chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: Intense itch left upper extremity - woke me up. Itching then spread to upper back and right forearm. Injection was to my left deltoid. My first Novavax was administered November 17, 2023. The first dose was not problematic other than a sore arm. Prior to that I had received three Moderna injections with unpleasant side effects. Benadryl 50 mg po taken near 4:00 AM on 10/08/24 calmed the reaction. No respiratory symptoms. Itch resolved as of this reporting time.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Sleep disorder
Clinical narrative: patient started having intense itching that was spreading all over her body after getting the novavax vaccine. she took some benadryl to help with it and symptoms started to dissipate afterwards.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: patient started having intense itching that was spreading all over her body after getting the novavax vaccine. she took some benadryl to help with it and symptoms started to dissipate afterwards.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: The physician ordered 50 mg and the RN gave the 100 mg of Beyfortus
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: An additional dose was given on Monday 10/08/24 for Fluzone Trivalent 2024-2025 after a dose had already been given on Friday 10/04/24.  This occurred due to ordering and acceleration of lab orders.  I, RN had ordered Fluzone in error and then lab orders that had not been done on Friday 10/04/24 were accelerated from that provider encounter to lab visit.  The Fluzone order was not deleted.  This then led to MA to administer the Fluzone vaccine on Monday 10/08/24 per order.     Per audit of chart chart for documentation on Billing it was found that additional was given in error.  Mother was notified by nurse RN by telephone call, mother verbalized understanding.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Laboratory test, Magnetic resonance imaging heart, Myopericarditis
Clinical narrative: PFIZER #1 6/24/2021 PFIZER #2 7/15/2021 DEVELOPED COVID VACCINE MYOPERICARDITIS WITH CLINICAL EXAM, ECG, AND SERIAL CARDIAC MRI.  TREATED WITH COLCHICINE AND PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 0.5
Sex: F
Vaccine: DTPPVHBHPB, PNC15, RV5
Symptoms: Underdose
Clinical narrative: Pt was given the incorrect dosage. The dosage ordered was 100mg/1mL and pt was administered 50mg/0.5mL
Age: 83.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Angiogram cerebral, Arteriogram carotid, Computerised tomogram head, Echocardiogram, Electrocardiogram
Clinical narrative: patient received both flu and COVID vaccine on 10/3. on 10/4 patient woke up with stroke like symptoms including left sided weakness and left sided facial droop
Age: 83.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Facial paralysis, Full blood count, Hemiparesis, Magnetic resonance imaging head, Metabolic function test
Clinical narrative: patient received both flu and COVID vaccine on 10/3. on 10/4 patient woke up with stroke like symptoms including left sided weakness and left sided facial droop
Age: 83.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Neurological symptom, Troponin
Clinical narrative: patient received both flu and COVID vaccine on 10/3. on 10/4 patient woke up with stroke like symptoms including left sided weakness and left sided facial droop
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: rash, swelling, itching
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abnormal faeces, Condition aggravated, Crohn's disease, Sleep disorder
Clinical narrative: Chrohn's flare up to an extent that is of a very, very rare occurrence.     Started by being awakened by strong abdominal pain, typical of my illness - but much stronger and more sudden.  This pain refused to subside for several hours.   Strong sulphuric smell in urine and feces.  Over the next few days, I could only eat foods that I normally eat during a flare or all symptoms would immediately return.   Flare has been gradually improving since.
Age: 75.0
Sex: F
Vaccine: COVID19, FLU3, RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received a second dose of RSV vaccine at this clinic - had previously received a dose of Arexvy on 12/18/2023 - discovered when adding administered vaccines from clinic into medical record.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide normal, Bundle branch block right, C-reactive protein normal, Dyspnoea exertional, Electrocardiogram abnormal
Clinical narrative: Patient started to have shortness of breath on exercise, noted significant hypoxia with exercise. Unsure of exact date, but started occurring leading up to a race. Unable to run in the race due to shortness of breath and came in for evaluation after roughly one week. Found to have significantly elevated D-dimer. EKG showed new right bundle branch block. Diagnosed with Pulmonary Embolism.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fibrin D dimer increased, Full blood count normal, Hypoxia, Metabolic function test normal
Clinical narrative: Patient started to have shortness of breath on exercise, noted significant hypoxia with exercise. Unsure of exact date, but started occurring leading up to a race. Unable to run in the race due to shortness of breath and came in for evaluation after roughly one week. Found to have significantly elevated D-dimer. EKG showed new right bundle branch block. Diagnosed with Pulmonary Embolism.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Red blood cell sedimentation rate normal
Clinical narrative: Patient started to have shortness of breath on exercise, noted significant hypoxia with exercise. Unsure of exact date, but started occurring leading up to a race. Unable to run in the race due to shortness of breath and came in for evaluation after roughly one week. Found to have significantly elevated D-dimer. EKG showed new right bundle branch block. Diagnosed with Pulmonary Embolism.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Hemiparesis, Hypoaesthesia
Clinical narrative: Weakness and numbness in entire right side of body. Possible Guillain-Barre Syndrome.
