chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Cardiac failure chronic, Coronary artery disease, Dilated cardiomyopathy
Clinical narrative: Admission Date: 11/5/2024  Discharge Date: 11/6/2024  Discharge Diagnosis:       1. Ventricular tachycardia, no recurrence 2. COVID-19 infection  3. Dilated cardiomyopathy and chronic heart failure with mildly reduced ejection fraction  4. Acute kidney injury  5. Coronary artery disease, without angina pectoris 6. Premature ventricular contractions 7. Dyslipidemia  8. Type 2 diabetes mellitus without long term insulin use  Consultations:  1. Critical care   Dr.  Procedures:  1. None   Studies:  1. Echocardiogram: (11/5/2024) The left ventricular ejection fraction is 43%.  Structurally normal aortic valve.  There is no aortic valve stenosis.  No aortic regurgitation is present.  Structurally normal mitral valve.  There is mild mitral regurgitation.  There is mild to moderate tricuspid regurgitation.  The estimated right ventricular systolic pressure is 25.8 mmHg.  No pericardial effusion.  There is mild to moderate global hypokinesis of the left ventricle.   Hospital Course: Patient presented with AICD discharges.  Patient also COVID positive. Placed in ICU and started on IV amiodarone. Continued medical therapy. No recurrence of the arrhythmia. ECG on day of discharge was sinus rhythm with isolated ventricular pacing. QTC443 Patient transitioned back to oral therapy and ready for discharge home.  Continue carvedilol and sacubitril-valsartan for heart failure; previously did not tolerate SGLT2. Outpatient labs on 11/8/2024 Discharged to Home.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyslipidaemia, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram normal, Heart failure with reduced ejection fraction
Clinical narrative: Admission Date: 11/5/2024  Discharge Date: 11/6/2024  Discharge Diagnosis:       1. Ventricular tachycardia, no recurrence 2. COVID-19 infection  3. Dilated cardiomyopathy and chronic heart failure with mildly reduced ejection fraction  4. Acute kidney injury  5. Coronary artery disease, without angina pectoris 6. Premature ventricular contractions 7. Dyslipidemia  8. Type 2 diabetes mellitus without long term insulin use  Consultations:  1. Critical care   Dr.  Procedures:  1. None   Studies:  1. Echocardiogram: (11/5/2024) The left ventricular ejection fraction is 43%.  Structurally normal aortic valve.  There is no aortic valve stenosis.  No aortic regurgitation is present.  Structurally normal mitral valve.  There is mild mitral regurgitation.  There is mild to moderate tricuspid regurgitation.  The estimated right ventricular systolic pressure is 25.8 mmHg.  No pericardial effusion.  There is mild to moderate global hypokinesis of the left ventricle.   Hospital Course: Patient presented with AICD discharges.  Patient also COVID positive. Placed in ICU and started on IV amiodarone. Continued medical therapy. No recurrence of the arrhythmia. ECG on day of discharge was sinus rhythm with isolated ventricular pacing. QTC443 Patient transitioned back to oral therapy and ready for discharge home.  Continue carvedilol and sacubitril-valsartan for heart failure; previously did not tolerate SGLT2. Outpatient labs on 11/8/2024 Discharged to Home.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Mitral valve incompetence, Pacemaker generated rhythm, SARS-CoV-2 test positive, Tricuspid valve incompetence
Clinical narrative: Admission Date: 11/5/2024  Discharge Date: 11/6/2024  Discharge Diagnosis:       1. Ventricular tachycardia, no recurrence 2. COVID-19 infection  3. Dilated cardiomyopathy and chronic heart failure with mildly reduced ejection fraction  4. Acute kidney injury  5. Coronary artery disease, without angina pectoris 6. Premature ventricular contractions 7. Dyslipidemia  8. Type 2 diabetes mellitus without long term insulin use  Consultations:  1. Critical care   Dr.  Procedures:  1. None   Studies:  1. Echocardiogram: (11/5/2024) The left ventricular ejection fraction is 43%.  Structurally normal aortic valve.  There is no aortic valve stenosis.  No aortic regurgitation is present.  Structurally normal mitral valve.  There is mild mitral regurgitation.  There is mild to moderate tricuspid regurgitation.  The estimated right ventricular systolic pressure is 25.8 mmHg.  No pericardial effusion.  There is mild to moderate global hypokinesis of the left ventricle.   Hospital Course: Patient presented with AICD discharges.  Patient also COVID positive. Placed in ICU and started on IV amiodarone. Continued medical therapy. No recurrence of the arrhythmia. ECG on day of discharge was sinus rhythm with isolated ventricular pacing. QTC443 Patient transitioned back to oral therapy and ready for discharge home.  Continue carvedilol and sacubitril-valsartan for heart failure; previously did not tolerate SGLT2. Outpatient labs on 11/8/2024 Discharged to Home.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, Ventricular extrasystoles, Ventricular hypokinesia, Ventricular tachycardia
