erythema, Inflammation, Pruritus, Urticaria
Clinical narrative: Dermatitis, urticaria, erythema, pruritus, inflammation,
Age: 64.0
Sex: F
Vaccine: FLUA4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: High dose given to a 64 year old.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Incorrect route of product administration, Injected limb mobility decreased, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient's flu shot was  not given in the deltoid muscle, but above the muscle in her right arm. She is experiencing intense pain, bruising, and the inability to raise her arm. She is managing with ibuprofen, but still having pain in her right arm 12+ days after receiving the shot.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease
Clinical narrative: The patient has a history of COPD on 2L O2. She was brought to the ED by EMS on 10/1/23 with confusion, generalized weakness, and cough. The patient tested positive for COVID via home test the day prior (9/30/23), and her family reports the patient has been increasingly fatigued and weak. A repeat COVID test done in the ED also resulted positive. Ultimately, the patient was admitted 10/1/23 - 10/12/23. Discharge diagnoses include acute on chronic hypoxic hypercapnic respiratory failure secondary to COVID pneumonia and COVID-19 pneumonia/infection improving on antibiotics, among other diagnoses. The patient did require ICU admission and was transferred out of the ICU on 10/4 in stable condition. During admission, the patient was on BiPAP however by discharged was weaned to her baseline 2L O2.   Of note, the patient has received three doses of the Pfizer monovalent COVID vaccine (2/1/2021; 2/22/2021; 12/7/2021). The Lot number, vaccine route, and vaccine site for the most recent vaccine given on 12/7/2021 is unknown.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cough, Fatigue, Intensive care, Positive airway pressure therapy
Clinical narrative: The patient has a history of COPD on 2L O2. She was brought to the ED by EMS on 10/1/23 with confusion, generalized weakness, and cough. The patient tested positive for COVID via home test the day prior (9/30/23), and her family reports the patient has been increasingly fatigued and weak. A repeat COVID test done in the ED also resulted positive. Ultimately, the patient was admitted 10/1/23 - 10/12/23. Discharge diagnoses include acute on chronic hypoxic hypercapnic respiratory failure secondary to COVID pneumonia and COVID-19 pneumonia/infection improving on antibiotics, among other diagnoses. The patient did require ICU admission and was transferred out of the ICU on 10/4 in stable condition. During admission, the patient was on BiPAP however by discharged was weaned to her baseline 2L O2.   Of note, the patient has received three doses of the Pfizer monovalent COVID vaccine (2/1/2021; 2/22/2021; 12/7/2021). The Lot number, vaccine route, and vaccine site for the most recent vaccine given on 12/7/2021 is unknown.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: The patient has a history of COPD on 2L O2. She was brought to the ED by EMS on 10/1/23 with confusion, generalized weakness, and cough. The patient tested positive for COVID via home test the day prior (9/30/23), and her family reports the patient has been increasingly fatigued and weak. A repeat COVID test done in the ED also resulted positive. Ultimately, the patient was admitted 10/1/23 - 10/12/23. Discharge diagnoses include acute on chronic hypoxic hypercapnic respiratory failure secondary to COVID pneumonia and COVID-19 pneumonia/infection improving on antibiotics, among other diagnoses. The patient did require ICU admission and was transferred out of the ICU on 10/4 in stable condition. During admission, the patient was on BiPAP however by discharged was weaned to her baseline 2L O2.   Of note, the patient has received three doses of the Pfizer monovalent COVID vaccine (2/1/2021; 2/22/2021; 12/7/2021). The Lot number, vaccine route, and vaccine site for the most recent vaccine given on 12/7/2021 is unknown.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, PNC15
Symptoms: Feeling abnormal, Injection site bruising, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Mother called to report child had developed fussiness on the evening of 10/19/2023 "felt warm, but no temperature". When she woke up patient on 10/20/2023 approximately  8am noticed his left thigh was red "like a patch" and was swollen and warm to touch.  Seemed to swell more as the day went on-developed a rash and hives on his leg. Had a video call with PCP. The doctor suggested baby Benadryl which mother went to get and gave at approximately 1pm. Client was feeling better by the evening-rash faded.  Client continued to get better by the next day redness was fading. Today there is only a faint bruise per mother. States PCP suggested she call and report the reaction. Informed mother it was the Vaxneuvance that was given in the left thigh.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, PNC15
Symptoms: Injection site urticaria, Injection site warmth, Irritability
Clinical narrative: Mother called to report child had developed fussiness on the evening of 10/19/2023 "felt warm, but no temperature". When she woke up patient on 10/20/2023 approximately  8am noticed his left thigh was red "like a patch" and was swollen and warm to touch.  Seemed to swell more as the day went on-developed a rash and hives on his leg. Had a video call with PCP. The doctor suggested baby Benadryl which mother went to get and gave at approximately 1pm. Client was feeling better by the evening-rash faded.  Client continued to get better by the next day redness was fading. Today there is only a faint bruise per mother. States PCP suggested she call and report the reaction. Informed mother it was the Vaxneuvance that was given in the left thigh.
