chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: TDAP
Symptoms: Expired product administered
Clinical narrative: The patient was administered an expired Boostrix vaccine. It was not realized the vaccine was expired till after the patient was given the vaccine and left the pharmacy. The date administered was 10/14/2022. The expiration date of the vaccine was 10/08/2022.  I will reach out to the patient and inform him of the error. I will refund the patient any cost the vaccine cost him. I will reach out to GSK for information if he will need another dose or another treatment.
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Limb discomfort, Urticaria
Clinical narrative: Patient developed hives on neck, stomach, back and chest about 20 mins after vaccinations.  She also reported her arm thrombing after vaccination.  Patient took a benadryl at home and went to urgent care for treatment.  At urgent care, she was given a steroid shot and prescribed an oral steroid and an epi-pen.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 0.25mL Moderna peds given inadvertently
Age: 76.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered the COVID19 (Pfizer-BioNTech Bivalent) vaccine as the first dose of her primary series.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient was seen on 09/30/22 and was given a Pfizer-BioNTech covid-19 vaccine (6month-4yrs) INSTEAD of Pfizer-BioNTech Covid-19 vaccine (5yrs-11yrs). Incorrect lower dose/vial was given than recommended dose of Pfizer-BioNTech Covid-19. Patient did NOT have a adverse reaction to vaccine.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Pain
Clinical narrative: Employee contact Employee Health on 10/14 stating her Left should has been hurting ever since her vaccine especially when moving it. Employee was referred to  Clinic for evaluation.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: The vaccine syringe was faulty and upon administration vaccine spurted out of the neck of the prefilled syringe collar. The needle was fitted tightly and appropriately onto the luer lock. We reported this to the manufacturer.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Prostate cancer recurrent, Prostatic specific antigen increased
Clinical narrative: Prostate Cancer has recurred
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient inadvertently received two doses of Fluad
Age: 53.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Wrong product administered
Clinical narrative: Patient was stuck with a syringe that contained the wrong vaccine (Shingrix). Pharmacist immediately noticed error before full dose was administered.  Patient has yet to report any adverse reactions.
Age: 50.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Wrong product administered
Clinical narrative: patient was scheduled for both the seasonal influenza vaccine and the shingrix vaccine.  The patient received the covid moderna bivalent booster and the seasonal flu immunization. patient was contacted and informed of the error. the immunization registry was checked and it was determined the patient was eligible for the booster.
Age: 1.58
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: 0.25mL Moderna peds given inadvertently
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Antinuclear antibody, Asthenia, Biopsy skin abnormal, Chills
Clinical narrative: July of 2021 I took the first shot of the Moderna vaccine. About 1 hour after taking the shot I fell ill and was in bed for 3 days with flu like symptoms. About 2 weeks after taking the first shot I started noticing redness in my groin area. Over the next 4 weeks the red area was expanding out to about 4" out on my thy on both legs. August 18th, 2021, I got the second shot of Moderna. In early October, 2021 I noticed 3 red spots appearing on my right arm, small at first but grew larger over time and they started growing scales in layers and in patches the size of a 50 cent piece. I visited a Dermatologist and I was diagnosed with Plaque Psoriasis. By November it had spread to my legs and feet (top and bottom). The area around my groin (privates included) had spread to my posterior covering 80%. During this period I always felt as if I had a slight case of the Flu 24/7 with headaches, muscle aches, runny nose, drained energy and chills to the bone with muscle spasms and contractions that exists to this day, and every Day. In mid August 2022 (like an anniversary gift) the Flu like symptoms worsened and lasted for about 3 days and during this time I had developed what appeared to be a rash, however this rash was solid and blood red and covered my entire back from my waist up to the top of my shoulders and it worked it's way around to my front torso and covered my entire chest. The palms of my right and left hands turned blood red up to my fingertips, my face turned spotted with red patches and my scalp was completely covered red and started producing skin cells. My scalp has to be basically stripped of these scales once a week and is taking most of my hair with it.  