chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound antenatal screen normal, Uterine contractions during pregnancy
Clinical narrative: This patient was identified through conducting the investigation in March 2022. This individual was not a patient of our health department and the health department has not had any contact with the individual. All information has been obtained from medical records at the medical facility where individual received medical and prenatal care. Medical records have since been destroyed per agency policy. All information provided in this narrative was obtained directly from case notes that were submitted to the National Center.   Patient was pregnant with twins at time of vaccination. The patient had a routine prenatal appointment with her OBGYN on 09/03/2021 at 15w6d gestation. As documented in notes provided by OBGYN provider's medical office, "Discussed COVID vaccination". Patient received her first dose of COVID-19 vaccine (Pfizer) on 09/08/2021 per providers notes; verified on system as well.   The patient presented to Emergency Department on 9/9/21 at 17w with concerns for exposure to COVID and tested negative. On 10/1/21, patient presented to Emergency Department at 20w0d with complaints of palpitations and hypertension associated with shortness of breath and "heart beating out of chest" while walking at a store; checked BP and reported 160/100 - contacted OBGYN and instructed to go to ED. Patient reported she received 2nd Pfizer COVID vaccine on 9/29/21 and denied symptoms other than arm hurting after shot.   ED notes include that this is new onset of hypertension and patient reported she has a history of blood clotting disorders that was diagnosed recently with her new IVF. Dimer was positive- patient has anaphylaxis to CT contrast. OBGYN recommended patient get a V/Q scan and admitted for observation. Ultrasound showed fetal heartrate 130-135 bmp for both fetuses. Was discharged on 10/2/21. Attended prenatal appointment on 10/8/21 - no complaints and fetal heartrates within normal limits.  On 10/11/21, patient reported she had an episode of bleeding at around 7:00pm and presented to the emergency department on 10/11/21 at local rural hospital. Presented there at 21w5d with painless cervical dilation and bulging bag of membrane. Before being transferred to level 3 birthing hospital, patient was given 1 dose of Indocin 50mg. Upon arrival, rule of rupture membrane was performed and negative and 2nd dose Indocin was given.  On day 4 of hospital admission (10/11/21), patient reported worsening contractions with leakage of fluid - rupture of membrane was positive and further cervical dilation was observed. Latency antibiotics were started and patient later reached complete cervical dilation with regular contractions and delivered via spontaneous vaginal delivery.  Infant A and B were delivered spontaneously secondary to previable ROM and advanced cervical dilation progressing to active labor. No Neonatal heartbeats noted at 2205.
Age: 17.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Incorrect product formulation administered, Myalgia, Pyrexia
Clinical narrative: The patient arrived requesting the Pfizer bivalent booster as well as an influenza vaccine. I administered the influenza vaccine and accidentally administered a Pfizer monovalent booster instead of the bivalent, since the vials are nearly indistinguishable from each other. I explained the error to the patient and her mother and offered the correct bivalent booster which they accepted. On follow up, the patient reported headaches, chills, myalgias, and low grade fevers beginning from the evening of the vaccine administration.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Moderna Monovalent brand vaccine after date was instructed not to administer that brand of vaccine.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Oropharyngeal pain
Clinical narrative: cough/sore throat
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: incorrect pfizer covid 19 vaccine administered - should have been pfizer covid 19 bivalent vaccine
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: pt was noted pale ad diaphoretic and sudden loss of consciousness. Placed on flat surface and legs elevated. Regained consciousness after 10 seconds. Vital signs initiated, cold pack provided,  offer water. No other complains presented. Closely monitored for 30 mins.  Symptoms resolved left at 12:20 in stable conditions. Health education provided.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure decreased, Dyspnoea, Hypoaesthesia, Loss of consciousness, Malaise
Clinical narrative: Patient mentioned before administration of shot that she fainted before getting her previous dose of the COVID shot. I positioned patient in upright position told her to take deep steady breaths had a bottle of water and snacks on standby. I administered the shot and right after patient stated she wasnt feeling well so I was monitoring her breathing and then patient's head fell back while being on her chair while shaking. I called 911 with one hand while trying to hold patient's head upright and I used my walkie talkie to page the other pharmacist as well as the nurse practitioner in the minute clinic. Patient regained conciousness after a couple seconds and I gave her water to drink and then a couple minutes later fainted again. Nurse practitioner then took her blood pressure and it dropped to 70/40. Patient kept regaining conciousness and would say she doesnt feel good but then would pass out again. Nurse practitioner, the other RpH and I were monitoring her breathing and holding her upright. Patient stated that she couldnt feel her hands or feet and was having shortness of breath.  Patient also stated that she had blurry vision. The EMS came after roughly 10-15 minutes after and asked for the vial in which I used to admnister the shot and took her blood pressure and took her to the hospital.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope, Tremor, Vision blurred