Age: 13.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Cough, Dyspnoea
Clinical narrative: Patient received Spikevax in the left arm and flucelvax in the right arm. Right after the flu vaccine was administered, the patient quickly stood up and gestured that he could not breathe. Pharmacist grabbed and Epipen and delegated staff to call 911, just as she was about to administer the Epipen the patient coughed and seemed to be breathing sufficiently.
Age: 11.0
Sex: F
Vaccine: COVID19, FLU4, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Wrong age Pfizer administered (12 + versus 5-11).
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient said at time of vaccination it hurt more than flu vaccine. Then checked her arm the next day where it was very red and swollen. Photo taken and sent per patient shows red bump and possible clotting near the bump. Down closer to her elbow.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Injection site pain, Joint swelling, Pain in extremity
Clinical narrative: Patient said at time of vaccination it hurt more than flu vaccine. Then checked her arm the next day where it was very red and swollen. Photo taken and sent per patient shows red bump and possible clotting near the bump. Down closer to her elbow.
Age: 0.33
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: QUADRACEL GIVEN BY MISTAKE SHOULD HAVE BEEN VAXELIS
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy lymph gland abnormal, Computerised tomogram abnormal, Diagnostic aspiration, Full blood count normal, Illness
Clinical narrative: March of 2023 noticed enlarged bilateral cervical lymph nodes and one enlarged supraclavicular node on right side. Watched it for 1 month with no noticeable change in size. Went to PCP who ordered round of Augmentin x 10 days-no significant change, then round of doxycycline for 10 days, also with no noticeable change. I requested a CT scan since I am a registered nurser and was very concerned. CT scan indicated increase in size of cervical, mediastinal, and supraclavicular nodes, as well as and nodes. Next step PET scan which showed same, fine needle biopsy, then surgical biopsy with diagnosis of sarcoidosis. had a series of 4 shots in trials becoming increasingly ill with each successive injection. (fever 104, arm swelling). No family history of this, no history of any autoimmune disorder. Al
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Lymphoproliferative disorder, Metabolic function test, Peripheral swelling, Positron emission tomogram abnormal
Clinical narrative: March of 2023 noticed enlarged bilateral cervical lymph nodes and one enlarged supraclavicular node on right side. Watched it for 1 month with no noticeable change in size. Went to PCP who ordered round of Augmentin x 10 days-no significant change, then round of doxycycline for 10 days, also with no noticeable change. I requested a CT scan since I am a registered nurser and was very concerned. CT scan indicated increase in size of cervical, mediastinal, and supraclavicular nodes, as well as and nodes. Next step PET scan which showed same, fine needle biopsy, then surgical biopsy with diagnosis of sarcoidosis. had a series of 4 shots in trials becoming increasingly ill with each successive injection. (fever 104, arm swelling). No family history of this, no history of any autoimmune disorder. Al
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sarcoidosis
Clinical narrative: March of 2023 noticed enlarged bilateral cervical lymph nodes and one enlarged supraclavicular node on right side. Watched it for 1 month with no noticeable change in size. Went to PCP who ordered round of Augmentin x 10 days-no significant change, then round of doxycycline for 10 days, also with no noticeable change. I requested a CT scan since I am a registered nurser and was very concerned. CT scan indicated increase in size of cervical, mediastinal, and supraclavicular nodes, as well as and nodes. Next step PET scan which showed same, fine needle biopsy, then surgical biopsy with diagnosis of sarcoidosis. had a series of 4 shots in trials becoming increasingly ill with each successive injection. (fever 104, arm swelling). No family history of this, no history of any autoimmune disorder. Al
