chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain
Clinical narrative: Body Aches; Rigors/chills; This non-serious case was reported by a nurse via sales rep and described the occurrence of general body pain in a 52-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of pain (for 1st dose refer case US2023073934).   On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, 6 hrs after receiving Shingrix, the patient experienced general body pain (Verbatim: Body Aches) and chills (Verbatim: Rigors/chills). Rechallenge with Shingrix was positive. The outcome of the general body pain and chills were unknown.   It was unknown if the reporter considered the general body pain and chills to be related to Shingrix.     It was unknown if the company considered the general body pain and chills to be related to Shingrix.   Linked case(s) involving the same patient:  US2023073934   Additional Information: GSK Receipt Date: 23-MAY-2023 The patient about 52 years old received dose of Shingrix at the Dr.'s office, given by another nurse employee.  The nurse stated that the patient experienced chills, rigors, and body aches which started about 6 hours after the vaccination. The only time frame provided was around the holidays in early December 2022, and it was not certain if this was the 1st or 2nd dose.  There were no other patient demographics.  The location of administration was not known for either dose.  The reporter did not have the lot number or expiry information. The reporter did consent to follow up.; Sender's Comments:  US-GSK-US2023073934:same reporter
Sex: M
Vaccine: MENB
Symptoms: Arthralgia, Ligament disorder, Product administered to patient of inappropriate age, Tendon disorder, Vaccine positive rechallenge
Clinical narrative: severe tendon/ligament issue in his knee; severe tendon/ligament issue in his knee; Knee pain; patient is over 25 years old; This non-serious case was reported by a physician via sales rep and described the occurrence of ligament disorder in a adult male patient who received Men B NVS (Bexsero) for prophylaxis.   Previously administered products included Bexsero with an associated reaction of tendon disorder (For tolerance of 1st dose refer case US2023083130).   On an unknown date, the patient received the 2nd dose of Bexsero. On an unknown date, an unknown time after receiving Bexsero, the patient experienced ligament disorder (Verbatim: severe tendon/ligament issue in his knee), tendon disorder (Verbatim: severe tendon/ligament issue in his knee), knee pain (Verbatim: Knee pain) and inappropriate age at vaccine administration (Verbatim: patient is over 25 years old). Rechallenge with Bexsero was positive. The outcome of the ligament disorder, tendon disorder, knee pain and inappropriate age at vaccine administration were unknown.   The reporter considered the ligament disorder, tendon disorder and knee pain to be related to Bexsero and Bexsero Pre-Filled Syringe Device.     The company considered the ligament disorder, tendon disorder and knee pain to be related to Bexsero and Bexsero Pre-Filled Syringe Device.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 13-JUN-2023 The patient self-reported this case. The patient was over 25 years old. The patient received the Bexsero in preparation for a trip. He received the second dose of Bexsero and the severe tendon/ligament issue occurred again in his knee. Initially, the patient attributed it to being older (age and DOB unknown). The patient believed it was related to Bexsero. The reporter consented to follow up. No further information was reported. For tolerance of 1st dose refer case US2023083130, reported by same reporter.; Sender's Comments:  US-GSK-US2023083130:Same patient,, different dose
Sex: F
Vaccine: HPV4
Symptoms: Cervix carcinoma, Ill-defined disorder, Infertility female, Polycystic ovaries
Clinical narrative: cervical cancer; Infertility; Polycystic Ovarian Syndrome; Among other severe symptoms; Information has been received from a lawyer referring a currently 34-year-old female patient regarding a case in litigation. Information about concurrent condition, history condition, and concomitant medication was not reported. On an unknown date, patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (lot #, expiry date, route of administration, and anatomical location were not provided). On an unspecified date, the patient developed polycystic ovarian syndrome (PCOS), cervical cancer (Cervix carcinoma), and infertility, among other sever symptoms (Ill-defined disorder). The outcome of the events was not provided. The causality between the events and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was related.  Upon internal review, the event of cervix carcinoma was determined to be medically significant.
