chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Event: Pediatric Pfizer Vaccine Lot Number FK5127, was improperly stored in an Immunizations Freezer that maintained a temperature between -15 Celsius and -24 Celsius. Per the Manufacture?s guidelines the vaccine must be stored in a Refrigerator maintaining temperature of 2-8 Degrees Celsius or an Ultra-Low Cold Freezer maintaining temperature of -90C or lower. The patient received the vaccine that was improperly stored.  Treatment: Not required, patient did not report any adverse reactions to the Vaccine.  Outcome: Patient?s guardian notified and offered to restart the Pediatric Pfizer Covid Vaccine series again stored at the proper temperature.  Signs, Symptoms course, etc. None reported by the patient?s guardian
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ear swelling, Pharyngeal swelling, Pruritus, Swelling face, Throat irritation
Clinical narrative: Patient experienced itching & swelling on her face, ears, & throat.  She contacted the pharmacy & was instructed to go to an emergency department.  She was treated with IV antihistamines, steroids, & H2 blockers, & released.
Age: 86.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine was inadvertently administered past to 30 day use by date.  Moderna company was contacted and case ID CEA 1917 given.  No signs or symptoms reported at this time.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Incorrect dose administered, Pain in extremity, Product preparation issue
Clinical narrative: Vaccine administration error. There was an error discovered that the Pediatric Covid vaccine was mistakenly not diluted prior to administration of vaccine to child resulting in higher than authorized dose (0.2 mL of undiluted vaccine administered).  Upon discovery of error, management consulted Health Department pharmacist, Medical Director, Administration, and Pfizer. Parent was notified on 03/22/22 of error and given guidance based on CDC and manufacturer's recommendation to not repeat dose and inform recipient of the potential for local and systemic adverse events.  Mother states  the patient woke up in the night coughing and complained that her chest was hurting and mom gave her Tylenol. Mom states she also gave Tylenol again before school,  and at that time said her arm was sore. The mom reports that she has been giving both children allergy medications. Both children have been at school all day (call took place at 1:30) and the mother has not been contacted with any issues. The mother states that she will call their Pediatrician for an appointment if the daughter has chest pain when she gets out of school.   Questions answered.  Informed mother to contact the health department and the child's pediatrician and/or seek medical care if the child has any concerning side effects.  Health Department to follow-up with family over the next days and week.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Endotracheal intubation, General physical health deterioration
Clinical narrative: 12/18/21 pt presents to ED with increasing SOB; had a hospital admission from 12/13/21 - 12/15/21 due to COVID; was dc'd to home; worsening SOB in ED; O2 supplementation; given Remdesivir, dexamethasone; pt stable; developed a pneumothorax; DNR; pt's condition worsened; poor prognosis; initially refused intubation then changed her mind; pt intubated on mechanical ventilation; worsening respiratory status and hypotension; sputum positive for MRSA; pt deteriorated and passed away in the hospital
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Mechanical ventilation, Pneumothorax, Sputum culture positive, Staphylococcus test positive
Clinical narrative: 12/18/21 pt presents to ED with increasing SOB; had a hospital admission from 12/13/21 - 12/15/21 due to COVID; was dc'd to home; worsening SOB in ED; O2 supplementation; given Remdesivir, dexamethasone; pt stable; developed a pneumothorax; DNR; pt's condition worsened; poor prognosis; initially refused intubation then changed her mind; pt intubated on mechanical ventilation; worsening respiratory status and hypotension; sputum positive for MRSA; pt deteriorated and passed away in the hospital
Age: 8.0
Sex: M
Vaccine: COVID19, FLUC4, HEPA
Symptoms: Product storage error
Clinical narrative: Event: Pediatric Pfizer Vaccine Lot Number FK5127, was improperly stored in an Immunizations Freezer that maintained a temperature between -15 Celsius and -24 Celsius. Per the Manufacture?s guidelines the vaccine must be stored in a Refrigerator maintaining temperature of 2-8 Degrees Celsius or an Ultra-Low Cold Freezer maintaining temperature of -90C or lower. The patient received the vaccine that was improperly stored.  Treatment: Not required, patient did not report any adverse reactions to the Vaccine.  Outcome: Patient?s guardian notified and offered to restart the Pediatric Pfizer Covid Vaccine series again stored at the proper temperature.  Signs, Symptoms course, etc. None reported by the patient?s guardian
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine was inadvertently administered past the 30 day use by date.  Moderna company was contacted and case ID given.  No signs or symptoms reported at this time.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: A few days after receiving my vaccination I started experienced some in the nose hallucination. I started to smell very strong cigarette smoke. It was like someone was following me around with a cigarette. I consulted with my Doctor and he said he never heard of the reaction and was going to follow up. The in nose hallucination lasted for 10 days and came back for 5 days. It was intermittent and I am now experiencing the cigarette smoke smell again.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Muscle strain, Neck pain
