chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: the patient involved has not reported any medical concerns or symptoms; Medical Assistant calling to report adverse event regarding improperly stored and administered dose of VARIVAX.  Medical Assistant stated that a dose of VARIVAX was administered on 10/4/2024 after being involved in multiple temperature excursions dat; This spontaneous report was received from medical assistant and refers to a patient of unknown age and gender. The patient's medical history, previous drug reactions or allergies, and concomitant therapies were not reported.  On 04-OCT-2024, the patient  was administered an improperly stored dose (product storage error) of varicella virus vaccine live (oka/merck) (VARIVAX) subcutaneous injection, 0.5 ml/ two dose series, lot number X011424 has been verified to be a valid, expiration date: 19-APR-2025, administered for prophylaxis (strength, anatomical location and route of administration were not provided). It was informed that the vaccine was involved in multiple temperature excursions dating back to 24-JUL-2024. Also, it was confirmed the patient involved has not reported any medical concerns or symptoms after being administered the improperly stored dose of varicella virus vaccine live (oka/merck) (VARIVAX).
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Drug ineffective, Limb discomfort, Musculoskeletal discomfort, SARS-CoV-2 test
Clinical narrative: she had severe issues with shoulders and her arm; she had severe issues with shoulders and her arm; COVID; COVID; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A female patient received BNT162b2 (BNT162B2 NOS), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Hypothyroidism" (unspecified if ongoing); "Arthritis" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset Oct2024, outcome "recovered" (16Oct2024) and all described as "COVID"; MUSCULOSKELETAL DISCOMFORT (non-serious), LIMB DISCOMFORT (non-serious), outcome "unknown" and all described as "she had severe issues with shoulders and her arm". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (16Oct2024) Negative. Therapeutic measures were taken as a result of drug ineffective, covid-19 with Paxlovid on 11Oct2024. Clinical course: Initially patient was prescribed with Paxlovid on 11Oct2024, tested negative on 16Oct2024. Patient has been administered with Pfizer COVID-19 vaccine previously but could not remember how long ago it was. She was not updated with the new formulations since she had severe issues with shoulders and her arm.  Batch/lot number is not provided, and it cannot be obtained.
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea exertional, Fatigue, Night sweats, Vomiting
Clinical narrative: On 10/18/24, patient reported to vaccination flu drive. He reported 'no' to all questions on form. The flu vaccine was administered. He developed palpitations and head pressure during the standard 15 minutes monitoring period. He was evaluated by the medical director and an order for Benedryl, 50mg IM x 1 was administered. Vitals stable. When symptoms subsided he was released with post-care instructions. On 10/22/24 patient reported to an urgent care clinic stating c/o night sweats, fatigue, SOB with exertion x 3 days. He also reported multiple episodes of vomiting that began on 10/22/24. In that encounter note it states no previous reaction to flu vaccine but does report having had a cough since early September that had not gone away.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Hypoaesthesia, Injection site pain, Paraesthesia
Clinical narrative: Felt dizzy approximately 10 minutes after receiving vaccine. Felt some tingling and numbness in feet in lower limbs. She stayed in pharmacy for approximately 45 minutes prior to leaving. She also felt onset of chills prior to leaving pharmacy. Husband picked her up as she did not want to drive while feeling dizzy. No symptoms of allergic reaction like hives, swelling of face, lips, throat or tongue. No chest tightness or nausea/vomiting. She returned to pharmacy about 2 hours later and reported that she was feeling fine and all of her symptoms resolved except for some pain at injection site. This was her first time receiving a high dose flu vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Extrasystoles
Clinical narrative: Skipping heart beats
Age: 65.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: received two doses of flu vaccine for the season no reported adverse outcomes by patient
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Patient showed redness, itching and firmness at the injection. Mother noted just was noticed that there was a reaction due to patient being at their father's house.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: PT HAD RASH THAT STARTED ON LEGS. IT PROGRESSED TO CHEST AREA. INJECTION SITE HAS NOT BEEN AFFECTED. PT STARTED SYMPTOMS STARTED ABOUT 2 WEEKS AFTER THE SHOT. DID NOT GET THIS REACTION WITH PRIOR PFIZER SHOTS. PT NOT SURE IF REACTION WAS FROM VACCINE. FOLLOWED UP WITH DR WHO GAVE A COURSE OF PREDNISONE. DID NOT CLEAR IT. CALLED PHARMACY FOR ADVICE. ADVISED PT TO FOLLOW UP WITH MD OR DERMATOLOGY.
Age: 50.0
Sex: M
Vaccine: COVID19, FLU3, VARZOS
Symptoms: Influenza like illness, Pruritus, Sleep disorder
Clinical narrative: Starting approximately 3 days after vaccines, experienced acute pruritis, especially at night and worst in bed, making sleep impossible. Affected areas: Elbows, knees, inner thighs, waist, wrists. This lasted for approximately 4 nights. Nights 3 and 4 I took diphenhydramine before bed which eased symptoms. Also had typical, expected, flu-like symptoms the day following the vaccinations.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient received 2 flu vaccinations for the season on 7/31/2024  and 10/23/2024. patient is not experiencing any adverse effects.