Clinical narrative: Patient mentioned before administration of shot that she fainted before getting her previous dose of the COVID shot. I positioned patient in upright position told her to take deep steady breaths had a bottle of water and snacks on standby. I administered the shot and right after patient stated she wasnt feeling well so I was monitoring her breathing and then patient's head fell back while being on her chair while shaking. I called 911 with one hand while trying to hold patient's head upright and I used my walkie talkie to page the other pharmacist as well as the nurse practitioner in the minute clinic. Patient regained conciousness after a couple seconds and I gave her water to drink and then a couple minutes later fainted again. Nurse practitioner then took her blood pressure and it dropped to 70/40. Patient kept regaining conciousness and would say she doesnt feel good but then would pass out again. Nurse practitioner, the other RpH and I were monitoring her breathing and holding her upright. Patient stated that she couldnt feel her hands or feet and was having shortness of breath.  Patient also stated that she had blurry vision. The EMS came after roughly 10-15 minutes after and asked for the vial in which I used to admnister the shot and took her blood pressure and took her to the hospital.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: My physician proactively prescribed  Claritin 10mg Pepcid AC, Prednisone 20mg  morning and 10mgz of Zyrtec Pepcid AC and Prednisone 20mgs in the evening five days before receiving the Vaccine as I had an allergic reaction after my first booster. On 9/27 I started to get hives on my face, arms and chest. I contacted my Physician and was prescribed Benadryl in the evening for 3 days along along with my previous prescriptions for hives.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Back pain, Headache, Laboratory test normal, Pain in extremity
Clinical narrative: Symptoms of Lower Back, Pelvis, and Bilateral Thigh pain and Head Ache began after the Influenza vaccine. Patient went to ER @ 7:00 PM. Patient has a history of mild Guillain Barre after an Influenza Vaccine in 2017 but has received annual Influenza vaccines each year since 2017 without complications. Patient was examined by MD who ordered Laboratory studies with unremarkable results. Patient was discharged home and instructed to return to the ER if she developed weakness. Patient
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Pelvic pain
Clinical narrative: Symptoms of Lower Back, Pelvis, and Bilateral Thigh pain and Head Ache began after the Influenza vaccine. Patient went to ER @ 7:00 PM. Patient has a history of mild Guillain Barre after an Influenza Vaccine in 2017 but has received annual Influenza vaccines each year since 2017 without complications. Patient was examined by MD who ordered Laboratory studies with unremarkable results. Patient was discharged home and instructed to return to the ER if she developed weakness. Patient
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Fall, Feeling abnormal, Malaise, Syncope
Clinical narrative: After patient received vaccine, he states he needed water and walked up to front checkouts to purchase a bottle of water.  States he started feeling "funny" so came back to pharmacy window and was telling tech there that he didn't feel well.  At that time, he had an episode of syncope and fell in front of the pharmacy window.  Upon examination, pt was awake, alert, able to communicate,  clammy,  and bp was 125/55.  He stated he had not eaten anything since 4pm the day prior.  Stated he had no symptoms of throat swelling  or trouble swallowing.  No medications, and no known medical conditions.  Pt was asked to lay flat on the ground and given 2 chewable glucose tablets.  Within 15 minutes, pt was stating he felt as good as he did when he came into the pharmacy.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Dysstasia, Fall, Gait disturbance, Hypoaesthesia
Clinical narrative: Got shot 9/20 at 0730 at work. Felt fine whole day. Next am at 04:45 am turned alarm off went to stand up out of bed and fell to floor both legs were completely weak and numb. tried to stand and couldnt. Waited 5 mins stood up very weak walked around got strength back and was a little wobbly that am. Was fine that afternoon. No other issues after that.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Educational problem, Fatigue, Pityriasis rosea, Rash, Urticaria
Clinical narrative: I noticed a rash on his neck under his chin. There were oval welted areas on his neck, arm pit, chest and groin. Sunday he developed a rash located all over the truck of his body. I gave him an antihistamine but the next morning it looked like it had gotten worse. He was very tired and had to stay home from school. We took him to the doctor and they said the rash was Pityriasis Rosea. They advised that it would take 6 to 8 weeks to resolve on its own. No medications were prescribed.