Clinical narrative: Next day woke up and had a bad headache and it was there all day, then the next day, started feeling sharp pains in right calf, legs and back of my neck, felt like it was shooting up her neck to head. The doctor said it was only from pulled muscle and didn't take me seriously. Felt extreme foggy-headed and dizzy. Still haven't fully recovered from foggy-headedness and dizziness. When I tried to reach out to the doctor even now, he doesn't take her seriously.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Next day woke up and had a bad headache and it was there all day, then the next day, started feeling sharp pains in right calf, legs and back of my neck, felt like it was shooting up her neck to head. The doctor said it was only from pulled muscle and didn't take me seriously. Felt extreme foggy-headed and dizzy. Still haven't fully recovered from foggy-headedness and dizziness. When I tried to reach out to the doctor even now, he doesn't take her seriously.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID -19 infection
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient presented to clinic for COVID 19 booster and was given a full-dose Moderna vaccine.  RN left voicemail notifying patient of dosing error and to call with questions/concerns.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Death, Dyspnoea, Necrotising fasciitis
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Moderna product on 12/29/2020 and 01/26/2021. Lot numbers are not available to me.   The individual arrived to emergency department via ambulance on 02/23/2022. Primary complaint was respiratory distress/shortness of breath. The individual had recent extensive surgical treatment for a bout of necrotizing fasciitis in the hip area. The individual was non-responsive to emergency department and had complete loss of pulse. After CPR, the individual's pulse recovered and they were transferred to a different hospital for a higher level of care. Given poor prognosis and overall medical frailty, the individual was transitioned to comfort care only on 02/25/2022. The individual died on 03/03/2022.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulse absent, Respiratory distress, Resuscitation, SARS-CoV-2 test positive, Surgery
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Moderna product on 12/29/2020 and 01/26/2021. Lot numbers are not available to me.   The individual arrived to emergency department via ambulance on 02/23/2022. Primary complaint was respiratory distress/shortness of breath. The individual had recent extensive surgical treatment for a bout of necrotizing fasciitis in the hip area. The individual was non-responsive to emergency department and had complete loss of pulse. After CPR, the individual's pulse recovered and they were transferred to a different hospital for a higher level of care. Given poor prognosis and overall medical frailty, the individual was transitioned to comfort care only on 02/25/2022. The individual died on 03/03/2022.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Moderna product on 12/29/2020 and 01/26/2021. Lot numbers are not available to me.   The individual arrived to emergency department via ambulance on 02/23/2022. Primary complaint was respiratory distress/shortness of breath. The individual had recent extensive surgical treatment for a bout of necrotizing fasciitis in the hip area. The individual was non-responsive to emergency department and had complete loss of pulse. After CPR, the individual's pulse recovered and they were transferred to a different hospital for a higher level of care. Given poor prognosis and overall medical frailty, the individual was transitioned to comfort care only on 02/25/2022. The individual died on 03/03/2022.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: When I caught COVID I had a low grade fever, chills, a cough, and congestion. It was very mild and lasted for about 5 days. I got the monoclonal antibodies on 1/28/2022.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: When I caught COVID I had a low grade fever, chills, a cough, and congestion. It was very mild and lasted for about 5 days. I got the monoclonal antibodies on 1/28/2022.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine was inadvertently administered past the 30 day use by date.  Moderna company contacted and case ID was given. No reports of any signs or symptoms given at this time.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Muscle spasms, Myalgia
Clinical narrative: headache, joint pain, muscle pain and spasms. pain similar to pinched nerve. Extreme tiredness, fever
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nerve compression, Pyrexia
Clinical narrative: headache, joint pain, muscle pain and spasms. pain similar to pinched nerve. Extreme tiredness, fever
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity, Product preparation issue
