chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Small fibre neuropathy, Tinnitus, Tremor, Visceral pain
Clinical narrative: J&J Vaccine 9-24-21@ Public Health Department (HD) Lot # 212A21A  See continuation page for further details: Reactions starting on day 4 after vaccine shot and listed in sequence has it occurred:  *****9-28-21 Allodynia in legs on day 4 after vaccine. DIAGNOSED BY NEURO SURGEON  2-14-22. Currently to be permanent damage.  *****10-1-21 Pins & needles, burning, and numbness on day 7 after Vaccine.  *****2-21-22 DIAGNOSED WTH SMALL FIBER Neuropathy BY SKIN BIOPSY FROM NEUROLOGIST OFFICE AND THRU LABS - pathology I refused proposed depression medication to control nerve pain/sfn. Sought holistic relief from nerve pain and staying off my feet for 4 months+ = chair bound.  As weeks/months progressed, so did reactions over a long period of time: On/off general feeling of malaise and fatigue - Continues on/off. Adrenal dumps/sleep distrubance -  first 3 weeks after vaccine constantly in a high state of  alertness. Could not sleep due to shocks/body zaps/adrenal dump episodes when trying to lay down for night. Continues on/off at lesser degree. Tremors throughout body and limbs - Continues on/off -especially when trying to go to sleep. Circadian rhythm off? Severe inflammation & pain right side of neck / lower neck into top of shoulder blade. Resolved. Extreme tight muscles shoulder / upper back area and throughout body - Continues on/off. Vision disturbances & diagnosed PVD - 5 weeks after vaccine. White flashes and floaters Continue! Skin rash on face - been treated 2x by Dermatologist - keeps coming back. Not fungus or bacterial based. Continues on/off. Sporadic blurry vision - no known cause - seen 3 different eye/retina specialists. Resolved. Tinnitus - in both ears - Continues. Random visceral pains throughout chest/ torso. Continues On/off.  *****July 2022 discovered a lung nodule via chest ct scan; rechecked in October 2022; Determined lung nodule increased in size and Mediastinal lymph nodes swollen. PetScan was ordered with unfavorable results; Lung Biopsy was ordered by Pulmonogist Lung Specialist.   ******DIAGNOSED 11-22-22 WITH SARCOIDOSIS THROUGH LUNG BIOPSY AT HOSPITAL. Was put on Prednisone for 2 months to control inflammation in lungs and mediastinal lymph nodes.  ******June 2024 - Rheumatologist diagnosed with Fibromyalgia.  As of August 2024; not in complete remission and struggling with most of the above symptoms on/off.  The worst symptoms for me to deal with is the neuropathy in legs/feet, vision disturbances and the body tremors.  VAERS NOTE:  Neurologist with Medical Group originally submitted a VAERS report August 2022 with a file # of E875238; however VAERS was never able to send me my final official report as I requested back in 2023.  I requested several times to include the paperwork with my notarized signature. VAERS suggested I re-submit a VAERS report to include all the updated diagnosis.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Visual impairment, Vitreous detachment, Vitreous floaters
Clinical narrative: J&J Vaccine 9-24-21@ Public Health Department (HD) Lot # 212A21A  See continuation page for further details: Reactions starting on day 4 after vaccine shot and listed in sequence has it occurred:  *****9-28-21 Allodynia in legs on day 4 after vaccine. DIAGNOSED BY NEURO SURGEON  2-14-22. Currently to be permanent damage.  *****10-1-21 Pins & needles, burning, and numbness on day 7 after Vaccine.  *****2-21-22 DIAGNOSED WTH SMALL FIBER Neuropathy BY SKIN BIOPSY FROM NEUROLOGIST OFFICE AND THRU LABS - pathology I refused proposed depression medication to control nerve pain/sfn. Sought holistic relief from nerve pain and staying off my feet for 4 months+ = chair bound.  As weeks/months progressed, so did reactions over a long period of time: On/off general feeling of malaise and fatigue - Continues on/off. Adrenal dumps/sleep distrubance -  first 3 weeks after vaccine constantly in a high state of  alertness. Could not sleep due to shocks/body zaps/adrenal dump episodes when trying to lay down for night. Continues on/off at lesser degree. Tremors throughout body and limbs - Continues on/off -especially when trying to go to sleep. Circadian rhythm off? Severe inflammation & pain right side of neck / lower neck into top of shoulder blade. Resolved. Extreme tight muscles shoulder / upper back area and throughout body - Continues on/off. Vision disturbances & diagnosed PVD - 5 weeks after vaccine. White flashes and floaters Continue! Skin rash on face - been treated 2x by Dermatologist - keeps coming back. Not fungus or bacterial based. Continues on/off. Sporadic blurry vision - no known cause - seen 3 different eye/retina specialists. Resolved. Tinnitus - in both ears - Continues. Random visceral pains throughout chest/ torso. Continues On/off.  *****July 2022 discovered a lung nodule via chest ct scan; rechecked in October 2022; Determined lung nodule increased in size and Mediastinal lymph nodes swollen. PetScan was ordered with unfavorable results; Lung Biopsy was ordered by Pulmonogist Lung Specialist.   ******DIAGNOSED 11-22-22 WITH SARCOIDOSIS THROUGH LUNG BIOPSY AT HOSPITAL. Was put on Prednisone for 2 months to control inflammation in lungs and mediastinal lymph nodes.  ******June 2024 - Rheumatologist diagnosed with Fibromyalgia.  As of August 2024; not in complete remission and struggling with most of the above symptoms on/off.  The worst symptoms for me to deal with is the neuropathy in legs/feet, vision disturbances and the body tremors.  VAERS NOTE:  Neurologist with Medical Group originally submitted a VAERS report August 2022 with a file # of E875238; however VAERS was never able to send me my final official report as I requested back in 2023.  I requested several times to include the paperwork with my notarized signature. VAERS suggested I re-submit a VAERS report to include all the updated diagnosis.