Age: 20.0
Sex: F
Vaccine: HPV9
Symptoms: Death
Clinical narrative: Received vaccine on 9/26/2022. Patient passed away within 48 hours.
Age: 21.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Pt had first pfizer covid 19 vaxx on 1/19/22. Pt was administered second vaxx and given pfizer bivalent rather than completing primary series.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer COVID vaccine & was supposed to receive bivalent Pfizer COVID booster.
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Wrong product administered
Clinical narrative: incorrect pfizer covid 19 vaccine administered - should have been pfizer covid 19 bivalent vaccine
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer COVID vaccine & was supposed to receive bivalent Pfizer COVID booster.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Peripheral swelling, Thrombophlebitis
Clinical narrative: PATIENT EXPERIENCED THROMBOPHLEBITIS AND SWELLING ON HER RIGHT ARM. STILL IN A LOT OF PAIN.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Condition aggravated, Pain, Pain in extremity, Thrombophlebitis, Vaccination site erythema
Clinical narrative: PATIENT EXPERIENCED THROMBOPHLEBITIS AND SWELLING ON HER RIGHT ARM. STILL IN A LOT OF PAIN.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Vaccination site warmth, Varicose vein
Clinical narrative: PATIENT EXPERIENCED THROMBOPHLEBITIS AND SWELLING ON HER RIGHT ARM. STILL IN A LOT OF PAIN.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Peripheral swelling, Thrombophlebitis
Clinical narrative: Same day developed red, hot know at vaccine site.  5 days later pain radiating from existing varicose vein which had become enlarged after shot in same arm down to side of hand and little finger  Swollen around the vein.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Condition aggravated, Pain, Pain in extremity, Thrombophlebitis, Vaccination site erythema
Clinical narrative: Same day developed red, hot know at vaccine site.  5 days later pain radiating from existing varicose vein which had become enlarged after shot in same arm down to side of hand and little finger  Swollen around the vein.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Vaccination site warmth, Varicose vein
Clinical narrative: Same day developed red, hot know at vaccine site.  5 days later pain radiating from existing varicose vein which had become enlarged after shot in same arm down to side of hand and little finger  Swollen around the vein.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer COVID vaccine & was supposed to receive bivalent Pfizer COVID booster.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Bedridden, COVID-19, Cough, Extra dose administered
Clinical narrative: I received a third booster of Moderna Bivalent for COVID-19 on 9/8/2022. At around 6:15PM on 9/13/2022, I had a runny nose and a sore and swollen left tonsil. An acquaintance of mine had recently tested positive for COVID-19, so I decided to take a home test, and I got a positive result when I did. I decided that I needed to get an antiviral, as I have asthma, and I wanted to reduce my risk of having severe symptoms. I contacted an online source for visitless prescriptions and received a prescription for molnupiravir, which I started taking on 9/14/2022. On 9/14/2022, I was bedridden and extremely fatigued. I ran a fever that was 102 at its peak, and I treated this with Tylenol; the Tylenol helped relieve the fever somewhat, but it always returned once the medicine wore off. For about 36 hours, I had the fever off and on. I also had an extremely runny nose. It was so runny that it was literally a constant stream, and I never experienced this with any of my previous illnesses. I had a severe headache that lasted for about 4 days; I took Excedrin for a couple of days, and it helped a little. I then took a prescription medication for migraines, and it finally relieved it.  I had a cough, which was relatively mild. I had brain fog, which lasted for more than 5 days. The fatigue also lasted for more than 5 days, and at the time of this writing, I still haven't regained my pre-COVID energy level. I get tired earlier in the evening than I used to as a result of this. When the fever finally broke on the evening of 9/15/2022, I began to feel better. I continued to improve. By 9/18/2022, I had finished taking the molnupiravir. Aside from the residual fatigue and mild cough, I pretty much felt normal again. On 9/20/2022, I took another home test and got a negative result.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Feeling abnormal, Headache, Migraine, Pyrexia
