chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: U
Vaccine: HPV9, TDAP
Symptoms: Angioedema, Headache, Lethargy, Rash
Clinical narrative: Angioedema; Headache; Lethargy; Rash; Information has been received from RA (agency # AU-TGA-0000791483) on 05-AUG-2024.  This spontaneous case was reported by a consumer via regulatory authority referring to a 12-year-old patient. The patient's medical history, concurrent conditions and concomitant therapies were not reported. There were no previous vaccine reactions.  On 08-NOV-2023, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection,  administered in the left arm for prophylaxis (strength, dose, lot #, expiry date, and route of administration were not provided); and  diphtheria vaccine toxoid, pertussis vaccine acellular 3-component, tetanus vaccine toxoid (BOOSTRIX), administered in the right arm for prophylaxis (strength, dose, formulation, lot #, expiry date, and route of administration were not provided).  On an unknown date, the patient experienced angioedema, headache, and lethargy. On 08-NOV-2023, the patient experienced rash. On 10-NOV-2023, the patient recovered from the event of rash. Rash location was on face, head, neck and chest/back (not at injection site), symptoms with rash included: lip or tongue swelling, rash start: 1 to 6 hours, rash length: more than 24 hours, Headache, fatigue and tiredness.   At the time of reporting, the outcome of events angioedema, headache, and lethargy was unknown. The action taken with all suspect vaccines was not applicable. The causality relationship between all events and hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) was not provided but was considered as related.   Upon internal review, the event angioedema was determined to be medically significant.  Additional information is not expected.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Hyperhidrosis, Pallor, Tinnitus
Clinical narrative: Following injection patient denies any discomfort or complaint s. and walked out to lobby. 5:31 PM Called to lobby stating patient complaining of ringing in her ears. Patient sitting in chair, face pale and perspiration. Patient alert, BP 102/74 HR 76 O2 97 % RA. Patient reports that after after she got to the lobby and rubbed arm she began to have ringing in ears, dizziness which she reports has now passed. Lasted less than a few minutes. Patient also reports that she had not eaten yet today. Color returned to face, patient drank water and ate peanut butter crackers and denies any symptoms at this time. Patient left with Mother after eating part of snack and voiced thanks. Patient did not lose consciousness  or fall during interaction.
Age: 23.0
Sex: F
Vaccine: CHIK, JEV1, RAB, TYP
Symptoms: Dysphagia, Oropharyngeal pain
Clinical narrative: Client states that one day after the vaccines she developed a very sore throat and had trouble swallowing anything but water. Client states that she took Advil for a couple days with resolution of sypmtoms
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Adrenal disorder, COVID-19 pneumonia, Chills, Contusion, Cough
Clinical narrative: BRIEF OVERVIEW: Admission Date: 8/3/2024 Discharge Date: Aug 5, 2024 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up: Needs follow up as an outpatient for nodular thickening of left adrenal gland. Will need follow up of smoking cessation therapy with chantix.  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Fever and chills [R50.9] Hypoxia [R09.02] Fall at home, initial encounter [W19.XXXA, Y92.009] Contusion of right hand including fingers, initial encounter [S60.221A, S60.00XA] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Cough with exposure to COVID-19 virus [R05.8, Z20.822]  HOSPITAL COURSE: This is a 80 y.o. female  with history of PVD, HLD, and seasonal allergies who presented with fever, malaise and SOB. Found to have covid pneumonia. Patient was admitted and placed on treatment with decadron, Remdesivir, vitamin C, vitamin D, Zinc, Inhalers and Lovenox for prophylaxis. Around 48 hours of admission patient was weaned off of oxygen and able to ambulate without desaturations. She is to continue therapy with vitamin D, Vitamin C, Zinc, decadron for a total of 10 days. Patient was interested in smoking cessation and chantix was ordered as per patient preference. Will need follow up of smoking cessation as outpatient and follow up of nodular thickening of left adrenal gland. Discharged to Home.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fall, Hypoxia, Malaise
Clinical narrative: BRIEF OVERVIEW: Admission Date: 8/3/2024 Discharge Date: Aug 5, 2024 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up: Needs follow up as an outpatient for nodular thickening of left adrenal gland. Will need follow up of smoking cessation therapy with chantix.  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Fever and chills [R50.9] Hypoxia [R09.02] Fall at home, initial encounter [W19.XXXA, Y92.009] Contusion of right hand including fingers, initial encounter [S60.221A, S60.00XA] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Cough with exposure to COVID-19 virus [R05.8, Z20.822]  HOSPITAL COURSE: This is a 80 y.o. female  with history of PVD, HLD, and seasonal allergies who presented with fever, malaise and SOB. Found to have covid pneumonia. Patient was admitted and placed on treatment with decadron, Remdesivir, vitamin C, vitamin D, Zinc, Inhalers and Lovenox for prophylaxis. Around 48 hours of admission patient was weaned off of oxygen and able to ambulate without desaturations. She is to continue therapy with vitamin D, Vitamin C, Zinc, decadron for a total of 10 days. Patient was interested in smoking cessation and chantix was ordered as per patient preference. Will need follow up of smoking cessation as outpatient and follow up of nodular thickening of left adrenal gland. Discharged to Home.