Age: 16.0
Sex: U
Vaccine: VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: No further AE detials; HCP called to report an expired dose of VARIVAX was administered to Multiple patients. Patient Demographics provided for all patients, please see notes for additional case numbers. HCP gave permission to contact. No symptoms reported. No further AE d; Date of excursion: 02-MAR-2023; This spontaneous report was received from a pharmacist and refers to a 16-year-old patient of unknown gender. The patient's medical history, concurrent conditions, and concomitant therapies were not reported.  On 02-MAR-2023, it was reported a temperature excursion of varicella virus vaccine live (OKA/MERCK) (VARIVAX). Temperature was 70 Fahrenheit (F) for 9 minutes. On 08-JUN-2023, the patient was vaccinated with an expired dose of varicella virus vaccine live (OKA/MERCK) (VARIVAX) injection, 0.5 milliliter, once administered for prophylaxis (Lot number W0252273 is an invalid lot number for VARIVAX, expiry date: 02-JUN-2023) (strength, lot #, anatomical location and route of administration were not provided). No additional adverse events were reported.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No further AE details; HBP called to report that a child was given PROQUAD that expired on 6/9/2023. Date of administration: 6/12/23. No symptoms reported. HBP does not have HCP information, as this was a report that she received with limited data. HCP declines permission; This spontaneous report was received and refers to a 4-year-old female patient. The patient's medical history, concurrent conditions, and concomitant therapies were not reported.  On 12-JUN-2023, the patient was vaccinated with an expired dose (expired dose: 09-JUN-2023) of measles, mumps, rubella and varicella (OKA-MERCK) virus vaccine live (PROQUAD) (Lot number U0392539 is an invalid lot number for PROQUAD) 0.5 milliliter, administered for prophylaxis (strength, anatomical location and route of administration were not provided). No additional adverse event was reported.
Age: 1.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: No additional AE; HCP called to report an AE after an internal audit performed on 06/16/2023 identified that an expired dose of VAQTA pre-filled syringe (NDC 00006-4095-02) was inadvertently administered to a patient on 01/14/2021 by an HCP. The dose expired on 01/11/; This spontaneous report was received from a medical assistant and refers to a 12-month-old female patient. The patient's medical history, concurrent conditions, and concomitant therapies were not reported.  On 14-JAN-2021, the patient was vaccinated with an expired dose of hepatitis a vaccine, inactivated (VAQTA) 0.5 milliliter, valid lot #S032358, expiration date: 11-JAN-2021, administered for prophylaxis (dose, frequency, strength, and route of administration were not provided). The patient did not have any adverse reactions or outcomes from the administered expired dose.
Sex: U
Vaccine: HEP
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AEs; a patient received improperly stored vaccine; This spontaneous report has been received from a consumer (office manager in the physician's office) concerning a patient of unknown age and gender.  The patient's concurrent conditions, medical history, concomitant therapies and drug/allergy history were not reported.  On 09-MAY-2023 the patient was vaccinated with an improperly stored dose of hepatitis b vaccine (recombinant) (RECOMBIVAX HB) (lot # w023682, has been verified to be a valid lot number, expiration date reported and upon internal validation established as 21-MAY-2025) for prophylaxis (dose, anatomical location, and route of administration were not reported) (product storage error). The vaccine was stored at a temperature of -6.9 Celsius degrees (C) for 27 hours and 30 minutes and for 20 hours and 30 minutes. It did not suffer a previous temperature excursion.  No additional adverse event was reported.