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injection site bruising, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: I received a call on the morning of 10/24/2023 from pt. She states that she received her flu shot in her left arm at her school on 10/19/2023 around 1:30 pm. She said that this flu shot was just like any other that she has received in the past, and states that she only felt the sting of the shot, but that she had no other pain or complications. She said that she went home from work that evening, washed dishes and cleaned the kitchen, got her bath and went to bed. She said around 8:30 or 9:00 PM while lying in bed, she moved her left arm, and experienced "acute tense pain" of the left hand and wrist, and that when she tried to move her hand that it was painful. She states that she got up and checked her arm, and noticed some swelling. She said that she applied an arthritis pain rub to her hand and went back to bed. She states that when she got up Friday morning, that her hand was hurting and that she didn't think she could get ready for work, so she stayed home. She then states that on Sunday morning, she got up and noticed a black and purple bruised area at the site of the injection, that she described as "about 3 inches", and she states that the area was not raised. She states that the arm and hand were swollen, and that she was having pain from elbow down to the fingers, but denies ever having any numbness or tingling to the extremity. She then went to work on Monday morning, 10/23/2023, and stated the arm was still swollen. When she called me today, she said that she waited to call, hoping that the arm would improve, but that it had not. She said that her school nurse checked the arm and told her that the skin looked a bit discolored. I instructed her to go to her doctor, urgent care, or ER today. She stated that she would decide what she was going to do, and I asked her to call me back. She did call me back a while later, and said that after she gets off work today, that she will be going to have her arm checked at the Urgent Care. I again asked her to call me once she has seen a doctor, and she said that she would.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Skin discolouration
Clinical narrative: I received a call on the morning of 10/24/2023 from pt. She states that she received her flu shot in her left arm at her school on 10/19/2023 around 1:30 pm. She said that this flu shot was just like any other that she has received in the past, and states that she only felt the sting of the shot, but that she had no other pain or complications. She said that she went home from work that evening, washed dishes and cleaned the kitchen, got her bath and went to bed. She said around 8:30 or 9:00 PM while lying in bed, she moved her left arm, and experienced "acute tense pain" of the left hand and wrist, and that when she tried to move her hand that it was painful. She states that she got up and checked her arm, and noticed some swelling. She said that she applied an arthritis pain rub to her hand and went back to bed. She states that when she got up Friday morning, that her hand was hurting and that she didn't think she could get ready for work, so she stayed home. She then states that on Sunday morning, she got up and noticed a black and purple bruised area at the site of the injection, that she described as "about 3 inches", and she states that the area was not raised. She states that the arm and hand were swollen, and that she was having pain from elbow down to the fingers, but denies ever having any numbness or tingling to the extremity. She then went to work on Monday morning, 10/23/2023, and stated the arm was still swollen. When she called me today, she said that she waited to call, hoping that the arm would improve, but that it had not. She said that her school nurse checked the arm and told her that the skin looked a bit discolored. I instructed her to go to her doctor, urgent care, or ER today. She stated that she would decide what she was going to do, and I asked her to call me back. She did call me back a while later, and said that after she gets off work today, that she will be going to have her arm checked at the Urgent Care. I again asked her to call me once she has seen a doctor, and she said that she would.