Clinical narrative: Admission Date: 11/5/2024  Discharge Date: 11/6/2024  Discharge Diagnosis:       1. Ventricular tachycardia, no recurrence 2. COVID-19 infection  3. Dilated cardiomyopathy and chronic heart failure with mildly reduced ejection fraction  4. Acute kidney injury  5. Coronary artery disease, without angina pectoris 6. Premature ventricular contractions 7. Dyslipidemia  8. Type 2 diabetes mellitus without long term insulin use  Consultations:  1. Critical care   Dr.  Procedures:  1. None   Studies:  1. Echocardiogram: (11/5/2024) The left ventricular ejection fraction is 43%.  Structurally normal aortic valve.  There is no aortic valve stenosis.  No aortic regurgitation is present.  Structurally normal mitral valve.  There is mild mitral regurgitation.  There is mild to moderate tricuspid regurgitation.  The estimated right ventricular systolic pressure is 25.8 mmHg.  No pericardial effusion.  There is mild to moderate global hypokinesis of the left ventricle.   Hospital Course: Patient presented with AICD discharges.  Patient also COVID positive. Placed in ICU and started on IV amiodarone. Continued medical therapy. No recurrence of the arrhythmia. ECG on day of discharge was sinus rhythm with isolated ventricular pacing. QTC443 Patient transitioned back to oral therapy and ready for discharge home.  Continue carvedilol and sacubitril-valsartan for heart failure; previously did not tolerate SGLT2. Outpatient labs on 11/8/2024 Discharged to Home.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Chest X-ray normal, Dyspnoea, Hypotension
Clinical narrative: Admit date: 11/10/2024  Discharge date:  11/13/2024  Admitting Physician:  DO  Attending Physician at the Time of Discharge: MD  Primary Care Physician: MD  Reason for Admission:  Dyspnea secondary to COVID-19 infection  Brief Summary of Hospital Stay: Patient is a 67 y.o. male with h/o HFrEF, V-tach s/p AICD, AFib/flutter s/p multiple ablations, hypertension, HLD, CKD3a who presented to the ER on 11/10 for dyspnea in setting of COVID-19 infection though initially thought to be potentially also related to acute heart failure exacerbation and was aggressively diuresed though with significant resulting hypotension which did improve with giving IV fluid bolus. Chest x-ray clear and lower extremities clear and patient without hypoxia.  Suspect patient's dyspnea was completely related to his COVID-19 infection (no acute exacerbation of heart failure) which is thankfully improving.  Patient had acute kidney injury likely related to hypotension which resolved by time of discharge.  Appreciate Cardiology recommendations to decrease amiodarone from 200 mg 2 times a day to daily with recommendations to follow up with his electrophysiologist for consideration of ablation for his atrial fibrillation which is scheduled for December.  Patient educated about isolation precautions.  Symptoms started on 11/09.  Patient is vaccinated for COVID.  Issues Requiring Follow Up:  -follow up with electrophysiology for management of his atrial fibrillation  Discharged to Home
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Antibody test, Asthma, Autonomic nervous system imbalance, Cognitive disorder
Clinical narrative: Chronic Tinnitus, Intermittent Vertigo, Intermittent nystagmus, Sleep disturbances, Asthma exacerbation, Muscle spasm, Myalgia, Autonomic dysfunction, Phantosmia, Cognitive dysfunction, PEM, Chronic fatigue,  Stress incontinence, IBD symptoms, etc.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Condition aggravated, Echocardiogram, Electrocardiogram ambulatory, Fatigue
Clinical narrative: Chronic Tinnitus, Intermittent Vertigo, Intermittent nystagmus, Sleep disturbances, Asthma exacerbation, Muscle spasm, Myalgia, Autonomic dysfunction, Phantosmia, Cognitive dysfunction, PEM, Chronic fatigue,  Stress incontinence, IBD symptoms, etc.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Magnetic resonance imaging head, Malnutrition, Muscle spasms, Myalgia
Clinical narrative: Chronic Tinnitus, Intermittent Vertigo, Intermittent nystagmus, Sleep disturbances, Asthma exacerbation, Muscle spasm, Myalgia, Autonomic dysfunction, Phantosmia, Cognitive dysfunction, PEM, Chronic fatigue,  Stress incontinence, IBD symptoms, etc.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nystagmus, Parosmia, Sleep disorder, Sleep study, Stress urinary incontinence
Clinical narrative: Chronic Tinnitus, Intermittent Vertigo, Intermittent nystagmus, Sleep disturbances, Asthma exacerbation, Muscle spasm, Myalgia, Autonomic dysfunction, Phantosmia, Cognitive dysfunction, PEM, Chronic fatigue,  Stress incontinence, IBD symptoms, etc.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: Chronic Tinnitus, Intermittent Vertigo, Intermittent nystagmus, Sleep disturbances, Asthma exacerbation, Muscle spasm, Myalgia, Autonomic dysfunction, Phantosmia, Cognitive dysfunction, PEM, Chronic fatigue,  Stress incontinence, IBD symptoms, etc.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Lymph node pain, Lymphadenopathy, Nausea
Clinical narrative: Nausea, Headache, and tenderness/swelling in left arm underarm lymph nodes two hours after receiving the vaccine. Symptoms of tenderness in left underarm lymph nodes for 10/14/2024-10/22/2024. Patient seen by Primary Care Provider and instructed to take NSAIDS as needed for soreness in left underarm lymph nodes.
