chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: FLUX
Symptoms: Allergy to vaccine, Anaphylactic reaction, Eye oedema, Eye pruritus, Eye swelling
Clinical narrative: Reported Symptoms: 10002218:ANAPHYLAXIS; 10014218:EDEMA CONJUCTIVAL; 10024570:LIP SWELLING; Narrative: Historical ADE reported. Patient presented to ER on 12/10/2010 with edema of eyes, nose and red itching blotches over her body as well as itchy eyes for the last 4 days. Patient stated was seen and treated with bactrim while being seen at (redacted name) hospital (redacted state). She reported only taking 2 doses since. Swelling worsened under her eyes and change in vision. No SOB or swallowing problems reported at the time. She also reports she received a flu shot last Wednesday and had not had one for over 20 years. Influenza vaccine was added to allergy list. Patient was given Solumedrol 80 mg IM once and Benadryl 25 mg IM once while inpatient. Swelling improved and resolved while inpatient. Other Relevant HX: Other: SWELLING AROUND EYES; LIP SWELLING
Age: 43.0
Sex: M
Vaccine: FLUX
Symptoms: Lip swelling, Nasal oedema, Pruritus, Rash macular, Visual impairment
Clinical narrative: Reported Symptoms: 10002218:ANAPHYLAXIS; 10014218:EDEMA CONJUCTIVAL; 10024570:LIP SWELLING; Narrative: Historical ADE reported. Patient presented to ER on 12/10/2010 with edema of eyes, nose and red itching blotches over her body as well as itchy eyes for the last 4 days. Patient stated was seen and treated with bactrim while being seen at (redacted name) hospital (redacted state). She reported only taking 2 doses since. Swelling worsened under her eyes and change in vision. No SOB or swallowing problems reported at the time. She also reports she received a flu shot last Wednesday and had not had one for over 20 years. Influenza vaccine was added to allergy list. Patient was given Solumedrol 80 mg IM once and Benadryl 25 mg IM once while inpatient. Swelling improved and resolved while inpatient. Other Relevant HX: Other: SWELLING AROUND EYES; LIP SWELLING
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Reported Symptoms: 10037087:PRURITUS;  Narrative: Other Relevant HX: Other: PRURITUS
Sex: M
Vaccine: FLUX
Symptoms: Paraesthesia
Clinical narrative: Reported Symptoms: 10033987:PARESTHESIA; Narrative: Per review, "History of remote, severe episode of Guillain-Barre' related to a flu vaccine in the 1990's. States he was paralyzed from the shoulders down. Subsequently developed a DVT in the RLE due to prolonged immobility." Other Relevant HX: Other: PARESTHESIA.
Sex: M
Vaccine: FLUX
Symptoms: Chills
Clinical narrative: Reported Symptoms: 100008531:CHILS; Narrative: Other Relevant HX: Other: CHILLS
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Eructation, Nausea, Vomiting
Clinical narrative: Reported Symptoms: 10012727:DIARRHEA; 10028813:NAUSEA; 10047700:VOMITING; Narrative: Per secure message from pt: Good Afternoon, I'm writing in regard to my flu shot that I received at the clinic on 10/16/24 during lunch. Within 3-4 hours after receiving it, I continuously belched what seemed to have an egg taste, as well as felt extremely nauseous. I took a Zofran, and that settled my stomach until I went to sleep that night. During the night last night (10/17/24), I had extreme nausea, vomiting and diarrhea that are still present, and have not resolved with appropriate medications. Can you please speak with Dr. and have it annotated in my records that I've had these reactions to the Influenza vaccine, please? In my work place and my home, there are no persons that are sick, nor have any symptoms that are the same as those mentioned. Thank you.  Other Relevant HX: Other: NAUSEA AND VOMITING; DIARRHEA
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; Narrative: Patient went to ER for treatment, received steroid shot. Was not admitted. Other Relevant HX: Other RASH
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary haemorrhage
Clinical narrative: Reported Symptoms: 10005103:BLEEEDING; Narrative: Patient reported he received covid vaccine on 3/5/21 and on 3/6/21 was hospitalized for bleeding in lungs at non facility hospital. Patient was discharged from hospital on 3/8/21 Other Relevant HX: Other: BLEEDING
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: Vaccine was diluted with the office stock diluet, Merck Sharp and Dohme LLC vaccines diluent, insted of the vial that came in the box in error. Manager was notified, lead CMA, vaccine coordinator, health department, ordering provider, MCIR, and an ERS report was submitted. Per the health department,  Menveo was not fully administered. Since the fourth stereotype was not administered the vaccine must be readmisnistered without a waiting period with no harm to the patient. I called and infromed patients mother of this. I informed her that I would be required to do continued education as well as peer review prior to vaccine administrations. She verbalized understanding with no questions.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Basophil count increased, Blood alkaline phosphatase normal, Blood cholesterol normal, Blood creatinine decreased
Clinical narrative: acute pancreatitis, 3-4 hours after booster had onset of severe epigastric abdominal pain with associated nausea without vomiting. Only PO intake was a soda pop and some candy.  abnormal CBC noted in ED
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood triglycerides normal, Eosinophil count increased, Full blood count abnormal, High density lipoprotein decreased
Clinical narrative: acute pancreatitis, 3-4 hours after booster had onset of severe epigastric abdominal pain with associated nausea without vomiting. Only PO intake was a soda pop and some candy.  abnormal CBC noted in ED