Clinical narrative: Vaccine administration error. There was an error discovered that the Pediatric Covid vaccine was mistakenly not diluted prior to administration of vaccine to child resulting in higher than authorized dose (0.2 mL of undiluted vaccine administered).  Upon discovery of error, management consulted Health Department pharmacist, Medical Director, Administration, and Pfizer. Parent was notified on 03/22/22 of error and given guidance based on CDC and manufacturer's recommendation to not repeat dose and inform recipient of the potential for local and systemic adverse events.  Mother states child has not had any adverse effects after his vaccine. States had a sore arm for which she gave him Tylenol for this morning. Child went to school today, and mother has not been contacted about any issues today from school.  Questions answered.  Informed to seek medical care and inform us immediately if child experiences adverse effects. Health Department to follow-up with family over the next days and week.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Epistaxis, Pruritus, Tinnitus
Clinical narrative: Chest pain- Nose bleeds- Continuous itching all of the body-antihistamines, steriod creams Tinnitus-constant, loud, continuous ringing and buzzing Inner ear pain-
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient presented to clinic for COVID 19 booster and was given a full-dose Moderna vaccine. Patient notified of dosing error via voicemail and advised to call with questions/concerns.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Asthenia, Chills, Fall, Headache
Clinical narrative: The day after the injection, I experienced sweating, chills, fever,  weakness, stomach upset, nausea and headache. Fell from weakness.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: The day after the injection, I experienced sweating, chills, fever,  weakness, stomach upset, nausea and headache. Fell from weakness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood pressure increased, Chest X-ray normal, Chest pain
Clinical narrative: I am not clear of connection to vaccine but on 1/7/22 I experienced a sudden pain in my chest which radiated to my left shoulder, neck and back.  This lasted approximately 30 minutes.  At the same time as the sudden pain, I felt tingling in my hands and feet.  I was a passenger in the car at the time and did not seek immediate medical care.  Four and five days after this event, I had similar pain following exercise but not as strong and for a shorter duration.  I did get in to see my primary care physician to follow up and was rereferred for blood work to test for Troponin and D-Dimer as well as a CCTA scan.  My blood pressure was above my normal low numbers during testing.  With continued chest pain, racing heart and no results from blood test or an appointment for the CCTA scan, I was concerned enough to go to the ER.  Blood Pressure was high, chest X-ray was normal, EKG was normal. Troponin and D-Dimer were normal.  A CT scan of the lungs was also normal.  Follow up testing with Cardiologists and CCTA scan have not revealed a heart concern to date.  Hypertension was diagnosed.  No real understanding of what caused event or ongoing chest pain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Fibrin D dimer normal, Hypertension, Neck pain, Pain
Clinical narrative: I am not clear of connection to vaccine but on 1/7/22 I experienced a sudden pain in my chest which radiated to my left shoulder, neck and back.  This lasted approximately 30 minutes.  At the same time as the sudden pain, I felt tingling in my hands and feet.  I was a passenger in the car at the time and did not seek immediate medical care.  Four and five days after this event, I had similar pain following exercise but not as strong and for a shorter duration.  I did get in to see my primary care physician to follow up and was rereferred for blood work to test for Troponin and D-Dimer as well as a CCTA scan.  My blood pressure was above my normal low numbers during testing.  With continued chest pain, racing heart and no results from blood test or an appointment for the CCTA scan, I was concerned enough to go to the ER.  Blood Pressure was high, chest X-ray was normal, EKG was normal. Troponin and D-Dimer were normal.  A CT scan of the lungs was also normal.  Follow up testing with Cardiologists and CCTA scan have not revealed a heart concern to date.  Hypertension was diagnosed.  No real understanding of what caused event or ongoing chest pain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Troponin normal
Clinical narrative: I am not clear of connection to vaccine but on 1/7/22 I experienced a sudden pain in my chest which radiated to my left shoulder, neck and back.  This lasted approximately 30 minutes.  At the same time as the sudden pain, I felt tingling in my hands and feet.  I was a passenger in the car at the time and did not seek immediate medical care.  Four and five days after this event, I had similar pain following exercise but not as strong and for a shorter duration.  I did get in to see my primary care physician to follow up and was rereferred for blood work to test for Troponin and D-Dimer as well as a CCTA scan.  My blood pressure was above my normal low numbers during testing.  With continued chest pain, racing heart and no results from blood test or an appointment for the CCTA scan, I was concerned enough to go to the ER.  Blood Pressure was high, chest X-ray was normal, EKG was normal. Troponin and D-Dimer were normal.  A CT scan of the lungs was also normal.  Follow up testing with Cardiologists and CCTA scan have not revealed a heart concern to date.  Hypertension was diagnosed.  No real understanding of what caused event or ongoing chest pain.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Death, Dyspnoea exertional, Endotracheal intubation