Age: 1.0
Sex: F
Vaccine: UNK
Symptoms: Single component of a two-component product administered
Clinical narrative: administered the DTAP-IPV component of the PENTACEL to a patient without the HIB with no reported adverse event; Initial information received on 20-Jun-2023 regarding an unsolicited valid non-serious case received from a physician.  This case involves 1 years old female patient who was administered the DTAP-IPV component of the pentacel to a patient without the HIB with no reported adverse event for diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine [Pentacel (VERO)].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  On an unknown date, the patient received a dose of suspect diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine Suspension for injection (lot UJ853AB, expiry date: 13-APR-2024) (with an unknown dose and strength) via unknown route in unknown administration site for Immunization.  On an unknown date the patient was administered the DTAP-IPV component of the pentacel to a patient without the HIB with no reported adverse event (single component of a two-component product administered) (latency- same day) for diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine.  Reportedly, Pediatrician called stating that one of the nurses administered the DTAP-IPV component of the PENTACEL to a patient without the HIB. He just wants to know if the DTAP component is a valid dose  Action taken was not applicable.  At time of reporting, the outcome was Unknown for the event  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error
Sex: U
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: sore arm; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of pain in arm in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   On 16-JUN-2023, the patient received the 2nd dose of Shingles vaccine. In JUN-2023, an unknown time after receiving Shingles vaccine, the patient experienced pain in arm (Verbatim: sore arm). The outcome of the pain in arm was not reported.   It was unknown if the reporter considered the pain in arm to be related to Shingles vaccine.     It was unknown if the company considered the pain in arm to be related to Shingles vaccine.   Additional Information: GSK Receipt Date: 18-JUN-2023 The case was received from the patient via interactive digital media. On Friday 16th June 2023 patient administered the second shot of Shingles vaccine. He/She had the sore arm and no other problems.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bronchitis
Clinical narrative: acute respiratory insufficiency, bronchitis
Age: 0.17
Sex: F
Vaccine: DTPPVHBHPB, PNC, RV5
Symptoms: Vomiting projectile
Clinical narrative: Projectile vomiting within 24 hrs after vaccine. Unable to keep food down.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis, Symptom recurrence
Clinical narrative: ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 1/8/2023 &  1/9/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOTENSION 10/30/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Headache, chills, myalgia, extreme fatigue, diarrhea
Age: 36.0
Sex: F
Vaccine: VARCEL
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Developed swelling, pain and difficulty moving left arm. Also has itching all over.  Ice applied and instructed to use on site.  Sent to Urgent Care center for f/u and treatment.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Breath sounds abnormal, Drug hypersensitivity, Erythema, Immunisation reaction, Injection site rash
Clinical narrative: BP 136/58  | Pulse 75  | Temp 97.7 °F (36.5 °C) (Non Contact)  | Resp 22  | Ht 5' 3" (1.6 m)  | Wt 86 lb (39 kg)  | SpO2 92% Comment: o2 at 2 lpm via nc | BMI 15.23 kg/m²  GENERAL APPEARANCE: The patient appears chronically ill, on 3LNC, in no apparent distress.  Alert, pleasant and cooperative. Vital signs are as noted by the nurse.  NECK: No stridor.  HEENT: Normocephalic and atraumatic. No scleral icterus. no conjunctival injection is noted.  LUNGS: Diminished air entry bilaterally without wheezes. Breath sounds are equal and clear bilaterally. No rhonchi, or rales. HEART: Regular rate and rhythm with normal S1 and S2. No murmurs, gallops, or rubs. EXTREMITIES: R arm with 23 x 14.5cm area of erythema and increased warmth with 2-3 lightly excoriated areas from scratching, no evidence of infection or drainage.  NEUROLOGIC: No focal sensory or motor deficits are noted.  PSYCHIATRIC: The patient is awake, alert. Appropriate mood and affect.     ASSESSMENT/PLAN: 1. Allergic reaction to drug, initial encounter Adverse reaction to Prevnar 20 vaccine given on 6/6/23 with superficial rash R arm. No evidence of airway compromise or systemic reaction. Follow up in 1 week for repeat measurement of rash.  - predniSONE 20 MG Oral tablet; Take TWO tablets (40 mg total) by mouth daily for 5 days for 5 days  Dispense: 10 tablet; Refill: 0 - Cetirizine HCl 10 MG Oral Tab; Take ONE tablet (10 mg total) by mouth daily  Dispense: 30 tablet; Refill: 0 - HYDROCORTISONE, TOPICAL, 2.5 % Apply externally Cream; Apply quarter sized amount to R upper arm twice daily.  Dispense: 20 g; Refill: 0
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Pallor, Scratch, Skin abrasion, Skin warm