Once the Flu symptoms eased off and the rash started to recede; what it left behind was a million (well I didn't count them all, but it was a lot) of tiny bumps all over my chest and back, so now I am completely covered from the top of my head to the bottom of my feet and inside of every crevice. The tiny bumps are expanding and joining together to make large areas. skin gets so dry it splits open and bleeds. My hands have become almost useless as I am loosing fingernails (3 so far) and I cannot make a fist due to the Psoriasis in my joints, it is getting into my joints of my hips and knees and making moving around very painful. My feet swale to x2 their size and my toe nails are next to be lost. It grows in my ear canal until it makes a plug and I have to go to the ear Doctor to have them cleaned. . I cannot run the air conditioner at home as anything under 80 degrees causes me to have the chills and uncontrollable shakes. I can only take cold showers because warm or hot showers burn like fire, even a cold shower leaves my skin burning and stinging like crazy so I keep my showers short. As of November 2022 I still am covered over 80% of my body. I am undergoing UV light treatment 3 times a week.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dry skin, Ear discomfort, Erythema, Headache
Clinical narrative: July of 2021 I took the first shot of the Moderna vaccine. About 1 hour after taking the shot I fell ill and was in bed for 3 days with flu like symptoms. About 2 weeks after taking the first shot I started noticing redness in my groin area. Over the next 4 weeks the red area was expanding out to about 4" out on my thy on both legs. August 18th, 2021, I got the second shot of Moderna. In early October, 2021 I noticed 3 red spots appearing on my right arm, small at first but grew larger over time and they started growing scales in layers and in patches the size of a 50 cent piece. I visited a Dermatologist and I was diagnosed with Plaque Psoriasis. By November it had spread to my legs and feet (top and bottom). The area around my groin (privates included) had spread to my posterior covering 80%. During this period I always felt as if I had a slight case of the Flu 24/7 with headaches, muscle aches, runny nose, drained energy and chills to the bone with muscle spasms and contractions that exists to this day, and every Day. In mid August 2022 (like an anniversary gift) the Flu like symptoms worsened and lasted for about 3 days and during this time I had developed what appeared to be a rash, however this rash was solid and blood red and covered my entire back from my waist up to the top of my shoulders and it worked it's way around to my front torso and covered my entire chest. The palms of my right and left hands turned blood red up to my fingertips, my face turned spotted with red patches and my scalp was completely covered red and started producing skin cells. My scalp has to be basically stripped of these scales once a week and is taking most of my hair with it.  Once the Flu symptoms eased off and the rash started to recede; what it left behind was a million (well I didn't count them all, but it was a lot) of tiny bumps all over my chest and back, so now I am completely covered from the top of my head to the bottom of my feet and inside of every crevice. The tiny bumps are expanding and joining together to make large areas. skin gets so dry it splits open and bleeds. My hands have become almost useless as I am loosing fingernails (3 so far) and I cannot make a fist due to the Psoriasis in my joints, it is getting into my joints of my hips and knees and making moving around very painful. My feet swale to x2 their size and my toe nails are next to be lost. It grows in my ear canal until it makes a plug and I have to go to the ear Doctor to have them cleaned. . I cannot run the air conditioner at home as anything under 80 degrees causes me to have the chills and uncontrollable shakes. I can only take cold showers because warm or hot showers burn like fire, even a cold shower leaves my skin burning and stinging like crazy so I keep my showers short. As of November 2022 I still am covered over 80% of my body. I am undergoing UV light treatment 3 times a week.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza like illness, Malaise, Muscle contractions involuntary, Muscle spasms, Myalgia
Clinical narrative: July of 2021 I took the first shot of the Moderna vaccine. About 1 hour after taking the shot I fell ill and was in bed for 3 days with flu like symptoms. About 2 weeks after taking the first shot I started noticing redness in my groin area. Over the next 4 weeks the red area was expanding out to about 4" out on my thy on both legs. August 18th, 2021, I got the second shot of Moderna. In early October, 2021 I noticed 3 red spots appearing on my right arm, small at first but grew larger over time and they started growing scales in layers and in patches the size of a 50 cent piece. I visited a Dermatologist and I was diagnosed with Plaque Psoriasis. By November it had spread to my legs and feet (top and bottom). The area around my groin (privates included) had spread to my posterior covering 80%. During this period I always felt as if I had a slight case of the Flu 24/7 with headaches, muscle aches, runny nose, drained energy and chills to the bone with muscle spasms and contractions that exists to this day, and every Day. In mid August 2022 (like an anniversary gift) the Flu like symptoms worsened and lasted for about 3 days and during this time I had developed what appeared to be a rash, however this rash was solid and blood red and covered my entire back from my waist up to the top of my shoulders and it worked it's way around to my front torso and covered my entire chest. The palms of my right and left hands turned blood red up to my fingertips, my face turned spotted with red patches and my scalp was completely covered red and started producing skin cells. My scalp has to be basically stripped of these scales once a week and is taking most of my hair with it.  