Clinical narrative: pt presents to hosp with exertion dyspnea and vomiting; positive test for COVID; started on O2 supplementation, baricitinib, and dexamethasone; transferred to MICU; respiratory status worsened; COVID ARDS; pt intubated; condition worsened; family decided to focus on comfort for the pt; pt passed away peacefully in the hospital
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, SARS-CoV-2 test positive, Vomiting
Clinical narrative: pt presents to hosp with exertion dyspnea and vomiting; positive test for COVID; started on O2 supplementation, baricitinib, and dexamethasone; transferred to MICU; respiratory status worsened; COVID ARDS; pt intubated; condition worsened; family decided to focus on comfort for the pt; pt passed away peacefully in the hospital
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered a Moderna Booster dose on 3/7/22 around 10:24a past the Beyond Use Date of 3/3/2022 and manufactured expiration date of 4/24/2022.  Learned of error today when examining number of doses remaining.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt presented to vaccination site and requested Janssen COVID vaccine booster dose. Patient received Pfizer 1st dose on 3/26/21 and Pfizer 2nd dose 4/14/21. RN 1 educated patient on health risks of Janssen COVID vaccine. Patient verbalized understanding and requested Janssen COVID vaccine booster dose. RN 1 submitted a medical consult via Patient presented to vaccination site and requested Janssen COVID-19 vaccine booster dose. Patient received Pfizer 1st dose on 3/26/21 and Pfizer 2nd dose 4/14/21. RN 1 educated patient on health risks of Janssen COVID-19 vaccine. Patient verbalized understanding and requested Janssen COVID-19 vaccine booster dose. RN 1 submitted a medical consult via collaboration app to clinical project coordinators requesting to proceed with Janssen COVID-19 vaccine. Clinical project coordinator RN 2 elevated request to medical consult team. MD 1 from medical consult team approved request for Janssen COVID-19 vaccine booster dose. On 3/21/21, patient received Janssen COVID-19 vaccine (lot 1855191) booster dose at 1359. EMT 1 educated patient on signs and symptoms of adverse reactions, when to seek emergency care, and to register on v-safe. At approximately 1415, patient left facility with unlabored respirations and steady gait. to Clinical Project Coordinators requesting to proceed with Janssen COVID vaccine. Clinical Project Coordinator RN 2 elevated request to medical consult team. MD 1 from medical consult team approved request for Janssen COVID vaccine booster dose. On 3/21/21, patient received Janssen COVID vaccine (LOT# 1855191) booster dose at 1359. EMT 1 educated patient on signs and symptoms of adverse reactions, when to seek emergency care, and to register on V-Safe. At approximately 1415, patient left facility with unlabored respirations and steady gait.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: This persona attended an Influenza clinic at a facility and received a Fluzone HD when we billed his insurance it was indicated that he received it twice.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered a Moderna 2nd  dose on 3/7/22 around 12:30a past the Beyond Use Date of 3/3/2022 and manufactured expiration date of 4/24/2022.  Learned of error today when examining number of doses remaining.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fatigue, Feeling abnormal, Headache
Clinical narrative: skin rash all over body, muscle aches, fever comes and goes, headache sinus headache, extreme fatigue, brain fog, lasted two weeks started to abate, another week before strength came back to normal, another week after that before brain fog went away, night sweats,
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Night sweats, Pyrexia, Rash, SARS-CoV-2 test positive
Clinical narrative: skin rash all over body, muscle aches, fever comes and goes, headache sinus headache, extreme fatigue, brain fog, lasted two weeks started to abate, another week before strength came back to normal, another week after that before brain fog went away, night sweats,
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus headache
Clinical narrative: skin rash all over body, muscle aches, fever comes and goes, headache sinus headache, extreme fatigue, brain fog, lasted two weeks started to abate, another week before strength came back to normal, another week after that before brain fog went away, night sweats,
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient presented to clinic for COVID 19 booster and was given a full-dose Moderna vaccine.  RN notified  patient of dosing error and advised him to call with questions/concerns.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given his 2nd Pfizer vaccine 6 days before the recommended time between the 1st and 2nd dose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Condition aggravated, Deafness unilateral, Influenza like illness, Magnetic resonance imaging
Clinical narrative: Flu like symptoms for a day. Sudden hearing loss in right ear 4/3/21. Hearing not restored. Physicians don't know the cause.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Sudden hearing loss