Clinical narrative: BP 136/58  | Pulse 75  | Temp 97.7 °F (36.5 °C) (Non Contact)  | Resp 22  | Ht 5' 3" (1.6 m)  | Wt 86 lb (39 kg)  | SpO2 92% Comment: o2 at 2 lpm via nc | BMI 15.23 kg/m²  GENERAL APPEARANCE: The patient appears chronically ill, on 3LNC, in no apparent distress.  Alert, pleasant and cooperative. Vital signs are as noted by the nurse.  NECK: No stridor.  HEENT: Normocephalic and atraumatic. No scleral icterus. no conjunctival injection is noted.  LUNGS: Diminished air entry bilaterally without wheezes. Breath sounds are equal and clear bilaterally. No rhonchi, or rales. HEART: Regular rate and rhythm with normal S1 and S2. No murmurs, gallops, or rubs. EXTREMITIES: R arm with 23 x 14.5cm area of erythema and increased warmth with 2-3 lightly excoriated areas from scratching, no evidence of infection or drainage.  NEUROLOGIC: No focal sensory or motor deficits are noted.  PSYCHIATRIC: The patient is awake, alert. Appropriate mood and affect.     ASSESSMENT/PLAN: 1. Allergic reaction to drug, initial encounter Adverse reaction to Prevnar 20 vaccine given on 6/6/23 with superficial rash R arm. No evidence of airway compromise or systemic reaction. Follow up in 1 week for repeat measurement of rash.  - predniSONE 20 MG Oral tablet; Take TWO tablets (40 mg total) by mouth daily for 5 days for 5 days  Dispense: 10 tablet; Refill: 0 - Cetirizine HCl 10 MG Oral Tab; Take ONE tablet (10 mg total) by mouth daily  Dispense: 30 tablet; Refill: 0 - HYDROCORTISONE, TOPICAL, 2.5 % Apply externally Cream; Apply quarter sized amount to R upper arm twice daily.  Dispense: 20 g; Refill: 0
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Pyrexia, Streptococcus test negative, Viral infection
Clinical narrative: He had soreness in his arm after receiving the vaccine for about a day. In 06/2023, he woke up with a fever and sore throat. We got him to the pediatrician, and it was determined he had a viral illness. It was tested for strep throat, and it was negative. He was never tested for COVID-19 or for the flu.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Deep vein thrombosis, Respiratory failure, Symptom recurrence
Clinical narrative: ACUTE DVT, UNSPECIFIED VEIN CHRONIC HYPOXEMIC RESPIRATORY FAILURE 8/1/2022 &  1/21/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Fever, chills, muscle aches beginning at 1:00 a.m.  Acetaminophen taken at 3:00 a.m. Fever and chills controlled at 4:00 a.m.
Age: 47.0
Sex: M
Vaccine: COVID19-2, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Developed shingles
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/18/2022 &  2/18/2023  -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 31.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site pain, Injection site pruritus, Injection site scar, Injection site swelling, Injection site warmth
Clinical narrative: 24 hours after the left forearm intradermal injection, he had swollen, itching, painful, burning, hot to touch (no drainage) areas around the injection site that is "spiraling up to my shoulder". It is only affecting his left side.  Advised treatment: cool compresses, Ibuprofen 400-600mg with food every 6-8 hours, can take Zyrtec or Benadryl as directed for swelling and itching, follow up with PCP or urgent care if continues to worsen. 6/23/23 spoke to patient today and symptoms have resolved. There is a little scar where the injection itself entered his skin on forearm.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: This patient may of received a prior booster dose about 2 weeks prior to this dose.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Epilepsy
Clinical narrative: EPILEPSY, UNSPECIFIED ACUTE NON ST ELEVATION MI
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Malaise, Pain in extremity, Pyrexia
Clinical narrative: Fatigue, sore arm, shivering, general malaise, slight fever
Age: 51.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient has no none adverse event but was made aware that the Havrix that was given on 06/22/23 had expired on 06/17/2023. Patient expressed no concerns or side effects from vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Lacunar stroke, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 1/3/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: MMRV (Proquad) was administered instead of just MMR.  Varicella was also administered at the visit.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE 1/1/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 49.0
Sex: M
Vaccine: HEPA
Symptoms: Underdose
Clinical narrative: Patient was administered Pediatric Dose of Hep A vaccine (Vaqta). Provider stated that patient could come back in a week and get the adult dose.  Patient was notified and asked to come back in 1 week for correct dose.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient given 2nd Varicella vaccine 1 week early. Patient had received first dose on 5/26 and dose #2 on 6/16. Patient walked into clinic during a busy time and requested 2nd doses of all vaccines, other vaccines requested were due. Nurse did not realize the Varicella vaccine was not due for 1 more week and internet was not working properly.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Shoulder injury related to vaccine administration, X-ray
Clinical narrative: VACCINE SHOULDER RELATED INJURY
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Neuropathy peripheral, Respiratory failure, Symptom recurrence
Clinical narrative: NEUROPATHY ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 2/17/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 95.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute coronary syndrome