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Lipase increased, Low density lipoprotein normal, Nausea, Pancreatitis acute, Polychromasia
Clinical narrative: acute pancreatitis, 3-4 hours after booster had onset of severe epigastric abdominal pain with associated nausea without vomiting. Only PO intake was a soda pop and some candy.  abnormal CBC noted in ED
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: acute pancreatitis, 3-4 hours after booster had onset of severe epigastric abdominal pain with associated nausea without vomiting. Only PO intake was a soda pop and some candy.  abnormal CBC noted in ED
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal distension, Abdominal pain upper, Blood test abnormal, Colitis ulcerative, Condition aggravated
Clinical narrative: Starting the following day and was out of remission from ulcerative colitis.  He had 2 blood samples, and 2 stool samples checked through Dr. which confirmed out of remission.  He was experiencing bloating, stomachache, headache, diarrhea, and blood in stool.  They treated him with Stelara infusion.  That didn't put him in remission.  They are putting him on Budesonide capsules to help with inflammation.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Diarrhoea, Haematochezia, Headache, Inflammation, Stool analysis abnormal
Clinical narrative: Starting the following day and was out of remission from ulcerative colitis.  He had 2 blood samples, and 2 stool samples checked through Dr. which confirmed out of remission.  He was experiencing bloating, stomachache, headache, diarrhea, and blood in stool.  They treated him with Stelara infusion.  That didn't put him in remission.  They are putting him on Budesonide capsules to help with inflammation.
Age: 60.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site bruising, Injection site swelling
Clinical narrative: The patient received the vaccine on 3/20/25 and woke up on Tuesday the 25th with a swollen area at the injection site. She also had a bruise in the area. She iced the area and saw her primary care who also prescribed antibiotics for a precaution.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Glossodynia, Headache, Nausea, Swollen tongue, Urticaria
Clinical narrative: Approximately 1 hour after vaccination received, hives began on left arm and spread to chest, face, and entire body. Tongue began to swell and became painful, she developed a severe headache and nausea. Was given antihistamine/allergy relief medication by her Mother when symptoms began. Symptoms improved, but hives lasted for approximately 24 hours.
Age: 50.0
Sex: F
Vaccine: PNC20
Symptoms: Dizziness, Flushing, Headache, Injection site erythema, Injection site induration
Clinical narrative: - PEVNAR 20 vaccine administered on 3/26/25. - Onset of symptoms began on 3/27/25 with mild malaise, followed by a low-grade fever, myalgias, and flushing. - Took Tylenol for symptom relief. - Persistent fatigue and malaise over the next few days, with significant weakness on 3/30/25. - Erythema and induration at the injection site noted on 3/31/25. - Denies pruritus, oral swelling, or dyspnea. - Current symptoms include dizziness and headache.
Age: 50.0
Sex: F
Vaccine: PNC20
Symptoms: Malaise, Myalgia, Pyrexia
Clinical narrative: - PEVNAR 20 vaccine administered on 3/26/25. - Onset of symptoms began on 3/27/25 with mild malaise, followed by a low-grade fever, myalgias, and flushing. - Took Tylenol for symptom relief. - Persistent fatigue and malaise over the next few days, with significant weakness on 3/30/25. - Erythema and induration at the injection site noted on 3/31/25. - Denies pruritus, oral swelling, or dyspnea. - Current symptoms include dizziness and headache.
Age: 0.58
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: There were 3 patients total who receive Covid-19 vaccines past the 60-day window of being in the refrigerator. PT: (redacted)  DOB: 8/XX/24 received it on 3/19/25 and it expired on 3/16/25 with lot #3043000. Package date doesn't expire until 5/19/25. With lot # B0002 two patients received it with the expiration date of 12/1/24. PT: (redacted)  DOB: 10/XX/06 given on 1/22/25, and PT: (redacted) DOB 7/XX/11 given on 12/17/24. No adverse reactions but just given past allowed expiration date.
Age: 4.0
Sex: M
Vaccine: DTAPHEPBIP, DTAPIPVHIB, PNC20
Symptoms: Circumstance or information capable of leading to medication error, Wrong product administered
Clinical narrative: Child was given an incorrect vaccine on 3/31/25. Nurse thought she was giving Pediarix, ActHIB & Prevnar 20. Nurse was rushed by the parent due to needing to make a phone call & had another appt. scheduled at 4pm. Nurse administered the vaccines at 2:25pm. Nurse failed to scan the vaccines into the computer system prior to administration due to the circumstance of being rushed by the parent & child along with sibling were very uncooperative & unruly during the entire visit making the nurse nurse & frazzled. Nurse informed nursing supervisor of the event to begin the Incident Report process.
Age: 11.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: was given a Men B Bexsero instead of the MCV4
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash, Rash erythematous
Clinical narrative: pts mother states he started getting bumps in the middle of both hands that are a little red. They started spreading over his fingers and are now painful. She contacted the dept of health where he was vaccinated and was told if he had a high fever to take him to doctor and to report his symptoms with us.