Sex: U
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: bilateral headache; This is a spontaneous report received from a Consumer or other non HCP, Program ID:.  A patient (age and gender not provided) received BNT162b2 (COMIRNATY), as dose number unknown, single (Lot number: FA6280) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: HEADACHE (non-serious) with onset 29Jul2021, outcome "not recovered", described as "bilateral headache".
Age: 75.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Death, Syncope, Unresponsive to stimuli
Clinical narrative: Patient died approximately 2 hours after the vaccine was administered.   Circumstances are otherwise unknown.
Age: 75.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Death
Clinical narrative: Patient died approximately 2 hours after the vaccine was administered.   Circumstances are otherwise unknown.
Age: 14.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Pain, Pruritus, Rash
Clinical narrative: diffuse maculopapular rash on torso, arms, neck.
Age: 14.0
Sex: M
Vaccine: MMR, MMR
Symptoms: Rash, Rash maculo-papular
Clinical narrative: diffuse maculopapular rash on torso, arms, neck.
Sex: M
Vaccine: HPV4, MEN
Symptoms: Injection site reaction
Clinical narrative: The patient developed injection site reaction; This spontaneous report was received from other health professional via company representative and other company concerning an 11-year-old male patient. The patient's medical history, family history, concurrent conditions, and concomitant therapies were not reported.  On an unknown date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection, administered for prophylaxis (strength, dose, lot #, expiry date, route of administration, and anatomical location were not provided) and with meningococcal vaccine a/c/y/w conj (tet tox) (MENQUADFI) solution for injection, administered for prophylactic vaccination (strength, dose, lot #, expiry date, route and site of administration were not provided).  On 15-MAR-2024, the patient developed injection site reaction (vaccination site reaction). It was not reported if the patient received a corrective treatment for the event. At the time of reporting, the outcome of the event was not known.   The causal relationship between the event and the suspect vaccines was not provided.  Lot # is being requested and will be submitted if received.
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Depression, Diarrhoea, Fatigue, Gastrointestinal disorder
Clinical narrative: Patient experienced  Depression; Chronic gastrointestinal complaints; Patient experienced  Diarrhea; Patient experienced vomiting; Patient experienced  Weakness; Patient experienced  Fatigue; This spontaneous report has been received from a nurse practitioner, regarding a female patient of unknown age and race. The patient's pertinent medical history, concurrent conditions, concomitant medications, and previous drug reactions or allergies were not reported.  On an unknown date in 2001, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection, administered for prophylaxis (strength, dose, vaccination scheme, route of administration, anatomical site of injection, lot number and expiration date were not reported).   On an unknown date (also reported as post full vaccination schedule), the patient experienced Depression, Chronic gastrointestinal complaints (Gastrointestinal disorder), Diarrhoea, Vomiting, Weakness (Asthenia), and Fatigue. The outcome of the event was not provided.   The causal relationship between the aforementioned events and the suspect vaccine was reported as related.  Additional information is not expected.
Sex: F
Vaccine: HPV4
Symptoms: Vomiting
Clinical narrative: Patient experienced  Depression; Chronic gastrointestinal complaints; Patient experienced  Diarrhea; Patient experienced vomiting; Patient experienced  Weakness; Patient experienced  Fatigue; This spontaneous report has been received from a nurse practitioner, regarding a female patient of unknown age and race. The patient's pertinent medical history, concurrent conditions, concomitant medications, and previous drug reactions or allergies were not reported.  On an unknown date in 2001, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection, administered for prophylaxis (strength, dose, vaccination scheme, route of administration, anatomical site of injection, lot number and expiration date were not reported).   On an unknown date (also reported as post full vaccination schedule), the patient experienced Depression, Chronic gastrointestinal complaints (Gastrointestinal disorder), Diarrhoea, Vomiting, Weakness (Asthenia), and Fatigue. The outcome of the event was not provided.   The causal relationship between the aforementioned events and the suspect vaccine was reported as related.  Additional information is not expected.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Injection site very sore to the touch/ pain at injection site; redness of about 2 inches diameter at injection site; itching at injection site; swelling at injection site; shivering; flu-like symptoms; Pain when lifting affected arm.; body aches; This non-serious case was reported by a consumer via call center representative and described the occurrence of injection site tenderness in a 56-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 30-JUL-2024, the patient received the 1st dose of Shingrix. On 31-JUL-2024, 1 days after receiving Shingrix, the patient experienced injection site tenderness (Verbatim: Injection site very sore to the touch/ pain at injection site), injection site erythema (Verbatim: redness of about 2 inches diameter at injection site), injection site itching (Verbatim: itching at injection site), injection site swelling (Verbatim: swelling at injection site), shivering (Verbatim: shivering), influenza-like symptoms (Verbatim: flu-like symptoms), pain in arm (Verbatim: Pain when lifting affected arm.) and general body pain (Verbatim: body aches). On 01-AUG-2024, the outcome of the influenza-like symptoms and general body pain were resolved (duration 1 day).  