Clinical narrative: ACUTE CORONARY SYNDROME, UNSPECIFIED
Age: 3.0
Sex: M
Vaccine: HEPA, MMRV, PNC13
Symptoms: No adverse event, Wrong product administered
Clinical narrative: MMRV given instead of Varicella. no reported adverse reaction. provider notified, no new orders received.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tremor
Clinical narrative: I had a sore arm for about a day after receiving the vaccine. In 12/2022, I began to have tremors in both hands. The morning time is the worst and by the end of day it calms down. The symptoms got worse, and I recently went to the doctor. I have started taking medication which is helping. At this time, we are waiting on how the medication works.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE ST ELEVATION MI, UNSPECIFIED
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulmonary embolism
Clinical narrative: SADDLE PULMONARY EMBOLISM
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was given after the use by date.  Vaccine was stored in the refrigerator and should have been discarded after 30 days on 6/8/2023 No adverse events reported by patient.  Per Moderna who was contacted, the vaccine maintained the activity necessary to protect from Covid-19
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was given after the use by date.  Vaccine was stored in the refrigerator and should have been discarded after 30 days on 6/8/2023 No adverse events reported by patient.  Per Moderna who was contacted, the vaccine maintained the activity necessary to protect from Covid-19
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received a 2nd dose of Novavax.  She had previously received Janssen COVID vaccine on 4/9/21, Moderna Covid booster on 11/26/21 and a first dose of Novavax on 4/48/23.  There have been no adverse events reported by the patient.  Patient's doctor was notified and he confirmed that he recommended to patient she receive Novavax vaccines.
Age: 30.0
Sex: F
Vaccine: DTAP
Symptoms: Underdose, Wrong product administered
Clinical narrative: Administered Infanrix DTap vaccine to a 30 year old female pt instead of TDAP for adults.  Pt has been called x 3 and message left on voicemail as of now (6.23.23 12:35PM) but have not had a response from patient yet.  Patient left clinic with no complications after vaccine administration. Contacted GSK as a result and was told not to readminister adult dose due to higher antibody response in Infanrix compared to TDAP.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXIA
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reports technically reported by patient. I am reporting to VAERS that an unindicated dose of Shingrix was given to the patient. The patient reported that he only received one dose of Shingrix, however, upon further investigation after the dose of Shingrix was administered, we discovered he actually completed the series on 08/02/2021
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE ST ELEVATION MI, INFERIOR WALL
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bone cancer, Breast cancer female, Breast cancer metastatic, Breast cancer recurrent, Breast cancer stage IV
Clinical narrative: I started my period after both shots.  It lasted about 5 days.  I had been through mesopause for about 10 years and was on a hormone suppressant (Anastrozole) because I had breast cancer in 2019 that was HR positive.  The first time I did an online search and it could be uterus shedding, even though I'd never had it happen before.  The second time I went to the doctor and she seemed to discount it without an explanation. I went on with life and never thought much of it because it never happened again.  In April 2023 I was diagnosed with state 4 Metastatic breast & bone cancer.  It is HR positive and I've never stopped taking Anastrozole.  I've been to a HCP (oncologist), another HCP (2nd opinion) and none of the doctors can believe I have a reoccurrence from the type of cancer I had and medication I took.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cyst, Hormone receptor positive breast cancer, Laboratory test, Postmenopausal haemorrhage
Clinical narrative: I started my period after both shots.  It lasted about 5 days.  I had been through mesopause for about 10 years and was on a hormone suppressant (Anastrozole) because I had breast cancer in 2019 that was HR positive.  The first time I did an online search and it could be uterus shedding, even though I'd never had it happen before.  The second time I went to the doctor and she seemed to discount it without an explanation. I went on with life and never thought much of it because it never happened again.  In April 2023 I was diagnosed with state 4 Metastatic breast & bone cancer.  It is HR positive and I've never stopped taking Anastrozole.  I've been to a HCP (oncologist), another HCP (2nd opinion) and none of the doctors can believe I have a reoccurrence from the type of cancer I had and medication I took.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Peripheral swelling, Petechiae, Pruritus
Clinical narrative: Petechiae and pruritis below the injection site at the right dorsal upper arm not including the deltoid, pain at the injection site (R deltoid), swelling to the AC space of the arm (below the injection site).