Age: 29.0
Sex: M
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received prior HPV vaccines 02/2016 and 10/10/2013, he came to clinic 03/26/25 and a new 3 shot series was ordered, he received a dose on 03/26/2025. He then presented to clinic again on 03/29/2025 and received another dose. (He received 2 doses within 3 days of each other)
Age: 0.5
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Vaccine adminsitered prior to adequate thaw time (10 minutes at room temperature)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Illness, Impaired work ability, Loss of personal independence in daily activities
Clinical narrative: Severe illness preventing return to work, resolving within a day or two, but then joint pain and stiffness became more and more noticeable, and am now diagnosed with chronic Rheumatoid Arthritis. I can barely walk in the mornings, and can certainly not participate in triathlons and marathons any longer.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Musculoskeletal stiffness, Pain, Rheumatoid arthritis, Rheumatoid factor positive
Clinical narrative: Severe illness preventing return to work, resolving within a day or two, but then joint pain and stiffness became more and more noticeable, and am now diagnosed with chronic Rheumatoid Arthritis. I can barely walk in the mornings, and can certainly not participate in triathlons and marathons any longer.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received ActHIB today, 04/01/2025 that expired 03/31/2025. No adverse reaction.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Expired product administered, No adverse event
Clinical narrative: MA approached nursing staff to ask about vaccination for pediatric patient, relayed that patient was due for MMR booster. Due to patient's age, MA was standing with PCP/MD and other RN, when MA asked provider to confirm if pt should get MMR or MMRV. MA asked where vaccines kept, MA retrieved vaccine and then administered to patient. After the visit, the MA approached this writer to inform that the vaccine administered was expired. This RN alerted the PM and MD of the situation, and this writer contacted vaccine management unit and DPH to report the event and receive instructions from DPH RN on next steps. This writer spoke with DPH RN this morning, who relayed that there shouldn't be any negative side effects, other than expected SE/AE of vaccine and that patient should seek booster dose within next 4 weeks. This writer called the patient's mother and relayed situation, and mother was understanding. Patient's father called back in requesting a write up of what happened, why it happened, and a statement showing that pt will have no adverse effects from this. This writer tried to explain that due to multiple parties being part of vaccine management at practice, expired vaccines were left in fridge, and staff are going to be reassigned duties to handle vaccine management. Patients parents confirmed no observation of adverse effects.
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient given duplicate vaccination from 4/2023. Patient has not reported any symptoms and was counselled on potential issues
Age: 78.0
Sex: F
Vaccine: RSV
Symptoms: Discomfort, Mobility decreased
Clinical narrative: Patient states that they started having symptoms day of. Having issues with bending arm down to use wheelchair and getting comfortable to sleep. She has tried Tylenol and ibuprofen without relief but does get some relief with her tramadol. There is no redness at the sight or any type of symptom of an infection. Pharmacy called patient's PCP to discuss their recommendations for patient beyond OTC medications.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC20, DTAPIPVHIB
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction, but medication error. Expired Pentacel vaccine was accidentally given to the patient. Provider was made aware.
Age: 37.0
Sex: M
Vaccine: MENB
Symptoms: Underdose
Clinical narrative: They are 5ml vials and the provider estimates that only 4.5ml was given in one arm due to the CMA advising them that about a drop was left in the vial.
Age: 2.0
Sex: M
Vaccine: DTAPHEPBIP, DTAPIPVHIB, PNC20
Symptoms: Circumstance or information capable of leading to medication error, Wrong product administered
Clinical narrative: Child presented to the health department for vaccines to be UTD per CDC catch-up schedule. Biological Father present with child & sibling. Children were extremely uncooperative & unruly during the entire visit. Father was in a rush to have visit completed by 2:30pm to make a phone call & to leave for another appt. at 4pm. Nurse felt rushed, nervous & frazzled in trying to get the children's vaccines prepared & administered. Both children were receiving the same vaccines during the visit. Nurse placed order of vaccines into the system & proceed to prepare the vaccines checking the vials of name of vaccines & expiration dates. As stated above, the nurse felt rushed by the father & failed to take the time to scan the vaccines prior to administration. Vaccines were administered & visit concluded. After the family had left the nurse began to scan the vaccines & document the required information & noticed that the wrong vaccine had been given. Child received Pentacel instead of the ActHIB vaccine. Nurse only focused on finding ActHIB on the vaccine vial & never noticed it being Pentacel. The child received 2 doses of DTap & IPV at day of visit. Nurse immediately notified her nursing supervisor & the Incident Report process began.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Discomfort, Dysaesthesia, Ear pain, Headache