Clinical narrative: I received a third booster of Moderna Bivalent for COVID-19 on 9/8/2022. At around 6:15PM on 9/13/2022, I had a runny nose and a sore and swollen left tonsil. An acquaintance of mine had recently tested positive for COVID-19, so I decided to take a home test, and I got a positive result when I did. I decided that I needed to get an antiviral, as I have asthma, and I wanted to reduce my risk of having severe symptoms. I contacted an online source for visitless prescriptions and received a prescription for molnupiravir, which I started taking on 9/14/2022. On 9/14/2022, I was bedridden and extremely fatigued. I ran a fever that was 102 at its peak, and I treated this with Tylenol; the Tylenol helped relieve the fever somewhat, but it always returned once the medicine wore off. For about 36 hours, I had the fever off and on. I also had an extremely runny nose. It was so runny that it was literally a constant stream, and I never experienced this with any of my previous illnesses. I had a severe headache that lasted for about 4 days; I took Excedrin for a couple of days, and it helped a little. I then took a prescription medication for migraines, and it finally relieved it.  I had a cough, which was relatively mild. I had brain fog, which lasted for more than 5 days. The fatigue also lasted for more than 5 days, and at the time of this writing, I still haven't regained my pre-COVID energy level. I get tired earlier in the evening than I used to as a result of this. When the fever finally broke on the evening of 9/15/2022, I began to feel better. I continued to improve. By 9/18/2022, I had finished taking the molnupiravir. Aside from the residual fatigue and mild cough, I pretty much felt normal again. On 9/20/2022, I took another home test and got a negative result.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Tonsillar hypertrophy
Clinical narrative: I received a third booster of Moderna Bivalent for COVID-19 on 9/8/2022. At around 6:15PM on 9/13/2022, I had a runny nose and a sore and swollen left tonsil. An acquaintance of mine had recently tested positive for COVID-19, so I decided to take a home test, and I got a positive result when I did. I decided that I needed to get an antiviral, as I have asthma, and I wanted to reduce my risk of having severe symptoms. I contacted an online source for visitless prescriptions and received a prescription for molnupiravir, which I started taking on 9/14/2022. On 9/14/2022, I was bedridden and extremely fatigued. I ran a fever that was 102 at its peak, and I treated this with Tylenol; the Tylenol helped relieve the fever somewhat, but it always returned once the medicine wore off. For about 36 hours, I had the fever off and on. I also had an extremely runny nose. It was so runny that it was literally a constant stream, and I never experienced this with any of my previous illnesses. I had a severe headache that lasted for about 4 days; I took Excedrin for a couple of days, and it helped a little. I then took a prescription medication for migraines, and it finally relieved it.  I had a cough, which was relatively mild. I had brain fog, which lasted for more than 5 days. The fatigue also lasted for more than 5 days, and at the time of this writing, I still haven't regained my pre-COVID energy level. I get tired earlier in the evening than I used to as a result of this. When the fever finally broke on the evening of 9/15/2022, I began to feel better. I continued to improve. By 9/18/2022, I had finished taking the molnupiravir. Aside from the residual fatigue and mild cough, I pretty much felt normal again. On 9/20/2022, I took another home test and got a negative result.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Insomnia, Nausea, Tenderness, Vaginal discharge
Clinical narrative: The day after vaccination the patinet had headaches, tender arms to the point where she would not sleep, nausea, vomiting. This improved on 9/25/2022. On 9/25/2022 she started to have vaginal discharge that was brown, malodorous, and had mucous. She still has abnormal vaginal bleeding.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vaginal haemorrhage, Vomiting
Clinical narrative: The day after vaccination the patinet had headaches, tender arms to the point where she would not sleep, nausea, vomiting. This improved on 9/25/2022. On 9/25/2022 she started to have vaginal discharge that was brown, malodorous, and had mucous. She still has abnormal vaginal bleeding.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/13/2022.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: incorrect pfizer covid 19 vaccine administered - should have been pfizer covid 19 bivalent vaccine
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: fever, congestion, sore throat, cough, headaches
Age: 87.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Chills, Dyskinesia, Pyrexia
Clinical narrative: 2 hours after vaccination-jerking, shivering, weakness, fever