Age: 10.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LEFT ARM SWELLING AND REDNESS TO INJECTION SITE.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Urticaria
Clinical narrative: Patient experienced hives the evening after the vaccine. The next morning she passed out and then went to the ER. She was treated for potential delayed allergic reaction to the vaccine, but she said that they could not specifically correlate it to the vaccine.
Age: 55.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received the first dose of varicella vaccine today, however, he had received the first dose of MMR a week prior. This rendered today's Varicella dose invalid.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error
Clinical narrative: Patient was possibly given a vaccines that wasn't mixed properly so not fully protected.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: received pediatric dose
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: Patient possibly did not get the full vaccine due to not being mixed properly.
Age: 88.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient's wife requested patient receive RSV vaccine. Patient received vaccine. However, he previously received same vaccine 10/11/2023.
Age: 57.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: received Pediatric dose
Age: 29.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Balance disorder, Dizziness, Dizziness postural
Clinical narrative: On 10/4/2024 at 1:30pm I received the COVID vaccine (L arm) and the influenza vaccine (R arm) at CDC Healthy Days vaccination service.  Around 11:00 pm on 10/7/2024 I experiences acute dizziness when rolling over in bed. The dizziness did not last more than 10 seconds, but did occur over the course of the night approximately 5 times.  Around 9:00am on 10/8/2024 as I was getting ready for the day while standing upright I experienced a loss of balance accompanied by acute dizziness. This occurred multiple times while getting ready for the day while doing actions like walking around and also putting on clothes. These symptoms did not occur for more than 10 seconds. I'm making this report in the afternoon and can say I have not had reoccurring symptoms since this morning, but I have been sitting down for a majority of the day. I did some research and found some articles that noted that symptoms of vertigo are uncommon but possible after receiving a COVID vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: received pediatric dose
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: received pediatric dose
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Extreme Body Aches, Fever Oral 101.9
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No symptoms. Patient received rotavirus at 6 months and had never received it before. Patient shouldn't had received it.
Age: 36.0
Sex: M
Vaccine: MMR
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: No adverse event as of 10/8, 24 hours later.  Reporting here as vaccine was given IM, instead of SC.   Note that per GSK documentation for use, it is approved for both SC and IM. But FDA only approves SC use.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Severe myalgias/arthralgias starting 4 hours after injection; low grade fever, headache, chills
Age: 61.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Asthenia, Condition aggravated, Migraine
Clinical narrative: DEBILITATING MIGRAINE BEGINNING 8/6/24 AT APPROXIMATELY 08:00 LASTING 10 HOURS ENDING AT APPROXIMATELY 18:00
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: We accidentally gave a Covid Vaccine allocated for children >12 by the Department of Health, instead of adult vaccine, though it is the same dose that adults will get.
Age: 17.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: received pediatric dose
Age: 71.0
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The patient got a 3rd dose of Heplisav-B and this is only a 2 series vaccines.  So the patient mistakenly got a 3rd dose.  The patient feels fine and has been notified. Medical assistant, at  Dr.'s office, was notified.  The physician had written a prescription (dated 10/04/24) for a 3rd dose of this vaccine by mistake and then the pharmacist mistakenly administered based on the prescription.  No harm was done to the patient.  We also filled out a report to investigate the cause of the error and made a plan of action to prevent recurrence.
Age: 34.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swollen injection site, red, soreness down arm. Noticed upon waking up the next morning
Age: 51.0
Sex: F
Vaccine: FLU3, PNC20, TDAP
Symptoms: Syncope
Clinical narrative: Patient fainted for about 30 seconds, became regained conciousness, fainted for 30 seconds regained conciousness and again for a 3rd time.   We applied cold compress, gave her a glass of water, she sat on our bench for over 25 minutes.  She did have an albuterol inhaler and she used that.  Her daughter was her and she drove her home.    No swelling or localized reaction or allergic reaction
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: localized swelling, redness, itching
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given a lower dose vaccination.
Age: 17.0
Sex: M
Vaccine: DTAP, HEP, MMR, TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine administration error with Dtap (Daptcel).