Once the Flu symptoms eased off and the rash started to recede; what it left behind was a million (well I didn't count them all, but it was a lot) of tiny bumps all over my chest and back, so now I am completely covered from the top of my head to the bottom of my feet and inside of every crevice. The tiny bumps are expanding and joining together to make large areas. skin gets so dry it splits open and bleeds. My hands have become almost useless as I am loosing fingernails (3 so far) and I cannot make a fist due to the Psoriasis in my joints, it is getting into my joints of my hips and knees and making moving around very painful. My feet swale to x2 their size and my toe nails are next to be lost. It grows in my ear canal until it makes a plug and I have to go to the ear Doctor to have them cleaned. . I cannot run the air conditioner at home as anything under 80 degrees causes me to have the chills and uncontrollable shakes. I can only take cold showers because warm or hot showers burn like fire, even a cold shower leaves my skin burning and stinging like crazy so I keep my showers short. As of November 2022 I still am covered over 80% of my body. I am undergoing UV light treatment 3 times a week.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Onychomadesis, Pain, Peripheral swelling, Psoriasis, Rash erythematous
Clinical narrative: July of 2021 I took the first shot of the Moderna vaccine. About 1 hour after taking the shot I fell ill and was in bed for 3 days with flu like symptoms. About 2 weeks after taking the first shot I started noticing redness in my groin area. Over the next 4 weeks the red area was expanding out to about 4" out on my thy on both legs. August 18th, 2021, I got the second shot of Moderna. In early October, 2021 I noticed 3 red spots appearing on my right arm, small at first but grew larger over time and they started growing scales in layers and in patches the size of a 50 cent piece. I visited a Dermatologist and I was diagnosed with Plaque Psoriasis. By November it had spread to my legs and feet (top and bottom). The area around my groin (privates included) had spread to my posterior covering 80%. During this period I always felt as if I had a slight case of the Flu 24/7 with headaches, muscle aches, runny nose, drained energy and chills to the bone with muscle spasms and contractions that exists to this day, and every Day. In mid August 2022 (like an anniversary gift) the Flu like symptoms worsened and lasted for about 3 days and during this time I had developed what appeared to be a rash, however this rash was solid and blood red and covered my entire back from my waist up to the top of my shoulders and it worked it's way around to my front torso and covered my entire chest. The palms of my right and left hands turned blood red up to my fingertips, my face turned spotted with red patches and my scalp was completely covered red and started producing skin cells. My scalp has to be basically stripped of these scales once a week and is taking most of my hair with it.  Once the Flu symptoms eased off and the rash started to recede; what it left behind was a million (well I didn't count them all, but it was a lot) of tiny bumps all over my chest and back, so now I am completely covered from the top of my head to the bottom of my feet and inside of every crevice. The tiny bumps are expanding and joining together to make large areas. skin gets so dry it splits open and bleeds. My hands have become almost useless as I am loosing fingernails (3 so far) and I cannot make a fist due to the Psoriasis in my joints, it is getting into my joints of my hips and knees and making moving around very painful. My feet swale to x2 their size and my toe nails are next to be lost. It grows in my ear canal until it makes a plug and I have to go to the ear Doctor to have them cleaned. . I cannot run the air conditioner at home as anything under 80 degrees causes me to have the chills and uncontrollable shakes. I can only take cold showers because warm or hot showers burn like fire, even a cold shower leaves my skin burning and stinging like crazy so I keep my showers short. As of November 2022 I still am covered over 80% of my body. I am undergoing UV light treatment 3 times a week.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, Skin burning sensation, Skin exfoliation, Skin haemorrhage, Skin laceration
Clinical narrative: July of 2021 I took the first shot of the Moderna vaccine. About 1 hour after taking the shot I fell ill and was in bed for 3 days with flu like symptoms. About 2 weeks after taking the first shot I started noticing redness in my groin area. Over the next 4 weeks the red area was expanding out to about 4" out on my thy on both legs. August 18th, 2021, I got the second shot of Moderna. In early October, 2021 I noticed 3 red spots appearing on my right arm, small at first but grew larger over time and they started growing scales in layers and in patches the size of a 50 cent piece. I visited a Dermatologist and I was diagnosed with Plaque Psoriasis. By November it had spread to my legs and feet (top and bottom). The area around my groin (privates included) had spread to my posterior covering 80%. During this period I always felt as if I had a slight case of the Flu 24/7 with headaches, muscle aches, runny nose, drained energy and chills to the bone with muscle spasms and contractions that exists to this day, and every Day. In mid August 2022 (like an anniversary gift) the Flu like symptoms worsened and lasted for about 3 days and during this time I had developed what appeared to be a rash, however this rash was solid and blood red and covered my entire back from my waist up to the top of my shoulders and it worked it's way around to my front torso and covered my entire chest. The palms of my right and left hands turned blood red up to my fingertips, my face turned spotted with red patches and my scalp was completely covered red and started producing skin cells. My scalp has to be basically stripped of these scales once a week and is taking most of my hair with it.  