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Dyskinesia, Immediate post-injection reaction, Syncope
Clinical narrative: Injection was administered at around 11:30 AM,. Immediately after the injection the patient started to faint and showed some hand movements. The pharmacist and technician helped the patient to the floor, where the patient continued to faint and had more hand and leg movements. after a short period the patient started responding to questions and wanted to sit up. Once the patient moved from the floor the pharmacist noted a wet spot under where she was laying down and concluded that patient may have voided her bladder. The patient was given some water to sip and asked for her sister to be brought into the pharmacy. The patients caregiver gave her orange juice and the pharmacist called EMS and waited for paramedics. Upon arrival the paramedics evaluated the patient and the patient opted to leave for her home with her sister.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 6/27/2022, 12/14/2022, 2/2/2023,  /3/2023 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever, fatigue, body aches, headache, pain at site
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA HYPOXIA
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Syncope
Clinical narrative: dizziness and fainting
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, No adverse event, Rheumatoid arthritis
Clinical narrative: I did not have an adverse reaction to the vaccine. I have had full body joint pain since the fall of 2022. The symptoms just got worse, and I had an appointment with my doctor who referred me to a rheumatologist. I was diagnosed with rheumatoid arthritis on 04/26/2023. I am currently in treatment.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 12/30/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE RESPIRATORY FAILURE
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Blood pressure abnormal, Fall, Immediate post-injection reaction, Loss of consciousness, Moaning
Clinical narrative: After 3rd shot (HPV) she moaned fell back onto table and passed out. Within the first minute of getting shot. She laid down until she regained color and normal blood pressure and pulse. she was given apple juice
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Pallor, Pulse abnormal
Clinical narrative: After 3rd shot (HPV) she moaned fell back onto table and passed out. Within the first minute of getting shot. She laid down until she regained color and normal blood pressure and pulse. she was given apple juice
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Hypotension, Hypoxia, Obstructive sleep apnoea syndrome, Respiratory failure
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE ACUTE ST ELEVATION MI, UNSPECIFIED HYPOTENSION HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXIA 11/12/2022,  11/15/2022,  3/17/2023,  3/10/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE ACUTE ST ELEVATION MI, UNSPECIFIED HYPOTENSION HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXIA 11/12/2022,  11/15/2022,  3/17/2023,  3/10/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Narcolepsy
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE NARCOLEPSY, UNSPECIFIED
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Eyelid pain, Sensitive skin, Swelling of eyelid
Clinical narrative: Patient got the vaccine in the left deltoid. Within a few hours, while mom ran errands after the office visit, said "my eye(lid) hurts". The next day (yesterday), she woke up and right upper eyelid was slightly puffy. Went to camp that day and came home and right upper eyelid was more swollen. She tried putting cold compresses at our suggestion but the skin is very sensitive. No trouble breathing, swallowing, lip or tongue or mouth symptoms. No cough.  Left eyelids and lower right eyelid are completely normal.  Has normal binocular vision.