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was scheduled to receive Pfizer Bivalent but received the Pfizer Monovalent form in error.  No adverse events were reported.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/13/2022.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: On 09-27-22, patient came in for an appointment to receive the Moderna bivalent booster. Patient was administered the Monovalent Moderna booster (NDC 80777-0275-05 dose 0.5 ml IM on the left arm). The pharmacy had just received the Moderna bivalent booster that morning and was placed in the refrigerator to be thawed out next to the other Moderna vials. The pharmacy grad intern checked in the patient and administered the vaccine, unfortunately confused the monovalent booster with the bivalent booster vial. After vaccine was administered and patient had left the pharmacy, the pharmacist looked at the vial and noticed the incorrect vaccine was administered and brought to the pharmacy grad intern's attention.   Both the pharmacist and the pharmacy grad intern referenced the CDC website for recommendations on COVID-19 vaccine administration errors and deviations, which found that the administration of a Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated) a patient can receive the bivalent booster after 2 months to provide protection against the Omicron variant. The pharmacy grad intern called the patient on 09-28-22 at 9:59 am and was advised of these recommendations, patient stated that she did not experience any side effects.   We are implementing a new strategy to separate the booster vials from the monovalent vaccines, also the pharmacy grad intern was coached by the pharmacist to revise her checks before administering a vaccine to a patient to ensure correct vaccine is appropriate.  On duty pharmacist is to check all vaccine vials prior to vaccination and checked for accuracy.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient presented to get a Moderna COVID booster. The patient should have been given the bivalent Moderna booster, but was administered the monovalent Moderna booster. According to CDC guidelines, the dose should generally should not be repeated, but the patient is able to get the bivalent booster after two months if she desires.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Neuropathy peripheral, Paraesthesia
Clinical narrative: Bilateral neuropathies of lower extremities (burning, tingling)
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/13/2022.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: within several minutes of vaccine broke out in hives on extremities and trunk
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: seizure
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: pt developed tinnitus (ringing in the ear) 3 months after receiving janseen covid19 vaccine
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Condition aggravated, Gait disturbance, Osteoarthritis, Pain in extremity
Clinical narrative: I had a very sore arm which extended all throughout my left side, down to my hip and leg. I couldn?t walk properly or lay down comfortably for several days. I knew it was just a matter of time for the vaccine to do it?s , but it caused flare ups.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sleep disorder
Clinical narrative: I had a very sore arm which extended all throughout my left side, down to my hip and leg. I couldn?t walk properly or lay down comfortably for several days. I knew it was just a matter of time for the vaccine to do it?s , but it caused flare ups.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/13/2022.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: On 09-27-22, patient came in for an appointment to receive the Moderna bivalent booster. Patient was administered the Monovalent Moderna booster (NDC 80777-0275-05 dose 0.5 ml IM on the left arm). The pharmacy had just received the Moderna bivalent booster that morning and was placed in the refrigerator to be thawed out next to the other Moderna vials. The pharmacy grad intern checked in the patient and administered the vaccine, unfortunately confused the monovalent booster with the bivalent booster vial. After vaccine was administered and patient had left the pharmacy, the pharmacist looked at the vial and noticed the incorrect vaccine was administered and brought to the pharmacy grad intern's attention.   Both the pharmacist and the pharmacy grad intern referenced the CDC website for recommendations on COVID-19 vaccine administration errors and deviations, which found that the administration of a Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated) a patient can receive the bivalent booster after 2 months to provide protection against the Omicron variant. The pharmacy grad intern called the patient on 09-28-22 at 9:59 am and was only able to leave a message.   We are implementing a new strategy to separate the booster vials from the monovalent vaccines, also the pharmacy grad intern was coached by the pharmacist to revise her checks before administering a vaccine to a patient to ensure correct vaccine is appropriate.  On duty pharmacist is to check all vaccine vials prior to vaccination and checked for accuracy.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: Migraine headaches, naseau, stiff neck
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Myalgia, X-ray normal
Clinical narrative: I have had a worsening of the muscles, joint and body pain I had before. The treatment was a 6 day steroid treatment which was not effective. I have an appointment coming up with my doctor for further treatment. I have also been scheduled to have an MRI performed in the future. The symptoms have not shown any improvements. They have become worse since having the vaccine. An X-Ray was performed at the providers office but the results were normal.