Age: 19.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age, Vaccination failure
Clinical narrative: Received adult dose of Hep B when he should have received the pediatric dose.  No physical side effect symptoms occurred.  This was a booster vaccination as he did not have immunity from previous series.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vial contains .50ml and is labeled as "single dose."  Staff in clinic erroneously gave full contents in vial as opposed to recommended dose of .25ml.  Adverse reactions not yet reported.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Vial contains .50ml and is labeled as "single dose."  Staff in clinic erroneously gave full contents in vial as opposed to recommended dose of .25ml.  Adverse reactions not yet reported.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Intermittent Heart palpitations daily for a week
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product label confusion
Clinical narrative: Vial contains .50ml and is labeled as "single dose."  Staff in clinic erroneously gave full contents in vial as opposed to recommended dose of .25ml.  Adverse reactions not yet reported.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dizziness, Echocardiogram, Electrocardiogram, Exercise tolerance decreased
Clinical narrative: ARM PAIN, FEVER, NAUSEA, HEADACHE, CHEST PAIN, PALPITATIONS DIZZINESS, FATIGUE, EFFORT INTOLERANCE.  DIAGNOSES:  PLEURODYNIA, POTS, SMALL FIBER NEUROPATHY
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Laboratory test, Nausea, Pain in extremity
Clinical narrative: ARM PAIN, FEVER, NAUSEA, HEADACHE, CHEST PAIN, PALPITATIONS DIZZINESS, FATIGUE, EFFORT INTOLERANCE.  DIAGNOSES:  PLEURODYNIA, POTS, SMALL FIBER NEUROPATHY
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Pleuritic pain, Postural orthostatic tachycardia syndrome, Pyrexia, Small fibre neuropathy
Clinical narrative: ARM PAIN, FEVER, NAUSEA, HEADACHE, CHEST PAIN, PALPITATIONS DIZZINESS, FATIGUE, EFFORT INTOLERANCE.  DIAGNOSES:  PLEURODYNIA, POTS, SMALL FIBER NEUROPATHY
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: ARM PAIN, FEVER, NAUSEA, HEADACHE, CHEST PAIN, PALPITATIONS DIZZINESS, FATIGUE, EFFORT INTOLERANCE.  DIAGNOSES:  PLEURODYNIA, POTS, SMALL FIBER NEUROPATHY
Age: 68.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient contacted the pharmacy on Saturday 10/21/23 to let us know that her arm was very swollen and hot from the injections. She said the swollen area took up a large part of her upper left arm. I advised her to keep an eye on it over the weekend and apply cool compresses, and if it was still very swollen on Monday to let us know and we could advise her from there. She followed up on Monday 10/23/23 to let us know that she was feeling much better and the swelling went down.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash pruritic
Clinical narrative: Pt presents to the clinic (10/24/23), states that she got rash on the left arm 3 hours after flu vaccine on 10/13/23 at hospital.  Patient states that the rash is itchy and like patchy , and appears at different area of the body over the course of 10 days since the vaccine received. Patient took 1 dose claritine with no relief, and calamine lotion that seems works better. Patient denies of tongue swelling or shortness of breath.  Patient is prescribed with solumedrol pack, and benadryl 25 mg p.o every 6 hours as needed for itch. Patient is advised to continue with calamine lotion and follow up with PCP or UC if symptoms worsens or persists.  Follow up call also is placed in the next few days.
Age: 68.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Arthralgia, Asthenia, Fatigue, Ocular hyperaemia, Vision blurred
Clinical narrative: OUR PATIENT RECEIVED THE RSV VACCINE (AREXVY) AND FLUZONE HD ON 10/19/23.  HE RETURNED ON 10/24/23 TO LET US KNOW OF THE SIDE EFFECTS THAT HE EXPERIENCED WHICH WERE OUT OF THE NORMAL.  HE SAID THAT LATER THE EVENING AFTER RECEIVING THE RSV VACCINE, HE EXPERIENCE A BRIEF PHASE OF BLURRED VISION AND PROBLEMS SEEING.  HE ALSO NOTICED THAT HIS EYE WAS RED.  THE BLURRED VISION GOT BETTER AFTER FLUSHING HIS EYES WITH WATER, BUT HE IS STILL EXPERIENCING A LITTLE REDNESS.  HE ALSO WAS VERY FATIGUED AND WEAK WITH SOME PAIN IN THE SHOULDER AREA.