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Cellulitis, Pain in extremity, Pustule, Skin warm
Clinical narrative: Pt stated experiencing arm pain, it is hot, puffy, painful, and she has a pustule of some sort. She did try Tylenol, it did not help.  I advised that it is outside the normal range of typical side effects and she should seek medical attention either with her PCP or Urgent care.  Patient saw PCP and was prescribed cephalexin 500, one capsule twice a day for 7 days for cellulitis.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient was given a Flu shot on 8/11/2024 and then again was given the same vaccine on 10/23/24
Age: 8.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site pain, Muscular weakness, Product administered at inappropriate site
Clinical narrative: Shot was given low, likely at bottom or beneath deltoid. Burning sensation after shot. Intense shoulder pain, elbow pain, and wrist pain for past 7 days, increasing in severity.  Saw primary care and going to orthopedist next week.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received Arexvy on a clinic done outside of the pharmacy today. Patient wrote on the consent form they have never received any RSV shot. Patient verbally confirmed that they haven't received any RSV shot before. However, when we processed the shot in the pharmacy through the insurance we realized that the patient actually has received 1 RSV (arexvy) shot last year on 11/06/2023. I called the patient and they said they were not aware . They are feeling good and she has not had any adverse reaction yet when we called which is 6 hours after administration of the vaccine. The patient have only came to receive the RSV shot on the clinic so they haven't gotten any other shots at the same day.
Age: 1.17
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Asked medical assistant for Dtap, Varicella and Hib for patient. Did not place orders in the computer. Medical assistant gave Kinrix, Varicella and Hib.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient provided photographs of raised welts or hives on her legs and torso.  The torso's welts were longer and narrower (5mm X 3cm) while the leg hives were small and spotty.  The torso welts were slightly raised with a red discoloration.  The leg hives were flatter with a visible red center and slightly pink halo.  These appeared one day after the shot.  The patient also experienced itching on her back.  She sought treatment with her dermatologist the week of 10/21/2024 and they recommended treatment with an antihistamine.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Ageusia, Anosmia, Fatigue, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Lost smell and taste, fatigue.  No localized reaction.  No fever.  Tylenol and ibuprofen taken.
Age: 69.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: The patient called to report  fever, body aches, and sore arm on 10/25/24. The patient stated that she received her vaccines on 10/23/24 but symptoms did not start until 10/24/24
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: the patient was given Flublok   instead of regular dose of Fluzone.   She is not over 18 years old.    no  adverse events   or  reactions  are  reported from the patient,      no treatment  was needed.    pt's father was informed of the error
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Lethargy, Petechiae, Rash, Vomiting
Clinical narrative: child developed lethargy, decreased appetite 6-8 hours after vaccine. Vomiting with continued lethargy the following day. On day 2, child developed petechial rash covering his chest.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Diarrhoea, Vomiting
Clinical narrative: Vomit diarrhea low energy
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Electric shock sensation
Clinical narrative: discontinued ssri escitalopram about two weeks ago (per patient), had been feeling brain zaps afterward but went away and then came back the day after this vaccine was given and it's worse now per patient. she thinks vaccine could have caused this
Age: 4.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Product preparation issue
Clinical narrative: The patient came into the City-County Health Department to receive her seasonal influenza and Covid vaccines. This RN prepared and administered the vaccines. The Flulaval is package in a single dose syringe. The Covid vaccine is packaged in a multi-dose vial in a concentrated form. This RN drew up the vaccine without diluting the medication resulting in the patient receiving a higher tha recommend dose. Upon realizing this error, this RN report the incident to the immunization department supervisor who advise to call the manufacturer to report the error and obtain their recommendation for any required follow-up treatment and/or excepted outcomes.
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Mom reports swelling, red + very painful at injection site
Age: 41.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Joint range of motion decreased, Musculoskeletal pain, Neck pain
Clinical narrative: Witihin a minute of receiving my flu + Covid injections I felt immediate pain shooting up to my left neck  + into my scapula. The sensations were acute stabbing, throbbing, sharp + relentless. The pain continues plus I have limited range of motion now in my neck. Approx 2 or after the vaccine my left upper chest wall (the skin) became numb + continues No medical interventions
Age: 41.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain
Clinical narrative: Witihin a minute of receiving my flu + Covid injections I felt immediate pain shooting up to my left neck  + into my scapula. The sensations were acute stabbing, throbbing, sharp + relentless. The pain continues plus I have limited range of motion now in my neck. Approx 2 or after the vaccine my left upper chest wall (the skin) became numb + continues No medical interventions
Age: 87.0
Sex: M
Vaccine: UNK
Symptoms: Angiotensin converting enzyme increased
Clinical narrative: None stated.