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: BRIEF OVERVIEW: Admission Date: 8/3/2024 Discharge Date: Aug 5, 2024 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up: Needs follow up as an outpatient for nodular thickening of left adrenal gland. Will need follow up of smoking cessation therapy with chantix.  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Fever and chills [R50.9] Hypoxia [R09.02] Fall at home, initial encounter [W19.XXXA, Y92.009] Contusion of right hand including fingers, initial encounter [S60.221A, S60.00XA] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Cough with exposure to COVID-19 virus [R05.8, Z20.822]  HOSPITAL COURSE: This is a 80 y.o. female  with history of PVD, HLD, and seasonal allergies who presented with fever, malaise and SOB. Found to have covid pneumonia. Patient was admitted and placed on treatment with decadron, Remdesivir, vitamin C, vitamin D, Zinc, Inhalers and Lovenox for prophylaxis. Around 48 hours of admission patient was weaned off of oxygen and able to ambulate without desaturations. She is to continue therapy with vitamin D, Vitamin C, Zinc, decadron for a total of 10 days. Patient was interested in smoking cessation and chantix was ordered as per patient preference. Will need follow up of smoking cessation as outpatient and follow up of nodular thickening of left adrenal gland. Discharged to Home.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Blood bicarbonate decreased, Blood lactic acid, COVID-19, Cough
Clinical narrative: Admit date: 8/3/2024  Discharge date: 8/6/2024  Admitting Physician: No admitting provider for patient encounter.  Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD  Reason for Admission: COVID-19 and difficulty breathing  Brief Summary of Hospital Stay: 63 year old male with h/o COPD on baseline 2L oxygen, HTN, nicotine abuse, cocaine abuse, elevated PSA/prostate cancer, hx of seizures who presented initially for cough and shortness of breath in the ED. He was febrile (38.7), tachycardic (103), and saturating 98% on his baseline 2L by NC. Lab work revealed leukocytosis and a decreased bicarb with elevated anion gap of 17. Lactic acid of 4.7 which downtrended with fluids to 2.9. He had a positive COVID-19 test. He was given Duonebs and Ofirmev. Initially started on Rocephin and Doxy with 1L NS. D-Dimer was 520, no signs/symptoms of PE other than tachycardia. He was placed on a 3-day course of Remdesivir, Prednisone 40mg daily, Symbicort/Spiriva along with his home COPD regimen. His leukocytosis improved over his hospital stay to 8.4 and his BMP was unremarkable aside from hyperglycemia and a mild hyponatremia upon discharge. On the day of discharge, he felt greatly improved with some shortness of breath on exertion. He had no other complaints and was agreeable to discharge. Discharged to Home.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fibrin D dimer, Hyperglycaemia, Hyponatraemia
Clinical narrative: Admit date: 8/3/2024  Discharge date: 8/6/2024  Admitting Physician: No admitting provider for patient encounter.  Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD  Reason for Admission: COVID-19 and difficulty breathing  Brief Summary of Hospital Stay: 63 year old male with h/o COPD on baseline 2L oxygen, HTN, nicotine abuse, cocaine abuse, elevated PSA/prostate cancer, hx of seizures who presented initially for cough and shortness of breath in the ED. He was febrile (38.7), tachycardic (103), and saturating 98% on his baseline 2L by NC. Lab work revealed leukocytosis and a decreased bicarb with elevated anion gap of 17. Lactic acid of 4.7 which downtrended with fluids to 2.9. He had a positive COVID-19 test. He was given Duonebs and Ofirmev. Initially started on Rocephin and Doxy with 1L NS. D-Dimer was 520, no signs/symptoms of PE other than tachycardia. He was placed on a 3-day course of Remdesivir, Prednisone 40mg daily, Symbicort/Spiriva along with his home COPD regimen. His leukocytosis improved over his hospital stay to 8.4 and his BMP was unremarkable aside from hyperglycemia and a mild hyponatremia upon discharge. On the day of discharge, he felt greatly improved with some shortness of breath on exertion. He had no other complaints and was agreeable to discharge. Discharged to Home.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Leukocytosis, Metabolic function test abnormal, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admit date: 8/3/2024  Discharge date: 8/6/2024  Admitting Physician: No admitting provider for patient encounter.  Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD  Reason for Admission: COVID-19 and difficulty breathing  Brief Summary of Hospital Stay: 63 year old male with h/o COPD on baseline 2L oxygen, HTN, nicotine abuse, cocaine abuse, elevated PSA/prostate cancer, hx of seizures who presented initially for cough and shortness of breath in the ED. He was febrile (38.7), tachycardic (103), and saturating 98% on his baseline 2L by NC. Lab work revealed leukocytosis and a decreased bicarb with elevated anion gap of 17. Lactic acid of 4.7 which downtrended with fluids to 2.9. He had a positive COVID-19 test. He was given Duonebs and Ofirmev. Initially started on Rocephin and Doxy with 1L NS. D-Dimer was 520, no signs/symptoms of PE other than tachycardia. He was placed on a 3-day course of Remdesivir, Prednisone 40mg daily, Symbicort/Spiriva along with his home COPD regimen. His leukocytosis improved over his hospital stay to 8.4 and his BMP was unremarkable aside from hyperglycemia and a mild hyponatremia upon discharge. On the day of discharge, he felt greatly improved with some shortness of breath on exertion. He had no other complaints and was agreeable to discharge. Discharged to Home.