Once the Flu symptoms eased off and the rash started to recede; what it left behind was a million (well I didn't count them all, but it was a lot) of tiny bumps all over my chest and back, so now I am completely covered from the top of my head to the bottom of my feet and inside of every crevice. The tiny bumps are expanding and joining together to make large areas. skin gets so dry it splits open and bleeds. My hands have become almost useless as I am loosing fingernails (3 so far) and I cannot make a fist due to the Psoriasis in my joints, it is getting into my joints of my hips and knees and making moving around very painful. My feet swale to x2 their size and my toe nails are next to be lost. It grows in my ear canal until it makes a plug and I have to go to the ear Doctor to have them cleaned. . I cannot run the air conditioner at home as anything under 80 degrees causes me to have the chills and uncontrollable shakes. I can only take cold showers because warm or hot showers burn like fire, even a cold shower leaves my skin burning and stinging like crazy so I keep my showers short. As of November 2022 I still am covered over 80% of my body. I am undergoing UV light treatment 3 times a week.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Temperature intolerance, Tremor, UV light therapy
Clinical narrative: July of 2021 I took the first shot of the Moderna vaccine. About 1 hour after taking the shot I fell ill and was in bed for 3 days with flu like symptoms. About 2 weeks after taking the first shot I started noticing redness in my groin area. Over the next 4 weeks the red area was expanding out to about 4" out on my thy on both legs. August 18th, 2021, I got the second shot of Moderna. In early October, 2021 I noticed 3 red spots appearing on my right arm, small at first but grew larger over time and they started growing scales in layers and in patches the size of a 50 cent piece. I visited a Dermatologist and I was diagnosed with Plaque Psoriasis. By November it had spread to my legs and feet (top and bottom). The area around my groin (privates included) had spread to my posterior covering 80%. During this period I always felt as if I had a slight case of the Flu 24/7 with headaches, muscle aches, runny nose, drained energy and chills to the bone with muscle spasms and contractions that exists to this day, and every Day. In mid August 2022 (like an anniversary gift) the Flu like symptoms worsened and lasted for about 3 days and during this time I had developed what appeared to be a rash, however this rash was solid and blood red and covered my entire back from my waist up to the top of my shoulders and it worked it's way around to my front torso and covered my entire chest. The palms of my right and left hands turned blood red up to my fingertips, my face turned spotted with red patches and my scalp was completely covered red and started producing skin cells. My scalp has to be basically stripped of these scales once a week and is taking most of my hair with it.  Once the Flu symptoms eased off and the rash started to recede; what it left behind was a million (well I didn't count them all, but it was a lot) of tiny bumps all over my chest and back, so now I am completely covered from the top of my head to the bottom of my feet and inside of every crevice. The tiny bumps are expanding and joining together to make large areas. skin gets so dry it splits open and bleeds. My hands have become almost useless as I am loosing fingernails (3 so far) and I cannot make a fist due to the Psoriasis in my joints, it is getting into my joints of my hips and knees and making moving around very painful. My feet swale to x2 their size and my toe nails are next to be lost. It grows in my ear canal until it makes a plug and I have to go to the ear Doctor to have them cleaned. . I cannot run the air conditioner at home as anything under 80 degrees causes me to have the chills and uncontrollable shakes. I can only take cold showers because warm or hot showers burn like fire, even a cold shower leaves my skin burning and stinging like crazy so I keep my showers short. As of November 2022 I still am covered over 80% of my body. I am undergoing UV light treatment 3 times a week.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Incoherent, Pain in extremity, Pyrexia, Tremor
Clinical narrative: High fever, sore arm, chills, shaking, not coherent
Age: 31.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Discomfort, Electrocardiogram normal, Full blood count normal, Limb discomfort, Magnetic resonance imaging normal
Clinical narrative: Right sided tingling and heaviness. Started with pins and needles in right great toe and spread as tingling and heaviness up right leg to right arm and right side of face
Age: 31.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Metabolic function test normal, Paraesthesia, Urine analysis normal