Sex: M
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Muscular weakness, Pneumonia
Clinical narrative: Guillen Barre Syndrome Physical therapy BLE weakness improving Pneumonia
Age: 64.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: None stated.
Age: 11.0
Sex: M
Vaccine: FLUN3
Symptoms: Headache, Influenza virus test negative, Oropharyngeal pain, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: developed headache and sore throat starting 3 days after vaccine administered. sore throat resolved after several days but headaches persisted as of last exam on 10/23/24
Age: 11.0
Sex: M
Vaccine: FLUN3
Symptoms: Streptococcus test negative
Clinical narrative: developed headache and sore throat starting 3 days after vaccine administered. sore throat resolved after several days but headaches persisted as of last exam on 10/23/24
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Covid rash at injection site
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I noticed the day after I received the first vaccine a high pitched ringing in my right ear. It has since spread to both ears and continues to be a serious annoyance after 3 years later. It has not resolved.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Tremor
Clinical narrative: Felling extremely dizzy had a nap dizziness  has not dissipated. Had a good night sleep and felt better in the morning.but still a bit shaky.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt age at time of vaccination was 7 years and 9 months. Tdap was requested by parent and Tdap was appropriate vaccination based on pt's age. Dtap was given instead. Pt suffered no adverse events due to this.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Inflammatory marker increased, Mobility decreased, Walking aid user
Clinical narrative: After getting  spikevax vaccine for Covid, I began experiencing multiple flare ups that were like RA  or Gout. I had over the next 8 weeks  16 or more flares in multiple joints.  They just kept coming. These were extremely painful and I wasn t able to use joints that were flared so even had to use a walker aid.  Unrelenting pain!! This occurred from June 2  until  they finally let up around August 20. Although these let up I m now still having a few flares and experiencing RA  symptoms which I hadn t had for over 10 years.  In fact I was deemed with low decease Activity and felt very good before this event.
Age: 69.0
Sex: F
Vaccine: HEP
Symptoms: Hepatitis B antibody negative
Clinical narrative: Although the patient received 3 doses of hepatitis B vaccine, her hepatitis B surface antibody remained negative; This literature marketed report has been received from the authors of the published article, titled as stated above concerning a 69-year-old female patient.   Information regarding the patient's pertinent medical history included bilateral sequential lung transplant without induction immunosuppresion for end-stage chronic obstructive pulmonary disease. Information regarding the patient's concurrent conditions and concomitant medications was not provided.   The authors reported that the patient's transplant donor was positive for hepatitis B core antibody, therefore, on an unspecified dates, the patient received three doses of hepatitis b vaccine (recombinant) (manufacturer unknown) as prophylaxis (strength, dose, frequency, route of administration, lot number and expiration date were not provided).   On an unspecified date, after the 3 doses administration of hepatitis b vaccine (recombinant) (manufacturer unknown), the patient's hepatitis B body surface antibody remained negative.   At the time of reporting, the outcome of hepatitis B body surface antibody remained negative was unknown.   The authors considered hepatitis B body surface antibody remaining negative to be related to the vaccination with hepatitis b vaccine (recombinant) (manufacturer unknown).   A copy of the published article is attached as further documentation of the patient's experience.  Literature Article:
Age: 12.0
Sex: U
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: No additional AE/no PQC.; HCP calling to report expired MMRII was inadvertently administered after its labelled expiry date of 10/16/2024; This spontaneous report was received from a registered nurse referring to a 12 year old patient of unknown gender. The patient's pertinent medical history, concurrent conditions, drug reactions or allergies were not reported. the patient's concomitant therapies included sterile diluent (MERCK STERILE DILUENT).   On 14-OCT-2024, the patient was vaccinated with an expired dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live( M-M-R II) 0.5 milliliter, lot # W031980, Albumin status: rHA, expiration date: 06-OCT-2024 (expired product administered) (strength, dose number, route and anatomical location were not provided) for prophylaxis.    It was reported that the vaccine has no previous temperature excursions. No adverse events reported.; Sender's Comments:  US-009507513-2410USA010527:
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV5
Symptoms: Intussusception, Lethargy, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: on 10/18/24 infant presented to office, taken via EMS to ED for sudden onset vomiting mucous, intermittently lethargic.  In ED Ultrasound was positive for Intussusception, self reduced by time of repeat ultrasound in ED, observed to be clinically improved shortly after and discharged home.