Age: 0.92
Sex: M
Vaccine: COVID19, DTPPVHBHPB, FLU3, PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: 6mth - 4 y/o Covid Vaccine vial is multidose. All 3 doses given to patient in error instead of 1 dose. No adverse effects from pt.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Bone pain, Chills, Pyrexia
Clinical narrative: Fever, chills, intense bone pain; lasted approximately 12 hours for the worst of it and another 12 hours to be fully recovered.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given FLUAD but was not 65. No adverse reactions reported by patient.
Age: 2.0
Sex: F
Vaccine: DTAPIPV, FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Provider ordered combo vaccine Kinrex (Dtap.IPV). Kinrex is for 4-6 y/o and pt is only 2 y/o. Pt was given the ordered vaccine. Should have been separate Dtap and IPV.
Age: 81.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient given 2nd dose of RSV vaccine. Pharmacy was unware of previous dose one year before so dose was administered at flu clinic. No adverse effects reported
Age: 12.0
Sex: F
Vaccine: HPV9, UNK
Symptoms: Chest X-ray normal, Cough, Lymphadenopathy, Nasal congestion, Oropharyngeal pain
Clinical narrative: 12-year-old female presents today accompanied by her mom with reports of tender lymph nodes on the lower aspect of her neck on the left side. First noticed these on Saturday evening, about 36 hours ago, when she turned her head and noticed some soreness. No fevers or constitutional symptoms but mom reports about a month long history of some persistent nasal congestion, cough, sore throat. No shortness of breath. No GI symptoms or changes in appetite. She feels well otherwise and has still been able to attend school, participates in sports, etc. No animal exposures. Start cefdinir powder for reconstitution, 250 mg/5 mL, 5 mL, orally, 2 times a day, 10 days, 100 ML, Refills 0
Age: 12.0
Sex: F
Vaccine: HPV9, UNK
Symptoms: Pain, Ultrasound neck
Clinical narrative: 12-year-old female presents today accompanied by her mom with reports of tender lymph nodes on the lower aspect of her neck on the left side. First noticed these on Saturday evening, about 36 hours ago, when she turned her head and noticed some soreness. No fevers or constitutional symptoms but mom reports about a month long history of some persistent nasal congestion, cough, sore throat. No shortness of breath. No GI symptoms or changes in appetite. She feels well otherwise and has still been able to attend school, participates in sports, etc. No animal exposures. Start cefdinir powder for reconstitution, 250 mg/5 mL, 5 mL, orally, 2 times a day, 10 days, 100 ML, Refills 0
Age: 1.92
Sex: M
Vaccine: DTPPVHBHPB, MMR, PNC20, VARCEL
Symptoms: Urticaria
Clinical narrative: The patient received vaccines around 5:30PM. A few minutes later, I noticed hives on the patients right wrist. He appeared in no distress, lung sounds were normal and was nursing without issue. He was given 25mg of diphenhydramine. Scattered hives continued to appear on torso and left arm and then abated. He was cleared by EMS to go home.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given a 2nd dose of Flu vaccine at a off-site clinic, but the patient and pharmacist were both unaware that he had already received a dose in september 2024 at his doctor's office. No adverse events reported.
Age: 5.0
Sex: M
Vaccine: DTAPIPVHIB, IPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Pentacel vaccine instead of Daptacel vaccine. Mother was informed and child suffered no untoward effects.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Erythema, Increased tendency to bruise, Neck mass, Swelling
Clinical narrative: 13-year-old female presents with Mom for evaluation of lump behind left ear. Onset today, red, swollen, very tender. Otherwise, feels well. No ENT or allergy type symptoms. No fevers. Wrestles and wears headgear that covers ears and rubs that area. Start amoxicillin-clavulanate tablet, 875 mg-125 mg, as directed, orally, every 12 hours, 7 days, 10, Refills 0
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Extra dose administered
Clinical narrative: MCV4 booster administered 7.5 months early on 11.12.2024. It was realized on 11/14/2024 that client had already had initial dose on 10/15/2021 and would only need a booster which was valid as of 6/6/2025. As per family, client is asymptomatic as per 11.14.2024.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid 19 on 11/1/24.  Had symptoms.  Symptoms persist to this date but antigen test is now negative.  Getting better.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chills, Feeling hot, Headache
Clinical narrative: pt states he was in bed and developed a bad headache. He started having achy muscle aches and pains. He was shivering with severe chills and shaking terribly that he couldn't control it.  He felt like he had fever and like he had the flu and his stomach was quesy. His back started hurting around his kidneys. He urinated frequentley during the night. Today his musles and joints are some better and his arm his not as sore but his back is still hurting. He will take his normal vitamins but nothing for pain.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Myalgia, Nausea, Pollakiuria, Tremor
Clinical narrative: pt states he was in bed and developed a bad headache. He started having achy muscle aches and pains. He was shivering with severe chills and shaking terribly that he couldn't control it.  He felt like he had fever and like he had the flu and his stomach was quesy. His back started hurting around his kidneys. He urinated frequentley during the night. Today his musles and joints are some better and his arm his not as sore but his back is still hurting. He will take his normal vitamins but nothing for pain.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Body temperature increased, Decreased appetite, Headache, Insomnia
Clinical narrative: Up to 104.3° temp for 4+ days, whole body rash, swollen joints, BAD headache for days, insomnia, loss of appetite. Worse illness I've ever had.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Nasopharyngeal swab, Rash
Clinical narrative: Up to 104.3° temp for 4+ days, whole body rash, swollen joints, BAD headache for days, insomnia, loss of appetite. Worse illness I've ever had.