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Pain
Clinical narrative: patient became achy and lightheaded. She became so dizzy she nearly fell. Patient was very tired and achy for 2 more days.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Dysgeusia, Sensation of foreign body
Clinical narrative: Patient received her influenza immunization (Flulaval - IIV3 - lot #J245K) on 07OCT2024 @ approximately 0920 at a mass vaccination event.  Roughly 10 minutes later,  she noticed a chemical-like taste and an odd sense of fullness in her throat, prompting her to alert medical staff. She stated that normally, she wouldn't have thought twice about the symptoms, but wanted to err on the side of caution given that she received her flu shot. She reported no prior adverse reactions to immunizations (flu or otherwise) in the past.  Vitals @ 0931 were as follows: BP 138/98, HR 98, Temp 98.4 F. Patient was conversing normally without any SOB, objective respiratory distress, or subjective/self-reported difficulty breathing.   Vitals were collected at ~10 minute intervals by a nurse with close patient monitoring: 0941 - BP 124/86, HR 89, T 99.0 F, O2 sat 97% on RA, patient breathing normally and conversing without signs of respiratory distress 0951 - BP 110/78, HR 73, T 98.7 F, O2 sat 99% on RA, patient breathing normally and conversing without signs of respiratory distress 1001 - BP 121/86, HR 73, T 98.3 F, O2 sat 97% on RA, patient breathing normally and conversing without signs of respiratory distress 1013 - BP 115/83, HR 81, T 98.5 F, O2 sat 97% on RA, patient breathing normally and conversing without signs of respiratory distress 1029 - BP 112/77, HR 72, T 98.3, O2 sat 96% on RA, patient breathing normally and conversing without signs of respiratory distress  After an hour of monitoring, patient reported symptoms were still present but improved. She denied any difficulty breathing or shortness of breath. Denied other symptoms such as hives or sensation of throat closing.  Due to normal and stable vital signs, normal patient appearance (patient sitting comfortably, conversing with staff, no respiratory distress), patient was released from observation after deliberation by medical team.  Strict precautions were provided including but not limited to: calling EMS for symptoms compatible with emergent allergic reaction (SOB, sudden throat swelling, etc.) and seeking immediate medical attention in this scenario. Patient demonstrated an understanding of this guidance.  Patient was contacted on 08OCT24 @ 0930 by phone. Patient confirmed symptoms had resolved and she was feeling normal.
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Doctor recommended to administer the vaccine in her right thigh because part of lungs removed.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site rash, Rash, Rash erythematous, Rash papular
Clinical narrative: Red, itchy, raised-bump rash along the Left upper arm and L hand. Also soreness/pain on the upper/deltoid region of the L arm.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: Red, itchy, raised-bump rash along the Left upper arm and L hand. Also soreness/pain on the upper/deltoid region of the L arm.
Age: 64.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: The client presented today at 64 years old and inadvertently received a high dose flu vaccine under the age of 65. Client showed no symptoms of adverse effects and was notified of the mistake. States understanding.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site nodule, Injection site pain, Swelling face
Clinical narrative: Pt received Fluarix vaccine around 8:53am without any problems. She reported back at 11:55 am stating her lip felt like it was getting bigger and her right arm felt sore and had a knot. No visible lip swelling was noted and right deltoid did have small nodule at injection site and pt states it was sore to touch. Pt was medicated with 50 mg of Benadryl and monitored for next 1-2 hours. She denied any worsening symptoms and stated she felt better. Pt continued after Benadryl to consume her lunch without difficulty.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fall, Fatigue, Muscle fatigue
Clinical narrative: Fever; chills; weakness; muscle fatigue; tiredness;inability to stay asleep; fell out of bed 2-3 times;moving very slow and deliberate
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Fever; chills; weakness; muscle fatigue; tiredness;inability to stay asleep; fell out of bed 2-3 times;moving very slow and deliberate
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Red, swelling, warm to touch   from shoulder to elbow
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient felt light headed after receiving vaccination
Age: 33.0
Sex: M
Vaccine: HEPAB
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No signs of symptoms. Patient received Twinrix #2 (dose 1 given 8/16/2024) that was determined an invalid/early dose 3 by the state vaccine registry due to the fact that they had previously received Engerix in 2008. Vaccine program RN wanted this reported.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Injection site swelling, Rash macular
Clinical narrative: Splotches on the arm (age spot like that resolved in about 12hours) Fever 100F+ 30 hours Severe diarrhea several days Injection site swelling several days
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine given outside out "Best By" date. Patient notified. No reaction stated.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: pruritic rash on anterior neck
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Muscle spasms
Clinical narrative: Seconds after receiving vaccine patient experienced back spasms and was not feeling well.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Arthralgia
Clinical narrative: Arthritis feeling in hands
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 10/3 received immunization. 10/4 noted a 2x3 inch red area on arm at injection site, warm, raised, indurated, tender. 10/5 red area still present. 10/6 redness began to fade. 10/8 barely noticeable discoloration, no pain, no warmth. No treatments used, resolved spontaneously.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Blood electrolytes, Blood sodium increased, Dizziness, Headache, Impaired work ability