On 02-AUG-2024, the outcome of the shivering was resolved (duration 2 days). The outcome of the injection site tenderness, injection site erythema, injection site itching, injection site swelling and pain in arm were not resolved.   It was unknown if the reporter considered the injection site tenderness, injection site erythema, injection site itching, injection site swelling, shivering, influenza-like symptoms, pain in arm and general body pain to be related to Shingrix.     It was unknown if the company considered the injection site tenderness, injection site erythema, injection site itching, injection site swelling, shivering, influenza-like symptoms, pain in arm and general body pain to be related to Shingrix.   Additional Information: GSK receipt date: 05-AUG-2024 The patient reported that she received her first Shingrix dose and one day later, she had shivering, flu-like symptoms and body aches which resolved the next day.  She also began having redness, itching, pain at injection site, swelling at injection site, injection site was sore to touch and she has pain when lifting the affected arm above her head.   These symptoms were still (at the time of reporting) present 6 days after the vaccination. Did not consent to follow-up.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Pain, Pain in extremity
Clinical narrative: Injection site very sore to the touch/ pain at injection site; redness of about 2 inches diameter at injection site; itching at injection site; swelling at injection site; shivering; flu-like symptoms; Pain when lifting affected arm.; body aches; This non-serious case was reported by a consumer via call center representative and described the occurrence of injection site tenderness in a 56-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 30-JUL-2024, the patient received the 1st dose of Shingrix. On 31-JUL-2024, 1 days after receiving Shingrix, the patient experienced injection site tenderness (Verbatim: Injection site very sore to the touch/ pain at injection site), injection site erythema (Verbatim: redness of about 2 inches diameter at injection site), injection site itching (Verbatim: itching at injection site), injection site swelling (Verbatim: swelling at injection site), shivering (Verbatim: shivering), influenza-like symptoms (Verbatim: flu-like symptoms), pain in arm (Verbatim: Pain when lifting affected arm.) and general body pain (Verbatim: body aches). On 01-AUG-2024, the outcome of the influenza-like symptoms and general body pain were resolved (duration 1 day).  On 02-AUG-2024, the outcome of the shivering was resolved (duration 2 days). The outcome of the injection site tenderness, injection site erythema, injection site itching, injection site swelling and pain in arm were not resolved.   It was unknown if the reporter considered the injection site tenderness, injection site erythema, injection site itching, injection site swelling, shivering, influenza-like symptoms, pain in arm and general body pain to be related to Shingrix.     It was unknown if the company considered the injection site tenderness, injection site erythema, injection site itching, injection site swelling, shivering, influenza-like symptoms, pain in arm and general body pain to be related to Shingrix.   Additional Information: GSK receipt date: 05-AUG-2024 The patient reported that she received her first Shingrix dose and one day later, she had shivering, flu-like symptoms and body aches which resolved the next day.  She also began having redness, itching, pain at injection site, swelling at injection site, injection site was sore to touch and she has pain when lifting the affected arm above her head.   These symptoms were still (at the time of reporting) present 6 days after the vaccination. Did not consent to follow-up.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Influenza like illness, Malaise, Pain, Pruritus, Pyrexia
Clinical narrative: Fever 100.  Feeling pretty sick especially 2nd day after the shot.  Pretty much like I have the flu.  Fever, aches and itchiness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site irritation
Clinical narrative: Reported Symptoms: 10022079:INJECTION SITE IRRITATION;  Narrative: Other Relevant HX: Other: injection site irritation
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Delirium, Pyrexia
Clinical narrative: Reported Symptoms: 10010300:CONFUSION; 10012218:DELIRIUM: 10016558:FEVER;  Narrative: Patient reported non-facility administration of COVID-19 Vaccine from 11/24/2021. Patient presented to facility on 12/16/2021 to received second dose of Vaccine from facility. Patient did not report adverse effects of high fever and Delirium to his team until 03/22/2024, when he refused offer to get additional vaccine. Patient also complained to the team that he's had differences with thinking and concentrating since that time. Other Relevant HX: DELIRIUM, FEVER
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Reported Symptoms: 10004223:BELL'S PALSY;  Narrative: A 31yo patient with PMH of Lumbar Radiculopathy, presented to office to establish care as a new patient. The RN reported the patient had a historical ADR of Moderna covid-19 vaccine induced Bell's Palsy, classified as severe. No other detailed information was provided by the reporting RN, regarding the vaccine. i.e. Exp. date , Lot#,  where it was administered, when and by who ..) Other Relevant HX; Other: Bell's Palsy