Clinical narrative: Right sided tingling and heaviness. Started with pins and needles in right great toe and spread as tingling and heaviness up right leg to right arm and right side of face
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NON- PT IS WELL
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: She Got Fluzone HD on 10/12/2022 at 01 :00 pm and came back on 10/14/22 at around 2:30 pm and the site of injection is swollen, Red, hot to touch and Patient said on Thursday morning  when she woke up she felt stiffness, but it got better after 30 minutes.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Client came in to receive Novavax dose 2. She stated that when she received her first dose 9/6/22 , 30 minutes after she experienced a fibromyalgia flare up. She had headache, joint pain, stiffness and tingling for two days. She took Tylenol. She  didn't go to the primary care provider or seek emergency care. She was able to tolerate it at home. She states she's never had a reaction with a vaccine. Client received her second dose and was approved by Dr to receive. She will seek emergency care if needed.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Impaired work ability, Movement disorder, Pain in extremity, Product administered at inappropriate site
Clinical narrative: PATIENT STATED THAT AFTER GETTING THE VACCINE HER ARM WAS VERY SORE AND THAT SHE WAS IN SO MUCH PAIN THAT SHE COULD NOT MOVE HER ARM AT ALL. THIS CAUSED HER TO MISS 2 DAYS OF WORK AND SHE MADE A DOCTOR APPOINTMENT. THIS WAS ADVERSE REACTION IN WHICH SHE STATED PER HER MD THAT THE SHOT WAS GIVEN TO AGRESSIVE AND TO CLOSE TO OTHER VACCINE GIVEN.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Balance disorder, Body temperature increased, Feeling abnormal, Headache, Muscular weakness
Clinical narrative: Staff reported pt in his room with elevated temperature and respiration rate. Two nurses of the day responded, arrived in unit and found pt in care of unit staff, pt laying on his left side on bed and awake and alert. Pt c/o ?feeling terrible, they gave me so many meds?. Temp of 102. Attempted blood sugar check and pt refused. Ortho VS completed, no orthostatic hypotension to note. Pt weak to lower extremities and unsteady when standing. Pt also c/o 10/10 HA. COVID booster, administered 9-29-22. Physician on call notified and downgraded incident to urgent. Unit MD notified and will assess pt in unit. Pt given prn Celecoxib 100mg for HA. Evaluated by PCP and pt placed on Q15 medical at 1428.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory rate increased
Clinical narrative: Staff reported pt in his room with elevated temperature and respiration rate. Two nurses of the day responded, arrived in unit and found pt in care of unit staff, pt laying on his left side on bed and awake and alert. Pt c/o ?feeling terrible, they gave me so many meds?. Temp of 102. Attempted blood sugar check and pt refused. Ortho VS completed, no orthostatic hypotension to note. Pt weak to lower extremities and unsteady when standing. Pt also c/o 10/10 HA. COVID booster, administered 9-29-22. Physician on call notified and downgraded incident to urgent. Unit MD notified and will assess pt in unit. Pt given prn Celecoxib 100mg for HA. Evaluated by PCP and pt placed on Q15 medical at 1428.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives all over body within 4 hrs of vaccine; improved with OTC Benadryl oral q6 hrs as needed - took it for 3 days - and rash resolved
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received a Pfizer vaccine for age group 5-11 years. Pt should have received a Pfizer vaccine for age 6months-4years
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear haemorrhage, Facial discomfort, Lymphadenopathy
Clinical narrative: Noted blood from left ear. Began last night with swelling to node on left side of neck, and this am also to left axilla area. Some discomfort around left side of face near ear
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received a vaccine for age group 5-11 years. Pt should have received a vaccine for 6 months to 4 years
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Ligament pain, Mobility decreased
Clinical narrative: Unable to go up and down stairs due to severe pain in joints, ligaments, and muscles. Extreme weakness, fatigue. Generalized pain throughout body.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain
Clinical narrative: Unable to go up and down stairs due to severe pain in joints, ligaments, and muscles. Extreme weakness, fatigue. Generalized pain throughout body.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt received primary series pfizer as booster instead of the bivalent pfizer.  She is not reporting any side effects.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Patient stated that she received a Shingrix immunization on Tuesday October 11, 2022. On Wednesday October 12, 2022, she observed a itchy, bumpy red rash on left side of her body. On Thursday October 13, 2022, the rash was on her right side, and she called the pharmacy late in the day before closing. Since it was not life threatening, she was advised to take Benadryl  every 6 hours and to contact her prescriber first thing in the morning Friday October 14, 2022. She was also advised to seek medical treatment at an emergency room if the symptoms worsened.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt received primary series pfizer rather than bivalent. Pt is not reporting any side effects.