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Admit date: 8/3/2024  Discharge date: 8/6/2024  Admitting Physician: No admitting provider for patient encounter.  Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD  Reason for Admission: COVID-19 and difficulty breathing  Brief Summary of Hospital Stay: 63 year old male with h/o COPD on baseline 2L oxygen, HTN, nicotine abuse, cocaine abuse, elevated PSA/prostate cancer, hx of seizures who presented initially for cough and shortness of breath in the ED. He was febrile (38.7), tachycardic (103), and saturating 98% on his baseline 2L by NC. Lab work revealed leukocytosis and a decreased bicarb with elevated anion gap of 17. Lactic acid of 4.7 which downtrended with fluids to 2.9. He had a positive COVID-19 test. He was given Duonebs and Ofirmev. Initially started on Rocephin and Doxy with 1L NS. D-Dimer was 520, no signs/symptoms of PE other than tachycardia. He was placed on a 3-day course of Remdesivir, Prednisone 40mg daily, Symbicort/Spiriva along with his home COPD regimen. His leukocytosis improved over his hospital stay to 8.4 and his BMP was unremarkable aside from hyperglycemia and a mild hyponatremia upon discharge. On the day of discharge, he felt greatly improved with some shortness of breath on exertion. He had no other complaints and was agreeable to discharge. Discharged to Home.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEP, MMR, PNC20
Symptoms: Wrong patient received product
Clinical narrative: The patient came into the clinic for a nurse visit to catchup on vaccinations at the same time as another nurse visit. My collogue and I were going over the patient vaccinations and what was needed for her at the time. Per her charts and past immunization history the patient would only need a Hep B vaccination to be able to attend school.  I called someone into the back of the clinic thinking it was pt as we were extremely busy and rushing around. I verified with mom the patient and that she is only needing the Hep B vaccine for school, mom then agreed stating she just needs to get whatever it is to allow her to attend school the following week. I asked mom is she had the paperwork from the school stating that the patient was missing vaccines and mom said she didnt have one with her or on her phone just that she knew the patient needed one. I then had mom sign the vaccination consent form and went to prepare the vaccination and tell the provider responsible for nurse visit vaccinations to check and add the vaccine to the system. I often do this by giving the provider a sticky note with the patients name and date of birth as the provider was in a room with another patient at the time. I then gave the patient the Hep B vaccine in her Right Deltoid. After I gave the vaccine and was preparing to get the mother a copy of the vaccine schedule my manager came over to the nurse station stating that the patient was still in the waiting room and then walked off. Myself, staff, and provider all then realized that I in fact just vaccinated the wrong patient. Staff then took charge of the situation as Provider and I went over the vaccine schedule. To my knowledge staff let the mother know of the event that took place then she went and prepared the other three vaccinations while I had grabbed correct pt from the waiting room and gave her the Hep B vaccine and got her sent home. Staff prepped the MMR, PCV 20, and Quadracel vaccines. I then went and had mom sign the consent form for the rest of the vaccinations and ave the patient her vaccines and sent her on her way.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Immunisation reaction, Inflammation, Pain
Clinical narrative: presented to ED on 3/16/21  for evaluation generalized weakness. Patient was seen in the emergency department yesterday evening for similar complaint. Patient reports that his generalized weakness started 3/15/21. Patient continues to deny any headaches, fevers, dizziness, lightheadedness, cough, chest pain, abdominal pain, nausea, vomiting, diarrhea, or dysuria. Patient is presenting to the emergency department today as he was under the impression that his symptoms should be improved by now. Patient reports that he continues to generalized weakness body aches. He also endorses a decreased appetite. Patient stable for discharge home with plans to use tylenol or advil as needed for inflammatory response from vaccine.
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient received two Flushots (Fluad-trival 2024-2025syr) : 1st shot 8/3/24 and 2nd shot 8/9/24.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Hyperhidrosis, Injection site erythema, Injection site reaction
Clinical narrative: Patient describes that he woke up late Friday night with a fever, the following day and night, he had chills and sweating.  He now has redness, well below where the injection was given, welted up, warm to the touch. Patient also complains of very moderate fatigue over the weekend.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site warmth, Pyrexia, Urticaria
Clinical narrative: Patient describes that he woke up late Friday night with a fever, the following day and night, he had chills and sweating.  He now has redness, well below where the injection was given, welted up, warm to the touch. Patient also complains of very moderate fatigue over the weekend.