Clinical narrative: Flu like symptoms for a day. Sudden hearing loss in right ear 4/3/21. Hearing not restored. Physicians don't know the cause.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt presented to vaccination site and requested Janssen COVID vaccine booster dose. Patient received Sinovac 1st dose on 3/11/21 and Sinovac 2nd dose 4/9/21. RN 1 educated patient on health risks of Janssen COVID vaccine. Patient verbalized understanding and requested Janssen COVID vaccine booster dose. RN 1 submitted a medical consult via Patient presented to vaccination site and requested Janssen COVID-19 vaccine booster dose. Patient received Pfizer 1st dose on 3/26/21 and Pfizer 2nd dose 4/14/21. RN 1 educated patient on health risks of Janssen COVID-19 vaccine. Patient verbalized understanding and requested Janssen COVID-19 vaccine booster dose. RN 1 submitted a medical consult via collaboration app to clinical project coordinators requesting to proceed with Janssen COVID-19 vaccine. Clinical project coordinator RN 2 elevated request to medical consult team. MD 1 from medical consult team approved request for Janssen COVID-19 vaccine booster dose. On 3/21/21, patient received Janssen COVID-19 vaccine (lot 1855191) booster dose at 1359. EMT 1 educated patient on signs and symptoms of adverse reactions, when to seek emergency care, and to register on v-safe. At approximately 1415, patient left facility with unlabored respirations and steady gait. to Clinical Project Coordinators requesting to proceed with Janssen COVID vaccine. Clinical Project Coordinator RN 2 elevated request to medical consult team. MD 1 from medical consult team approved request for Janssen COVID vaccine booster dose. On 3/21/22, patient received Janssen COVID vaccine (LOT# 1855191) booster dose at 1401. EMT 1 educated patient on signs and symptoms of adverse reactions, when to seek emergency care, and to register on V-Safe. At approximately 1415, patient left facility with unlabored respirations and steady gait.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered a Moderna Booster dose on 3/14/22 around 2:09pm past the Beyond Use Date of 3/3/2022 and manufactured expiration date of 4/24/2022.  Learned of error today when examining number of doses remaining.
Age: 2.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix administered to 2-year-old twins, Kinrix is licensed and recommended only for children ages 4 through 6 years. Immediate Actions Taken or Suggestions for Improvement: -Reviewed CDC recommendations - Kinrix is only licensed for use as the fifth dose of the DTaP vaccine series and the fourth dose of the IPV series in children age 4 through 6 years. CDC has provided this guidance for when Kinrix is given off-label:Kinrix given to a child younger than 4 years as DTaP and IPV doses 1, 2, or 3: Count as valid if all minimum intervals met
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Atrial fibrillation, Blood test, Cardiac stress test, Computerised tomogram
Clinical narrative: I develop A-fib two weeks after getting my second vaccine. The blood work showed smooth muscle antibody with/reflex to titter. It was positive. It is never suppose to be positive. It was 1:40. It's normal range it show be 1-20.   It could mean that I could have a liver disease for life. My doctor felt that all this is related to the vaccine. So my doctor will repeat lab work in a few months to see if my levels have gone back to normal. My PCP sent me to see a Cardiologist.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Laboratory test
Clinical narrative: I develop A-fib two weeks after getting my second vaccine. The blood work showed smooth muscle antibody with/reflex to titter. It was positive. It is never suppose to be positive. It was 1:40. It's normal range it show be 1-20.   It could mean that I could have a liver disease for life. My doctor felt that all this is related to the vaccine. So my doctor will repeat lab work in a few months to see if my levels have gone back to normal. My PCP sent me to see a Cardiologist.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered a Moderna Booster dose on 3/22/22 around 11:29a past the Beyond Use Date of 3/3/2022 and manufactured expiration date of 4/24/2022.  Learned of error today when examining number of doses remaining.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 1.42
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: per mother of patient , he developed redness and a subcutaneous bump on his L thigh in the location of ProQuad injection. Reaction began the day after vaccination and has then slowly decreased in redness and size of bump.
Age: 89.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: This dose given at a facility was not covered by insurance because it was a duplication
Age: 0.5
Sex: M
Vaccine: RV5
Symptoms: Change of bowel habit, Decreased appetite, Fluid intake reduced, Hypophagia, Vomiting
Clinical narrative: Patient started vomiting several times a day after last dose. He also did not want to take as much food/ breast milk as normal. It was also reported that he had a change in his bowel movement patterns.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received her second dose 16 days from the first Pfizer dose, she was supposed to have 21 days in between
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Sinus disorder
Clinical narrative: I had chills, chronic sinus, bad headaches and tiredness.