Age: 90.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient was given a vaccination for influenza even though he had allegedly already been vaccination a few weeks ago prior.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Tremor
Clinical narrative: pt states she woke up the next morning with rash all over and tremors
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: PATIENT DEVELOPED REDNESS AND WARMTH ON 10/21/24 AT INJECTION SITE. THEN PATIENT DEVELOPED ARM SWELLING ON 10/22/24. PATIENT ALSO DEVELOPED BLISTER AND 2 SPOTS UNDER BANDAID( VARIETY). PATIENT WENT TO DOCTOR AND RECEIVED STEROID.  ON 10/24/24 PATIENT DAD SAID SWELLING HAD COME DOWN FROM STEROID AND THEY WERE PICKING UP TOPICAL STEROID AND ANTIBIOTIC OINTMENT AS WELL. PATIENT DAD REPORTED  ON 10/22/24 THAT A SIMILAR REACTION WITHOUT SWELLING OCCURED WHEN PATIENT RECEIVED A DIFFERENT VACCINE  AT DOCTOR  OFFICE 5 WEEKS PRIOR. PATIENT HAS EGG ALLERGY AND PATIENT DAD WAS TOLD AT TIME OF FLU SHOT ON 10/21/24 THAT CDC RECOMMENDS FLU VACCINE REGARDLESS OF EGG ALLERGY NOW. PATIENT DAD ALSO CONFIRMED ON 10/21/24 PRIOR TO VACCINATION, THAT PATIENT HAD PREVIOUSLY HAD FLU VACCINES AT DOCTOR OFFICE AND PHARMACY WITHOUT PRIOR ISSUE AND WAS COMFORTABLE WITH PATIENT GETTING FLU VACCINE.  ON 10/22/24 AND ON 10/24/24 PATIENT DAD SAID THEY AND ALLERGIST BELIEVE REACTION MAY BE RELATED TO BANDAID AND NOT TO VACCINE BUT THEY WERE STILL DOING TESTING.
Age: 0.25
Sex: F
Vaccine: RSV
Symptoms: Status epilepticus
Clinical narrative: status epilepticus
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Injection site pruritus, Pain in jaw, Paranasal sinus discomfort, Sinus pain
Clinical narrative: 1) Exacerbation of sinus pressure and pain. 2) pain in upper and lower right rear jaw (last 3-4 teeth). 3) itching from injection site to elbow occurred approximately 3 hours after injection and went away after a few hours
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: Mild soreness in right upper arm. Resolved within 24 hours of injection in every case.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test normal, Echocardiogram normal, Fall, Inability to crawl
Clinical narrative: stroke like symptoms, loss of balance, fever, severe muscle weakness, fell three times going to the bathroom. could not get myself up off the floor. couldnt even crawal my way back to bed.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Magnetic resonance imaging neck normal, Muscular weakness, Neurological symptom, Pyrexia
Clinical narrative: stroke like symptoms, loss of balance, fever, severe muscle weakness, fell three times going to the bathroom. could not get myself up off the floor. couldnt even crawal my way back to bed.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Echocardiogram, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: I am not sure stroke was caused from vaccine, seems 6 weeks later is a long time
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Ultrasound Doppler
Clinical narrative: I am not sure stroke was caused from vaccine, seems 6 weeks later is a long time
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Diarrhoea, Feeling hot, Pyrexia, Vomiting
Clinical narrative: father called and described reaction as vomiting, fever (temperature not recorded but feeling warm), and loose stool. RPh suggested he take son to walk in clinic or ER
Age: 80.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient was mistakenly given a second flu shot. During billing of the vaccine, we received a rejection from insurance stating the patient has already received flu vaccine several weeks prior.
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Decreased appetite, Fatigue, Feeling hot, Myalgia
Clinical narrative: shaking and trembling followed by feeling very hot, muscles very sore, very tired, could not eat, no energy
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Tremor
Clinical narrative: shaking and trembling followed by feeling very hot, muscles very sore, very tired, could not eat, no energy
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Nothing after vaccines except sore arm.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Heavy metal normal, Nerve conduction studies abnormal, Neuralgia, Peripheral sensory neuropathy
Clinical narrative: Received COVID 19 Vaccine in 2/21 and 3/21. Developed symptoms on sensory neuropathy in June 2021. Nerve pain in feet and moved up to hands by 2022. Never pain sites are random. Considered "mild" as per nerve conduction study completed in Fall 2021. Decided to self report in 2024 as symptoms have never completely gone away. Nerve pain sites appear to be random. Treatment with Acupuncture and Gabapentin 300 MG TID.  Transplant medication started three month prior to Vaccine. Kidney Doctors doesn't believe symptoms were related to medications. One of two Neurologists think this could be related to Tacrolimus, as I had an early adverse event related to that in Dec 2020. Many different opinions.  Under ITEM 21 below, will select "permanent damage" as symptoms have not completely resolved and could be related to Vaccine.
Age: 69.0
Sex: M
Vaccine: PNC20
Symptoms: Injection site pain
Clinical narrative: Patient complained the vaccine "hurt" upon administration.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: sharp pain on the left side of my chest, with intermitent frequency. every 10 or fifteen minutes.