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Pain in extremity
Clinical narrative: Friday received Prevnar 20 - Saturday morning redness and pain spreading around and up the right arm. Still red and in pain Monday morning and decided to report - tried Tylenol but did not help
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Chest pain, Injection site erythema, Pain, Pain in extremity
Clinical narrative: After getting vaccine he complained of his L arm hurting and there was visible redness at shot sites.  Note this redness faded.  Encourage him to move arm and he could but complained of pain.  He then said this pain was moving to his chest.  He had some intermittent stridor/wheeze that would come and go for a few seconds at a time.  He was alert and oriented the entire time, never lost consciousness.  O2 at 0.5 L per NC was administered.  911 was called.  He was taken to local Medical Center for evaluation where he was released to home a few hours after he was brought in by ambulance. RN
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Blood glucose normal, Pallor, Syncope, Tuberculin test
Clinical narrative: Patient fainted in Immunization waiting room after receiving TDAP vaccination and PPD Placement. Patient moved to treatment room. Vital signs taken; Glucose taken. Skin appearing Pale in color. Blood pressure at 1050 is 77/44, heart rate 83, blood sugar 88, no respiratory distress, patient placed in recovery position. Vitals taken again at 1055. Blood pressure 102/68, heart rate 106, temperature 98.0. Patient skin color returns to normal. No respiratory distress.
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Cough, Diarrhoea, Pyrexia, Sneezing
Clinical narrative: I visited the clinic for travel related consultations and was told to get the Polio Vaccine booster, TDAP, and Typhoid vaccine. After the vaccine, for the past 3 days I have had a very bad cough, sneezing, fever, and diahrrea.
Age: 68.0
Sex: M
Vaccine: PNC20, TDAP, VARZOS
Symptoms: Acute kidney injury, Chest pain, Dyspnoea, Lethargy, Pyrexia
Clinical narrative: PT WAS HOSPITALIZED, HAD SOB, CHEST PAIN, LETHARGY, FEVER, AKI, MAY HAVE POSSIBLY BEEN REACTIONS TO VACCINES GIVEN ON 8/8/24
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epidural injection, Fall, Muscle atrophy, Musculoskeletal disorder, Rib fracture
Clinical narrative: the patient states that she experienced many side effects after receiving the first two on 12/31/21 and the second on Jan. 2022. She recalls it was Pfizer, but doesn't have the lot/exp from the vaccine card readily available.  She states that two weeks after the first dose, she fell and cracked a rib.  Starting 3 weeks after second injection, she couldn't open her hand up (it was like a claw), and she had to have injections in her fingers. She started having muscle loss and her weight decreased from 130 to 118 pounds after the vaccines. Beginning in September 2022, she had to start getting epidural injections,  and then had spinal surgery in January 2023-- she had to have 2 roads put in her back.  I advised I would submit  to VAERS; she agreed to follow-up from the program.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Spinal fusion surgery, Spinal operation, Weight decreased
Clinical narrative: the patient states that she experienced many side effects after receiving the first two on 12/31/21 and the second on Jan. 2022. She recalls it was Pfizer, but doesn't have the lot/exp from the vaccine card readily available.  She states that two weeks after the first dose, she fell and cracked a rib.  Starting 3 weeks after second injection, she couldn't open her hand up (it was like a claw), and she had to have injections in her fingers. She started having muscle loss and her weight decreased from 130 to 118 pounds after the vaccines. Beginning in September 2022, she had to start getting epidural injections,  and then had spinal surgery in January 2023-- she had to have 2 roads put in her back.  I advised I would submit  to VAERS; she agreed to follow-up from the program.
Age: 2.0
Sex: M
Vaccine: HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient was administered an adult dose of Hep B vaccine in error. Patient was due for Hep A#2.  No symptoms per mother. Patient doing well with no concerns.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Mass, Night sweats, Rash, Urticaria
Clinical narrative: Night sweats, dizziness, hives in both hands, rash in lower back, lump in head.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Cough, Hyperhidrosis, Loss of consciousness, Retching, Sneezing
Clinical narrative: 96%O2 and HR 133 at 1040 97% O2 and HR127 at 1047 Axillary Temperature 96.5F at 1045 Axillary Temperature 96.6F at 1047 RR 24 at 1049 Right arm BP 91/51 at 1052 Pt vomited at 1053 Pt closed eyes and passed out for approx 4 min. Pt left clinic after vaccinations and started coughing, pt started sneezing which is not uncommon per mom, she gave him water, and a few min later pt started coughing per mom. Mom brought him back into clinic. Back in clinic pt laying in moms arms, gagging, not responding and sweating. EMS arrived at 1056 EMS in clinic at 1057 EMS departed clinic at 1104 with pt on monitors and vital machines, strapped into gurney, rails up, and mother at bedside. Mother ridding in ambulance to ED with patient. [MA]Patient was very upset with vaccines per medical assistant. After vaccines, mother and patient checked out and went to the car. When mom was strapping him in, she reports that he started coughing and couldn't stop. She brought him back inside and asked to have his oxygen checked. The receptionist immediately went to Dr. while medical assistant brought patient back to room 1. Dr. evaluated patient and medical assistants began documenting vital signs. Patient was tired but not toxic, diaphoretic. He was laying in mother's lap with eyes closed but opened eyes and was responsive to stimuli. Vitals remained stable and then had 2 episodes of vomiting. He began to be more alert but 911 was called at 10:48AM out of caution. Patient was improving and responsive when EMS arrived. Mother agreed to go with patient via EMS to Facility for further monitoring. [DO]  While in route to Hospital ER, patient developed an erythematous rash head to toe and ER gave epi, oral zyrtec, pepcid, and decadron. Patient was observed for several hours and then released to home with epipen jr. ER admin time 8/2/2024 11:25 and discharged at 8/2/2024 at 14:59.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Unresponsive to stimuli, Vomiting