Age: 65.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema
Clinical narrative: EMS arrived, pt signed to not be given or taken by squad.  Redness resolved, no noted resp distress & remained at clinic for approx 25 more mins. Pt felt well & wanted to drive home. Follow up call 15 mins after pt leaving (stated he was fine to drive & spouse was at home). Pt feeling well & at home without difficulty. Reminded pt again of side effects & when to call 911.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: On 09-27-22, patient came in for an appointment to receive the Moderna bivalent booster. Patient was administered the Monovalent Moderna booster (NDC 80777-0275-05 dose 0.5 ml IM on the left arm). The pharmacy had just received the Moderna bivalent booster that morning and was placed in the refrigerator to be thawed out next to the other Moderna vials. The pharmacy grad intern checked in the patient and administered the vaccine, unfortunately confused the monovalent booster with the bivalent booster vial. After vaccine was administered and patient had left the pharmacy, the pharmacist looked at the vial and noticed the incorrect vaccine was administered and brought to the pharmacy grad intern's attention.   Both the pharmacist and the pharmacy grad intern referenced the CDC website for recommendations on COVID-19 vaccine administration errors and deviations, which found that the administration of a Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated) a patient can receive the bivalent booster after 2 months to provide protection against the Omicron variant. The pharmacy grad intern called the patient on 09-28-22 at 9:59 am and was only able to leave a message.   We are implementing a new strategy to separate the booster vials from the monovalent vaccines, also the pharmacy grad intern was coached by the pharmacist to revise her checks before administering a vaccine to a patient to ensure correct vaccine is appropriate.  On duty pharmacist is to check all vaccine vials prior to vaccination and checked for accuracy.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/13/2022.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: none
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Headache, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 09/25/2022. I woke up on 09/26/2022 with a temperature cough and headache. I took an home test that was COVID-19 Negative. I went to Urgent Care on 09/27/2022 and tested COVID-19 Positive. I was told I could possibly take Plaxovid but was recommended by a friend to not take just yet due to recent vaccination.
Age: 44.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine was administered after a temperature excursion event.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: There was no adverse reaction. The patient was given the wrong vaccine.  The patient was there for her first dose of primary series pfizer and received a Pfizer Bivalent dose instead. An incident form was sent to management to notify the patient of the mistake.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/13/2022.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Dehydration, Feeling cold, Headache, Injection site erythema, Pain
Clinical narrative: Headaches, body aches, fever, chills, vomiting, dehydration, redness at injection site
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headaches, body aches, fever, chills, vomiting, dehydration, redness at injection site
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Confusional state, Dyspepsia, Fatigue, Feeling abnormal
Clinical narrative: Chronic extreme fatigue slowly getting worse Chronic stuffy nose Brain fog Memory issues  Off and on confusion Digestive issues Chronic muscle, joint and body pain slowly getting worse Chronic headaches slowly getting worse  All events are being treated with over the counter remedies since worsening symptoms began: medicinal mushrooms, biosil, diet
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Memory impairment, Myalgia, Nasal congestion, Pain
Clinical narrative: Chronic extreme fatigue slowly getting worse Chronic stuffy nose Brain fog Memory issues  Off and on confusion Digestive issues Chronic muscle, joint and body pain slowly getting worse Chronic headaches slowly getting worse  All events are being treated with over the counter remedies since worsening symptoms began: medicinal mushrooms, biosil, diet
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pain in extremity, Peripheral swelling, Ultrasound Doppler, X-ray limb
Clinical narrative: Left arm pain and swelling ongoing since 2nd vaccination. Began right after vaccination. Reports that arm was not cleaned prior to injection
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/14/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient came into the pharmacy for the new moderna bivalent booster, she was accidently administered the moderna monovalent booster
Age: 26.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Fall, Head injury, Headache, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: syncopal episode after vaccine-Medium, Additional Details: Patient came in to the clinic for a Flu vaccine.  Then 3-4 minutes after the vaccine, patient felt lightheaded and then had a syncopal episode and fell out of the chair. c/o pain in the top of her head and her nose.  Ambulance was called to the scene.  Paramedics assessed patient and advised her to go to the ER by ambulance for futher evaluation.  I also advised her to go to the ER by ambulance for further evaluation.  Patient's fiance arrived, and she signed the refusal for for transport.