Age: 25.0
Sex: F
Vaccine: RSV
Symptoms: Contraindication to vaccination, Exposure during pregnancy
Clinical narrative: Patient 36 weeks pregnant. clinic only carries arexvy and unaware there was another rsv vaccine specifically for maternal mothers. Pt delivered baby 10/XX/24 full term, uncomplicated and healthy vaginal delivery. OB and pediatrician both aware of arexvy given.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Feeling hot, Hyperhidrosis
Clinical narrative: Woke up at 1 am after getting Spikevax shot at 4:30 p,m. I felt hot and had body aches and Iwas shivering with chills. Temp was 101F. I took 2 Tylenol and went back to bed. I woke 4 more times during the night, to urinate--more than usual for me. I did not sleep well, still achy and getting hotter. I got up at 8 am but was very weak. I ate my usual breakfast of fruit and nuts and hot tea but felt to weak to do anything all day except sit/lie in my recliner. I had no appetite and did not eat lunch or dinner. Went to bed for the night at 8:30 pm. When i got up I was soaked in sweat. I felt ok but weak. My husband got the same vaccine at the same time and place as me and had mild symptoms: feeling hot and tired and not very hungry. The person who gave us the shots was " name redacted" and according to his name tag he was certified to administer vaccines.  The vaccine I got was SPIKEVAX 12+ (covid 2024-25) 0.5 ML ndc 80777-0110--96
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pollakiuria, Pyrexia, Sleep disorder
Clinical narrative: Woke up at 1 am after getting Spikevax shot at 4:30 p,m. I felt hot and had body aches and Iwas shivering with chills. Temp was 101F. I took 2 Tylenol and went back to bed. I woke 4 more times during the night, to urinate--more than usual for me. I did not sleep well, still achy and getting hotter. I got up at 8 am but was very weak. I ate my usual breakfast of fruit and nuts and hot tea but felt to weak to do anything all day except sit/lie in my recliner. I had no appetite and did not eat lunch or dinner. Went to bed for the night at 8:30 pm. When i got up I was soaked in sweat. I felt ok but weak. My husband got the same vaccine at the same time and place as me and had mild symptoms: feeling hot and tired and not very hungry. The person who gave us the shots was " name redacted" and according to his name tag he was certified to administer vaccines.  The vaccine I got was SPIKEVAX 12+ (covid 2024-25) 0.5 ML ndc 80777-0110--96
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1, UNK
Symptoms: Injection site swelling
Clinical narrative: Vaccines given at 4 month well visit. Beyfortus 100mg injected last. Injection site beveled up during injection and remained. Band-Aid applied to site. Other injection sites clear.
Age: 40.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: No adverse event, Wrong patient
Clinical narrative: Vaccine administered to wrong patient
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: The patient came in yesterday to let me know she has been having difficulty lifting her left arm and she thought it was related to having bone on bone in her neck, but she has been seen by both ortho and a neurology and she know believes that the vaccine was given too far forward and that is causing her issues.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain, Muscular weakness, Pain in extremity, Radicular pain
Clinical narrative: Patient with onset of severe pain of left upper arm and shoulder beginning 48 hours after vaccination, persisting at least 8 days later. Also with radicular pain in 4th and 5th fingers and decreased grip strength. No fever or rash.
Age: 0.83
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: patient was given an adult dose of Hep B instead of the pediatric dose.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Her arm was red and very swollen so went to emergency room for treatment. She was given antibiotics and benadryl. After a couple of days the swelling was going down and the redness was  getting better.
Age: 51.0
Sex: F
Vaccine: COVID19, FLU3, PNC20
Symptoms: Lethargy, Nausea, Oropharyngeal pain, Pain in jaw
Clinical narrative: Upon consultation, pt stated that she is ok getting the vaccine after stating that she felt a bit  dizzy after receiving covid vaccine few years back but can tolerate it now without any issues. Pt did not have any side effects or symptoms after receiving all three vaccines and waited in the pharmacy lobby for about 10-15 minutes where no adverse effect was observed. As pt was leaving the building, RPH received a call from the front stating pt was  feeling nauseous. No EPIPEN was administered but pt stated that she was feeling lethargic and was having sore throat. Pt was offered water but unable to drink due to sore throat. When ER service arrived, pt stated she was having jaw pain. Upon assessment, pt  believes she might be allergic to pneumonia vaccine
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Laboratory test, Post-acute COVID-19 syndrome, White blood cell disorder
Clinical narrative: I had contacted Moderna right after receiving the shot. I felt intense burning in my back bones. I called repetely to Moderna as that was the method to report. Intense burning in my spine upon second dosage a few months later it was even worse. Since then I had contracted long covid with mast cell disorders
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Rash, Varicella
Clinical narrative: Patient developed chicken pox after administration of Proquad. Rash confirmed by MD.