Age: 9.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Event: Pediatric Pfizer Vaccine Lot Number FK5127, was improperly stored in an Immunizations Freezer that maintained a temperature between -15 Celsius and -24 Celsius. Per the Manufacture?s guidelines the vaccine must be stored in a Refrigerator maintaining temperature of 2-8 Degrees Celsius or an Ultra-Low Cold Freezer maintaining temperature of -90C or lower. The patient received the vaccine that was improperly stored.  Treatment: Not required, patient did not report any adverse reactions to the Vaccine.  Outcome: Patient?s guardian notified and offered to restart the Pediatric Pfizer Covid Vaccine series again stored at the proper temperature.  Signs, Symptoms course, etc. None reported by the patient?s guardian
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after the 12 hour puncture time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Break through COVID with mild head cold type symptoms.  Developed a cough and have had a continued cough and fatigue.  I believe the vaccine kept me from being seriously ill and needing hospitalization.  Did consult my PCP about continued cough and fatigue and was told that is to be expected and "normal for COVID"  I'm only reporting that at the request of the call from the CDC about my vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 95.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: The message from this patient's insurance was they had already received their annual influenza vaccine. This person received 2 in one calendar year
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Fluid intake reduced, Insomnia, Loss of consciousness, Odynophagia
Clinical narrative: 6 hours after injectionSwelling of left tonsil followed by right tonsil . Serious pain during swallowing and fever. All over body pain. Inability to sleep. Inability to speak. Inability to eat or drink for 2 weeks.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Speech disorder, Streptococcus test, Tonsillar hypertrophy
Clinical narrative: 6 hours after injectionSwelling of left tonsil followed by right tonsil . Serious pain during swallowing and fever. All over body pain. Inability to sleep. Inability to speak. Inability to eat or drink for 2 weeks.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Erythema, Feeling hot, Hypoaesthesia, Paraesthesia
Clinical narrative: Pt. came into the clinic for her influenza vaccine. During the screening portion, member reported history of allergic reaction to the flu shot, and the COVID vaccine. After speaking to the provider, pt. was cleared to receive the influenza vaccine, with recommendation of monitoring for 30 minutes post vaccination. Prior to receiving the vaccine, self-administered Claritin 10mg PO, and Advil 400mg PO. She received the Afluria Quadrivalent 0.5ml at 1130, and was brought to the training room for observation. While being monitored, at 1150 this writer found member sitting upright with her arms dropped to her side. Upon assessment, pt. was alert and verbal with eyes closed, and stated, "My face is burning up." Redness noted to face and neck. Assisted pt. to a supine position with legs elevated. She reports numbness and tingling to left arm. VS: BP 165/93, P 69, RR 18, SpO2 100%, T 98.0, A&Ox4, and responds appropriately. Dr. arrived on scene and continued assessment. Pt. reports, "Feels like something is standing on my chest." Lungs CTAB. Per provider order, O2 3L administered via NRB. At 1159, EMS was activated when started to dry heave. EMS arrived on site at 1211, and was updated with member's status by Dr.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Retching
Clinical narrative: Pt. came into the clinic for her influenza vaccine. During the screening portion, member reported history of allergic reaction to the flu shot, and the COVID vaccine. After speaking to the provider, pt. was cleared to receive the influenza vaccine, with recommendation of monitoring for 30 minutes post vaccination. Prior to receiving the vaccine, self-administered Claritin 10mg PO, and Advil 400mg PO. She received the Afluria Quadrivalent 0.5ml at 1130, and was brought to the training room for observation. While being monitored, at 1150 this writer found member sitting upright with her arms dropped to her side. Upon assessment, pt. was alert and verbal with eyes closed, and stated, "My face is burning up." Redness noted to face and neck. Assisted pt. to a supine position with legs elevated. She reports numbness and tingling to left arm. VS: BP 165/93, P 69, RR 18, SpO2 100%, T 98.0, A&Ox4, and responds appropriately. Dr. arrived on scene and continued assessment. Pt. reports, "Feels like something is standing on my chest." Lungs CTAB. Per provider order, O2 3L administered via NRB. At 1159, EMS was activated when started to dry heave. EMS arrived on site at 1211, and was updated with member's status by Dr.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given the 2nd Pfizer vaccine 6 days before the recommended time between the 1st and 2nd dose
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Diarrhoea, Dyspnoea
Clinical narrative: SICK ON 11-14-2021 WITH FEVER, BODY ACHES, POST NASEL DRIP, RUNNY NOSE, SORE THROAT, COUGH, SOB, LEFT SIDE CHEST PAIN, VOMITING, DIARRHEA TESTED + FOR COVID-19 11-17-2021,   ADMITTED 11-17-2021, DISMISSED 12-01-2021