Age: 19.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There was NO adverse event reported.  The patient presented to the pharmacy requesting a second vaccine of HepB.  It was determined she was given Engerix-B 20mcg/ml indicated for 20 years and up. She was 19 at the time of administration on 1-7-2023.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient received a vaccine that had not been stored properly.  Rather than storing under refrigeration upon receipt from the manufacturer, the vaccine was placed into a freezer that maintained temperatures between -4- and 5-degrees Fahrenheit.  Guidance from the manufacturer states that while administration of a vaccine having undergone this temperature excursion would not cause harm to the patient, the effectiveness of the vaccine cannot be verified.  No harm has been reported by this patient and they have been notified that the Department of Health recommends being revaccinated at their earliest convenience.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 12/31/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Eye pruritus, Headache
Clinical narrative: Headache, cough, SOB, itchy eyes with progression to anaphylaxis. 2 doses of 0.3mg of Epi. EMS contacted and patient transported to the ER.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Embolic stroke, Facial paresis, Hemiparesis, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY ACUTE DVT OF LEFT TIBIAL VEIN LEFT FACIAL MUSCLE WEAKNESS 1/19/2023  -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 0.92
Sex: M
Vaccine: HEPA
Symptoms: Wrong product administered
Clinical narrative: At 9:37am since vaccinated the staff gave the wrong kid the wrong vaccine. COVID Vaccine the 6month-4 yr old  Lot #: GW8170
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: This lot of the Pfizer Bivalent Booster vaccine for ages 12 and older was accidentally given by a RN on the clinic staff team as a first dose to a 10.5 year old child.  The patient's parent has been notified and educated. The RN has also been educated appropriately and thoroughly.  There were no adverse reactions.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Brain fog, Chills, Dizziness, Feeling abnormal
Clinical narrative: Within twenty minutes I could feel a fuzziness in my head, by six thirty that night I was very sick.  The symtoms were chills, brain fog, dizziness and my head felt stressed pressured and bloated.  Within a few days I had tinnitus like my body had experinced a shock like when I had fallen off of my bicycle. For the first week afterward I was making mistakes at work as my mind was not clear.  I am a lawyer and this was an issue,  I could not follow a conversation or read a newspaper.  At home I could not get hot enough and kept my home temperature at eighty five degrees. I slept under two covers and a comforter.  The second week I improved a little bit and the third week a little more I was still hot and could not think straight this lasted at least six months.  I know get all kinds of colds and flu like my immune system is all screwed up.  In the Summer of 2021 my whole face was swollen or swelled up.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Head discomfort, Impaired work ability, Influenza
Clinical narrative: Within twenty minutes I could feel a fuzziness in my head, by six thirty that night I was very sick.  The symtoms were chills, brain fog, dizziness and my head felt stressed pressured and bloated.  Within a few days I had tinnitus like my body had experinced a shock like when I had fallen off of my bicycle. For the first week afterward I was making mistakes at work as my mind was not clear.  I am a lawyer and this was an issue,  I could not follow a conversation or read a newspaper.  At home I could not get hot enough and kept my home temperature at eighty five degrees. I slept under two covers and a comforter.  The second week I improved a little bit and the third week a little more I was still hot and could not think straight this lasted at least six months.  I know get all kinds of colds and flu like my immune system is all screwed up.  In the Summer of 2021 my whole face was swollen or swelled up.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Malaise, Mental impairment, Nasopharyngitis, Stress
Clinical narrative: Within twenty minutes I could feel a fuzziness in my head, by six thirty that night I was very sick.  The symtoms were chills, brain fog, dizziness and my head felt stressed pressured and bloated.  Within a few days I had tinnitus like my body had experinced a shock like when I had fallen off of my bicycle. For the first week afterward I was making mistakes at work as my mind was not clear.  I am a lawyer and this was an issue,  I could not follow a conversation or read a newspaper.  At home I could not get hot enough and kept my home temperature at eighty five degrees. I slept under two covers and a comforter.  The second week I improved a little bit and the third week a little more I was still hot and could not think straight this lasted at least six months.  I know get all kinds of colds and flu like my immune system is all screwed up.  In the Summer of 2021 my whole face was swollen or swelled up.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Tinnitus
Clinical narrative: Within twenty minutes I could feel a fuzziness in my head, by six thirty that night I was very sick.  The symtoms were chills, brain fog, dizziness and my head felt stressed pressured and bloated.  Within a few days I had tinnitus like my body had experinced a shock like when I had fallen off of my bicycle. For the first week afterward I was making mistakes at work as my mind was not clear.  I am a lawyer and this was an issue,  I could not follow a conversation or read a newspaper.  At home I could not get hot enough and kept my home temperature at eighty five degrees. I slept under two covers and a comforter.  The second week I improved a little bit and the third week a little more I was still hot and could not think straight this lasted at least six months.  I know get all kinds of colds and flu like my immune system is all screwed up.  In the Summer of 2021 my whole face was swollen or swelled up.