Sex: M
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: Reported Symptoms: 10037844:RASH;  Narrative: A 70yo male with PMH of R. shoulder pain, Arthritis and ADHD who presented to the office, to establish care. The Clinic's RN, reported  the patient had Covid-19 Vaccine induced rash. No other detailed information was provided regarding the vaccine, where it was administered and by who.  Other Relevant HX:  Other: RASH
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Rash
Clinical narrative: Reported Symptoms: 10028332:MUSCLE SORENESS; 10037844:RASH;  Narrative: Other Relevant HX:  Other: RASH, muscle soreness
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia
Clinical narrative: Reported Symptoms: 10020639:HYPERGLYCEMIA;  Narrative: Per chart review, pt received COVID-19 moderna booster vaccine dose on 10/5/22. Reaction was not reported by patient until 4/3/24 during primary care appointment with pharmacist. No other documentation regarding incident was recorded on chart.  Other Relevant HX:  Other: HYPERGLYCEMIA
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cold sweat, Dyspnoea, Gait disturbance, Pyrexia
Clinical narrative: Reported Symptoms: 10009866:COLD SWEAT; 10013963:DYSPNEA; 10016558:FEVER;  Narrative: Patient had covid-19 vaccine administered at non-clinic location on 01/19/2021, patient reported being more unsteady than normal but denied fever and wife measured his 02 sat at 96%.  The next note in his chart is from 01/22/21. There is details that patient had to call an ambulance the night prior and he was found to have sepsis and was given IV fluids. Patient was admitted to hospital at that time with COVID pneumonia. Reaction not documented by team until 03/31/2024. Other Relevant HX: other; COLD SWEATS; FEVER; DYSPNEA
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Reported Symptoms: 10009866:COLD SWEAT; 10013963:DYSPNEA; 10016558:FEVER;  Narrative: Patient had covid-19 vaccine administered at non-clinic location on 01/19/2021, patient reported being more unsteady than normal but denied fever and wife measured his 02 sat at 96%.  The next note in his chart is from 01/22/21. There is details that patient had to call an ambulance the night prior and he was found to have sepsis and was given IV fluids. Patient was admitted to hospital at that time with COVID pneumonia. Reaction not documented by team until 03/31/2024. Other Relevant HX: other; COLD SWEATS; FEVER; DYSPNEA
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax abnormal, Cough, Dizziness, Fibrin D dimer increased
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10013573:DIZZINESS; 10037377:PULMONARY EMBOLISM;  Narrative: Patient did not have 4 months between COVID-19 Moderna vaccine (one given 11/30/23 and one given 3/12/24) Other Relevant HX: Patient did get a COVID Moderna Spikevax vaccine on 11/30/2024, this vaccine he received on 3/12/2024 was shy of 4 months between Other: Pulmonary Embolism
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Lung opacity, Pulmonary embolism, Troponin normal
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10013573:DIZZINESS; 10037377:PULMONARY EMBOLISM;  Narrative: Patient did not have 4 months between COVID-19 Moderna vaccine (one given 11/30/23 and one given 3/12/24) Other Relevant HX: Patient did get a COVID Moderna Spikevax vaccine on 11/30/2024, this vaccine he received on 3/12/2024 was shy of 4 months between Other: Pulmonary Embolism
Age: 79.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event, Vaccination error
Clinical narrative: Reported Symptoms: 10067482: NO ADVERSE EVENT;   Narrative: Pt administered influenza vaccine on 2/22/2023, after discussion with the patient and review of his EHR. After vaccination, pt disclosed to administering nurse that he had previously received the vaccine in Sept 2022. Review of immunization system after vaccination confirmed that patient did receive flu vaccine in September, making this a vaccination error. Pt counseled that he should only receive that he should only receive 1 vaccination per year and to contact primary care provider if any concerning side effects/adverse events occur. Other Relevant HX: Pt administered influenza vaccine on 2/22/2023, after discussion with the patient and review of his EHR. After vaccination, pt disclosed to administering nurse that he had previously received the vaccine in Sept 2022. Review of immunization system after vaccination confirmed that patient did receive flu vaccine in September, making this a vaccination error. Pt counseled that he should only receive that he should only receive 1 vaccination per year and to contact primary care provider if any concerning side effects/adverse events occur. Other: none
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Erythema multiforme, Pruritus, Rash, Tachypnoea