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Illness, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: SICK ON 11-14-2021 WITH FEVER, BODY ACHES, POST NASEL DRIP, RUNNY NOSE, SORE THROAT, COUGH, SOB, LEFT SIDE CHEST PAIN, VOMITING, DIARRHEA TESTED + FOR COVID-19 11-17-2021,   ADMITTED 11-17-2021, DISMISSED 12-01-2021
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Upper-airway cough syndrome, Vomiting
Clinical narrative: SICK ON 11-14-2021 WITH FEVER, BODY ACHES, POST NASEL DRIP, RUNNY NOSE, SORE THROAT, COUGH, SOB, LEFT SIDE CHEST PAIN, VOMITING, DIARRHEA TESTED + FOR COVID-19 11-17-2021,   ADMITTED 11-17-2021, DISMISSED 12-01-2021
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after the 12 hour puncture time.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Menstruation delayed, Pregnancy test negative, Ultrasound scan normal
Clinical narrative: Prior to vaccine my last menstrual cycle was 12/12/21 and I received the vaccine on 12/20/21 so I was expecting my next cycle to be on 01/03/22 but it didn't occur, and I had negative pregnancy tests. I sought medical attention on 02/01/22 and I had labs and an ultrasound and they were normal. I had a cycle on 02/08/22 and it's been normal since then. My provider said she has had multiple women come in with the same issues.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: RN believed she administered air (no vaccine liquid in syringe). RN proceeded to prepare another dose and gave another injection of Pfizer vaccine.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: 3 days after his 3rd dose of Moderna, his longstanding tinnitus in his left ear became much more prominent and has remained bothersome since.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: According to his insurance only this patient received 2 influenza vaccines in one calendar year.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient  got covid moderna Booster vaccine  0.25 ml  expiration ( 05/03/2022) on 03/15/2022 IM route deltoid  muscle at 06:45 pm. on 03/16/2022 , the patient said that she had in the area of injection was swallowing and it was warm to the touch.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Fall, Jaw fracture, Loss of consciousness, Suture insertion
Clinical narrative: Patient was helping husband make breakfast in morning (one day post-vaccine) and suffered a moment of unconsciousness resulting in the patient hitting her face and fracturing her jaw in 2 places. She was taken to the emergency department where she received stitches and prescriptions for an antibiotic and pain medication. The hospital could not find any other root cause of the fall and the only new factor in the patient's life was the vaccine. Hospital is unsure if this is what caused it but cannot rule it out.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: I've had worsening tinnitus since my second shot.  There were not spaces for multiple dates of shots, but my first two were at Facility and my booster at Pharmacy.  I had tinnitus prior (very minor), but it is chronic and heavy now in both ears, both as steady sound and wavering.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Chiropractic, Migraine, Neurological examination
Clinical narrative: My child has had a migraine headache for 30+ days and we have seen a number of Dr about this. He received 2 meningitis vaccines on February 18th of 2022 his symptoms started on February 20th of 2022 and has been ongoing since has not had any relief from these migraines we have been in the hospital twice.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Fatigue
Clinical narrative: When I woke up on the morning of 12/26/2021, I felt ill. I had coughing, sneezing, fatigue, loss of appetite, and weakness. On 12/30/2021, I underwent a rapid test for COVID-19 at the Clinic and got a positive result. As I had gotten my Pfizer booster just a month prior, this was a breakthrough case.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test positive, Sneezing
Clinical narrative: When I woke up on the morning of 12/26/2021, I felt ill. I had coughing, sneezing, fatigue, loss of appetite, and weakness. On 12/30/2021, I underwent a rapid test for COVID-19 at the Clinic and got a positive result. As I had gotten my Pfizer booster just a month prior, this was a breakthrough case.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was receiving their second dose in the primary Pfizer series. She should have received the pediatric dose of Pfizer (0.2ml), however the adult 12+ dose was documented (0.3ml grey cap). The employee no longer works at Clinic and it is unknown if the patient received the wrong dose or if the wrong dose was documented.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Echocardiogram abnormal, Electrocardiogram ambulatory
Clinical narrative: One month after Moderna booster, her smart watch vibrated and reported that she was having an Atrial Fibrillation. Her PCP referred her to a Cardiologist. Cardiologist performed an echocardiogram and had her wear a monitor for 2 weeks. Echocardiogram diagnosed her with Atrial Fibrillation. Prescribed Eliquis (blood thinner). Seems to be helping.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient is not immunocompromise and was given a 4th Pfizer dose. Patient is fine no adverse reaction.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine administered
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Expired vaccine administered
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Crying, Dyspnoea, Pain, Panic attack
Clinical narrative: CRYING, CHILLS, BODY ACHES, WHOLE BODY PAIN, SHORTNESS OF BREATH, PANIC ATTACKS, PAIN WHEN MOVING ARM.