Clinical narrative: Employee states that  about 4 hours after receiving a flu vaccine at work, she began feeling sleepy and lethargic, even falling asleep in a meeting.  She was awakened from sleep and at that time, she developed a headache  that worsened progressively.  Her blood pressure was checked because she felt  dizzy. She reported it was 91/60 mm Hg (Normal for her is around 101/65).  She went home and when she woke up the next day, her headache was worse. She reports a PMH  of headaches.  She went to the Emergency Room and was treated with Compazine.  She was put on quarters by the ER provider and cleared to return 10/05/2024. Her first day back to work was 10/08/204 (She does not work on weekends).  During today's visit, she reports that her headache had improved but was still 5/10.  She reports her pain had been 10/10 which prompted ER visit.  She denies any other complaints and reports that her primary care provider is recommending she follow-up with neurology.  Employee was returned to work.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Laboratory test normal, Lethargy, Pain, Somnolence
Clinical narrative: Employee states that  about 4 hours after receiving a flu vaccine at work, she began feeling sleepy and lethargic, even falling asleep in a meeting.  She was awakened from sleep and at that time, she developed a headache  that worsened progressively.  Her blood pressure was checked because she felt  dizzy. She reported it was 91/60 mm Hg (Normal for her is around 101/65).  She went home and when she woke up the next day, her headache was worse. She reports a PMH  of headaches.  She went to the Emergency Room and was treated with Compazine.  She was put on quarters by the ER provider and cleared to return 10/05/2024. Her first day back to work was 10/08/204 (She does not work on weekends).  During today's visit, she reports that her headache had improved but was still 5/10.  She reports her pain had been 10/10 which prompted ER visit.  She denies any other complaints and reports that her primary care provider is recommending she follow-up with neurology.  Employee was returned to work.
Age: 16.0
Sex: M
Vaccine: FLU3, HEP, HEPA, HPV9, TDAP
Symptoms: Blood glucose, Electrocardiogram, Heart rate decreased, Syncope
Clinical narrative: Patient had syncopal episode. heart rate dropped from 85 baseline to 45 BPM.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient inadvertently given high dose flu instead of regular flu.
Age: 26.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Swelling at site of Covid vaccine, itchiness, warmth, redness, soreness
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysgeusia, Paraesthesia oral, Rash, Urticaria
Clinical narrative: Rash and hives to chest, funny taste to mouth, tingling sensation to lips that lasted approx 30 mins before going away.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Chest X-ray, Chest discomfort, Differential white blood cell count, Dyspnoea
Clinical narrative: chest tightness, short of breath.  Began 2 days post-vaccine
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Full blood count, Metabolic function test, Red blood cell sedimentation rate, Troponin
Clinical narrative: chest tightness, short of breath.  Began 2 days post-vaccine
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine given outside of "Best By" date.  Patient notified. No reaction stated.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Patient received her flu immunization (Flulaval - IIV3 - lot # J245K) on 07OCT2024 @ approximately 1405.  She reported a prior history of lightheadedness after vaccines and blood draws previously. Patient was instructed to sit in waiting area for 15-30 minutes after immunization to ensure she felt well.  Patient reported lightheadedness shortly after immunization.   @1408 vitals were: BP 89/49, HR 44, T 98.6 F, O2 sat 99% on RA. Patient was pale, conversant, not in any respiratory distress. Patient was seated and provided additional chair to elevate legs and water was provided to patient.  Ensuing vitals were as follows: 1411: BP 96/60, HR 43, O2 sat 98% on RA 1421: BP 103/73, HR 44, O2 sat 100% on RA, T 98.5 F  Patient reported feeling back to her baseline and denied any lightheadedness after the final set of vitals. Patient was escorted back to her classroom and denied any lightheadedness or dizziness while ambulating.  Strict precautions were provided, including but not limited to: Seeking immediate medical attention with assistance of colleague for new vasovagal symptoms (dizziness, lightheadedness).
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event
Clinical narrative: Patient has no symptoms at this time.  No adverse effects noticed.  Per mom child slept good , no fever and was good this morning when I talked to her.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reactions stated
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Administered  covid  12 y/o and up  dose to an 8 y/o.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Diarrhoea, Erythema, Joint swelling, Pain
Clinical narrative: Vaccination at 12:10. Vomiting and diarrhea by 1:30. Severe body aches by 3:30 PM. Hives all over at 5:30 PM. Swollen, red, painful knees, ankles, wrists and elbows by 7 PM. Better over the next 2 days. Only scattered mild hives and some joint swelling 3 days post injection.  Only minimal swelling of joints by 4 days post injection. I'm a physician, so went to my next door neighbor, who's also a physician, and he prescribed Prednisone 20 mg BID for 5 days, with a loading dose of 40 mg. I also took Benadryl 50 mg every 4-6 hours around the clock for 3 days.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria, Vomiting
Clinical narrative: Vaccination at 12:10. Vomiting and diarrhea by 1:30. Severe body aches by 3:30 PM. Hives all over at 5:30 PM. Swollen, red, painful knees, ankles, wrists and elbows by 7 PM. Better over the next 2 days. Only scattered mild hives and some joint swelling 3 days post injection.  Only minimal swelling of joints by 4 days post injection. I'm a physician, so went to my next door neighbor, who's also a physician, and he prescribed Prednisone 20 mg BID for 5 days, with a loading dose of 40 mg. I also took Benadryl 50 mg every 4-6 hours around the clock for 3 days.