Age: 26.0
Sex: F
Vaccine: FLUC4
Symptoms: Nasal injury, Rhinalgia, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Itching at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: syncopal episode after vaccine-Medium, Additional Details: Patient came in to the clinic for a Flu vaccine.  Then 3-4 minutes after the vaccine, patient felt lightheaded and then had a syncopal episode and fell out of the chair. c/o pain in the top of her head and her nose.  Ambulance was called to the scene.  Paramedics assessed patient and advised her to go to the ER by ambulance for futher evaluation.  I also advised her to go to the ER by ambulance for further evaluation.  Patient's fiance arrived, and she signed the refusal for for transport.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Loss of consciousness, Refusal of examination, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient passed out completely and fell out of vaccine chair. I called EMS and rushed to her side. A doctor was in line to get a vaccine as well and helped me walk the patient to another chair. I gave her water and food, which she refused the food. She also refused medical attention and a walk home. She called back, thanked us, and said she made it home ok. She said afterwards she didn't eat and has a history of fainting after giving blood.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Lip swelling, Pruritus, Throat tightness
Clinical narrative: Intense full body itching, headache, swelling on upper lip. mild throat tightness. Treated with Benadryl, Ibuprofen,  mild itching persists (6 days)
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/14/2022.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: patient presented 2 days after injection with mild swelling , redness and pain at injection site.   Site was hard and warm to the touch  .. Suggested patient see physician to ascertain either allergic reaction or infection at injection site
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Apnoea, Cardiac arrest, Death, Endotracheal intubation, Pulse absent
Clinical narrative: [Pfizer-BioNTech COVID-19 Vaccine, Bivalent EUA] This patient presented to our COVID clinic on 9/23/2022 to receive her 4th COVID vaccination with the Pfizer Bivalent Booster. She received this vaccine with no further events. It was reported on 9/28/2022 that this patient was brought to our ED from the nursing home she is employeed in cardiac arrest. Patient was found on the floor of one of the nursing home residents room by one of the CNA's. Last know well time could not be provided by the staff at the nursing home. Per EMS when they arrived at the scene no CPR was being done. EMS immediately commenced intubation and CPR for ~33 minutes. EMS indicated patient was pulseless and apneic when they arrived at the nursing home and remained so at every rhythm check during CPR. Patient is a never smoker; did not drink alcohol or use other illicit substances. Patient was dead on arrival at ED.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Resuscitation
Clinical narrative: [Pfizer-BioNTech COVID-19 Vaccine, Bivalent EUA] This patient presented to our COVID clinic on 9/23/2022 to receive her 4th COVID vaccination with the Pfizer Bivalent Booster. She received this vaccine with no further events. It was reported on 9/28/2022 that this patient was brought to our ED from the nursing home she is employeed in cardiac arrest. Patient was found on the floor of one of the nursing home residents room by one of the CNA's. Last know well time could not be provided by the staff at the nursing home. Per EMS when they arrived at the scene no CPR was being done. EMS immediately commenced intubation and CPR for ~33 minutes. EMS indicated patient was pulseless and apneic when they arrived at the nursing home and remained so at every rhythm check during CPR. Patient is a never smoker; did not drink alcohol or use other illicit substances. Patient was dead on arrival at ED.
Age: 43.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient had received 2 doses of J&J Covid vaccine previously on: 5/7/21 & 1/21/22. The nurse mistakenly gave a monovalent Pfizer dose today instead of the bivalent as a booster.