Age: 5.0
Sex: F
Vaccine: MNQ
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine was given, provider ordered DTap-IPV (Quadracel) but Menquadfi was adiministed in error
Age: 62.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: The evening following  after receiving vaccines the patient began experiencing itching on scalp (11-14-24 at 1830) which then progressed to generalized itching and hives.  Patient went to the Emergency Room the morning of 11-15-2024 and was given Diphenhydramine, steroids and Epinephrine.  She was also dismissed with an RX for Prednisone 50mg daily for 5 days.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient got 2nd vaccines for RSV when there should be only one. Computer system was down;therefore, can not check record. Patient has no side effects as of right now. No treatment
Age: 0.33
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Kinrix was given to 4 month old instead of Pediarix. No adverse reactions to the kinrix administered.
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Second RSV was given when there should only be one.  System was down ; therefore, can not check vaccinatiion record. No symptoms at the moment. No treatment
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no reaction, no concerns
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Client was inadvertently administered a High Dose Flu vaccine instead of the 6 month and up Fluzone. The parent/guardian was notified, and no known side effects or adverse signs or symptoms occurs immediately or afterwards.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Erythema, Pruritus, Urticaria
Clinical narrative: Patient called the clinic on 11/15/24 at 9:45 a.m. stating that he has had red, raised itchy hives on his entire face and head accompanied by trouble breathing since returning home from clinic on 11/13/24 after receiving vaccines (Fluarix and Pneumovax) mentioned above. Patient states that he has taken 50 mg of Benadryl every 4 hours since this incident occurred, taking the last dose on 11/15/24 at approximately 9:40 a.m. and symptoms are not getting any better. Patient was advised to have a family member drive him to the nearest Emergency Room and instructed to contact our facility to schedule a follow up once this has been completed.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Headache, Throat irritation
Clinical narrative: Date and time adverse reaction started: 11/4 moderate HA that evening, resolved with Tylenol/Motrin OTC. Woke up on Tuesday with a dry, barky, cough; 'croupy sounding.' Itchy throat started a.m. on 11/6/24 when she woke up. Describe the adverse event, treatment and outcomes: Took albuterol (expired) from home, it helped with the cough. After waking up on Tuesday with an itchy throat, 50 mg of Benadryl, symptoms improved within 20 - 30 mins. She reports symptoms returned again on 11/6/24, in the evening and she took a Benadryl 50 mg and symptoms improved within 20 - 30 mins.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client was inadvertently administered a High Dose Flu vaccine instead of the 6 month and up Fluzone. The parent/guardian was notified, and no known side effects or adverse signs or symptoms occurs immediately or afterwards.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given Fluad which is for 65 years and older and he is 64
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Skin infection, Soft tissue infection
Clinical narrative: Skin/soft tissue infection development within 24 hours. Also received DTAP in that leg
Age: 11.0
Sex: M
Vaccine: FLUN3, HEPA, HPV9, IPV, MNQ, VARCEL
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: 11 year old was inadvertently administered a dose of DTaP instead of Tdap.
Age: 91.0
Sex: F
Vaccine: UNK
Symptoms: Body temperature increased, Localised infection, Pain in extremity, Sleep disorder
Clinical narrative: pt says she developed a temp after getting the RSV vaccine and she took tylenol. Then she developed an infection on her left on the index and middle finger that contained puss. She went to Urgent Care. They presribed her triamcinolone oinment. She followed up with her doctors office and was told not to take any more shots since she had this same problem after taking the last covid vaccine. Think she must be allergic to something in the vaccine. She says the oinment is helping but it still hurts and wakes hurt up at night.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC20, VARCEL
Symptoms: Wrong patient
Clinical narrative: Vaccines administered to the incorrect patient. Mom counseled by provider regarding vaccine side effects. She was also informed that the vaccines would need to be readministered when due.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: Deltoid pain started immediately after injection and has persisted for the subsequent 4 weeks
Age: 17.0
Sex: M
Vaccine: COVID19, FLU3, MNQ
Symptoms: Chest X-ray normal, Computerised tomogram head normal, Computerised tomogram thorax normal, Dyspnoea, Electrocardiogram normal
Clinical narrative: on thursday oct.24, my son came home saying that he was cold all day at school and was tired, came home and laid down, i went to work and came home to find that he was already in bed and i can hear him heavy breading, i went to bed and was woken 20-30minutes later to find him on the floor  in his room having convulsions , non responsive with foam coming out of his mouth and call 911
Age: 17.0
Sex: M
Vaccine: COVID19, FLU3, MNQ
Symptoms: Fatigue, Feeling cold, Foaming at mouth, Seizure
Clinical narrative: on thursday oct.24, my son came home saying that he was cold all day at school and was tired, came home and laid down, i went to work and came home to find that he was already in bed and i can hear him heavy breading, i went to bed and was woken 20-30minutes later to find him on the floor  in his room having convulsions , non responsive with foam coming out of his mouth and call 911
Age: 8.0
Sex: M
Vaccine: DTAP, FLUN3, HEPA, IPV, VARCEL
Symptoms: Wrong product administered
Clinical narrative: DTaP was inadvertently administered to an 8 year old instead of a Tdap.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Vertigo
Clinical narrative: Two days after vaccination she developed significant vertigo, raising concerns for vestibular neuritis
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient given high dose influenza vaccine for patients >65; no adverse event happened.  patient stable with no symptoms
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient given high dose influenza vaccine for patients >65; no adverse event happened.  patient stable with no symptoms
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received an additional un-recommended dose of RSV
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Cough, Dizziness, Headache, Migraine
Clinical narrative: Body aches, fever,  joint pain, migraine and headache, continuing cough, dry but some wet but back to dry. Sinus pain, pressure.  Dizzy spells.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Paranasal sinus discomfort, Productive cough, Pyrexia, Sinus pain
Clinical narrative: Body aches, fever,  joint pain, migraine and headache, continuing cough, dry but some wet but back to dry. Sinus pain, pressure.  Dizzy spells.