Clinical narrative: 96%O2 and HR 133 at 1040 97% O2 and HR127 at 1047 Axillary Temperature 96.5F at 1045 Axillary Temperature 96.6F at 1047 RR 24 at 1049 Right arm BP 91/51 at 1052 Pt vomited at 1053 Pt closed eyes and passed out for approx 4 min. Pt left clinic after vaccinations and started coughing, pt started sneezing which is not uncommon per mom, she gave him water, and a few min later pt started coughing per mom. Mom brought him back into clinic. Back in clinic pt laying in moms arms, gagging, not responding and sweating. EMS arrived at 1056 EMS in clinic at 1057 EMS departed clinic at 1104 with pt on monitors and vital machines, strapped into gurney, rails up, and mother at bedside. Mother ridding in ambulance to ED with patient. [MA]Patient was very upset with vaccines per medical assistant. After vaccines, mother and patient checked out and went to the car. When mom was strapping him in, she reports that he started coughing and couldn't stop. She brought him back inside and asked to have his oxygen checked. The receptionist immediately went to Dr. while medical assistant brought patient back to room 1. Dr. evaluated patient and medical assistants began documenting vital signs. Patient was tired but not toxic, diaphoretic. He was laying in mother's lap with eyes closed but opened eyes and was responsive to stimuli. Vitals remained stable and then had 2 episodes of vomiting. He began to be more alert but 911 was called at 10:48AM out of caution. Patient was improving and responsive when EMS arrived. Mother agreed to go with patient via EMS to Facility for further monitoring. [DO]  While in route to Hospital ER, patient developed an erythematous rash head to toe and ER gave epi, oral zyrtec, pepcid, and decadron. Patient was observed for several hours and then released to home with epipen jr. ER admin time 8/2/2024 11:25 and discharged at 8/2/2024 at 14:59.
Age: 56.0
Sex: M
Vaccine: RSV
Symptoms: Injection site erythema
Clinical narrative: PATIENT REPORTED REDDNESS SINCE THE VACCINE ADMINISTRATION. CHECKED FOR VACCINE SITE. RIGHT ARM. NO EVIDENSE OF SHOULDER INJURY PATIENT COULD LIFT SHOULDER ABOVE HIS HEAD, NO PAIN, ONLY REDDNESS FOR ALMOST A YEAR. PATIENT STATED IT WAS HUGE THE DAY AFTER ADMINISTRATION AND OVER TIME IS REDUCED TO 3-INCH REDNESS. THIS IS NOT NORMAL IN MY PROFESSIONAL OPENION. MADE SURE THE PATIENT GOT ABRISVO IN RIGHT ARM WITH THE SCANNED DOCUMENTS IN OUR SYSTEM FROM THE DATE OF ADMINISTRATION.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Choking, Eye disorder, Fatigue
Clinical narrative: Major Fatigue; Eye problems: unable to read, use a computer (anything close); problems start with eyes and migrates up into brain; choking on food and/or saliva; weakness in shoulders and generally over entire body; respiratory problems; pain in arm starting at injection site and going down arm; hot flashes at night, night sweats; cold in daytime; sleeping/resting up to 17 hours a day; artificial lighting in stores bothers the eyes requiring the wearing of a billed hat and sunglasses; unstable: have to hold on to husband to navigate in stores; unable to do more than two things (such as visits to stores) per day; crowds cause stress and onset of symptoms; memory loss
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Gait disturbance, Hot flush, Hypersomnia, Injection site pain
Clinical narrative: Major Fatigue; Eye problems: unable to read, use a computer (anything close); problems start with eyes and migrates up into brain; choking on food and/or saliva; weakness in shoulders and generally over entire body; respiratory problems; pain in arm starting at injection site and going down arm; hot flashes at night, night sweats; cold in daytime; sleeping/resting up to 17 hours a day; artificial lighting in stores bothers the eyes requiring the wearing of a billed hat and sunglasses; unstable: have to hold on to husband to navigate in stores; unable to do more than two things (such as visits to stores) per day; crowds cause stress and onset of symptoms; memory loss
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Night sweats, Pain in extremity, Photophobia, Respiratory disorder
Clinical narrative: Major Fatigue; Eye problems: unable to read, use a computer (anything close); problems start with eyes and migrates up into brain; choking on food and/or saliva; weakness in shoulders and generally over entire body; respiratory problems; pain in arm starting at injection site and going down arm; hot flashes at night, night sweats; cold in daytime; sleeping/resting up to 17 hours a day; artificial lighting in stores bothers the eyes requiring the wearing of a billed hat and sunglasses; unstable: have to hold on to husband to navigate in stores; unable to do more than two things (such as visits to stores) per day; crowds cause stress and onset of symptoms; memory loss
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Covid vaccine was given a week earlier than age requirement. No need to repeat the dose.