Clinical narrative: Left ear canal pain, discomfort, left external ear dysesthesia (bug crawling sensation), left temple headache.   All symptoms persisting as of the date of this report, 2+ months.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Dry skin, Injection site erythema, Injection site papule, Injection site rash, Injection site reaction
Clinical narrative: 3/21/25 - 2 weeks after vaccine, mother notified office of rash that developed to posterior aspect of right leg and sent photos.  mom notes not bothersome but seems to be worsening instead of improving.  Pictures seem to show clustered erythematous papules, not able to discern vesicles.  on 3/21/25 nursing staff called to triage and obtain more information,  Mom states does not appear to be fluid filled; initially looked like a pimple, but now is more reddish in color.  She sent another picture which shows erythematous papules with dry peeling skin  almost like eczema. This provider recommended otc hydrocortisone 1% and evaluation with dermatology.  On 4/1/25 mom sent update that she saw dermatology who informed mother that rash is from the varicella vaccine.  Dermatology advised mom to use hydrocortisone.. Mother reported 4/1/25 that topical hydrocortisone is not working and rash is worsening. Advised mom to reach out to dermatology. This office will request dermatology records as not currently viewable. This provider also entered consult to pediatric infectious disease for further vaccine recommendations.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin exfoliation
Clinical narrative: 3/21/25 - 2 weeks after vaccine, mother notified office of rash that developed to posterior aspect of right leg and sent photos.  mom notes not bothersome but seems to be worsening instead of improving.  Pictures seem to show clustered erythematous papules, not able to discern vesicles.  on 3/21/25 nursing staff called to triage and obtain more information,  Mom states does not appear to be fluid filled; initially looked like a pimple, but now is more reddish in color.  She sent another picture which shows erythematous papules with dry peeling skin  almost like eczema. This provider recommended otc hydrocortisone 1% and evaluation with dermatology.  On 4/1/25 mom sent update that she saw dermatology who informed mother that rash is from the varicella vaccine.  Dermatology advised mom to use hydrocortisone.. Mother reported 4/1/25 that topical hydrocortisone is not working and rash is worsening. Advised mom to reach out to dermatology. This office will request dermatology records as not currently viewable. This provider also entered consult to pediatric infectious disease for further vaccine recommendations.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: I have had chronic tremors or shaking in both my right and left hand
Age: 1.42
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Crying, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: When baby arrived home from vaccination he was fine but the following day by the morning when I was going to change his diaper there was a huge red lump/bump on the left thigh bigger than a golf size ball. I tried putting cold compress but baby would not let me touch it. For that weekend he was just on diapers because we couldn't put any pants shorts or other garment due to the size of the bump he would cry every time he would accidentally touched the area. He continued to be in pain and Tylenol was given. I stopped Tylenol because I did not wanted for the baby to be on medicine all the time.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain, Sleep disorder
Clinical narrative: Per pt report "Got Flu vaccine at pharmacy at the end of Jan and has been having pain in her left upper arm since then. Hurts more when trying to raise left arm and when sleeping." Pt was seen at Center for complaint above.  Pt was assessed by provider and ordered to receive Physical Therapy on the arm as well as high dose NSAIDS (Meloxicam). Pt to begin PT on 04/02/2025
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Patient started to develop a red area around where the injection was given the night of 3/27/25.  As of today's date, the redness is enveloping his entire upper arm and has a rash associated with it in the same area.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Sleep disorder
Clinical narrative: Patient is a 4 year old male with a past medical history of asthma presenting with left arm swelling s/p vaccines. Patient received his 4 year old vaccinations yesterday at 1000 (Dtap/IPV/MMR). He returned to school after vaccines with no issue or concerns from patient's school. Last evening, parents noted significant upper arm swelling, redness, and tenderness. Symptoms worsened over night and into this morning. He was in pain all night and was given tylenol without significant improvement. Reportedly waking up every 30 mins. Dad became concerned when patient stopped using his left arm today, which prompted him to come to ED. Of note, parents report a similar reaction after vaccines when patient was around 1 year old. However, dad notes the reaction was more localized that time and resolved without antibiotics. Patient had 1 reported low grade temp (around 100F), for which he received tylenol. No recent falls or trauma to left arm. No past skin or soft tissue infection. Family has a 2-year old cat at home but deny concern for recent scratch or bite. No known bug bites prior to onset of symptoms. No recent travel. Denies rash, cough, congestion, swollen lymph nodes, decrease PO intake or UOP, AMS, lethargy. Routine immunizations up to date. Older brother and sister at home, no recent sick contacts.