Age: 61.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Adverse reaction, Blister, Genital blister, Pain, Pruritus
Clinical narrative: Pt came to pharmacy today to alert pharmacist of an adverse reaction he believes he is having to the shingrix vaccine.  Pt had both his second dose of shingrix and the fluzone quad on Saturday 10/08/2022.  Pt initially was only going to get the fluzone quad, but the pharmacist saw that the patient was overdue for his second shingrix vaccine, which was recommended.  Pt was unsure if he should get it or not at first, being he said he "got sick" after his first dose.  When the pharmacist inquired more about his symptoms of "getting sick" after the first dose, the patient stated that he had the body aches, chills and fever after his first dose.  Rph discussed this further with the patient and explained that those symtoms can be side effects with most vaccinations, but it does not necessarily mean that he is allergic to the vaccine.  It was explained to the patient that this was a normal immune respsonse to a vaccine.  Pt agreed that he would get the second dose, which was given on Saturday 10/8/2022.  Pt states on Sunday, 10/09/2022 he woke up itching with blisters and hives on his arms, chest/stomach and genital area.  He also said his body was achy all over and had a fever to the touch.  Rph referred the patient to urgent care as well as contacting his primary doctor.  Pt refused though and said he wants to "let the blisters run their course."  Rph again persisted that the patient should get checked out by a doctor due to the location and amount of blisters the patient was describing.  Pt again stated that he wasn't going to get checked out anywhere today.  He did say that he would call his primary doctor on Monday though.
Age: 61.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Pyrexia, Urticaria
Clinical narrative: Pt came to pharmacy today to alert pharmacist of an adverse reaction he believes he is having to the shingrix vaccine.  Pt had both his second dose of shingrix and the fluzone quad on Saturday 10/08/2022.  Pt initially was only going to get the fluzone quad, but the pharmacist saw that the patient was overdue for his second shingrix vaccine, which was recommended.  Pt was unsure if he should get it or not at first, being he said he "got sick" after his first dose.  When the pharmacist inquired more about his symptoms of "getting sick" after the first dose, the patient stated that he had the body aches, chills and fever after his first dose.  Rph discussed this further with the patient and explained that those symtoms can be side effects with most vaccinations, but it does not necessarily mean that he is allergic to the vaccine.  It was explained to the patient that this was a normal immune respsonse to a vaccine.  Pt agreed that he would get the second dose, which was given on Saturday 10/8/2022.  Pt states on Sunday, 10/09/2022 he woke up itching with blisters and hives on his arms, chest/stomach and genital area.  He also said his body was achy all over and had a fever to the touch.  Rph referred the patient to urgent care as well as contacting his primary doctor.  Pt refused though and said he wants to "let the blisters run their course."  Rph again persisted that the patient should get checked out by a doctor due to the location and amount of blisters the patient was describing.  Pt again stated that he wasn't going to get checked out anywhere today.  He did say that he would call his primary doctor on Monday though.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt received primary series pfizer instead of bivalent vaccine. Pt is not reporting any side effects
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site mass
Clinical narrative: WITHIN SECONDS OF RECEIVING VACCINE- A PLIABLE LUMP SIZE OF A QUARTER FORMED AROUND INJECTION SITE.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood cholesterol increased, Blood glucose normal, C-reactive protein normal, Cardiac stress test
Clinical narrative: After 3rd vaccine, the next day because extremely exhausted and weak.  It was very difficult to perform basic daily tasks.  Short of breath - especially when climbing stairs.  Nausated.  Lack of appetite.    This continued for several days. 1st MD consult via telehealth.   I was told my condition was too complicated and needed to be physically seen. The following day, I was seen by my MD.   EKG showed sinus brady 40's.  Cardiologist referral was made.    Also, my endocrinologist was consulted.  He recommend my hydrocortisone dose to be tripled for a few days while I am experiencing these symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray normal, Cortisol normal, Decreased appetite, Dyspnoea exertional, Echocardiogram
Clinical narrative: After 3rd vaccine, the next day because extremely exhausted and weak.  It was very difficult to perform basic daily tasks.  Short of breath - especially when climbing stairs.  Nausated.  Lack of appetite.    This continued for several days. 1st MD consult via telehealth.   I was told my condition was too complicated and needed to be physically seen. The following day, I was seen by my MD.   EKG showed sinus brady 40's.  Cardiologist referral was made.    Also, my endocrinologist was consulted.  He recommend my hydrocortisone dose to be tripled for a few days while I am experiencing these symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Fibrin D dimer normal, Full blood count normal, Glycosylated haemoglobin increased