Age: 68.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Visual impairment
Clinical narrative: OUR PATIENT RECEIVED THE RSV VACCINE (AREXVY) AND FLUZONE HD ON 10/19/23.  HE RETURNED ON 10/24/23 TO LET US KNOW OF THE SIDE EFFECTS THAT HE EXPERIENCED WHICH WERE OUT OF THE NORMAL.  HE SAID THAT LATER THE EVENING AFTER RECEIVING THE RSV VACCINE, HE EXPERIENCE A BRIEF PHASE OF BLURRED VISION AND PROBLEMS SEEING.  HE ALSO NOTICED THAT HIS EYE WAS RED.  THE BLURRED VISION GOT BETTER AFTER FLUSHING HIS EYES WITH WATER, BUT HE IS STILL EXPERIENCING A LITTLE REDNESS.  HE ALSO WAS VERY FATIGUED AND WEAK WITH SOME PAIN IN THE SHOULDER AREA.
Age: 71.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Balance disorder, Blood test, Fluid retention, Gait inability, Mobility decreased
Clinical narrative: She got her vaccine that was mixed in with the COVID/RSV cnotinued.  Her sister came home and found her on the floor by the bathroom.  Went downhill from there.  By Sunday she was not able to walk and they had to get her in the truck and she could not get back into the truck by herself.  At that point she had so much fluid she was at 180# or so and she normally weighs 144.  They took her to hospital and then it was another hospital.  In the ER they tried to rehabilitate her.  They gave her medicine to get rid of the fluid, did rehab to get her to walk again.  It took 2 people to lift her when she got to hospital, and she wobbles some now but she is doing a lot better.  She went to one hospital and went home, was in such bad shape again and was admitted to the other hospital.  They never did her a diagnosis of what was wrong in either of the hospitals.  She is able to walk now but wobbly.  She is improving daily.  She is able to get her mail, walk to get it.  The fluid has stayed under control now.  The medicine in the hospital was fluid that she had accumulated.  She is smaller now than she was when she went into the hosiptal.  She apparently retaining fluid and didn't know it as her clothes are now large.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The Patient and his brother came to get vaccinations for COVID and FLU.  His brother is 12 yo and the patient is 10 yo. I feel that I may have inadvertently given the adult COVID-19 ( Comirnaty).  I am not completely sure about this.  I found myself trying to process his vaccination form for the adult COVID-19 shot; However, the vaccination form states only FLU vaccine for the patient.  I'm unaware of any adverse events occurring to the patient at this time.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cough, Decreased appetite
Clinical narrative: The patient was seen in the ED on 10/8/23 with cough, fatigue, poor appetite, myalgias, and fever that began three days prior. A COVID PCR test done in the ED resulted positive. Ultimately, the patient was admitted to the hospital from 10/8/23 - 10/12/23, with discharge diagnoses including pneumonia due to COVID-19 virus and secondary acute hypoxic respiratory failure, among other diagnoses. During admission, the patient required supplemental O2, however was able to wean to room air by discharge. She was briefly on dexamethasone.   Of note, the patient has received three doses of the Pfizer monovalent COVID vaccine (given 2/2/2021; 2/23/2021; 10/27/2021).
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The patient was seen in the ED on 10/8/23 with cough, fatigue, poor appetite, myalgias, and fever that began three days prior. A COVID PCR test done in the ED resulted positive. Ultimately, the patient was admitted to the hospital from 10/8/23 - 10/12/23, with discharge diagnoses including pneumonia due to COVID-19 virus and secondary acute hypoxic respiratory failure, among other diagnoses. During admission, the patient required supplemental O2, however was able to wean to room air by discharge. She was briefly on dexamethasone.   Of note, the patient has received three doses of the Pfizer monovalent COVID vaccine (given 2/2/2021; 2/23/2021; 10/27/2021).