Age: 21.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: After receiving both vaccines patient became light headed and passed out in the chair. He came to after a couple seconds. He was sweating, drank some water. He was ok  to leave after a couple minutes.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient received 2 Fluzone HD in one season. One on 10/21/2024, the second 11/14/2024
Age: 79.0
Sex: F
Vaccine: COVID19, RSV, RSV
Symptoms: Feeling abnormal, Nausea, Tremor
Clinical narrative: Patient reports waking up at approximately 2am the morning after the vaccination with a feeling as if she had to stretch and extreme shaking.  states shaking lasted until about 4am.  felt a bit nauseous.  reports that she did not eat the night previous.  reports temp 98 degrees.   no other symptoms reported.   called into the pharmacy this morning to inform us of reaction and reported feeling no symptoms currently except being really tired.
Age: 79.0
Sex: F
Vaccine: COVID19, RSV, RSV
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: Patient reports waking up at approximately 2am the morning after the vaccination with a feeling as if she had to stretch and extreme shaking.  states shaking lasted until about 4am.  felt a bit nauseous.  reports that she did not eat the night previous.  reports temp 98 degrees.   no other symptoms reported.   called into the pharmacy this morning to inform us of reaction and reported feeling no symptoms currently except being really tired.
Age: 79.0
Sex: F
Vaccine: COVID19, RSV, RSV
Symptoms: Feeling abnormal, Nausea, Tremor
Clinical narrative: Woke up at 2am with uncontrollable shaking in all muscles that lasted until 6am, low grade fever and chilling.
Age: 79.0
Sex: F
Vaccine: COVID19, RSV, RSV
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: Woke up at 2am with uncontrollable shaking in all muscles that lasted until 6am, low grade fever and chilling.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Pain in back of neck originally associated with muscle spasms then left hip, right thumb and wrist right ankle and left knee
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: incorrect dose of vaccine was administered, pt was given 6mpo-11y instead of 12+ dose patient was notified in addition to management at time of event.
Age: 6.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: Vaccine given in error. Patient was supposed to be given influenza vaccine. Kinrix and Influenza vaccines are predrawn syringes that look extremely similar.  Sibling was supposed to receive Kinrix. Both vaccines were prepared and brought into the exam room on the same tray.  Provider was made aware right away and reviewed with parent. Parent would call with any concerns.
Age: 89.0
Sex: M
Vaccine: FLU3
Symptoms: Mobility decreased, Myalgia, Neck pain, Pain, Pain in extremity
Clinical narrative: Lasting muscle pain, radiating into arm/neck with difficulty raising arm.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Back pain, Blindness, Bone pain
Clinical narrative: Sharp pain in back, heart racing, narrowed vision, almost fainted, intense tingling sensation moved from feet to head and back down, no bowel movement for month of December, anxiety that lasted a month, freezing cold then burning hot, ringing in ears, loss of vision in 1/3/24 for 4 hours, heart rate surging while lying down, heart rate plummeting while walking, itching hands and feet, bone pain in arms and legs that starts and stops, and relocates with no reason, joint pain that lasts for weeks, hearing muffled, disassociating. All these symptoms come and go with no rhyme or reason.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Borrelia test negative, Computerised tomogram heart, Constipation, Electrocardiogram ambulatory normal, Feeling of body temperature change
Clinical narrative: Sharp pain in back, heart racing, narrowed vision, almost fainted, intense tingling sensation moved from feet to head and back down, no bowel movement for month of December, anxiety that lasted a month, freezing cold then burning hot, ringing in ears, loss of vision in 1/3/24 for 4 hours, heart rate surging while lying down, heart rate plummeting while walking, itching hands and feet, bone pain in arms and legs that starts and stops, and relocates with no reason, joint pain that lasts for weeks, hearing muffled, disassociating. All these symptoms come and go with no rhyme or reason.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Hypoacusis, Magnetic resonance imaging head normal, Palpitations, Paraesthesia
Clinical narrative: Sharp pain in back, heart racing, narrowed vision, almost fainted, intense tingling sensation moved from feet to head and back down, no bowel movement for month of December, anxiety that lasted a month, freezing cold then burning hot, ringing in ears, loss of vision in 1/3/24 for 4 hours, heart rate surging while lying down, heart rate plummeting while walking, itching hands and feet, bone pain in arms and legs that starts and stops, and relocates with no reason, joint pain that lasts for weeks, hearing muffled, disassociating. All these symptoms come and go with no rhyme or reason.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Pruritus, Tilt table test normal, Tinnitus, Visual impairment