Clinical narrative: Reported Symptoms: 10015218:ERYTHEMA MULTIFORME; 10037087:PRURITUS; 10037844:RASH:  Narrative: Pt received Moderna booster on 12/07/2021 without issues. Pt had previously received primary series with Moderna and had no concerns or complaints. On 12/26/2021, pt reported a small rash/hives on chest and back that was nonreactive to benadryl. Prescribed triamcinolone and sarna creams, both unresponsive to rash. Also prescribed prednisone taper that rash was unresponsive to. On 03/05/2022, pt hospitalized for 12 day stay d/t rash. Rash spread to thighs and buttocks at that point and pt was very uncomfortable and tachypneic. Workup in the hospital with continued unclear etiology of rash. Medications that may potentially contribute are rivaroxaban (started in November 2021) and allopurinol for gout (pt had been on for extended period of time). Allopurinol d/c'd with no improvement in rash seen. Rivaroxaban never changed as not suspected to be the cause. Pt continues to have the rash, which was improved some during hospitalization. Further outpatient workup to be done to see if potential other etiology for the rash such as hematologic. Other Relevant HX: Pt started on rivaroxaban 11/02/2021. Has been on allopurinol for extended period of time Other:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Treatment failure, Urticaria
Clinical narrative: Reported Symptoms: 10015218:ERYTHEMA MULTIFORME; 10037087:PRURITUS; 10037844:RASH:  Narrative: Pt received Moderna booster on 12/07/2021 without issues. Pt had previously received primary series with Moderna and had no concerns or complaints. On 12/26/2021, pt reported a small rash/hives on chest and back that was nonreactive to benadryl. Prescribed triamcinolone and sarna creams, both unresponsive to rash. Also prescribed prednisone taper that rash was unresponsive to. On 03/05/2022, pt hospitalized for 12 day stay d/t rash. Rash spread to thighs and buttocks at that point and pt was very uncomfortable and tachypneic. Workup in the hospital with continued unclear etiology of rash. Medications that may potentially contribute are rivaroxaban (started in November 2021) and allopurinol for gout (pt had been on for extended period of time). Allopurinol d/c'd with no improvement in rash seen. Rivaroxaban never changed as not suspected to be the cause. Pt continues to have the rash, which was improved some during hospitalization. Further outpatient workup to be done to see if potential other etiology for the rash such as hematologic. Other Relevant HX: Pt started on rivaroxaban 11/02/2021. Has been on allopurinol for extended period of time Other:
Age: 93.0
Sex: M
Vaccine: COVID19-2
Symptoms: Paraesthesia, Rash, Rash macular, Skin warm
Clinical narrative: Reported Symptoms: 10037844:RASH;   Narrative: Patient called to alert writer that a similar rash to those seen in the past after vaccination occurred after this vaccine. Rash started on 09Nov (7 days after vaccination) and is continuing; however, he notes improvement. Patient noes red splotches up entire legs that were hot and tingly for the first few days.He denies any itching with the rash. Denies any difficulty breathing or further symptoms. At this time he feels he can manage the rash as it is something he has seen in the past with vaccines.  Of note, this is typical for him after vaccinations and has been documented and discussed with clinic and Allergy. Pt has noted similar reactions to other vaccines in the past which is documented. (ie he does not receive the flu vaccine anymore as this was happening yearly) Other Relevant HX: Patient called to alert writed that a similar rash to those seen in the past after vaccination occurred after this vaccine. Rash started on 09Nov (7 days after vaccination) and is continuing; however, he notes improvement. Patient noes red splotches up entire legs that were hot and tingly for the first few days.He denies any itching with the rash. Denies any difficulty breathing or further symptoms. At this time he feels he can manage the rash as it is something he has seen in the past with vaccines.  Of note, this is typical for him after vaccinations and has been documented and discussed with clinic and Allergy.  Other
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Antiphospholipid antibodies positive, Arthralgia, Blood test, Bone density decreased, Borrelia test negative
Clinical narrative: Vaccination given on 7/29/2023. Immediate reaction: very sore, red and swollen arm, fever, aches and pains for one week.  From 8/10/2023-8/13/2023 joint pain in both knees, both shoulders, and left hand and wrist developed and by the morning of 8/12 pain was so severe I could hardly walk or move from sitting to standing and the reverse. Severe pain continued until I saw a rheumatologist and started on prednisone. Diagnosed on 8/26/2023, after numerous blood tests and X-rays, with Rheumatoid Arthritis. Continuing in treatment for RA with methotrexate and prednisone. 7/29/2024 started Rituxan infusions as other meds aren?t successful in reducing inflammation. Bone density has gotten worse. High risk of fracture due to numerous risk factors including RA. Will be starting on Reclast infusions 8/19/2024. RA is a lifelong condition which is affecting other parts of my body. Cataract has worsened..probably due to taking prednisone.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: C-reactive protein increased, Cataract, Condition aggravated, Dysstasia, Erythema
Clinical narrative: Vaccination given on 7/29/2023. Immediate reaction: very sore, red and swollen arm, fever, aches and pains for one week.  From 8/10/2023-8/13/2023 joint pain in both knees, both shoulders, and left hand and wrist developed and by the morning of 8/12 pain was so severe I could hardly walk or move from sitting to standing and the reverse. Severe pain continued until I saw a rheumatologist and started on prednisone. Diagnosed on 8/26/2023, after numerous blood tests and X-rays, with Rheumatoid Arthritis. Continuing in treatment for RA with methotrexate and prednisone. 7/29/2024 started Rituxan infusions as other meds aren?t successful in reducing inflammation. Bone density has gotten worse. High risk of fracture due to numerous risk factors including RA. Will be starting on Reclast infusions 8/19/2024. RA is a lifelong condition which is affecting other parts of my body. Cataract has worsened..probably due to taking prednisone.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Gait disturbance, Immediate post-injection reaction, Infusion, Injection site joint pain, Laboratory test