Sex: F
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 3 day old patient was administered Abrysvo
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain, Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: Patient came to the pharmacy on 9/30 for a vaccine she received on 9/14 which was a flu shot. she reported that the pharmacist who administered the vaccine gave it too high up in the arm to which it caused her pain. She has has gone to her physician and was diagnosed with SIRVA and that she has a hard time moving her arm around.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine given outside of "Best By" date. Patient notified. No reaction stated
Age: 12.0
Sex: F
Vaccine: IPV, MMRV, MNQ, TDAP, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Client was administered Proquad (MMRV) and Varivax (Varicella) vaccines at clinical visit.  The client was to receive MMR (single antigen) and Varicella (single antigen).  The vaccine error was client had received an additional dose of Varicella vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Superficial vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: 9/20/24 Covid + Influenza vaccine administration at facility.  9/23/24 patient went to outpatient clinic for right leg pain.  Patient sent to ED 9/24/24.  US revealed superficial thrombus.  Pt discharged on Apixaban. Pt returned 9/25/24 w/ alternate leg pain.  Subsequent US revealed additional superficial thrombus in left leg.  ADR investigation: Pt presented to ED 9/24/24 after being sent by Clinic (seen 9/23/24) to r/o DVT. Pt with past year history of fluctuating leg pain, recent travel, & recent vaccine administration. RLE US revealed superficial thrombosis of greater saphenous vein. Started on Apixaban for DVT tx, discharged & f/u w/ Clinc 9/25/24 for education. Pt reported a recent flight approx 2 wks ago, 6hrs total including layover, and recent Covid vaccine administration 9/20/24 at the clinic. Pt reported during the call he began having pain in LLE and returned to the ED for evaluation. LLE US revealed superficial thrombophlebitis of the greater saphenous vein. Pt discharged to continue Apixaban treatment dose & referral for compression stockings.  Unknown if thrombus is associated with vaccine administration, however given the close proximity to date of administration and known thrombus ADRs resulting from the Covid vaccine, will submit to VAERS. Upon investigation of vaccine administration documentation, influenza vaccine was also co-administered by clinic on 9/20/24. Specific vaccine information not available in database.
Age: 11.0
Sex: M
Vaccine: HEPA
Symptoms: Fatigue, Immediate post-injection reaction, Mobility decreased, Pain in extremity, Pallor
Clinical narrative: Patient stated his arm hurt immediately after injection. He stated he couldn't move his arm very much. He also stated he felt fatigued and his face was pale in color. After applying cold pack and relaxing, he stated he felt better and symptoms had improved. He was able to move his arm with less pain, no longer felt fatigued, and his face no longer appeared pale.
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Facial nerve disorder
Clinical narrative: Patient stated at today's flu vaccine that she developed a facial nerve problem about 6 months after receiving the vaccines
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site scar, Vaccine positive rechallenge
Clinical narrative: patient reports developing a scar at the injection site, after each dose of covid vaccine.
Age: 22.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Abdominal distension, Arthralgia, Chills, Diarrhoea, Headache
Clinical narrative: Headache, started after 6 hours, dissipated next day. Joint pain, started after 4 hours, still ongoing. Nausea/bloating, started after 4 hours, still ongoing. Diarrhea, started after 18 hours, still ongoing.  Chills, started after 12 hours, still ongoing.
Age: 22.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Nausea
Clinical narrative: Headache, started after 6 hours, dissipated next day. Joint pain, started after 4 hours, still ongoing. Nausea/bloating, started after 4 hours, still ongoing. Diarrhea, started after 18 hours, still ongoing.  Chills, started after 12 hours, still ongoing.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Repetitive Flu shot given
Age: 80.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, Rash
Clinical narrative: On 8/19/24, patient received the Arexvy vaccine for RSV. Inadvertantly, this was administered to the patient even though they had already had one dose of Arexvy in Fall of 2023 and did not need another dose. Patient reported getting a diffuse rash across their buttocks that lasted for several weeks following the vaccination. They went to their doctor and were prescribed a steroid cream for treatment. Currently the rash is resolved, less some discoloration from the irritation, but otherwise healed.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: This was the annual booster. Noticed a new, larger float in right eye that hadn't been present previously. Floater is still present at this time.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: annual booster. Noticed increase in size of floaters in eye. Has not improved.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain, Product preparation error, Pyrexia
Clinical narrative: The nurse who prepared the medication did not realize it needed to be diluted so she gave the undiluted amount to the patient which resulted in more vaccine than the child should have received. No abnormal symptoms. Family reported low grade fever last night and patient complaining some of pain at injection site.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Circumstance or information capable of leading to device use error
Clinical narrative: during vaccination patient jerked his arm abruptly, which caused the needle to be forced out of arm with barely any dose being administered. Patient was re-dosed.