Age: 73.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Nausea, Palpitations, Vertigo
Clinical narrative: Severe vertigo, Nausea, racing heart, bruising, for 3 days
Age: 69.0
Sex: F
Vaccine: FLUA4
Symptoms: Asthenia, Fatigue
Clinical narrative: pt states that a couple of days after having the vaccine she starting getting a waive of exhaustion that causing her become very weak and she has to rest until it subsides.  The waive of exhaustion comes and goes which makes her feel like she did when she had covid.  She says she has gotten the flu shot for over 20 years and has never had a reaction from a flu vaccine before.  She feels like the waives of exhaustion is getting some better as she is not having it as often but she is not herself.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: No adverse event
Clinical narrative: no adverse event
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Chills, Hot flush
Clinical narrative: hot flushed feeling, stomach cramps, chills
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cough, Nasal congestion
Clinical narrative: The patient was seen in the ED on 10/9/23 for fever (103.5 F), cough, nasal congestion, and weakness for the past two days. He reported that his wife recently tested positive for COVID-19. A COVID PCR test performed in the ED also resulted positive for the patient.  Ultimately, the patient was admitted 10/9/23 - 10/11/23 with diagnoses including acute hypoxic respiratory failure due to COVID-19. During his admission, the patient required supplemental O2 but was weaned to room air by discharge. Additionally, the patient was on dexamethasone.  Of note, the patient has received three doses of the Pfizer monovalent COVID vaccine (given 2/2/2021; 2/23/2021; 11/2/2021).
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The patient was seen in the ED on 10/9/23 for fever (103.5 F), cough, nasal congestion, and weakness for the past two days. He reported that his wife recently tested positive for COVID-19. A COVID PCR test performed in the ED also resulted positive for the patient.  Ultimately, the patient was admitted 10/9/23 - 10/11/23 with diagnoses including acute hypoxic respiratory failure due to COVID-19. During his admission, the patient required supplemental O2 but was weaned to room air by discharge. Additionally, the patient was on dexamethasone.  Of note, the patient has received three doses of the Pfizer monovalent COVID vaccine (given 2/2/2021; 2/23/2021; 11/2/2021).
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Manufacturing issue
Clinical narrative: Administered MODERNA 6MO-11YR  2023-24 SARS-COV-2 (COVID) VACCINE. The manufacture provided 0.5mL per 1vial instead of 0.25 per 1 vials.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Injection site bruising, Injection site discolouration, Injection site erythema, Myalgia
Clinical narrative: Softball size red and purple bruise around injection site.  Extreme soreness to muscle area
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Limb mass
Clinical narrative: Patient started experiencing shoulder pain 12 hours after getting vaccine. She think the vaccine may have been administered too high. She also has a lump on her shoulder
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Feeling hot, Pain, Peripheral swelling, Rash
Clinical narrative: Swelling from shoulder to elbow, redness and heat, slight rash. Soreness. Symptoms lasted 7 days then resolved.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Paraesthesia, Pruritus
Clinical narrative: Reported to employee health days after event that she'd experienced immediate pins/needles sensation over face. Had itching that lasted 5-6 days. Benadryl helped. No rash. In addition, reported GI symptoms within the day of receipt, unknown duration.   No history of adverse events to flu vaccines in the past.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Manufacturing issue
Clinical narrative: Administered SARS-COV-2 (COVID) 2023-24 (6MO-11YR)(MODERNA), MRNA. The manufacture provided 0.5mL per vail instead of 0.25mL per vail.