Age: 31.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Injection site pain, Injection site swelling, Nausea, Rash, Rash maculo-papular
Clinical narrative: nausea vomiting, injection site swelling redness and tenderness diffuse rash maculopapular rash all started within 24 hours or less of vaccine administration
Age: 31.0
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Vomiting
Clinical narrative: nausea vomiting, injection site swelling redness and tenderness diffuse rash maculopapular rash all started within 24 hours or less of vaccine administration
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Chest discomfort, Chest pain, Chest wall operation, Computerised tomogram abdomen abnormal
Clinical narrative: Sick for several days after the 1st shot, global chest pain, pressure, started within a few days, After the 2nd shot the pain and pressure I was feeling intensified, and I finally called my doctor in March, 2021. The pain and pressure morphed into my arms and legs feeling numb and tingling. I also developed problems with my eyes and tinnitus in my right ear.  Started to develop pain in my abdomen - thought it was gall bladder and/or spleen area. CT of abdominal area. A shadow was seen in the upper right chest. Had another CT. They thought I had a tumor. 7/15/22 surgery for tumor. It was just a mass of muscle tissue, benign. I went to more PT to help with the pain in chest and arms. Went to pain management doc. I had a steroid injection. I had a reaction to the steroid, it did not help. 4/20/23: Went to ENT for tinnitus, no explanation for having tinnitus. Hearing is good. 10/10/23 bruising around eye - no explanation, 10/13/23 had a pulmonary function test due to centrilobular emphysema markings seen on MRI - asymptomatic, no COPD rare but not unusual the doctor said 1/25/24 diagnosed with diverticulitis, Sent for more pain management - Doctors offered steroid injections, I declined due to negative reaction and no relief from the last one. 3/21/25 had a mammogram and it resulted in sharp shooting pains in my chest for about 5 days. Pain and pressure in chest, arms, underarms continues. Tingling and numbness feeling in arms and legs continue. Throughout I have experienced some dizziness and lightheadedness, particularly in moving vehicles.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Costochondritis, Diverticulitis, Dizziness, Eye contusion, Eye disorder
Clinical narrative: Sick for several days after the 1st shot, global chest pain, pressure, started within a few days, After the 2nd shot the pain and pressure I was feeling intensified, and I finally called my doctor in March, 2021. The pain and pressure morphed into my arms and legs feeling numb and tingling. I also developed problems with my eyes and tinnitus in my right ear.  Started to develop pain in my abdomen - thought it was gall bladder and/or spleen area. CT of abdominal area. A shadow was seen in the upper right chest. Had another CT. They thought I had a tumor. 7/15/22 surgery for tumor. It was just a mass of muscle tissue, benign. I went to more PT to help with the pain in chest and arms. Went to pain management doc. I had a steroid injection. I had a reaction to the steroid, it did not help. 4/20/23: Went to ENT for tinnitus, no explanation for having tinnitus. Hearing is good. 10/10/23 bruising around eye - no explanation, 10/13/23 had a pulmonary function test due to centrilobular emphysema markings seen on MRI - asymptomatic, no COPD rare but not unusual the doctor said 1/25/24 diagnosed with diverticulitis, Sent for more pain management - Doctors offered steroid injections, I declined due to negative reaction and no relief from the last one. 3/21/25 had a mammogram and it resulted in sharp shooting pains in my chest for about 5 days. Pain and pressure in chest, arms, underarms continues. Tingling and numbness feeling in arms and legs continue. Throughout I have experienced some dizziness and lightheadedness, particularly in moving vehicles.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Lacrimal disorder, Limb discomfort, Magnetic resonance imaging abnormal, Malaise
Clinical narrative: Sick for several days after the 1st shot, global chest pain, pressure, started within a few days, After the 2nd shot the pain and pressure I was feeling intensified, and I finally called my doctor in March, 2021. The pain and pressure morphed into my arms and legs feeling numb and tingling. I also developed problems with my eyes and tinnitus in my right ear.  Started to develop pain in my abdomen - thought it was gall bladder and/or spleen area. CT of abdominal area. A shadow was seen in the upper right chest. Had another CT. They thought I had a tumor. 7/15/22 surgery for tumor. It was just a mass of muscle tissue, benign. I went to more PT to help with the pain in chest and arms. Went to pain management doc. I had a steroid injection. I had a reaction to the steroid, it did not help. 4/20/23: Went to ENT for tinnitus, no explanation for having tinnitus. Hearing is good. 10/10/23 bruising around eye - no explanation, 10/13/23 had a pulmonary function test due to centrilobular emphysema markings seen on MRI - asymptomatic, no COPD rare but not unusual the doctor said 1/25/24 diagnosed with diverticulitis, Sent for more pain management - Doctors offered steroid injections, I declined due to negative reaction and no relief from the last one. 3/21/25 had a mammogram and it resulted in sharp shooting pains in my chest for about 5 days. Pain and pressure in chest, arms, underarms continues. Tingling and numbness feeling in arms and legs continue. Throughout I have experienced some dizziness and lightheadedness, particularly in moving vehicles.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Mammogram, Motion sickness, Muscle mass, Pain in extremity, Paraesthesia