Age: 25.0
Sex: M
Vaccine: YF
Symptoms: Asthenia, Erythema, Hyperhidrosis, Loss of consciousness, Malaise
Clinical narrative: ABOUT 5 SECONDS AFTER ADMINISTRATION OF THE VACCINE, PATIENT REPORTED NOT FEELING WELL. ABOUT ANOTHER 5 SECONDS LATER PATIENT LOST CONSCIOUSNESS  FOR ABOUT 10-15 SECONDS. IMMEDIATELY AFTER, PATIENT'S SKIN TURNED VERY RED AND PATIENT CLINCHED THE HANDS CLOSE TO CHEST AND STARTED SHAKING FOR ABOUT 20 SECONDS.  SOON AFTER HE STARTED SLOWLY COMING OUT OF THIS STATE , THE SKIN TURNED PALE AND PATIENT HAD BEEN SWEATING PROFUSELY.  THE PARAMEDICS ARRIVED AND WHILE THEY WERE DOING SOME TESTS, THE PATIENT STARTED HAVING ANOTHER EPISODE OF PROFUSE SWEATING AND WEAKNESS AND CLOSE TO LOOSING CONSCIOUSNESS. PARAMEDICS THEN TOOK THE PATIENT TO THE HOSPITAL
Age: 25.0
Sex: M
Vaccine: YF
Symptoms: Pallor, Tremor
Clinical narrative: ABOUT 5 SECONDS AFTER ADMINISTRATION OF THE VACCINE, PATIENT REPORTED NOT FEELING WELL. ABOUT ANOTHER 5 SECONDS LATER PATIENT LOST CONSCIOUSNESS  FOR ABOUT 10-15 SECONDS. IMMEDIATELY AFTER, PATIENT'S SKIN TURNED VERY RED AND PATIENT CLINCHED THE HANDS CLOSE TO CHEST AND STARTED SHAKING FOR ABOUT 20 SECONDS.  SOON AFTER HE STARTED SLOWLY COMING OUT OF THIS STATE , THE SKIN TURNED PALE AND PATIENT HAD BEEN SWEATING PROFUSELY.  THE PARAMEDICS ARRIVED AND WHILE THEY WERE DOING SOME TESTS, THE PATIENT STARTED HAVING ANOTHER EPISODE OF PROFUSE SWEATING AND WEAKNESS AND CLOSE TO LOOSING CONSCIOUSNESS. PARAMEDICS THEN TOOK THE PATIENT TO THE HOSPITAL
Age: 73.0
Sex: M
Vaccine: PNC20, RSV
Symptoms: Injection site discolouration, Injection site mass, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Patient came into pharmacy 3 days after vaccination (10/3/24) with complaints of pain and swelling in his left arm. The pain came on gradually after the injection. He stated the pain is at the sight of the injection and spreads into his left bicep area. I examined his arm and there was mild swelling in the left deltoid area and warmth at the sight of injection.  His mobility in his left arm is limited but patient states that is normal due to his arthritis. When I asked him to raise his arm, he had pain doing so. There is a small redish-purple raised "bump" about the size of a pencil eraser in diameter on the skin over the left deltoid, but patient believes this has been there and is not related to the injection. I encouraged him if his symptoms do not improve in the next 24 hours to call his doctor for further evaluation. I reviewed the vaccination on our video monitoring system and immunization was administered with correct technique including administration 2 inches below the acromial process so do not have concerns for SIRVA. I called patient today 10/8/24 to check in with him and he reports no more pain in left deltoid, he did not need to seek further medical care as symptoms improved. States his shoulder joint is as mobile as his "normal" with arthritis.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, UNK
Symptoms: Asthenia, Dyspnoea, Fatigue
Clinical narrative: Fatigue, weakness, shortness of breath
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 2023-2024 mRNA COVID-19 vaccines are no longer authorized and should NOT be administered. DOH and clinic was not notified until 8/27
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: Patient was given 2023-2024 Covid dosing. This was reported to PCP, and care plan includes advising patient receive 2024-2025 Covid dosing at December appointment. PCP to discuss this need with patient at time of next visit.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Given Spikevax vaccine intended for ages 12 years and older.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1
Symptoms: Amino acid level normal, Ammonia normal, Blood culture negative, Blood lactic acid normal, CSF culture negative
Clinical narrative: Seizure-like activity developed within 1-2 minutes after receiving vaccines. Received 2 doses of Ativan for persistent seizure-like activity. Developed significant lethargy and diagnosed with acute encephalopathy afterwards. Hospitalized and treated with IV antibiotics and Acyclovir.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1
Symptoms: CSF test normal, Carnitine normal, Computerised tomogram head normal, Cytogenetic analysis normal, Electroencephalogram normal
Clinical narrative: Seizure-like activity developed within 1-2 minutes after receiving vaccines. Received 2 doses of Ativan for persistent seizure-like activity. Developed significant lethargy and diagnosed with acute encephalopathy afterwards. Hospitalized and treated with IV antibiotics and Acyclovir.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1
Symptoms: Encephalopathy, Lethargy, Magnetic resonance imaging head abnormal, Seizure like phenomena, Urine organic acid test
Clinical narrative: Seizure-like activity developed within 1-2 minutes after receiving vaccines. Received 2 doses of Ativan for persistent seizure-like activity. Developed significant lethargy and diagnosed with acute encephalopathy afterwards. Hospitalized and treated with IV antibiotics and Acyclovir.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient has diffuse rash on both arms and covering chest midline up to neck. She states the rash doesn't itch currently but is worrisome.