Clinical narrative: Vaccination given on 7/29/2023. Immediate reaction: very sore, red and swollen arm, fever, aches and pains for one week.  From 8/10/2023-8/13/2023 joint pain in both knees, both shoulders, and left hand and wrist developed and by the morning of 8/12 pain was so severe I could hardly walk or move from sitting to standing and the reverse. Severe pain continued until I saw a rheumatologist and started on prednisone. Diagnosed on 8/26/2023, after numerous blood tests and X-rays, with Rheumatoid Arthritis. Continuing in treatment for RA with methotrexate and prednisone. 7/29/2024 started Rituxan infusions as other meds aren?t successful in reducing inflammation. Bone density has gotten worse. High risk of fracture due to numerous risk factors including RA. Will be starting on Reclast infusions 8/19/2024. RA is a lifelong condition which is affecting other parts of my body. Cataract has worsened..probably due to taking prednisone.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Mobility decreased, Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Vaccination given on 7/29/2023. Immediate reaction: very sore, red and swollen arm, fever, aches and pains for one week.  From 8/10/2023-8/13/2023 joint pain in both knees, both shoulders, and left hand and wrist developed and by the morning of 8/12 pain was so severe I could hardly walk or move from sitting to standing and the reverse. Severe pain continued until I saw a rheumatologist and started on prednisone. Diagnosed on 8/26/2023, after numerous blood tests and X-rays, with Rheumatoid Arthritis. Continuing in treatment for RA with methotrexate and prednisone. 7/29/2024 started Rituxan infusions as other meds aren?t successful in reducing inflammation. Bone density has gotten worse. High risk of fracture due to numerous risk factors including RA. Will be starting on Reclast infusions 8/19/2024. RA is a lifelong condition which is affecting other parts of my body. Cataract has worsened..probably due to taking prednisone.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Rheumatoid arthritis, Rheumatoid factor positive, X-ray abnormal
Clinical narrative: Vaccination given on 7/29/2023. Immediate reaction: very sore, red and swollen arm, fever, aches and pains for one week.  From 8/10/2023-8/13/2023 joint pain in both knees, both shoulders, and left hand and wrist developed and by the morning of 8/12 pain was so severe I could hardly walk or move from sitting to standing and the reverse. Severe pain continued until I saw a rheumatologist and started on prednisone. Diagnosed on 8/26/2023, after numerous blood tests and X-rays, with Rheumatoid Arthritis. Continuing in treatment for RA with methotrexate and prednisone. 7/29/2024 started Rituxan infusions as other meds aren?t successful in reducing inflammation. Bone density has gotten worse. High risk of fracture due to numerous risk factors including RA. Will be starting on Reclast infusions 8/19/2024. RA is a lifelong condition which is affecting other parts of my body. Cataract has worsened..probably due to taking prednisone.
Age: 80.0
Sex: M
Vaccine: RSV
Symptoms: Basal cell carcinoma, Discharge, Injection site reaction, Pain in extremity
Clinical narrative: Arm pain, oozing fluid for over 2 months, developed basal cell carcinoma at site
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Arthralgia, Blood creatine phosphokinase increased, Injected limb mobility decreased, Muscular weakness
Clinical narrative: Pain and weakness of the left shoulder area  with significantly decreased range of motion and strength. Duration of 2 weeks.
Age: 0.17
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV1
Symptoms: Injection site swelling, Injection site urticaria, Pallor, Urticaria
Clinical narrative: The patients right this become swollen  about the size of a softball, the patient then  developed patches of hives on legs, torso and chest.  the patient became very pale in color.  The patient was given  2mg of decadron in office.  Dr.  stayed in the room to monitor the patient during the reaction. Dad contacted this morning and the hives are gone and leg is back to normal size. The patient did have fever which dad notified was normal.
Age: 27.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Redness and swelling at injection site starting within an hour of injection. Swelling, redness, and mild pain still present Aug 15th 9:00am.  Mild fever of 100.5 started about 24hrs after injection, subsided by 48hrs.
Age: 27.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Injection site indentation, Muscle atrophy
Clinical narrative: Shoulder pain which has lasted over 6 months. Muscle wasting and indentation on the skin around 2x2 cm2 at the injection site.
Age: 0.17
Sex: M
Vaccine: DTAP
Symptoms: Diarrhoea, Vomiting projectile
Clinical narrative: Projectile Vomiting and diarrhea at 0600 day after shot, no treatment, no additional outcomes.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Administration error- patient was administered a Boostrix Tdap vaccine at 10:41 AM on 8/14/2024 that was not due, no negative outcomes, parent was informed, no harm to patient.
Age: 35.0
Sex: M
Vaccine: FLUC4
Symptoms: Rash, Rash pruritic
Clinical narrative: Pt states an itchy rash began on his hands and left arm on 8/14. Upon waking on 8/15 rash has spread to cover much of the body. Rash with itching is the only symptom so far.