Age: 56.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Stored at unacceptable temperatures prior to administration.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/14/2022.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Vertigo
Clinical narrative: Vertigo that is still present 3 days after vaccine
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/14/2022.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Discomfort, Injection site pain, Lacrimation increased, Malaise
Clinical narrative: Yesterday I felt healthy and energetic. My left arm at the injection site turned very sore three hours later and I went to bed feeling achy (took three 81 mg aspirin), and woke up with a dull ache in my lower back, intermittent productive cough, malaise (even after seven hours of sleep), slight fever of 99F, watery eyes, and nasal congestion. When I had a bout with  influenza in November 1993 , this is how I recall it started. Now I know that the vaccine is "killed" virus and will not give me the flu, but I am quite uncomfortable. I have had four COVID-19 vaccines and am waiting to discern whether to get another because my doctor quit practicing medicine and I am without a trusted medical advisor at the moment.  I am really glad I did not get the flu and the next COVID vax at the same time because I also had reactions to every single one of the COVID vaxes. Thank you for allowing me to vent on this website.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Nasal congestion, Pain, Productive cough
Clinical narrative: Yesterday I felt healthy and energetic. My left arm at the injection site turned very sore three hours later and I went to bed feeling achy (took three 81 mg aspirin), and woke up with a dull ache in my lower back, intermittent productive cough, malaise (even after seven hours of sleep), slight fever of 99F, watery eyes, and nasal congestion. When I had a bout with  influenza in November 1993 , this is how I recall it started. Now I know that the vaccine is "killed" virus and will not give me the flu, but I am quite uncomfortable. I have had four COVID-19 vaccines and am waiting to discern whether to get another because my doctor quit practicing medicine and I am without a trusted medical advisor at the moment.  I am really glad I did not get the flu and the next COVID vax at the same time because I also had reactions to every single one of the COVID vaxes. Thank you for allowing me to vent on this website.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Gait disturbance, Ultrasound Doppler normal
Clinical narrative: I don't know if it is directly caused it but I started having severe joint pain in my left knee. I normally walk 5 miles most days and I do walk several times a week but I noticed I couldn't walk Sunday at all. I could walk outside a little bit but managed with just 1/10 of mile walk and limped in and it got progressively worse and I was having to use a roller stand to get around the house without an aide device. So on Tuesday I called my doctor and went to see her and since I have had blood clots in my right leg she ordered a Sonogram doppler test which came back normal and the nurse called today for me to take steroids' that she ordered from the pharmacy since she thinks it might just be inflammation. I will start those in the morning and take them for about 6-7 days. My knees have been bothering me for several years but walking helps loosen that up but not now with this new joint pain.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: PATIENT RECEIVED 0.25ML RATHER THAN 0.5ML
Age: 46.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Stored at unacceptable temperatures prior to administration.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness
Clinical narrative: severe dizziness that lasted 2 days . no treatment.. dizziness resolved
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Neck pain, Pyrexia
Clinical narrative: cough, neck pain, fever
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/15/2022.
Age: 75.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Stored at unacceptable temperatures prior to administration.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccination administered after BUD of 72 days. No adverse reaction noted during 15 minute observation time
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Covid-19- September 1, 2022 I experienced a low grade fever of 100.00, sore throat, fatigue; I was taking TYLENOL PM to help with the symptoms.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Extra dose administered
Clinical narrative: Pt received MMRV and Varicella. Double dose of varicella in one appointment.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/15/2022.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Myalgia
Clinical narrative: chills, cough, myalgias, headaches
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient received 0.25ml rather than 0.5ml
Age: 12.0
Sex: F
Vaccine: FLUC4, HPV9
Symptoms: Anxiety, Eye movement disorder, Fear, Musculoskeletal stiffness, Pallor
Clinical narrative: RN was in exam room administering vaccines and called out for this RN to come help. When I came in the room she reported after flu vaccine was given the patient went a little stiff and her eyes rolled back. No LOC and patient was speaking when I entered the room but she did appear pale. Elevated patient legs. PCP notified and came to room to assess patient. Patient endorsed anxiety stating shots are her "biggest fear" and mom mentioned patient has a history of passing out with vaccines. Initial BP 107/61, HR 64, SpO2 98%. Patient given water and snack. She verbalized feeling better and was up to getting second vaccine which she tolerated well. Vital signs after second vaccine stable with BP 98/47, HR 71. Patient remained for RN observation 15 minutes after second vaccine was administered with no further adverse reaction.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Irritability, Rash, Streptococcus test negative, Swelling
Clinical narrative: Full body rash, redness, swelling.  Facial swelling.  Irritability.  Started in the evening.  Patient treated with oral steroids and antihistamines
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Swelling face
Clinical narrative: Full body rash, redness, swelling.  Facial swelling.  Irritability.  Started in the evening.  Patient treated with oral steroids and antihistamines
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Notified that patient received the MONOVALENT version of the Pfizer COVID-19 booster vaccine rather than the intended BIVALENT version of the Pfizer COVID-19 booster vaccine on 09/16/2022.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: patient received 0.25ml rather than 0.5ml
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: cough
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Progressive supranuclear palsy, Visual impairment
Clinical narrative: I started having vision problems.
Age: 58.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Stored at unacceptable temperatures prior to administration.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Flatulence, Pyrexia
Clinical narrative: Fever  gas and diarrhea
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Injection site pain, Lethargy, Pain
Clinical narrative: injection site pain, body aches, lethargy/fatigue, headache