Age: 59.0
Sex: F
Vaccine: COVID19, FLU3, RSV
Symptoms: Body temperature increased, Respiratory distress, Somnolence, Unresponsive to stimuli
Clinical narrative: Resident was sent to the ER for eval. she was running a temp of 102.0 this am around 1000. she was given Tylenol along with her other meds that were crushed in pudding. she would stay awake for about 3-5 seconds after saying her name to take the meds/take fluids. An hour later her temp was 98.9. She was sent to the ER around 1300 due to increase unresponsiveness, only responding to sternal rubs, also had some respiratory distress. ER was called for report. Assessment/Plan: Placed on comfort care measures.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fatigue and chills started about 14 hours after vaccination. Fever of 101 degrees F confirmed 20 hours after vaccination but likely started sooner.
Age: 68.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Chills, Feeling of body temperature change, Pain in extremity
Clinical narrative: woke up shivering and feeling warm/cold; very sore left arm
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Product administered to patient of inappropriate age
Clinical narrative: Child was given the Moderna COVID vaccine meant  for children 12+ years old.     Except for pain at injection sit, parents do not report any adverse effects after 24 hours.
Age: 0.5
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 2023-2024 mRNA COVID-19 vaccines are no longer authorized and should NOT be administered. DOH and clinic was not notified until 8/27
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site pruritus
Clinical narrative: Patient developed swelling, redness and itching at injection site
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Large local reaction to Pentacel vaccine: 10.5 x 6 cm left thigh. Favor large localized reaction to vaccine rather than cellulitis given texture, lack of tenderness/warmth/induration. Area outlined as photographed. Call back if redness extends much past current border.2 yo here with dad due to concern for vaccine reaction. Was seen for WCC on 10/4 where flu and pentacel vaccines were given. Left leg developed redness later that day with slightly raised appearance. More swollen Saturday. No complaints of pain. No tenderness. This morning looked bigger, redder, more swollen and hot to the touch. +Pruritis. Has been scratching at area. No fever.
Age: 4.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Pt did not indicate any adverse effects by day 4 after vaccine.  Error was vaccine was not diluted prior to administration
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cholecystectomy, Cholecystitis infective, Vomiting
Clinical narrative: 5 hours after I got the vaccine, I had stomach pains and vomited. This lasted for 5 hours until I went to the ER where I was diagnosed with an infected gallbladder. It was removed the next day. I had never experienced any gall bladder issues.
Age: 34.0
Sex: F
Vaccine: FLU3, RSV
Symptoms: Delivery, Exposure during pregnancy, Fatigue, Immune thrombocytopenia, Immunoglobulin therapy
Clinical narrative: 34 yo G2P1 @ 38+1 weeks gestational age (EDC 10/07/024) on 09/24/24  presented to clinic with fatigue and found to petechiae and to have ITP with platelet count of 7K.  Had received COVID vaccine (COVID-19 Pfizer Comirnaty Vaccine 12+  Lot LM2212) on 09/05/2024 and then received the RSV vaccine (Abrysvo as above)  and the flu vaccine (Influenza trivalent GlaxoSmithKline Lot T74KG) on 09/11/024.  Recieved IVIG in hospital along with steroids and when platelet count recovered underwent induction of labor, delivery of liveborn male infant weight 4.015kg via vaginal birth. Male infant with platelet count of 41. He also received IVIG with improvement in platelet count.