Age: 25.0
Sex: M
Vaccine: TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Individual was intended to receive a tdap vaccine. 0.5 of Tuberculin purified protein derivative (mantoux) tubersol drawn up in a syringe and given to the individual in the R deltoid. by mistake. Individual then received the correct vaccine in the L deltoid. He was counseled by DNP, FNP-BC after speaking with pharmacy and a representative from sanofi. He was educated to report any adverse reactions. Patient reported roughly two weeks later that there were no adverse side effects.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Musculoskeletal chest pain
Clinical narrative: Starting within 24 hours of the vaccine administration and no injury, severe left sided mid back pain that follows dermatome over left rib area, lasting almost 4 weeks and still painful currently. Starting treatment with cyclobenzaprine and gabapentin.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Pallor, Seizure
Clinical narrative: Medical staff was informed at 11:25am that Pt had a seizure in father?s truck by father who was carrying patient into lobby through office front door. Patient was brought in carried by father into extension of room 6. Patient placed in supine position on exam table. Pt was assessed and examined by FNP. No signs of respiratory distress, choking or airway obstruction were noted at this time. Patient was alert but pale in color.  Vitals were taken by MA,  Vitals were 125/71 pulse 103 temp 97.4 O2 99%. O2 mask placed on patient at 5L but patient O2 read at 98% so oxygen therapy was discontinued after approximately 2 minutes. When asking patient questions, patient was fully responsive and coherent. Patient was able to carry conversation regarding starting school, his age, his grade and s
Age: 81.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: no adverse effects noted. patient received a 2nd flu vaccine 3 weeks later
Age: 10.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Rash, Urticaria
Clinical narrative: Went to ER on 8/13/24.   Urticarial rash on the extremities and trunk. No vesicles, scabs, or drainage.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, VARCEL
Symptoms: Syncope
Clinical narrative: Patient fainted after leaving the patient room in the lobby
Age: 14.0
Sex: M
Vaccine: MENB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: MA intended to give MCV4O but administered a MenB vaccine instead. No adverse side effects were noted. Patient was notified of the error.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: patient has ran low grade fever, no higher than 100.3, red, heated area at  each vaccine site
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Acne, Adnexa uteri pain, Alopecia, Fatigue, Headache
Clinical narrative: chronic, constant, extreme pain in ovaries; hormone shifts (hair falling out, abnormal discharge & periods -- both timing & consistency, night sweats, abnormal acne & body odor); fatigue; headaches/migraines
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Hormone level abnormal, Menstrual disorder, Migraine, Night sweats, Skin odour abnormal
Clinical narrative: chronic, constant, extreme pain in ovaries; hormone shifts (hair falling out, abnormal discharge & periods -- both timing & consistency, night sweats, abnormal acne & body odor); fatigue; headaches/migraines
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Vaginal discharge
Clinical narrative: chronic, constant, extreme pain in ovaries; hormone shifts (hair falling out, abnormal discharge & periods -- both timing & consistency, night sweats, abnormal acne & body odor); fatigue; headaches/migraines
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Dizziness, Dyskinesia, Hypotension, Loss of consciousness, Pallor
Clinical narrative: DIZZINESS, PALENESS, LOSS OF CONSCIOUSNESS, INVOLUNTARY MOVEMENTS, HYPOTENSION.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: On August 14th at 7:30pm, a 16-year-old patient accompanied by her guardian visited the pharmacy to receive a varicella vaccine. Prior to the vaccination, they were required to complete an immunization consent/screening form. One of the questions on the form asked, "Have you received any vaccination in the past 4 weeks". The guardian answered "no" to this question. Both the patient and the guardian speak a foreign language. The bilingual pharmacist, asked the same question in preferred language, to which the guardian also responded "no". After administering the vaccine, the pharmacist accessed the immunization registry and printed the immunization record report. It was then revealed an MMR vaccine the day before, on August 13th, at a different pharmacy. The guardian stated someone else must have taken the student to get vaccinated the day before and she was not aware of that. The pharmacist explained to the guardian that because two different live vaccines were administered less than 28 days apart, the second live vaccine (Varivax) would be deemed invalid and would need to be repeated at least 28 days later. The guardian appeared to understand the situation and accepted the pharmacist's advice.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: prescriber sent Rx for patient to receive the Hep-B 10 MCG/0.5ML. Pharmacist informed patient that the dose was low for adults and was told she had blood work done and her Hep-b level came low and the physician wanted her to get the lower dose of Hep-B to boost her immunity. Pharmacist also called the prescriber and confirmed and gave her the vaccine. Patient is not experiencing any adverse effects from the vaccine or the subsequent dose she was given on 5/7/2024. clinical team looked at the claim and realized this was out of CDC and (PRIVACY) regulations for vaccination guideline protocols. Pharmacist spoke with the prescriber again on 8/14/2024 and physician wants the patient to receive the 3rd dose of 10MCG. We informed the prescriber that we will not be able  to administer the 3rd dose but can dispense for the patient to take to physician's office.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Abdominal discomfort, Chills, Cold sweat, Dizziness, Feeling hot
Clinical narrative: About 5-10 minutes after receiving vaccine patient stated that she wasn't feeling well.  She said, "I think I'm going to pass out."  Right after patient said that she passed out and was out for about 5-10 seconds.  When patient came to, she felt hot, got clammy, stomach was upset, and patient was having chills.   B/P was taken 2 times within 5 minutes of each other:  L-Brachial 98/50, 5 minutes later L-Brachial 92/48.    This nurse had patient stay in room with her brother and grandmother (adult who brought her to her appointment) for at least 15-20 minutes for observation.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Loss of consciousness
Clinical narrative: About 5-10 minutes after receiving vaccine patient stated that she wasn't feeling well.  She said, "I think I'm going to pass out."  Right after patient said that she passed out and was out for about 5-10 seconds.  When patient came to, she felt hot, got clammy, stomach was upset, and patient was having chills.   B/P was taken 2 times within 5 minutes of each other:  L-Brachial 98/50, 5 minutes later L-Brachial 92/48.    This nurse had patient stay in room with her brother and grandmother (adult who brought her to her appointment) for at least 15-20 minutes for observation.