Clinical narrative: Sharp pain in back, heart racing, narrowed vision, almost fainted, intense tingling sensation moved from feet to head and back down, no bowel movement for month of December, anxiety that lasted a month, freezing cold then burning hot, ringing in ears, loss of vision in 1/3/24 for 4 hours, heart rate surging while lying down, heart rate plummeting while walking, itching hands and feet, bone pain in arms and legs that starts and stops, and relocates with no reason, joint pain that lasts for weeks, hearing muffled, disassociating. All these symptoms come and go with no rhyme or reason.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face
Clinical narrative: Face swelled morning after receiving flu vaccination
Age: 77.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Musculoskeletal stiffness
Clinical narrative: Stiffk leg and foot muscles
Age: 15.0
Sex: M
Vaccine: IPV
Symptoms: Dizziness, Hyperhidrosis, Nausea, Skin induration
Clinical narrative: Patient developed circular area of skin firmness shortly after vaccine administration (provider was called out of another patient room to examine at the time, sounds to have developed within a few minutes of vaccine administration). No erythema was present, no tenderness to palpation. No visible bleeding or evidence of loss of vaccine liquid. No other visible rashes.  As patient walked to lobby to sit down and wait 15 minutes after administration of vaccines (received other vaccines today as well), patient began to feel dizzy, sweaty and nauseous. Was given juice and a snack. Did not end up vomiting. No syncope. Pt felt back to baseline about 5-10 minutes after symptoms arose. Left clinic about 30 min after vaccine administration feeling well. Was instructed to monitor arm and contact clinic if any worsening symptoms occurred (such as pain or redness of the arm) or if they had any questions arise.
Age: 81.0
Sex: F
Vaccine: COVID19, FLU3, RSV
Symptoms: Transient ischaemic attack
Clinical narrative: Pt received vaccinations around 2pm and around 7pm the same evening he suffered a TIA (mini Stroke)-blood pressure was 180/125-no fever
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Full blood count, Headache, Laboratory test, Neck pain
Clinical narrative: Back , neck pain , headache , body aches
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Respiratory syncytial virus test, SARS-CoV-2 test, Scan brain
Clinical narrative: Back , neck pain , headache , body aches
Age: 84.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Extra dose administered
Clinical narrative: flu and covid administered 11/15/24. and was previously administered 10/9/24 by assisted living facility .
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Lip swelling, Swelling of eyelid, Urticaria
Clinical narrative: Employee started to experience symptoms of right eyelid swelling, lower lip swelling and hives across upper back within 16 hours of receiving the vaccine.
Age: 1.17
Sex: M
Vaccine: MMRV, PNC15
Symptoms: Expired product administered, No adverse event
Clinical narrative: The client did not have any adverse events, but was given an expired HIB vaccine on 11/12/2024.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LARGE SWOLLEN, RED AREA DEVELOPED 2 DAYS FOLLOWING VACCINE.  AREA OF CONCERN WAS BELOW DELTOID AREA AND PATIENT WAS CONCERNED THAT VACCINE WAS INJECTED TOO LOW.  SWELLING SEEMS TO BE GOING DOWN AND SYMPTOMS WERE BETTER TODAY THAN YESTERDAY PER PATIENT.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Duplicate Fluad shots were given three months apart. First one was given on 8/5/24; the second one given 11/12/24. No reaction documented. Tried to call patient, no answer yet.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Urticaria
Clinical narrative: Patient called clinic 6 days after vaccination to report that on her way home after vaccination she noticed hives and intermittent nausea.
Age: 55.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Arthralgia, Asthenia, Chest discomfort, Cough, Disorientation
Clinical narrative: I woke up Monday morning with the feeling of pressure on my chest and the inability to take a deep breath. My eyes were aflame with itching & redness. I had a persistent shallow cough. Initially I could feel but insufficiently bring up phlegm in my lungs. I was disoriented and weak with pain across my left shoulder. Using stretching and regular movements, medications & hydration & nutrition, some of the muscle pain subsided over time, however the shortness of breath and coughing have persisted.
Age: 55.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Dyspnoea, Eye pruritus, Myalgia, Ocular hyperaemia
Clinical narrative: I woke up Monday morning with the feeling of pressure on my chest and the inability to take a deep breath. My eyes were aflame with itching & redness. I had a persistent shallow cough. Initially I could feel but insufficiently bring up phlegm in my lungs. I was disoriented and weak with pain across my left shoulder. Using stretching and regular movements, medications & hydration & nutrition, some of the muscle pain subsided over time, however the shortness of breath and coughing have persisted.