Clinical narrative: After 3rd vaccine, the next day because extremely exhausted and weak.  It was very difficult to perform basic daily tasks.  Short of breath - especially when climbing stairs.  Nausated.  Lack of appetite.    This continued for several days. 1st MD consult via telehealth.   I was told my condition was too complicated and needed to be physically seen. The following day, I was seen by my MD.   EKG showed sinus brady 40's.  Cardiologist referral was made.    Also, my endocrinologist was consulted.  He recommend my hydrocortisone dose to be tripled for a few days while I am experiencing these symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test normal, Loss of personal independence in daily activities, Low density lipoprotein normal, Metabolic function test abnormal, Nausea
Clinical narrative: After 3rd vaccine, the next day because extremely exhausted and weak.  It was very difficult to perform basic daily tasks.  Short of breath - especially when climbing stairs.  Nausated.  Lack of appetite.    This continued for several days. 1st MD consult via telehealth.   I was told my condition was too complicated and needed to be physically seen. The following day, I was seen by my MD.   EKG showed sinus brady 40's.  Cardiologist referral was made.    Also, my endocrinologist was consulted.  He recommend my hydrocortisone dose to be tripled for a few days while I am experiencing these symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Red blood cell sedimentation rate normal, SARS-CoV-2 test negative, Sinus bradycardia, Thyroid function test normal
Clinical narrative: After 3rd vaccine, the next day because extremely exhausted and weak.  It was very difficult to perform basic daily tasks.  Short of breath - especially when climbing stairs.  Nausated.  Lack of appetite.    This continued for several days. 1st MD consult via telehealth.   I was told my condition was too complicated and needed to be physically seen. The following day, I was seen by my MD.   EKG showed sinus brady 40's.  Cardiologist referral was made.    Also, my endocrinologist was consulted.  He recommend my hydrocortisone dose to be tripled for a few days while I am experiencing these symptoms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt received primary series pfizer rather than bivalent. Pt is not reporting any side effects.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Hyperhidrosis, Nervousness, Presyncope
Clinical narrative: shaky almost fainted
Age: 68.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Deafness, Hypoacusis, Tinnitus
Clinical narrative: Hearing tones and roaring in the right ear starting 2 days ago, 1 day after receiving both the bivalent COVID (local Health Dept) and the Flu shot from alternate location.  Please note that the flu vaccine manufacturer is unknown, but I had to pick one.  Some intermittent hearing loss as well.   Pt was referred to ENT specialist for further evaluation. Appt on 10/19/22
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immunisation reaction, Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: COVID arm: red, raised, warm wheal, tender
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site warmth
Clinical narrative: COVID arm: red, raised, warm wheal, tender
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site discolouration, Injection site pain, Injection site swelling, Injection site warmth, Skin erosion
Clinical narrative: Day of vaccine: Large raised swollen spot on arm. At injection site. Burning sensation and hot to touch.  Within 3 hours of shot.  Day 2: Size of swollen spot reduced but skin still hot to touch, some skin discolored like burn mark.  When gently  cleaned with alcohol pad some skin removed liked blistered burn leaving exposed skin.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin exfoliation
Clinical narrative: Day of vaccine: Large raised swollen spot on arm. At injection site. Burning sensation and hot to touch.  Within 3 hours of shot.  Day 2: Size of swollen spot reduced but skin still hot to touch, some skin discolored like burn mark.  When gently  cleaned with alcohol pad some skin removed liked blistered burn leaving exposed skin.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Chest discomfort, Electrocardiogram normal, Fibrin D dimer normal, Troponin normal
Clinical narrative: Chest heaviness with discomfort on deep breaths
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injected limb mobility decreased, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Incorrect injection cause severe arm pain, inability to raise arm , lift, sleep. Constant arm pain, ache all night, heaviness, fatigue
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Sleep disorder, X-ray
Clinical narrative: Incorrect injection cause severe arm pain, inability to raise arm , lift, sleep. Constant arm pain, ache all night, heaviness, fatigue
Age: 41.0
Sex: F
Vaccine: FLUC4
Symptoms: Injected limb mobility decreased
Clinical narrative: Patient reports she is unable to use her arm due to possibly nerve pain.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Staphylococcal infection
Clinical narrative: pt called and said that the vaccine caused a staph infection.  she did get treatment from a doctor.  when I saw the site it was red, not raised and receding from the pen outline that the doctor had drawn on her arm. this was before she received any medications from our pharmacy.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given Pfizer bivalent as first dose in series intead of Novavax or Pfizer monovalent primary series.   Patient called and he returned to vaccination site for assessment and explanation.  No adverse effects noted at that time.