Age: 21.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Erythema, Illness, Pruritus, Rash, Urticaria
Clinical narrative: Itchy red hives covering the entire body, virus-like illness following the rash. Doctors were unsure whether the vaccine or the virus was the cause, or possibly both.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea
Clinical narrative: pt state has difficulty breathing same evening as vaccine not fully cleared by normal breathing treatments,  went to er on 3 days later and symptoms relieved with therapy there
Age: 65.0
Sex: F
Vaccine: COVID19, FLUA4, RSV
Symptoms: Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Redness , tenderness and bruising  in the injection site
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pain
Clinical narrative: CCMA 10/19/2023 06:12:27 PM > spoke to mom who reports the top of his L thigh is red, slightly swollen, some mild hardness. Kinrix was given IM on L thigh. No previous reactions. Pt admits to some soreness but has been running around and playing as normal but admits to some soreness with touch. Encouraged mom to circle swelling with marker, frequent cold compress and IBU/Tylenol if needed. Reviewed signs of anaphylaxis or allergic reaction. Mom will f/u in 24 hours to see if sx have improved. She was reassured and appreciative. Staff 10/20/2023 8:16:14 AM > Mom called this morning stating reaction has worsened. CCMA 10/20/2023 08:36:01 AM > spoke to mom who reports redness has spread outside of marked circle from last night. Swelling has stayed isolated. She also reports site seems harder and continues to be warm to touch. Pt also presented with low grade fever of 99.7. She has provided him with Tylenol for soreness. Has tried using cold compress but reports it is difficult to keep on because pt is so busy. Explained that temp of 99.7 is not considered a fever and sx are still consistent with vaccine site reaction. Explained I would review further with staff and call mom back if any further recommendations are indicated. CCMA10/20/2023 08:45:54 AM > reviewed with staff who agrees sx are consistent with vaccine site reaction. No concerns. Will offer to review picture for further reassurance. Relayed to mom who agrees to email picture for review. CCMA 10/20/2023 09:21:00 AM > review images with staff, mom reassured once more. Encouraged her to call back or go to UC if anything persists or worsens. Mom was appreciative.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Tenderness, Vaccination site reaction
Clinical narrative: CCMA 10/19/2023 06:12:27 PM > spoke to mom who reports the top of his L thigh is red, slightly swollen, some mild hardness. Kinrix was given IM on L thigh. No previous reactions. Pt admits to some soreness but has been running around and playing as normal but admits to some soreness with touch. Encouraged mom to circle swelling with marker, frequent cold compress and IBU/Tylenol if needed. Reviewed signs of anaphylaxis or allergic reaction. Mom will f/u in 24 hours to see if sx have improved. She was reassured and appreciative. Staff 10/20/2023 8:16:14 AM > Mom called this morning stating reaction has worsened. CCMA 10/20/2023 08:36:01 AM > spoke to mom who reports redness has spread outside of marked circle from last night. Swelling has stayed isolated. She also reports site seems harder and continues to be warm to touch. Pt also presented with low grade fever of 99.7. She has provided him with Tylenol for soreness. Has tried using cold compress but reports it is difficult to keep on because pt is so busy. Explained that temp of 99.7 is not considered a fever and sx are still consistent with vaccine site reaction. Explained I would review further with staff and call mom back if any further recommendations are indicated. CCMA10/20/2023 08:45:54 AM > reviewed with staff who agrees sx are consistent with vaccine site reaction. No concerns. Will offer to review picture for further reassurance. Relayed to mom who agrees to email picture for review. CCMA 10/20/2023 09:21:00 AM > review images with staff, mom reassured once more. Encouraged her to call back or go to UC if anything persists or worsens. Mom was appreciative.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pediatric vaccine given instead of adult vaccine. No reaction or symptoms noted at this time. Nurse explained mistake, and client stated understanding.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Manufacturing issue
Clinical narrative: Administered SARS-COV-2 (COVID) 2023-24 (6MO-11YR)(MODERNA), MRNA. The manufacture provided 0.5mL per vial instead of 0.25mL per vial.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Vial contains .50ml and is labeled as "single dose."  Staff in clinic erroneously gave full contents in vial as opposed to recommended dose of .25ml.  Adverse reactions not yet reported.
Age: 78.0
Sex: M
Vaccine: RSV
Symptoms: Condition aggravated, Cough, Oxygen saturation decreased, Sleep disorder
Clinical narrative: received vaccine Monday had a cough, but was doing well.  Then Weds cough worsened and did not sleep all night due to cough.  Thursday am ended up in the ER due to oxygen levels low at home.  In ER required oxygen and has never needed oxygen for pulmonary fibrosis thus far.   Admitted from Thursday till DC home Monday.    Oxygen still required.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose, Wrong product administered
Clinical narrative: Pt given 5-11yo dose instead of 12 and up dose; no adverse event, just incorrect vaccine given
Age: 0.83
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: mother states that child only had fever for one day and after the second day she was fine
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Malaise, Pruritus
Clinical narrative: pt called stating that they were not feeling well and had itchy ears and face since receiving the vaccine the previous day.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Throat clearing, Throat irritation
Clinical narrative: within 10 minutes of administration c/o throat itching and clearing, given 10mg of claritin PO per MD, after 10 minutes still itching MD ordered 8mg of oral methylprednisolone, around 25 minutes throat feeling worse so EMS called and auto injector epi pen 0.3mg was self administered. Left via EMS at 1200.