Age: 77.0
Sex: M
Vaccine: COVID19, FLU3, PNC20, VARZOS
Symptoms: Amnesia, Memory impairment
Clinical narrative: Patient was feeling well immediately after his vaccinations on 10/24/24. He reported to the pharmacy 10/26/24 in the morning to report adverse reactions that began about an hour after returning home.  He stated he doesn't remember anything from that time for about a day after, and he struggled to remember the names of anyone he could call to assist him.  He lives alone.  He could only remember first names.  He also showed me his right arm, and the area of the deltoid muscle was red.  I asked him how he was feeling now, and he said he feels much better.  I recommended Tylenol, Benadryl, and application of an ice pack to the area as needed.  I also told him I would report the adverse reactions and recommended he follow up with his primary care physician and notify him of the reactions.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Myalgia, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: Patient received two vaccines, Flu and Pneumo, on 8/30/24. She had normal muscle soreness in her arm for about 1 day. She then had a rash and swelling develop on her arm, then extend to her neck. She went to patient first a few days after the vaccines and they told her to wait it out. The rash and swelling lasted about 1 and ½ weeks, and then completely resolved. Two to three weeks later (around sept 27), the patient began with neck pain, and some shoulder pain. She went to Urgent Care and received a shot for pain, and muscle relaxers. About 3 weeks later (around Oct 18), the pain went down the patient?s arm. She stated it feels like a knot internally, and believes it to be nerve pain (you cannot feel a knot when rubbing down her arm/shoulder). She went to ER once the pain went down her arm and they gave her muscle relaxers, pain patches, pain shot, and ibuprofen 800mg. She has an appointment with her PCP on Tues 10/29.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash
Clinical narrative: Patient received two vaccines, Flu and Pneumo, on 8/30/24. She had normal muscle soreness in her arm for about 1 day. She then had a rash and swelling develop on her arm, then extend to her neck. She went to patient first a few days after the vaccines and they told her to wait it out. The rash and swelling lasted about 1 and ½ weeks, and then completely resolved. Two to three weeks later (around sept 27), the patient began with neck pain, and some shoulder pain. She went to Urgent Care and received a shot for pain, and muscle relaxers. About 3 weeks later (around Oct 18), the pain went down the patient?s arm. She stated it feels like a knot internally, and believes it to be nerve pain (you cannot feel a knot when rubbing down her arm/shoulder). She went to ER once the pain went down her arm and they gave her muscle relaxers, pain patches, pain shot, and ibuprofen 800mg. She has an appointment with her PCP on Tues 10/29.
Age: 17.0
Sex: F
Vaccine: FLU3, MENB, MNQ
Symptoms: Electrocardiogram normal, Hyperventilation, Panic attack, Syncope
Clinical narrative: Patient had syncope, no loss of consciousness, no fainting, no fall, panic attack. also patient was hyperventilating - transferred to  ER--hospital -- discharged home . patient good.
Age: 17.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Amnesia, Headache, Pain in extremity, Seizure
Clinical narrative: patient had seizure approx 5 min after administration still in vaccine room with rph and mother. patient was stabilized by mother and rph while ems was called. patient was taken by ems to hospital for further evaluation. patient left stable & conscious but did not remember events of seizure and complained of aching head and legs.
Age: 81.0
Sex: M
Vaccine: RSV
Symptoms: Chills, Syncope
Clinical narrative: PATIENT RECEIVED RSV VACCINE ON FRIDAY AFTERNOON. PATIENT WOKE UP SATURDAY MORNING WITH CHILLS AND THEN FAINTED.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Rash pruritic
Clinical narrative: Patient had onset of headache shortly after receiving it, still has slight headache, has a circle rash which is itchy.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Strabismus
Clinical narrative: I developed double vision in the right eye two days after the vaccination.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Ageusia, Rash, SARS-CoV-2 test negative
Clinical narrative: Rash on chest that started within 2 hours of vaccine, and loss of taste completely the next day. Did a covid test that was negative
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Shoulder injury related to vaccine administration
Clinical narrative: Patient reported vaccine injury to right shoulder requiring physical therapy and pain after receiving the flu vaccine.
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: Papular rash affecting entire trunk, both arms and both legs with sparing of palms and soles. Papules 2-5mm and red. Consistent with Pityriasis Rosea or Guttate Psoriasis. Given hydroxyzine and topical triamcinolone.   Unsure which RSV vaccine patient received. Given it is has only been a couple days since office visit it is unlikely the issue has completely resolved.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Haemoglobin decreased, Haemolysis
Clinical narrative: pt and wife are medical doctors - states his hemoglobin was 5.7 and was hospitalized. he got hemolysis according to pt's wife
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: deep vein thrombosis w/in 2 weeks of vaccine
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, dizziness all day. Had to cancel plans.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Arm is red, tight, swollen, and somewhat warm but improved since yesterday according to patient. Redness extends downwards from injection site. Area of swelling consists of a red induration is 3 inches wide by 6 inches long extending toward her elbow.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin tightness
Clinical narrative: Arm is red, tight, swollen, and somewhat warm but improved since yesterday according to patient. Redness extends downwards from injection site. Area of swelling consists of a red induration is 3 inches wide by 6 inches long extending toward her elbow.