Age: 34.0
Sex: F
Vaccine: FLU3, RSV
Symptoms: Labour induction, Petechiae, Platelet count decreased
Clinical narrative: 34 yo G2P1 @ 38+1 weeks gestational age (EDC 10/07/024) on 09/24/24  presented to clinic with fatigue and found to petechiae and to have ITP with platelet count of 7K.  Had received COVID vaccine (COVID-19 Pfizer Comirnaty Vaccine 12+  Lot LM2212) on 09/05/2024 and then received the RSV vaccine (Abrysvo as above)  and the flu vaccine (Influenza trivalent GlaxoSmithKline Lot T74KG) on 09/11/024.  Recieved IVIG in hospital along with steroids and when platelet count recovered underwent induction of labor, delivery of liveborn male infant weight 4.015kg via vaginal birth. Male infant with platelet count of 41. He also received IVIG with improvement in platelet count.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dysstasia, Gait disturbance, Muscle strain, Syncope
Clinical narrative: Bent over to pick something up around 12pm 9/29/24 and strained lower back. Hurt all day. Got worse in the night to the point that I collapsed on the way back from the bathroom and spent half the night on the floor unable to get up due to extreme pain. Took methocarbamol. Could barely walk the next morning. Improved by 10/2/24. Symptoms gone by 10/5/24. I remembered this happened within a week of all the times that I've gotten a Pfizer covid vaccine. First entry here Lot# LM2212 was on 9/25/24. Lot# HJ7224 was 02/08/2024.  Lot# 330258D was 12/24/2021. Previous ones were not administered with flu vaccine at the same time. Moderna Covid vaccines on 04/15/21 and 03/18/21 did not cause this reaction.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Oedema peripheral, Pain in extremity, Peripheral swelling, Rash
Clinical narrative: Patient reports feeling strange tense/painful sensation in right calf 48 hours after vaccination.  She said 72 hours after vaccination her right lower leg had edema and swelling.  She said there was also a small mark similar to a bruise as well as a rash on the back of her calf.  She said it was itchy but the leg was not red.  She went to the doctor and they could not see any marks, they ordered some testing to check for the presence of a blood clot. At the time of reporting the event to the pharmacy on the afternoon of 10/8 she had not gotten her results back yet and her symptoms have mostly resolved.  I asked if this could be the result of a bug bite and she said she did not think so because she could not see any bite marks but noted that she was helping clean up a property and saw many spiders around the same time the symptoms started.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Skin discolouration
Clinical narrative: Patient reports feeling strange tense/painful sensation in right calf 48 hours after vaccination.  She said 72 hours after vaccination her right lower leg had edema and swelling.  She said there was also a small mark similar to a bruise as well as a rash on the back of her calf.  She said it was itchy but the leg was not red.  She went to the doctor and they could not see any marks, they ordered some testing to check for the presence of a blood clot. At the time of reporting the event to the pharmacy on the afternoon of 10/8 she had not gotten her results back yet and her symptoms have mostly resolved.  I asked if this could be the result of a bug bite and she said she did not think so because she could not see any bite marks but noted that she was helping clean up a property and saw many spiders around the same time the symptoms started.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: TINGLING, NUMBNESS IN FEET, PROGRESSIVELY GETTING WORSE.
Sex: U
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pharmacist reported that a dose of expired MMR II (Lot W029540, Expiration 15SEP2024) was administered today, 01OCT2024.; patient did not report any additional AE; This spontaneous report was received from Pharmacist concerning to a patient of unknown gender and age.  The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported.  On 01-OCT-2024, the patient received vaccine measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (recombinant human albumin [rHA]) (M-M-R II) injection, 1 dose, (lot #W029540, expiration date: 15-SEP-2024, Lot # has been verified to be a valid lot number for measles, mumps, and rubella [wistar ra 27-3] virus vaccine, live [M-M-R II]) administered for prophylaxis (strength, exact dose, route of administration, and anatomical location were not provided) (Expired product administered). Pharmacist confirmed that patient did not report any additional AEs (No adverse event).
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: Confirmed no other AE occurred.; Medical Assistant reported an AE for PROQUAD. The caller said the patient received a dose of PROQUAD after a temperature excursion. Confirmed no other AE occurred. AE letter sent to Medical assistant. See AE cases 02683490, 02683500, 02683501, 026835; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. No information on patient's medical history, current conditions and concomitant medications was provided.  On 01-OCT-2024 the patient was vaccinated with improperly stored dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) (albumin status: rHA) lot # Y012074 and expiration date 05-JAN-2026 for prophylaxis (exact dose, dose number (discrepancy provided as 1 dose, which is not clear or it's one dose or first dose), route and site of administration were not provided). The temperature excursion lasted for 1hour and 30 minutes in temperature of 10.2 Fahrenheit degrees (product storage error). Confirmed no other adverse event occurred (no adverse event).