Clinical narrative: Sick for several days after the 1st shot, global chest pain, pressure, started within a few days, After the 2nd shot the pain and pressure I was feeling intensified, and I finally called my doctor in March, 2021. The pain and pressure morphed into my arms and legs feeling numb and tingling. I also developed problems with my eyes and tinnitus in my right ear.  Started to develop pain in my abdomen - thought it was gall bladder and/or spleen area. CT of abdominal area. A shadow was seen in the upper right chest. Had another CT. They thought I had a tumor. 7/15/22 surgery for tumor. It was just a mass of muscle tissue, benign. I went to more PT to help with the pain in chest and arms. Went to pain management doc. I had a steroid injection. I had a reaction to the steroid, it did not help. 4/20/23: Went to ENT for tinnitus, no explanation for having tinnitus. Hearing is good. 10/10/23 bruising around eye - no explanation, 10/13/23 had a pulmonary function test due to centrilobular emphysema markings seen on MRI - asymptomatic, no COPD rare but not unusual the doctor said 1/25/24 diagnosed with diverticulitis, Sent for more pain management - Doctors offered steroid injections, I declined due to negative reaction and no relief from the last one. 3/21/25 had a mammogram and it resulted in sharp shooting pains in my chest for about 5 days. Pain and pressure in chest, arms, underarms continues. Tingling and numbness feeling in arms and legs continue. Throughout I have experienced some dizziness and lightheadedness, particularly in moving vehicles.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pulmonary function test normal, Tinnitus
Clinical narrative: Sick for several days after the 1st shot, global chest pain, pressure, started within a few days, After the 2nd shot the pain and pressure I was feeling intensified, and I finally called my doctor in March, 2021. The pain and pressure morphed into my arms and legs feeling numb and tingling. I also developed problems with my eyes and tinnitus in my right ear.  Started to develop pain in my abdomen - thought it was gall bladder and/or spleen area. CT of abdominal area. A shadow was seen in the upper right chest. Had another CT. They thought I had a tumor. 7/15/22 surgery for tumor. It was just a mass of muscle tissue, benign. I went to more PT to help with the pain in chest and arms. Went to pain management doc. I had a steroid injection. I had a reaction to the steroid, it did not help. 4/20/23: Went to ENT for tinnitus, no explanation for having tinnitus. Hearing is good. 10/10/23 bruising around eye - no explanation, 10/13/23 had a pulmonary function test due to centrilobular emphysema markings seen on MRI - asymptomatic, no COPD rare but not unusual the doctor said 1/25/24 diagnosed with diverticulitis, Sent for more pain management - Doctors offered steroid injections, I declined due to negative reaction and no relief from the last one. 3/21/25 had a mammogram and it resulted in sharp shooting pains in my chest for about 5 days. Pain and pressure in chest, arms, underarms continues. Tingling and numbness feeling in arms and legs continue. Throughout I have experienced some dizziness and lightheadedness, particularly in moving vehicles.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: The patient requested a covid shot after getting one 9/17/24 and 3/14/25. Vaccine was administered 4/1/25 and realized after the fact that the patient was up to date. The patient was confused and wanted a Shingles shot but stated on her paperwork she was asking for a Covid shot.
Age: 0.25
Sex: M
Vaccine: DTPPVHBHPB, PNC15, RV5
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: First dose Rotateq given to infant at 15 weeks 5 days old. No symptoms or side effects at this time.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Abdominal pain, Nausea, Vomiting
Clinical narrative: pt started to feel nauseated after receiving the bexero vaccine on 3/28/25. this has continued for 4 days. he has vomited 5 times in the past 4 days. also has had abdominal pain since receiving the vaccine.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Henoch-Schonlein purpura, Rash
Clinical narrative: Henoch-Schönlein purpura first symptoms of the rash  in early February. No other illness or allergies.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient is 10 years old and was given a 12> COVID dose
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Nurse drew up the dilutant and administered it to the patient. The nurse never took the dilutant and reconstituted the vaccine. The patient did not receive the actual vaccine during his visit. There is no evidence to suggest an adverse reaction, but the patient did get an injection without receiving the intended medication.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Syncope
Clinical narrative: Patient briefly fainted after vaccination was given.
Age: 10.0
Sex: F
Vaccine: HEP, HEPA, IPV, TDAP
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Catch-up dose was given too soon.  IPV dose #2 was administered on 01/07/2025. IPV dose #3 was administered on 04/01/2025. There were no adverse reactions.  This vaccine was administered along with Tdap, Hep A and Hep B on 04/01/2025.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Adjustment disorder with depressed mood, Back pain, Hypomenorrhoea, Irritability, Menstruation irregular
Clinical narrative: The next day after I received the shot, I used the bathroom and got up from the toilet to wash my hands and my middle back started hurting like never before. I could hardly stand up straight, it was almost like a constant sharp pain. This pain lasted for about 3 days, across the middle of my back when I moved my arms or did anything. Then 2 days after the vaccine I got my period!! I already had my period on January 10th. But on January 24th I started my period again. It was an irregular period as well with dark blood and light bleeding.  I also had TERRIBLE mood swings and PMS on January 23rd, very very irritable and depressed.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Mood swings, Pain, Premenstrual syndrome
Clinical narrative: The next day after I received the shot, I used the bathroom and got up from the toilet to wash my hands and my middle back started hurting like never before. I could hardly stand up straight, it was almost like a constant sharp pain. This pain lasted for about 3 days, across the middle of my back when I moved my arms or did anything. Then 2 days after the vaccine I got my period!! I already had my period on January 10th. But on January 24th I started my period again. It was an irregular period as well with dark blood and light bleeding.  I also had TERRIBLE mood swings and PMS on January 23rd, very very irritable and depressed.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Arthralgia
Clinical narrative: Patient reports pain, in left shoulder, pain with raising arm. Seen in ER possible bruising or vaccine induced tendinitis.
Age: 68.0
Sex: M
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient got the prevnar 20 vaccine, however we did not know at the time the patient had already gotten the vaccine on 01/24/2023. patient is fine
Sex: F
Vaccine: DTPPVHBHPB
Symptoms: Pyrexia, Rash
Clinical narrative: Day of vaccination rash and low grade fever.