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: prescriber sent Rx for patient to receive the Hep-B 10 MCG/0.5ML. Pharmacist informed patient that the dose was low for adults and was told she had blood work done and her Hep-b level came low and the physician wanted her to get the lower dose of Hep-B to boost her immunity. Pharmacist also called the prescriber and confirmed and gave her the vaccine. Patient is not experiencing any adverse effects from the vaccine or the subsequent dose she was given on 5/7/2024. Store clinical team looked at the claim and realized this was out of CDC and state regulations for vaccination guideline protocols. Pharmacist spoke with the prescriber again on 8/14/2024 and physician wants the patient to receive the 3rd dose of 10MCG. We informed the prescriber that we will not be able  to administer the 3rd dose but can dispense for the patient to take to physician's office.
Age: 1.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: patient received the adult dose of Hep A (1.0 ml) v. the pediatric dose of Hep A (0.5 ml)
Age: 16.0
Sex: M
Vaccine: HEPA, IPV, MENB
Symptoms: Wrong product administered
Clinical narrative: ACCIDENTAL DOSE OF HEP A GIVEN
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient received the Hep A adult dose of 1.0 ml v. pediatric dose of 0.5 ml
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site pain, Mobility decreased, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Patient is here today with her father for evaluation of finger pain and stiffness after vaccine administration.  Patient received the MCV4 on August 9th, 2024.  She reports no difficulties with administration and only had mild pain while getting the shot.  6-8 hours later she noticed that her right fingers became stiff and painful.  She denies any swelling in her fingers, hands or joints.  She describes that it was hard to make a fist as her fingers felt very stiff and painful.  She denies any joint erythema.  She denies any fevers.  Her symptoms seemed to wax and wane as 48 hours ago she thought that her pain and stiffness had completely resolved but then yesterday her symptoms returned.  No previous injury or trauma to her right arm hand or fingers.  She has been afebrile.  No other joint stiffness or pain.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: ON 08/15 PATIENT WANTED TO MAKE PHARMACIST AWARE OF SIGNIFICANT BRUISING AROUND INJECTION SITE. SHE DENIED ANY PAIN AT THIS TIME. SHE STATED WAS SORE FOR A COUPLE OF DAYS.  I ASKED IF HER BRUISING WAS ANY BETTER OR WORSE TODAY AND SHE STATED BETTER.  I ADVISED TO MONITOR AND IF ANY PROBLEMS ARISE OR IF IT WAS ANY WORSE TO CONTACT HER PHYSICIAN IMMEDIATELY.
Age: 82.0
Sex: F
Vaccine: RSV
Symptoms: Injection site cellulitis, Injection site rash
Clinical narrative: Patient got the vaccine and got a rash the next day on her arm, around the area she got the vaccine. She went to her doctors, who suspected cellulitis. She was put in doxycycline and it seems to be taking care of the issue
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyskinesia, Muscle spasms, Paraesthesia
Clinical narrative: Patient received the Shingrix shot in her left arm on 8/9/2024 and the night of 8/10/2024 she experienced tingling in both arms and could not control the movement of both arms. She had muscle like spasms. She did not need any medical treatment and it resolved on its own the morning of 8/12/24
Age: 26.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP, CHIK
Symptoms: Arthralgia, Menstruation irregular, Pyrexia
Clinical narrative: The Client was given IxchiQ at 10am Thurs 8/8/24. On Sat 8/10/24 she began having soreness and joint pain starting in her upper body/neck and then spread to her hips & legs. This continued for 3 days (Sat/Sun/Mon) along with fevers (mostly in the evenings- she did not have a thermometer but thinks it wasn't very high- no chills.) She took ibuprofen intermittently but symptoms continued.   On MON 8/12/24 she called me to report that she had started her menstrual period 12 days early. She and her Fiance use condoms for birth control and are "very careful". She monitors her temps & cycles carefully and states her Fiance was out of town last month during her fertile period, so she doesn't think there is any possibility of being pregnant. Her period is not heavier or different than it normally is.   She did not do a Covid test because she didn't have what she thought were normal signs of Covid: sore throat/congestion). On TUES 8/13 and she states her fever is gone and she has minimal joint pain. We were unable to follow up any further because she left for a 2 week international trip on WED 8/14.
Age: 26.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP, CHIK
Symptoms: Arthralgia, Menstruation irregular
Clinical narrative: The Client was given IxchiQ at 10am Thurs 8/8/24. On Sat 8/10/24 she began having soreness and joint pain starting in her upper body/neck and then spread to her hips & legs. This continued for 3 days (Sat/Sun/Mon) along with fevers (mostly in the evenings- she did not have a thermometer but thinks it wasn't very high- no chills.) She took ibuprofen intermittently but symptoms continued.   On MON 8/12/24 she called me to report that she had started her menstrual period 12 days early. She and her Fiance use condoms for birth control and are "very careful". She monitors her temps & cycles carefully and states her Fiance was out of town last month during her fertile period, so she doesn't think there is any possibility of being pregnant. Her period is not heavier or different than it normally is.   She did not do a Covid test because she didn't have what she thought were normal signs of Covid: sore throat/congestion). On TUES 8/13 and she states her fever is gone and she has minimal joint pain. We were unable to follow up any further because she left for a 2 week international trip on WED 8/14.