Age: 77.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Redness at the site of administration on left arm extending down about 4-5 inches. Tender and warm to touch  per patient. Not painful, no other symptoms.
Age: 93.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: PATIENT STATED THAT THEY RECEIVED AN RSV VACCINE LAST YEAR. BUT DID NOT TELL PHARMACY STAFF UNTIL AFTER THE CURRENT VACCINE WAS ADMINISTERED.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Rash
Clinical narrative: Pt ended up getting a rash and swelling on the arm that the injection was given. She went to a doctor and they prescribed prednisone 20mg (2qd for 7d)
Age: 15.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Syncope
Clinical narrative: Patient got both vaccines, one in each arm. Afterwards, he got up to stand by door to wait for sibling and mom to get their vaccines. Shortly after, he fainted but recovered quickly. We gave him some water to drink and hard candy in case low sugar. He rested for about 5-10 minutes and seemed to be ok.  Patient left with mom to go grocery shopping.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Infection, Pain, Pain in extremity
Clinical narrative: I received both the flu and pneumonia shot in my left arm during the same appointment. The following day I had pain lifting my arm over my head to remove my pullover shirt.  On Oct 16, after trying stretching exercises to relieve the pain without results I saw my Dr. He prescribed Prednisone and Cephalexin, he believed there was an infection. Having completed 10 days of medication the pain in my arm has gone. If I stretch high above my head, I still feel a twinge in my arm.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The 8 year old patient received the adult dose of Moderna Spikevax (NDC:80777-0110-96). The parent was notified when the mistake was discovered about 30 minutes later. The patient reported no adverse affects currently and was instructed to follow up with pharmacy if and adverse effects are noted in the future.
Age: 81.0
Sex: F
Vaccine: RSV
Symptoms: Rash macular
Clinical narrative: Patient called stating she received her RSV vaccine and woke up early this morning with "blotches" on her ghighs, hand, and shoulder blades.  She wasn't sure if it was due to the vaccine or the antibiotic (bactrim) that she is taking.
Age: 1.67
Sex: M
Vaccine: COVID19, FLU3, HEPA
Symptoms: Blood culture, Culture urine, Electroencephalogram, Endotracheal intubation, Intensive care
Clinical narrative: Became febrile following vaccine administration, tmax 103 with subsequent status epilepticus requiring intubation and admission to the PICU with neurology consult.
Age: 1.67
Sex: M
Vaccine: COVID19, FLU3, HEPA
Symptoms: Lumbar puncture, Magnetic resonance imaging, Pyrexia, Respiratory pathogen panel, Status epilepticus
Clinical narrative: Became febrile following vaccine administration, tmax 103 with subsequent status epilepticus requiring intubation and admission to the PICU with neurology consult.
Age: 65.0
Sex: M
Vaccine: COVID19, PNC20, RSV, VARZOS
Symptoms: Limb discomfort, Muscle spasms
Clinical narrative: pt recieved 4 IM injections 2 on each arm on 10-22 pt reports feeling heavy sensation in forearms. no pain noted, just minor muscle spasms and heavy feeling in forearms. symptoms improving since starting on 10-25 pt utilizing cold compresses/icepacks on forearms. no noted swelling near injection site, no difficulty breathing, no digestive issues, no cognition issues reported at this time. pt is following up with medical provider soon. pt instructed on safe tylenol usage with other pain medications and if range of motion, numbness or pain worsen to seek immediate care.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Flushing, Syncope
Clinical narrative: Patient fainted while seated in chair. Became hot and flushed. Patient rested in chair for 15-20 minutes and was provided cold water and a cool wet rag for forehead. Patient eventually felt better.