Age: 17.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Wrong product administered
Clinical narrative: The patient was supposed to get his second MCV4 and his first MenB vaccines.  His sister was in the room as well and she was supposed to be getting her second HPV vaccine. The MA didn't properly verify which vaccines she had picked up to administer as she just glanced at them, and she saw what she expected to be giving but her mind didn't actually register that what she picked up wasn't the correct two to be given. So, the patient was given MCV4 and HPV instead.  As the MA was going to throw away the used syringes she noticed that the color of the vaccine was different than it should have been. Then after looking at the remaining vaccine she realized that she had given the wrong vaccine to the pt. After this realization the MA immediately went to get another dose of the HPV and then told the male patients' Provider what had happened. After informing the Provider what happened the two went to the Chief Medical Officer to inform them of what had occurred. After informing the CMO the two went to inform the parent and the patients of the sequence of events and that there would be no adverse reactions to the pt receiving another dose of HPV, it would be like another booster, but that he would still need to get his MenB vaccine as well. So instead of the original two vaccines he received three.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: Patient experienced  extreme pain  and swelling in arm. This also led to neck pain and she wasn't able to move her neck side to side.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, MMRV, PNC20
Symptoms: Borrelia test negative, Rash, Urticaria
Clinical narrative: On July 19th my child broke out in a hive like rash of circular red dots on her upper right arm, armpit, right side and upper right back near her shoulder and on the backs of both of her legs. The rash was visible through July 21st. We consulted with the on call doctor on the 20th and they just said to keep an eye. The doctor checkon on her in office on 22nd and the rash was not visible. I asked about reporting incident they said it was normal side effect but later a Doctor wrote back that it could be in window of time for side effects. By the 24th, my daugher wasn't walking and peeing herself.
Age: 45.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site reaction, Rash, Rash erythematous, Skin warm
Clinical narrative: PATIENT DEVELOPED RED RASH AT INJECTION SITE THAT RAPIDLY SPREAD EVEN AFTER ADMINSTRATION OF DIPHENHYRAMINE. RASH CONTINUED TO SPREAD TO COVER ENTIRE ARM WITH HEAT COMING FROM SKIN. PATIENT SEEN BY PROVIDER AND ISSUED PRESCRIPTION FOR AMOXICILLIN
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Allergy test positive, Allergy to animal, Allergy to arthropod bite, Allergy to plants, Urticaria
Clinical narrative: Within 1 month of receiving dose #1 of the vaccine, I experienced widespread hives, with most of them occurring on the legs. The hives occur on a daily basis, with the severity varying from day to day. In August of 2023, I saw an allergist who performed scratch allergy testing. The testing found that I am now allergic to over 40 allergens (animals, trees, bushes, weeds, insects, etc.). The allergies developed shortly after the first vaccine dose. The hives continue to happen on a daily basis.
Age: 72.0
Sex: M
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient did not have an adverse event. The patient received the vaccination to early. The doctor ordered Bexsero and the nurse administered Menveo. Dr was made immediately aware and called the patient to provide next steps should an adverse event take place.
Age: 65.0
Sex: F
Vaccine: CHIK, JEV1, TYP
Symptoms: Arthralgia, Back pain, Fatigue, Pain, Pain in extremity
Clinical narrative: 3/18 -- received Typhim, Ixiaro and Ixchiq 3/20 to 3/25 or 3/26 -- client felt achy, pain in back of legs (note: can be considered a s/e of Prolia), back pain (note: can be considered a s/e of Prolia) 3/20 to 3/27 -- client felt joint pain and fatigue 3/27 to 3/29 -- client had low-grade fevers everyday, ranging from 99 to 100 degrees Fahrenheit which resolved with Tylenol.
Age: 65.0
Sex: F
Vaccine: CHIK, JEV1, TYP
Symptoms: SARS-CoV-2 test negative
Clinical narrative: 3/18 -- received Typhim, Ixiaro and Ixchiq 3/20 to 3/25 or 3/26 -- client felt achy, pain in back of legs (note: can be considered a s/e of Prolia), back pain (note: can be considered a s/e of Prolia) 3/20 to 3/27 -- client felt joint pain and fatigue 3/27 to 3/29 -- client had low-grade fevers everyday, ranging from 99 to 100 degrees Fahrenheit which resolved with Tylenol.
Age: 80.0
Sex: F
Vaccine: PNC20
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Administration Error: patient was not due for the vaccination per CDC guidelines
Age: 60.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Arthralgia, Dizziness, Lymph node pain, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: Patient notes she starting feeling pain her joints not previously felt beginning on March 29, 2025. Patient notes it "literally feels like my bones." She identifies "pinching feelings" in her lymph nodes on her breasts and armpits, and she also identifies that she "periodically feels a prickly sensation never felt before" on her skin, this began around March 27, 2025. She notes that she feels the symptoms have continued to evolve since they initially appeared. She is also experiencing "seeing spots" that are "very bright flashes of light like someone has shoved the back of a Mylar balloon in my face." She notes multiples instances of dizziness requiring her to lie down. She feels "like I've been plunged into old age overnight." She declines any family history of arthritis. She notes she has started experiencing arthritic pain that is limiting her mobility in her fingers.