Age: 21.0
Sex: M
Vaccine: COVID19-2
Symptoms: Facial paralysis, Septic pulmonary embolism
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE RIGHT FACIAL PALSY SEPTIC PULMONARY EMBOLISM
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Alcohol use, Neuropathy peripheral
Clinical narrative: ALCOHOL INDUCED NEUROPATHY
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Asthenia, Hyperhidrosis, Presyncope, Tremor
Clinical narrative: pt w/ near syncope at time of administration of vaccine pt roused almost immediately, was diaphoretic, tremulous and felt weak
Age: 64.0
Sex: F
Vaccine: HEPAB
Symptoms: Diarrhoea
Clinical narrative: Pt had diarrhea for a few days. She is fine now.
Age: 16.0
Sex: F
Vaccine: COVID19-2, FLU4, HEPA, IPV, TDAP
Symptoms: No adverse event
Clinical narrative: No, adverse event reported at this time.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: This vaccine made me skip my menstrual cycle for a month and and came back over a month late. This was very unusual for me and only ever happens to me when I am pregnant. I was not pregnant and had not been in a relationship over a year. I looked it up online and see that women had reported this happening after the COVID vaccine. I have never had a reaction like this to a vaccine before and have not been vaccinated for COVID since.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Ejection fraction, Ejection fraction abnormal, Electrocardiogram, Tachycardia
Clinical narrative: About 2 weeks after vaccine, spouse checking pulse ox and HR was 120's. Seen by cardiologist about a month later, EKG, ECHO ordered. ECHO done by July 2021 and Ejection fraction 47%, DX with idiopathic tachycardia. No reason for poor EF given  by cardiology- would not acknowledge NP spouse wondering about myocarditis from vaccine. Repeat Echo 1 year later July2022 EF up to 55%, repeat echo 7/23 Ejection fraction has normalized at 67%. Tachycardia lasted about 6 months on and off.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Pain, Pain in extremity
Clinical narrative: I was trying to help Coordinating Nurse with clinic and gave an expired vaccine by mistake.   Gave vaccine on 6/15/23 and when documenting in state registry, noticed it had expired on 6/5/23.  Vaccine had been stored and thawed appropriately without temperature excursions.  No adverse effects reported.   I spoke with client today and she feels fine, she reports her arm got sore and had same aches as with her previous first 2 COVID vaccines.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient tolerated well no adverse reactions, vaccine given after 30 days in refrigerator.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient received a vaccine that had not been stored properly.  Rather than storing under refrigeration upon receipt from the manufacturer, the vaccine was placed into a freezer that maintained temperatures between -4- and 5-degrees Fahrenheit.  Guidance from the manufacturer states that while administration of a vaccine having undergone this temperature excursion would not cause harm to the patient, the effectiveness of the vaccine cannot be verified.  No harm has been reported by this patient and they have been notified that the Department of Health recommends being revaccinated at their earliest convenience.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient received a vaccine that had not been stored properly.  Rather than storing under refrigeration upon receipt from the manufacturer, the vaccine was placed into a freezer that maintained temperatures between -4- and 5-degrees Fahrenheit.  Guidance from the manufacturer states that while administration of a vaccine having undergone this temperature excursion would not cause harm to the patient, the effectiveness of the vaccine cannot be verified.  No harm has been reported by this patient and they have been notified that the Department of Health recommends being revaccinated at their earliest convenience.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXIA
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient tolerated well no adverse reaction, dose was given after vial was in fridge for 30 days.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Acute respiratory failure, Embolic stroke, Symptom recurrence
Clinical narrative: ACUTE ST ELEVATION MI, ANTERIOR WALL ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/9/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 11.0
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB
Symptoms: Wrong product administered
Clinical narrative: Patient was given  a vaxcellis vaccine instead of the Tdap vaccine that was ordered.
Age: 11.0
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given  a vaxcellis vaccine instead of the Tdap vaccine that was ordered.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Received Moderna on 5/9/23 and was put in the fridge.  Was used after the beyond use date of 6/8/23
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient tolerated well no adverse reaction, dose was given after vial was in fridge past 30 days,
Age: 58.0
Sex: M
Vaccine: PNC20
Symptoms: Wrong product administered
Clinical narrative: Patient received pnuemonia 20 vaccine instead of the ordered Shingrix vaccine.
Age: 0.83
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Multi dose vile was opened on 6/22 at 2pm. Vaccine given on 6/23/23 at 10:52am. Vial opened for longer than 12 hours. In refrigerator. No out of range temps.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient tolerated well no adverse reaction, dose was given after vial was in the fridge longer than 30 days