Age: 2.0
Sex: M
Vaccine: MNQ
Symptoms: Underdose
Clinical narrative: 2 year old patient was given one vial Menveo instead of two vial Menveo
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Dry skin, Skin exfoliation
Clinical narrative: Patient developed dry scaling, peeling skin on palms of hands that spread to fingers. It started as a small patch and spread to entire surface of palms and fingers. There was no reaction at the injection site or any nausea, fever, or body aches.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Dizziness
Clinical narrative: Dizzy and unbalanced, NOT right after shot buy by the 2nd day.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Device connection issue, Syringe issue
Clinical narrative: As medical assistant was giving Gardasil 9 vaccine the medication squirted out the side where the syringe and leur lock attach.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Fatigue, Oropharyngeal pain, Pain
Clinical narrative: Sore throat, fatigue, body aches
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: patient received the 10mcg/0.5ml vaccine instead of the 20mcg/ml Engerix vaccine.
Age: 4.0
Sex: F
Vaccine: UNK, UNK, UNK
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: The patient came back next day because she had a rash on her arm and it was red.
Age: 17.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Administered wrong vaccine. to patient.  No adverse reactions noted at time of vaccination.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Diarrhoea, Fatigue, Influenza virus test negative, Joint stiffness, Malaise
Clinical narrative: Pt states she started feeling achy. She was not feeling well and felt tired. Next day she was running errands and started feeling bad again and went to bed. About 4 days later she had  joint stiffness and muscle aches. She called Pharmacy to ask about the symptoms and was told they were normal. She then started running fever 101.2  to 102.9.  She developed diarrhea and nausea. She went to Urgent Care.  She was tested for flu and covid both negative. No medicane was prescribed. She was told she had a virus but not diagnosed as they were not able to determine was wrong. She contacted her PCP and is waiting for a call back and nausea medicane.  She feels like this is a side affect the Prevnar 20 vaccine.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Myalgia, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Pt states she started feeling achy. She was not feeling well and felt tired. Next day she was running errands and started feeling bad again and went to bed. About 4 days later she had  joint stiffness and muscle aches. She called Pharmacy to ask about the symptoms and was told they were normal. She then started running fever 101.2  to 102.9.  She developed diarrhea and nausea. She went to Urgent Care.  She was tested for flu and covid both negative. No medicane was prescribed. She was told she had a virus but not diagnosed as they were not able to determine was wrong. She contacted her PCP and is waiting for a call back and nausea medicane.  She feels like this is a side affect the Prevnar 20 vaccine.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Viral infection
Clinical narrative: Pt states she started feeling achy. She was not feeling well and felt tired. Next day she was running errands and started feeling bad again and went to bed. About 4 days later she had  joint stiffness and muscle aches. She called Pharmacy to ask about the symptoms and was told they were normal. She then started running fever 101.2  to 102.9.  She developed diarrhea and nausea. She went to Urgent Care.  She was tested for flu and covid both negative. No medicane was prescribed. She was told she had a virus but not diagnosed as they were not able to determine was wrong. She contacted her PCP and is waiting for a call back and nausea medicane.  She feels like this is a side affect the Prevnar 20 vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: PATIENT RECEIVED 0.25 ML INSTEAD OF 0.5 ML. UNABLE TO CONTACT PATIENT AS PHONE NUMBER IS NO LONGER WORKING.
Age: 89.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Local reaction
Clinical narrative: local reaction at injection site, erythema, warmth, itching
Age: 86.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site discharge, Injection site erythema, Injection site vesicles
Clinical narrative: Patient reports a fluid filled vesicle on the surface of the upper right arm, deltoid with a yellowish fluid and slight red/pink border. No fever,  no drainage.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Syncope
Clinical narrative: Bexsero vaccine given at 1410. Was sitting with her mother resting her head on her mom's shoulders when the mother noticed the color draining and then she fainted at approx 1412.  She was very pale and diaphoretic.  She was lowered to the floor and cold compresses were placed on her forehead and the back of her neck.  She started to come around within 2 minutes and then was assisted to sitting position for 2 minutes and seemed fine.  There was an attempt to move her to an exam table so that she was no longer on the floor but she passed out again.  She was then lowered back to the floor and there she remained until she was fully conscious and color returned. She was given fruit snacks and water while awaiting recovery. She left the clinic at 1455 accompanied by her mother and a staff member to the car.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Unevaluable event
Clinical narrative: Given to patient over 12 years old (with a doctor's order)
Age: 72.0
Sex: M
Vaccine: PNC20, RSV, VARZOS
Symptoms: Injection site pain, Myalgia, Pain in extremity
Clinical narrative: Patient came to the pharmacy today and told me that he was still experiencing arm pain after his vaccinations that he received on 6/17/2024. Patient received shingrix  and abrysvo  in his left deltoid muscle and prevnar 20 in his right deltoid muscle. Patient said he still has pain in his left arm muscle, he described it as "needle pain"  that traveled down his arm but now is better.  Patient said his muscle hurts when he sleeps on his side but if he lifts his arm above his head then it feels better when sleeping.