Age: 80.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: patient called on 10-26-24 to report that she broke out into a red, itchy rash on her body.  She did go to the ED where she was given prednisone and benadryl.  She states that the itchiness has improved but rash is still present.  She is following up with her PCP.  She called to make us aware and to see if any other patients have experienced this.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Patient described that below her injection site on her left arm, and above her elbow became really red after her flu vaccine was given. The injection site itself was not red or swollen.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Vomiting
Clinical narrative: Patient had the Fluad vaccine, 10 minutes later the patient reported feeling light headed and weak. Patient also vomited. His BP was 160/90.  Patient made it home safely and an hour later, the patient reported that his blood pressure went down to 130/80. Was feeling overall better.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Nausea, Retching, Vomiting
Clinical narrative: Vomitting, dry heaving, intense low back pain, nausea
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: After giving this flu shot it was determined that patient had allready received a flu shot just a month ago.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Nausea
Clinical narrative: Nausea immediately afterwards which seemed to worsen over the afternoon
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Alopecia
Clinical narrative: hair loss
Age: 82.0
Sex: F
Vaccine: RSV
Symptoms: Injection site bruising
Clinical narrative: THE PATIENT REPORTED BRUISING AT SITE OF VACCINATION. SHE SAID IT DID NOT HURT. SHE WAS ADVISED TO TAKE A PAIN MADICATION IF NECESSARY AND FOLLOW UP WITH PHARMACY IN A FEW DAYS TO A WEEK OR HER PROVIDER IF NECESSARY.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Breath sounds abnormal, Creatinine renal clearance, Dyspnoea, Pneumonia
Clinical narrative: the patient was admitted into the hospital with problems breathing a week after getting the flu, covid and RSV vaccine. The patient was later told that they have pneumonia. The patient feels that this is a side affected of the RSV vaccine. the patient did not get a fever.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Mobility decreased, Sleep disorder
Clinical narrative: pt reports inability to lift arm above head and a consistent severe pain/burning sensation in shoulder- pt was woken up by the pain. pt reports trying ice and otc ibuprofen but not really helping the pain.  she was counselled to see medical provider if pain does not go away but she stated that she was going to wait ~24 hours after vaccine to see if pain subsides
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash vesicular
Clinical narrative: Vesicular rash at site of Shingrix
Age: 93.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Agitation, Dyspnoea, Nausea
Clinical narrative: Patient received both vaccines, left vaccination room then became agitated, nauseous and had difficulty breathing.
Age: 61.0
Sex: F
Vaccine: FLU3, PNC21
Symptoms: Cough, Decreased appetite, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Patient received two vaccines intramuscularly in the right deltoid on 10/20/24. (Fluzone Lot: U8518DA Exp: 6/30/25 and CAPVAXIVE Lot Y011819 Exp: 10/1/2025). Patient reported an adverse reaction in person at the pharmacy on 10/26/24. Adverse reactions includes the following: worsening localized redness of the right arm and itchiness from injection site traveling down to the elbows, sensitive to touch, fatigue, nausea,  decrease in appetite, and "feeling sick for the past week." No bumps or rashes visible. New onset of cough today, 10/26, unsure if related to IMZ or not. Patient denied trouble breathing and any reactions on other part of body. Per patient, the onset of the redness occurred the morning after the vaccine (10/21) and spread down to the elbows as the days went by. Patient had only tried icing the area on 10/23 with no improvement. Patient has a history of receiving yearly flu shots and last received pneumococcal 23 in 10/2017. Instructed patient to apply cold compress/ice for 15 minutes 3-4 times a day and apply hydrocortisone cream for the remaining of the weekend. If reaction gets worse or have no improvement, then follow up with doctor on Monday.
Age: 61.0
Sex: F
Vaccine: FLU3, PNC21
Symptoms: Injection site pruritus, Malaise, Nausea
Clinical narrative: Patient received two vaccines intramuscularly in the right deltoid on 10/20/24. (Fluzone Lot: U8518DA Exp: 6/30/25 and CAPVAXIVE Lot Y011819 Exp: 10/1/2025). Patient reported an adverse reaction in person at the pharmacy on 10/26/24. Adverse reactions includes the following: worsening localized redness of the right arm and itchiness from injection site traveling down to the elbows, sensitive to touch, fatigue, nausea,  decrease in appetite, and "feeling sick for the past week." No bumps or rashes visible. New onset of cough today, 10/26, unsure if related to IMZ or not. Patient denied trouble breathing and any reactions on other part of body. Per patient, the onset of the redness occurred the morning after the vaccine (10/21) and spread down to the elbows as the days went by. Patient had only tried icing the area on 10/23 with no improvement. Patient has a history of receiving yearly flu shots and last received pneumococcal 23 in 10/2017. Instructed patient to apply cold compress/ice for 15 minutes 3-4 times a day and apply hydrocortisone cream for the remaining of the weekend. If reaction gets worse or have no improvement, then follow up with doctor on Monday.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Deep vein thrombosis, Elbow operation, Impaired work ability, Ultrasound Doppler abnormal
Clinical narrative: I was an employee (On jump and dive status), after.  In May of 2022, I had minor elbow surgery, and the week after the surgery, I had a DVT in my left calf. While uncommon in my demographic because I had had minor surgery, the event was considered an anomaly (it is possible, though rare, to have them from minor surgery), and I was treated with blood thinners and returned to work. I had a booster shot on Sept 22. That Dec, I had another  DVT but in my right calf. At that time, the cause was unknown. It was at that time that I was placed on blood thinners for life. I was a special operations diver, freefall (so I had the most stringent physical except for becoming an astronaut with no blood abnormalities) who played sports my whole life; if there were a clotting disorder, it would have come out decades ago. I was medically retired due to the DVTs caused by my vaccines.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Balance disorder, Biopsy brain normal, Computerised tomogram head normal, Dysarthria, Echocardiogram