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient had requested COVID 19; however; vaccine was incorrectly entered into computer system and pharmacist failed to notice the mistake.  Patient had already received a flu vaccine at this location on 9/19/22 and this was a second dose of same.  After discovering the mistake, the COVID 19 Pfizer Bivalent was given to the patient.  Pharmacist discussed implications of receiving a second flu shot and patient was satisfied with the discussion.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Injection site mass, Injection site swelling
Clinical narrative: Immediately after the injection, a swelling lump began to appear. The patient was administered a cold pack on the local injection site for a few minutes, and the reaction began to diminish. The patient was counseled and was told that if the swelling is worse or hematoma appears and gets worse to seek medical care.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse events, but patient was due for pfizer #2 monovalent and I ordered the bivalent booster, which was given instead, so reporting per CDC recommendations
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: Patient was to receive Bivalent booster and instead received the monovalent pediatric dose.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Movement disorder, Pain in extremity, Peripheral swelling
Clinical narrative: Patient called 10 days after vaccination on 10/14 reporting that she has had arm movement problem and slight swelling of left arm compared to right arm.  It started with the usual sore arm after a vaccination, which she thought would get better in a couple days, but it never did. She has tried bandage, ice, Tylenol and Advil within the period. Patient was unable to describe her pain clearly but reported that she is still having pain and swelling of her left arm. Patient believes that there were no other events she had that could cause this.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Patient was to receive Bivalent booster and instead received the monovalent pediatric dose.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Exposure via skin contact, Syringe issue, Underdose
Clinical narrative: The patient felt drip and wetness while being vaccinated.  Some of the vaccine leaked from the syringe almost at the end of the vaccination.  Patient and pharamcist decided that patient might have not received the full dose. After discussing with the patient, another pharmacist repeated the 0.25 ml of dose with the patient's full permission to ensure the patient got the full dose of vaccine.
Age: 71.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Anal incontinence, Delirium, Depressed level of consciousness, Diarrhoea, Dyskinesia
Clinical narrative: Within 12 hours (Monday am), nausea, vomit, diarrhea, delirium and long-term deep sleep and semi-unconsciousness, incoherence, lack of muscular control a d loss of bowel control, fever up to 102 degrees. Partial recovery by Tuesday, full by Wednesday. Spouse said she was close to calling for ambulance.
Age: 71.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Incoherent, Nausea, Pyrexia, Sleep disorder, Vomiting
Clinical narrative: Within 12 hours (Monday am), nausea, vomit, diarrhea, delirium and long-term deep sleep and semi-unconsciousness, incoherence, lack of muscular control a d loss of bowel control, fever up to 102 degrees. Partial recovery by Tuesday, full by Wednesday. Spouse said she was close to calling for ambulance.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: Patient was to receive Bivalent booster and instead received the monovalent pediatric dose.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebral haemorrhage, Computerised tomogram, Headache, Hypoxia, Laboratory test
Clinical narrative: Headache for a week ending in brain bleed. Went to er, found to have hypoxia, pneumonia PNA
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pneumonia
Clinical narrative: Headache for a week ending in brain bleed. Went to er, found to have hypoxia, pneumonia PNA
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Pain
Clinical narrative: Patient has experienced joint pain, body aches  3 weeks after receiving  Pfizer  Bivalent vaccine. Patient took advil which helped with the
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient and Mother came to a covid vaccination event at the clinic where flu vaccines are offered. Patient Mother wanted daughter to get the Flu Vaccine and signed consent for patient to get the Flu vaccine. Medical staff at the Covid vaccination event requested a staff member upstairs on a separate medical Team come give the patient a Flu vaccine. A Nurse went down with a vaccine identified the patient reviewed the consent form and administered the vaccine. Upon charting the vaccine in patient chart it became evident the patient already received Flu Vaccine on 9/19/22 Fluzone U7684B
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Patient was to receive Bivalent booster and instead received the monovalent pediatric dose.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product expiration date issue, Recalled product
Clinical narrative: We were notified by Pharmacy today of a recall on this particular lot.  The product was improperly short-dated from our supplier, and since there aren't expiration dates printed on the boxes, the product had expired on 9/30/2022, and was in fact expired when we administered it.  The patient has suffered no deleterious effects
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was to receive Bivalent booster and instead received the monovalent pediatric dose.
Age: 52.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic, Skin warm
Clinical narrative: Red warm rash w raised hives mainly over left side of abdomen but extending to right side as well. Very itchy
Age: 52.0
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Red warm rash w raised hives mainly over left side of abdomen but extending to right side as well. Very itchy
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Patient was to receive Bivalent booster and instead received the monovalent pediatric dose.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Unresponsive to stimuli
Clinical narrative: Daughter called and said her mom was unresponsive and that fire rescue were on the way to her house.  No other details provided. Daugher was asked to keep us informed but no follow up as of yet.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: Patient was to receive Bivalent booster and instead received the monovalent pediatric dose.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient and Mother came to a covid vaccination event at the clinic where flu vaccines are offered. Patient Mother wanted him to get the Flu Vaccine and signed consent for patient to get the Flu vaccine. Medical staff at the Covid vaccination event requested a staff member upstairs on a separate medical Team come give the patient a Flu vaccine. A Medical Assistant went down with a vaccine identified the patient reviewed the consent form and administered the vaccine. Upon charting the vaccine in patient chart it became evident the patient already received Flu Vaccine on 9/19/22 Fluzone U7684B Sanofi Pasteur