Age: 60.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Photopsia, Visual impairment
Clinical narrative: Patient notes she starting feeling pain her joints not previously felt beginning on March 29, 2025. Patient notes it "literally feels like my bones." She identifies "pinching feelings" in her lymph nodes on her breasts and armpits, and she also identifies that she "periodically feels a prickly sensation never felt before" on her skin, this began around March 27, 2025. She notes that she feels the symptoms have continued to evolve since they initially appeared. She is also experiencing "seeing spots" that are "very bright flashes of light like someone has shoved the back of a Mylar balloon in my face." She notes multiples instances of dizziness requiring her to lie down. She feels "like I've been plunged into old age overnight." She declines any family history of arthritis. She notes she has started experiencing arthritic pain that is limiting her mobility in her fingers.
Age: 71.0
Sex: M
Vaccine: PNC21
Symptoms: Lymphadenopathy, Neuralgia
Clinical narrative: Patient reported swollen lymph nodes around chin, ear, and cheeks.  Patient experienced neuralgia from nodes around right ear.
Age: 81.0
Sex: M
Vaccine: PNC20
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine was administered outside of CDC guidelines
Age: 62.0
Sex: F
Vaccine: PNC21
Symptoms: Cellulitis, Erythema, Swelling, Tenderness
Clinical narrative: After receiving Capvaxive, pt reported redness, swelling and tenderness the next day.  She was seen by MD Monday 3/31 and was given antibiotics and topical steroid cream for presumed cellulitis
Age: 60.0
Sex: M
Vaccine: PNC21, VARZOS
Symptoms: Erythema, Pain
Clinical narrative: Patient had an extremely sore arm with redness. patient used acetaminophen to help the pain
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Muscular weakness, Neuralgia, Ulnar nerve injury
Clinical narrative: Patient seemed to be experiencing loss of range in her left arm to the point where she could not make a fist nor raise her shoulder. The patient complained of nerve pain stemming from ulnar nerve and radiating to wrist. Suspected injury to ulnar nerve.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted follow vaccine administration for approximately 4 minutes. He stated he has done this before after a vaccination due to anxiety and lack of sleep. Ambulance was called but patient and sister requested it be cancelled. He stated he feels great after he became responsive again and had no problems at all. He was sitting up and eyes open just not responding to commands and staring at the floor  during the event.
Age: 57.0
Sex: F
Vaccine: TD, TD
Symptoms: Arthralgia, Fatigue
Clinical narrative: Next day patient developed joint pains in her shoulders, elbows, and hands as well as fatigue
Age: 57.0
Sex: F
Vaccine: TD, TD
Symptoms: Arthralgia, Fatigue, Pain, Pain in extremity
Clinical narrative: Next day patient developed joint pains in her shoulders, elbows, and hands as well as fatigue
Age: 57.0
Sex: F
Vaccine: TD, TD
Symptoms: Arthralgia, Fatigue
Clinical narrative: She notes that the day after the  2/19/25 Td vaccine, she has had joint pains and fatigue.  she has pain in her  shoulders, elbows, and hands for the past 6 weeks.  she denies  fevers/chills/rash.  the fatigue has improved and the joint pain is slightly  better, but she still has significant ain in her shoulders and elbows when she  actively moves those joints.
Age: 57.0
Sex: F
Vaccine: TD, TD
Symptoms: Arthralgia, Fatigue, Pain, Pain in extremity
Clinical narrative: She notes that the day after the  2/19/25 Td vaccine, she has had joint pains and fatigue.  she has pain in her  shoulders, elbows, and hands for the past 6 weeks.  she denies  fevers/chills/rash.  the fatigue has improved and the joint pain is slightly  better, but she still has significant ain in her shoulders and elbows when she  actively moves those joints.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Vaccine given by Medical Assistant in error. No adverse event noted.
Age: 27.0
Sex: F
Vaccine: JEV1
Symptoms: Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: She notes on Sunday she began to experience fatigue, nausea and diarrhea. Also having headaches, but notes not atypical from her baseline headaches. Patient seen on 31 March 2025 at medical treatment facility.  1 April 2025, after day off from work, she notes feeling better including fatigue.  Unable to definitively associate her symptoms with vaccine as could also be from acute illness.
Age: 43.0
Sex: M
Vaccine: COVID19, UNK, UNK
Symptoms: Autoimmune hepatitis, Hepatic enzyme increased, Smooth muscle antibody positive
Clinical narrative: Dec 2020, months after vaccine, my liver enzymes are elevated and higher with time, even now in 2025. I tested positive to smooth muscle antibodies. I have AIH, autoimmune hepatitis.  My blood work was normal prior to covid vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Cough
Clinical narrative: Recieved COvid 19 Moderna in September 2024- Had Moderate asthma and cough on day after vaccination; had to use my inhalers.  Recieved another Covid 19 Moderna 6 months later March 31 2025. Now it is day after vaccination and I have some mild asthma and coughing, will use my inhalers.  Looked up cough as side effect of covid 19 vaccine on google; stated cough is not a common side effect.
Age: 7.0
Sex: F
Vaccine: MMRV, PNC20, TDAP
Symptoms: Chest pain, Erythema, Respiratory distress, Swelling face, Tachypnoea
Clinical narrative: -facial swelling -chest pain -erythema -tachypnea -respiratory distress  Treatment -epinephrine -Benadryl -Solu-Medrol