Clinical narrative: Around 10 weeks post vaccination noted slurred speech, loss of fine motor skills in right arm, balance issues, predominantly impacting right leg. Mimicked stroke. Went to ED for treatment; treated first as stroke, then as potential brain tumor. Testing at this time inconclusive, but both stroke and tumor were ruled out at this time. Ultimately released to home after 10 days with OP referral for PT and ST and OT home exercises from IP stay.  Symptoms gradually improved through December 2023. Noted recurrence and slight change in severity of symptoms in January 2024. Second dose of vaccine administered November 2023; symptoms recurred around 5 weeks post second vaccination. New symptoms included recurrence of slurred speech and fine motor control changes in right hand. Left face cheek would feel numb, then numbness would transition to right arm, accompanied by loss of fine motor control in fingers on right hand, then would move to right leg which would experience numbness and loss of balance as well as ability to control foot movement. Onset occurred without warning, and would last around 45 seconds. Initially occurred 30-40x per 24 hours, with tapering of frequency and intensity through July 2024.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Fine motor skill dysfunction, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging head normal, Scan with contrast normal
Clinical narrative: Around 10 weeks post vaccination noted slurred speech, loss of fine motor skills in right arm, balance issues, predominantly impacting right leg. Mimicked stroke. Went to ED for treatment; treated first as stroke, then as potential brain tumor. Testing at this time inconclusive, but both stroke and tumor were ruled out at this time. Ultimately released to home after 10 days with OP referral for PT and ST and OT home exercises from IP stay.  Symptoms gradually improved through December 2023. Noted recurrence and slight change in severity of symptoms in January 2024. Second dose of vaccine administered November 2023; symptoms recurred around 5 weeks post second vaccination. New symptoms included recurrence of slurred speech and fine motor control changes in right hand. Left face cheek would feel numb, then numbness would transition to right arm, accompanied by loss of fine motor control in fingers on right hand, then would move to right leg which would experience numbness and loss of balance as well as ability to control foot movement. Onset occurred without warning, and would last around 45 seconds. Initially occurred 30-40x per 24 hours, with tapering of frequency and intensity through July 2024.
Age: 52.0
Sex: M
Vaccine: COVID19, FLU3, VARZOS
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: at 2:15pm, After vaccination, Pt. was feeling dizzy and sweating, no allergic symptoms. lost the consciousness for few seconds. Called 911, his was conscoius. checked BP , normal at lower side. Paramedics arrived around 2:25pm and pt. left pharmacy walking with paramedics. pt. was doing ok
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Flublok indicated for patients 18 and up.  This  patient 14 years old.  No adverse effects noted as of time of reporting.
Age: 6.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered, Pyrexia, Rash
Clinical narrative: Pediatric patient received adult dose of Havrix. Mild fever and localized rash after vaccine for few days but no severe reactions
Age: 10.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, Pyrexia, Rash
Clinical narrative: Pediatric patient received adult dose of Havrix. Mild fever and localized rash after vaccine for few days but no severe reactions
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: pt developed severe back pain after 4 days of administration
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling
Clinical narrative: redness and swelling of arm after getting injection
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test normal, Chills, Dizziness, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: The morning after the vaccine I was feeling fine. I went to the kitchen to make breakfast and began to feel lightheaded. I leaned against the counter in the kitchen waiting for it to pass and then I fainted and fell to the floor. My partner and daughter were watching and there right away. I woke up, knew what had happened, and then was able to walk to the couch. I crumbled to my knees first and then fell on my face (nose, mouth). I didn't experience any dizziness or confusion. I did start to feel chills and achy body. These symptoms lasted until Sunday afternoon (about 36 hours). I had an annual wellness care appointment the following Monday. My doctor was not convinced the fsainting was related to the vaccine and ordered blood tests, EKG, and heart ultrasound to rule out any other conditions. So far all the tests have come out normal.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fall, Pain, Syncope
Clinical narrative: The morning after the vaccine I was feeling fine. I went to the kitchen to make breakfast and began to feel lightheaded. I leaned against the counter in the kitchen waiting for it to pass and then I fainted and fell to the floor. My partner and daughter were watching and there right away. I woke up, knew what had happened, and then was able to walk to the couch. I crumbled to my knees first and then fell on my face (nose, mouth). I didn't experience any dizziness or confusion. I did start to feel chills and achy body. These symptoms lasted until Sunday afternoon (about 36 hours). I had an annual wellness care appointment the following Monday. My doctor was not convinced the fsainting was related to the vaccine and ordered blood tests, EKG, and heart ultrasound to rule out any other conditions. So far all the tests have come out normal.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lymph node pain, Mobility decreased, Skin abrasion, Wound
Clinical narrative: The day following the shot, I started to experience pain in my lymph node / armpit area. It progressively got worse,  very red and sore, and by day 3 I could barely move my arm. That evening (3 days post vaccine), the two red areas in my arm pit were now open sores/abrasion type areas. Within the next 48 hours, it became extremely infected, which has resolved with antibiotics.