Age: 85.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Cellulitis, Erythema, Nodule, Skin reaction, Skin warm
Clinical narrative: patient had a knot, swelling, area warm to touch as well as redness and streaks from the area, she had a doctor appointment  2 days after vaccinations and they found the area and said it was cellulitis, patient was given doxycycline to treat the cellulitis
Age: 85.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Swelling
Clinical narrative: patient had a knot, swelling, area warm to touch as well as redness and streaks from the area, she had a doctor appointment  2 days after vaccinations and they found the area and said it was cellulitis, patient was given doxycycline to treat the cellulitis
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Electrocardiogram normal, Immunisation reaction, Loss of consciousness, Magnetic resonance imaging normal
Clinical narrative: Patient stated that the day after she received the vaccine - she "blacked out" on two different occasions.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site indentation, Tenderness
Clinical narrative: an indent in my left upper arm, that appeared several weeks after I relieved the shot. Some tenderness to my left upper arm.  I also have discoloration in the center of the indent.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received his second Pfizer dose 14 days from the first Pfizer dose, he was supposed to have 21 days in between
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: No  adverse affects. Patient given Additional dose of Pfizer  after receiving  Moderna primary series for 1st and second doses. Patient requested to mix nd match to increase efficacy. Patient received Pfizer adult dose 0.3 ml as Additional dose. Patient has not received a Booster dose yet.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotonia, Resuscitation, Skin discolouration, Unresponsive to stimuli
Clinical narrative: Resident became unresponsive in the dining room. Resident was flaccid and gray in color. Nursing staff initiated CPR and resident was transferred to the hopsital via 911.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Describe the adverse event(s), treatment, and outcome(s), if any: (symptoms, signs, time course, etc.) Event: Pediatric Pfizer Vaccine Lot Number FK5127, was improperly stored in an Immunizations Freezer that maintained a temperature between -15 Celsius and -24 Celsius. Per the Manufacture?s guidelines the vaccine must be stored in a Refrigerator maintaining temperature of 2-8 Degrees Celsius or an Ultra-Low Cold Freezer maintaining temperature of -90C or lower. The patient received the vaccine that was improperly stored.  Treatment: Not required, patient did not report any adverse reactions to the Vaccine.  Outcome: Patient?s guardian notified and offered to restart the Pediatric Pfizer Covid Vaccine series again stored at the proper temperature.  Signs, Symptoms course, etc. None reported by the patient?s guardian
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt presented to vaccination site and requested Moderna COVID vaccine 2nd additional dose. Patient received Moderna 1st dose on 3/16/21, Moderna 2nd dose on 4/13/21, Moderna additional dose 10/13/21. RN 1 submitted a medical consult via withheld to Clinical Project Coordinators requesting to proceed with Moderna COVID vaccine 2nd additional dose. Clinical Project Coordinator RN 2 elevated request to medical consult team. MD 1 from medical consult team approved request for Moderna COVID vaccine 2nd additional dose. On 3/21/22, patient received Moderna COVID vaccine (LOT# 045L21A) 2nd additional dose at 1607. EMT 1 educated patient on signs and symptoms of adverse reactions, when to seek emergency care, and to register on V-Safe. At approximately 1625, patient left facility with unlabored respirations and steady gait.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 infection
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Feeling cold, Hypersensitivity, Nausea
Clinical narrative: constant nausea, severe joint pain. More susceptible to the cold. Allergies seem worse
Age: 8.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Event: Pediatric Pfizer Vaccine Lot Number FK5127, was improperly stored in an Immunizations Freezer that maintained a temperature between -15 Celsius and -24 Celsius. Per the Manufacture?s guidelines the vaccine must be stored in a Refrigerator maintaining temperature of 2-8 Degrees Celsius or an Ultra-Low Cold Freezer maintaining temperature of -90C or lower. The patient received the vaccine that was improperly stored.  Treatment: Not required, patient did not report any adverse reactions to the Vaccine.  Outcome: Patient?s guardian notified and offered to restart the Pediatric Pfizer Covid Vaccine series again stored at the proper temperature.  Signs, Symptoms course, etc. None reported by the patient?s guardian
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Tinnitus
Clinical narrative: Ears began ringing with a high-pitched sine-wave type of sound or blend of noises in very early January. It has become louder and is loud at all waking moments now, currently it sounds like dental drills inside my ears but just the noise. It varies between a consistent frequency or a blend of slightly different frequencies. It sounds like sine-wave electronic-created noise. I continue to have good hearing for hearing normal things, but the ringing makes it difficult often to discern what is being heard. At night if I wake up the ringing is very loud and prevents attempts to gain sleep. I have setup to visit my PCP and will let him know I completed the VAERS for my ears because it has gotten worse daily for many weeks now.