Age: 69.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Cognitive disorder, Computerised tomogram, Dizziness, Headache, Magnetic resonance imaging
Clinical narrative: About two hours after receiving the shots, patient started experiencing dizziness, headache, blurred vision, unable to speak sentences, could not comprehend letters or numbers
Age: 69.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Speech disorder, Ultrasound scan, Vision blurred
Clinical narrative: About two hours after receiving the shots, patient started experiencing dizziness, headache, blurred vision, unable to speak sentences, could not comprehend letters or numbers
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HIBV, PNC13, RV5
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient received 2 HIB vaccinations at scheduled well child visit today, 02:20 PM. Pentacel (dtap/hib/ipv) and pedvax hib. Patient did not receive Hep B vaccine. Notified provider, and supervisor. Spoke to mother of child at 330 PM, states she is doing fine, with no issues or reactions, stated that she had already doing better after her vaccinations. Mother adv'd of medication error as well.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Fatigue, Neck pain, Pain in extremity
Clinical narrative: Left arm pain spontaneously since injection was given 4 days ago. Also having fatigue.  Denies fever, headache or GI symptoms. Denies any warmth, redness, numbness, tingling or swelling to left arm. Has pain to left neck and shoulder. Patient reports does interfere with normal activities. Patient reports didn't drink much water yesterday and Ibuprofen for 2 days hasn't really improved symptoms much. Has not had to miss work due to these symptoms.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Crying, Erythema, Irritability, Peripheral swelling, Thinking abnormal
Clinical narrative: Arm red and swollen, Excessive crying, very irritable, can't finish thoughts
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Paraesthesia, Paraesthesia oral, Swelling face, Tooth extraction, Tooth impacted
Clinical narrative: On Friday, August 9, 2024, Pt. notified me that he had experienced swelling with tingling sensation on the left side of his face in the mouth/jaw area in late April 2024.  Initially his dentist had determined that it was due to an impacted tooth.  He has had the tooth removed, but the swelling has come back several times since the removal of the tooth with no other indication of cause (unsure of dates). Pt. told me that he was advised by a paramedic that the cause was more than likely a vaccination.  Per the patient, he had received a covid booster within the 4 weeks prior to the Shingrix vaccine that he had received on 4/11/2024.  Lot number, manufacturer and date are unknown.
Age: 0.33
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: I was instructed to make this report. There was NOT an adverse event. There was a med error on 7-24-24 in which a 4 month old was given Kinrix which is indicated for 4 through 6 years of age. This error was not caught until after hours on 8-8-24 and reported during business hours the next day.
Age: 12.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: NO ADVERSE EFFECT OR ANY ACUTE SYMPTOMS REPORTED FROM PARENT OR PATIENT TO FNP ON 8/12/24 WHEN PT'S MOM BROUGHT PATIENT BACK TO RECEIVE CORRECT VACCINE (TDAP).
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Arthralgia, Muscular weakness, Pain in extremity
Clinical narrative: Left arm/shoulder/neck pain with decreased strength to the left arm
Age: 0.75
Sex: M
Vaccine: HEP, HPV9
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 9 Mos old baby was given HPV vaccine by MA in error.   No symptoms.  No adverse reaction to date.
Age: 1.83
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: GIVEN ADULT DOSE INSTEAD OF CHILD DOSE
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dyspnoea, Mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: Severe arm soreness-could not lift arm for 3 days. Fever of 101.5 and chills for 2 days. Feeling of not being able to take a deep breath for 36 hrs.
Age: 47.0
Sex: F
Vaccine: TYP
Symptoms: Chest discomfort, Dysgeusia, Oropharyngeal pain, Rash, Swelling face
Clinical narrative: Patient called the pharmacy on 08/12/2024 at approximately 10am to report some side effects she felt was related to an oral vaccine she picked up at the pharmacy. She stated she started Vivotif on 08/09/2024 in the morning. On 08/10/2024 she felt like she had a sore throat and some chest tightness throughout the day. On 08/11/2024 after taking her second dose, she reported a rash/hives on face, chest, and forearm. A part of her face near her eye was swollen but she felt it was a result of the area of the hives. She reports a metallic taste inside her mouth between her upper teeth and lip and still reports having the hives. After reviewing her allergies I asked if she had experienced any symptoms like this previously with the allergies she reported (penicillin, amoxicillin, iodine) and she stated no, that the reactions happened as a child and she didn't remember them. She denied any difficulty in breathing and stated there was no swelling around mouth/throat. She stated she purchased some Benadryl and wondered if it was okay to take. I asked if she had taken Benadryl previously, she confirmed, and I told her to go ahead and take as directed on the bottle while I followed up with the prescribing physician. I called the prescribing physician who I was able to speak with immediately, who instructed me to tell the patient to take the Benadryl and if any worsening symptoms occur or if symptoms persist to go to the ER. The patient was contacted immediately after (roughly 5min at most after hanging up with her after the inital call) to relay the message from the physician. I instructed her to not take any additional doses of the Vivotif, she expressed understanding not to take any additional doses and if symptoms persist/worsened to go to the emergency room immediately. I tried following up with the patient at 5pm and 5:24pm on 08/12/2024, but she did not answer the calls and has not contacted the pharmacy again at the time of this report.