Age: 9.0
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 9y/o patient was given Kinrix outside of the acceptable age group. No issue after vaccine, follow up done. No side effects noted
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered SARS-COV-2 (COVID) 2023-24 (6MO-11YR)(MODERNA), MRNA. The manufacture provided 0.5mL per vial instead of 0.25mL/ vial.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood cholesterol normal, Blood thyroid stimulating hormone normal, Full blood count normal
Clinical narrative: Patient was found to be in Atrial Fibrillation during routine appt one week after vaccination.  She was asymptomatic with atrial fibrillation. She remains in atrial fibrillation. She is currently being treated with rate control medication, anti-coagulation and awaiting appt with Cardiology for likely cardioversion.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Metabolic function test
Clinical narrative: Patient was found to be in Atrial Fibrillation during routine appt one week after vaccination.  She was asymptomatic with atrial fibrillation. She remains in atrial fibrillation. She is currently being treated with rate control medication, anti-coagulation and awaiting appt with Cardiology for likely cardioversion.
Age: 81.0
Sex: F
Vaccine: RSV
Symptoms: Headache, Injection site erythema, Injection site warmth
Clinical narrative: Patient reports a 3-4 inch diameter red area below where the vaccine was administered starting the day following vaccination. This read area was also hot to the touch. She also had a 5 day headache that started the day after vaccination and resolved on its own.
Age: 11.0
Sex: F
Vaccine: COVID19, FLUC4, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: Administered SARS-COV-2 (COVID) 2023-24 (6MO-11YR)(MODERNA), MRNA. The patient may have received 0.5mL dose. The manufacture provided 0.5mL per vial instated of 0.25mL/ vial.
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Condition aggravated, Diarrhoea, Eructation, Fatigue, Flatulence
Clinical narrative: Approximately 12 hours after injection,  I began running a low grade fever of 98.9 degrees, started experiencing  extreme nausea, muscle aches, fatigue and gastrointestinal motility. The fever, nausea, and muscle aches were gone the next day. The gastrointestinal motility resulted in 48 hours of intense gas (belching and passing gas) and diarrhea, which were finally relieved after taking Imodium. My controlled GERD has flared, and the fatigue, while less than initial, remains.
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Gastrointestinal motility disorder, Gastrooesophageal reflux disease, Myalgia, Nausea
Clinical narrative: Approximately 12 hours after injection,  I began running a low grade fever of 98.9 degrees, started experiencing  extreme nausea, muscle aches, fatigue and gastrointestinal motility. The fever, nausea, and muscle aches were gone the next day. The gastrointestinal motility resulted in 48 hours of intense gas (belching and passing gas) and diarrhea, which were finally relieved after taking Imodium. My controlled GERD has flared, and the fatigue, while less than initial, remains.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 77.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Lymph node pain, Toothache
Clinical narrative: my glands under my jaw became tender after 24 hours. Over the weekend it progressed to feeling like an abcessed tooth, and I intended to see a dentist onMon.  by Mon the pain had decreased and by Tues. I could now put pressure on the back  left tooth with only slight pain.  The pain is still present,, but only slight.  Tylenol has been used successfully to alleviate the pain
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising
Clinical narrative: patient is presenting with significant bruising on the left arm inferior to the injection site on the left deltoid.  Husband came in to notify us of it, I advised him to have it examined by her physician or urgent care/ER
Age: 17.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenopia, Dizziness
Clinical narrative: about about 10 min after receiving two vaccines patient felt light-headed, eyes heavy. she returned to IMZ area and like she would faint. we provided aid to help her recover and after about 15-20 min she felt fine.