Age: 41.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given varicella vaccine today 11/15/2024 which was given too early. Patient was administered MMR vaccine on 10/21/2024. Patient was told that the varicella vaccine was given too early, so he would need to repeat another dose of varicella 1 month after today.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Comirnaty Covid-19 vaccine given to a 10 year old.
Age: 20.0
Sex: M
Vaccine: HEPA
Symptoms: Expired product administered, Underdose
Clinical narrative: Patient received a dose of pediatric Hepatitis A, though he needed an adult dose. This vaccine was also expired by 1 day; he received the Hepatitis A vaccine on 11/14/24, and the dose expired on 11/13/24. This nurse and my director called Merck for further guidance on dealing with this situation. A customer representative, stated that there was no recommendation for another dose as far as the expired vaccine goes. She also clarified that the health care provider should decide if another dose should be administered. This nurse attempted to contact patient twice on 11/15/24 to notify him of error. However, patient did not answer. This nurse will continue to attempt to notify patient of error and offer an adult dose of the hepatitis A vaccine.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Injection site rash, Musculoskeletal stiffness, Rash pruritic, Swelling face
Clinical narrative: Woke up morning after vaccine with swollen eyes  and neck stiffness which then became facial swelling. Swelling  decreased by mid morning  and started to get a rash/itching on my neck/chest. Hands itchy but no rash. Received IM injection of solu-medrol and allergy meds. Rash and itching continued all day. At night had rash on my face and itching. Following day had rash at injection site and down both arms, on neck/chest and trunk area.  Given Claritin  and prednisone 10 day taper to  start following day if still itchy.  Currently taking prednisone (on day 2). Still itchy on neck/chest, down both arms, hands have itchy and tingly sensation and rash at times. Trunk itchy as well but no rash currently.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: After vaccination, patient said his arm hurt right away.   There is/was no swelling or rash --- but feels like there is muscle pain and says can't lift arm from side to top of his head and there is limited range of motion in the arm.  He has since tried massage and exercise and his arm still hurts.  He has not tried any medication.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Cranial nerve paralysis, Diplopia
Clinical narrative: Cranial nerve palsy, double vision
Age: 45.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 1.5 in area of erythema and mild swelling with 5/10 pain to the area
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient was given Flu vaccine on 11/14/2024 and on 11/15/2024. Patient came into clinic to receive Covid vaccination and was given  flu vaccine. Patient was verbally asked prior to vaccination "are you here for your flu vaccine?" Patient stated "yes."
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt inadvertently received 65+ Fluad vaccine. No adverse side effects noted.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Exposure during pregnancy, Wrong product administered
Clinical narrative: Pt called 2 hours after vaccine and one side of face was flushed. Advised benadryl  25mg per Dr.  Pt. given wrong vaccine. Given Hep B instead of Tdap. Hep B is not contraindicated during pregnancy. Report sent to OB-GYN who is also the Health Dept.  When counting at end of day realized hep B Lot # was entered and count was wrong.  Called patient. Stressed that Hep B is not contraindicated in pregnancy.  To make sure this will not happen again (Tdap basket was underneath Hep B basket). Moved immunizations and stressed going over immunization name, dose and lot number before administering vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Rhinorrhoea, Upper-airway cough syndrome
Clinical narrative: Shortness of breath, cough, runny nose, postnasal drip, tightness of chest, wheezing.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Shortness of breath, cough, runny nose, postnasal drip, tightness of chest, wheezing.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Two doses of Covid were administered instead of a flu and covid vaccine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Injection site mass, Injection site pruritus
Clinical narrative: In the middle of night after having vaccine, she had chills and took Tylenol. On next day , she still felt cold and took Tylenol, and has not felt chills on 2nd day after vaccine. Started to notice lump and itching on her upper R arm where the vaccine was administered starting 24h after vaccine.
Age: 76.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Asthenia, Fatigue, Feeling abnormal, Flushing, Hypersomnia
Clinical narrative: pt states her arm was sore. She was flushed and felt funky. She had a 99.6 fever. She took tylenol every 6 hours. Had to sleep more than usual. These symptoms lasted about two days.  She did not have any strength or stamina and felt the need to sleep. After a couple of days the fever and fatique seemed to be better.
Age: 64.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, Pain in extremity
Clinical narrative: Patient requested Covid, Influenza, and RSV vaccinations.  Based on his age and medical conditions, it was determined that he was eligible for RSV and vaccinations were administered.  However when immunization history was reconciled, it was discovered that patient had already received an RSV vaccination at another facility on 03/27/2024.  Patient was notified of the additional vaccination, and patient reported no adverse effects other than the expected sore arm.  Patient's primary care provider was notified.
Age: 16.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Angioedema, Lip swelling, Rash pruritic, Urticaria
Clinical narrative: started with pruritic urticarial rash on 11/11 that progressively overnight involved more of body surface area (ended up involving bilateral arms, legs, abdomen, back , neck and some on face), has some perhaps lsight swelling of lips/angioedema but otherwise without other signs of allergy/anaphylaxis.