Age: 47.0
Sex: F
Vaccine: TYP
Symptoms: Urticaria
Clinical narrative: Patient called the pharmacy on 08/12/2024 at approximately 10am to report some side effects she felt was related to an oral vaccine she picked up at the pharmacy. She stated she started Vivotif on 08/09/2024 in the morning. On 08/10/2024 she felt like she had a sore throat and some chest tightness throughout the day. On 08/11/2024 after taking her second dose, she reported a rash/hives on face, chest, and forearm. A part of her face near her eye was swollen but she felt it was a result of the area of the hives. She reports a metallic taste inside her mouth between her upper teeth and lip and still reports having the hives. After reviewing her allergies I asked if she had experienced any symptoms like this previously with the allergies she reported (penicillin, amoxicillin, iodine) and she stated no, that the reactions happened as a child and she didn't remember them. She denied any difficulty in breathing and stated there was no swelling around mouth/throat. She stated she purchased some Benadryl and wondered if it was okay to take. I asked if she had taken Benadryl previously, she confirmed, and I told her to go ahead and take as directed on the bottle while I followed up with the prescribing physician. I called the prescribing physician who I was able to speak with immediately, who instructed me to tell the patient to take the Benadryl and if any worsening symptoms occur or if symptoms persist to go to the ER. The patient was contacted immediately after (roughly 5min at most after hanging up with her after the inital call) to relay the message from the physician. I instructed her to not take any additional doses of the Vivotif, she expressed understanding not to take any additional doses and if symptoms persist/worsened to go to the emergency room immediately. I tried following up with the patient at 5pm and 5:24pm on 08/12/2024, but she did not answer the calls and has not contacted the pharmacy again at the time of this report.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: Patient fainted after receiving vaccine. Patient was very anxious before receiving vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: 0.25ml given instead of 0.5ml. Another booster dose of Spikevax (full 0.5ml) given in October so patient was fully protected.
Age: 78.0
Sex: F
Vaccine: VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a dose of Varivax that expired 2024AUG10 on 2024AUG12. NO NEGATIVE OUTCOMES WERE EXPERIENCED. MERCK- manufacturer recommends that vaccine should not be re-administered. PATIENT WAS NOTIFIED>
Sex: U
Vaccine: MMR
Symptoms: No adverse event, Underdose
Clinical narrative: No other AE; A patient received a smaller than recommended dose for their first dose of the MMR II Vaccine.; This spontaneous report was received from a medical assistant referring to a patient of unknown age and gender.   The patient's medical history, concurrent conditions and concomitant therapies were not reported.   On 19-JUL-2024, the patient was vaccinated with the first dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA) (M-M-R II) injection administered for prophylaxis (lot #X013193, has been verified to be a valid lot number, expiration date reported and upon internal validation both confirmed as 08-MAY-2025; strength, dose, and route of administration were not provided). It was stated that the patient received a smaller than recommended dose for their first dose of the measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA) (M-M-R II) Vaccine (Underdose). No additional details were provided. No other adverse event (AE) (no adverse event) and no product quality complaint (PQC) was reported.
Age: 0.17
Sex: U
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE; improper storage of product in use; This spontaneous report was received from a medical assistant referring to a 2-month-old patient of unknown gender.   The patient's medical history, concurrent conditions and concomitant therapies were not reported.   On 17-JUN-2024, the patient was vaccinated with rotavirus vaccine, live, oral, pentavalent (ROTATEQ) oral liquid (product name reported as "vial 2"), administered orally for prophylaxis (lot #X015245, has been verified to be a valid lot number, expiration date reported and upon internal validation both confirmed as 22-NOV-2024; strength and exact dose were not provided). It was reported that the vaccine underwent a temperature excursion on (30-APR-2024), which was 74.4 degrees Fahrenheit (F) for 72 hours (product storage error). No previous temperature excursion was reported. Confirmed no symptomatic adverse events. No additional information at the time. There was no additional adverse event (AE) (no adverse event) or product quality complaint (PQC).
Age: 0.5
Sex: U
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: Confirmed no symptomatic adverse events; temperature excursion; This spontaneous report has been received from a medical assistant, referring to a 6-month-old patient of unknown gender. The information regarding the patient's pertinent medical history, current conditions, previous drug reactions or allergies and concomitant medications was not provided.  On 30-APR-2024, rotavirus vaccine, live, oral, pentavalent (ROTATEQ) lot# X015245, expiry date 22-NOV-2024 underwent a temperature excursion (3 days and 23 hours at 74.4 Fahrenheit (F), with minimum temperature of 39.02 F and maximum temperature 74.84 F).  On 18-JUN-2024, the patient was vaccinated with improperly stored rotavirus vaccine, live, oral, pentavalent (ROTATEQ), lot# X015245, expiry date 22-NOV-2024, for prophylaxis (dose, route of administration and anatomical location were not reported) (product storage error). No previous temperature excursion was reported; and data logger was involved. Additionally, no symptomatic adverse events were reported (no adverse event).  This is one of several reports received from the same reporter.; Sender's Comments:  US-009507513-2407USA009835: US-009507513-2407USA012955: US-009507513-2407USA012957: US-009507513-2407USA012958: US-009507513-2407USA012979: US-009507513-2407USA013125: US-009507513-2407USA013127: US-009507513-2407USA013212: US-009507513-2407USA013298: US-009507513-2407USA013327: