chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5, UNK, UNK
Symptoms: Incorrect dose administered
Clinical narrative: As per CDC guidelines, avoid using two 50mg doses for infants weighing (?11 pounds), because 50mg doses should be reserved only for infants weighing (<11 pounds), for example those born during the season who will be at increased risk for severe RSV illness because of their young age. Furthermore, providers should be aware that some insurers may not cover the cost of two 50mg doses for an individual infant, and health care settings currently experiencing shortages of Beyfortus should prioritize 100mg doses to infants at the highest risk for severe RSV disease. Patient was monitored for 30 minutes after vaccines were administered and did not show any sign of pain, discomfort or adverse reaction. Patient tolerated administration well and was sent home.
Age: 1.75
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Patient developed hives over left side of face and over body 1 day following administration of Flu vaccine.
Age: 74.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: trivalent influenza listed in system, pain in left shoulder and reduced ROM
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: PATIENT CALLED PHARMACY ON 11/20/23 AND REPORT PAIN  , SHORE AND ITCHING AT INJECTION SITE
Age: 74.0
Sex: F
Vaccine: TYP
Symptoms: Asthenia, Malaise, Mobility decreased, Pain in extremity
Clinical narrative: My arm was extremely painful and essentially paralyzed. I could not move it more than 1 or 2 inches even when I willed to move it, for 2 days. The pain is still there after 5 days but I am regaining some mobility. Also experienced zero energy and malaise for 3 days. I spoke with the pharmacist and he suggested aspirin or Tylenol, but I had already taken 1 tablet of Ibuprofen.
Age: 13.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dizziness
Clinical narrative: Patient had just received a Flu vaccine followed by a Covid Vaccine. She told the vaccinator she was feeling dizzy . She was sitting in the chair and appeared to passout, never lost conciousness, conversive at all times. Patient reclined to floor, then moved to another room . BP =93/63 HR=70. Received water and graham crackers . Patient left with mother 30 minutes later.
Age: 15.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Blood glucose normal, Cold sweat, Fall, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient first HPV vaccine was administered in the left arm, within seconds after administration patient fell backwards onto the exam table. His face was pale, mom told us his skin felt clammy. Not long after patient was back alert and woke up asking "where am I".  I told patient to stay there, mom was beside him while I went to get patient some water and get some providers to examine patient. Vital signs were normal afterwards, MD listened to patient, and he sounded normal, mom checked his blood sugar on his Dexcom and it was normal. We had patient positioned on the exam table with his head at one end then his legs positioned upwards to allow blood flow to his head. Patient got up slowly on the exam table to finish his water and he was back to his normal self. We had patient wait in the room for about 10-15 minutes, checked on him again and he was ok, he felt better and normal. He was able to check out afterwards.
Age: 15.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Pallor
Clinical narrative: Patient first HPV vaccine was administered in the left arm, within seconds after administration patient fell backwards onto the exam table. His face was pale, mom told us his skin felt clammy. Not long after patient was back alert and woke up asking "where am I".  I told patient to stay there, mom was beside him while I went to get patient some water and get some providers to examine patient. Vital signs were normal afterwards, MD listened to patient, and he sounded normal, mom checked his blood sugar on his Dexcom and it was normal. We had patient positioned on the exam table with his head at one end then his legs positioned upwards to allow blood flow to his head. Patient got up slowly on the exam table to finish his water and he was back to his normal self. We had patient wait in the room for about 10-15 minutes, checked on him again and he was ok, he felt better and normal. He was able to check out afterwards.
Age: 79.0
Sex: M
Vaccine: FLU4
Symptoms: Body temperature increased, Cough, Dysphagia, Dyspnoea
Clinical narrative: cough, trouble breathing high temp 102 deg, zone throat can't sallow
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient did not have any reactions until Friday 11-17-2023 when she woke up with a very red, itchy, and hot arm at the injection site. Slightly swollen. She wanted me to report this. No other side effects to note, and has since improved.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient was setting up in the area where we were about to start Flu/COVID vaccines.  Her name was on the list to vaccine, the aide identified her and verified her name on the list, so I gave her the vaccine that was listed that she needed.  Employee came around the corner and was mortified that I had done this.  Her daughter had taken her out and got it done at pharmacy earlier in the month.   This information had been omitted to us and would've changed the situation.  The patient ambulated per self away from the area.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Laboratory test normal, Thirst, Vision blurred
Clinical narrative: Left the store and drove to a doctor's appointment. I parked, and went to get out of the car I felt like I was having dizzy and couldn't focus. I said to myself "I am gonna pass out! I layed on my horn and rolled down the window and I yelled and someone finally came out of the facility and asked if I needed help. He got me in a wheel chair. I sat in the chair and was very thirsty. They called EMS and within an hour or so after getting to the hospital I was able to focus. I was tested for a stroke and didn't have one. I was released 3 hours after getting to the hospital and am fine now.
Age: 1.17
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none
Age: 0.17
Sex: F
Vaccine: DTPPVHBHPB, IPV, PNC13, RV1
Symptoms: Extra dose administered, No adverse event
Clinical narrative: During our count of vaccines after clinic it was noted that the patient received both a vaxelis and polio vaccination. A call was placed to the parents to notify of the inadverent error of giving vaxelis and polio at the same time. The patient has not had any adverse reactions due to this event.
Age: 0.33
Sex: M
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given Meningococcal vaccine by mistake. Correct vaccine should have been Pneumococcal . Per Nurse team and provider patient presents no side effect or symptoms as of today.
Age: 34.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect dose administered
Clinical narrative: Pt received 0.5 ml intradermally, when it should have been 0.1 ml
Age: 53.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Blister, Infection, Pain in extremity, Peripheral swelling
Clinical narrative: Patient came to health department 11/8/2023 two days after receiving shingrex and covid vaccinations both in the left deltoid. Patient showed nurse blisters on arms and hands similar to chickenpox blisters and 7 inches below left deltoid, a 9cm area swollen and painful on anterior aspect of left upper arm. patient has history of lymphedema. No difficulty breathing or area of generalized hives. Told patient to seek MD opinion.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Arthralgia
Clinical narrative: Patient experienced what he described as shooting pains throughout his body, namely his joints and in his abdomen one month after getting the Shingrix vaccine. The pain is intermittent but has been going on for days now. He reports no other symptoms. He has not seen a physician about this problem yet.
Age: 27.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood pressure increased, Nausea
Clinical narrative: Nausea, slightly elevated BP
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Impaired work ability, Inflammation, Injected limb mobility decreased, Injection site inflammation
Clinical narrative: Flu Shot received at Workplace Flu Clinic and the shot was given to high in my left arm and the provider missed the muscle and injected the flu shot into my Bursa Sac.  Since then, range of motion in left arm is extremely limited and there is a lot of pain and I cannot lift or pull things and it has effected my daily acts of living  for example getting dressed and am not able to use that arm without feeling pain down my arm from the shoulder down my left arm, sleep and anything related to using my left arm is effected.   My sleep has been very disrupted and am not able to get comfortable and have to prop self up to sleep.  There has has been a lot of inflammation, pain down my left arm from the shoulder down my left arm and constant throbbing pain.  Saw a healthcare provider through work to report the incident and another provider who I saw that treated me for evaluation and did an Xray and Cortizone Shot. Since the Cortizone Shot, I have had less pain and inflammation, but there is still pain and limited range of motion in that arm.  Workplace restrictions are in place and I am not to lift anymore than 10 lbs and have been told not to reach overhead and physical therapy orders have been provided for twice weekly PT.  I will be following up with this doctor again at the end of November 2023.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Loss of personal independence in daily activities, Pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Flu Shot received at Workplace Flu Clinic and the shot was given to high in my left arm and the provider missed the muscle and injected the flu shot into my Bursa Sac.  Since then, range of motion in left arm is extremely limited and there is a lot of pain and I cannot lift or pull things and it has effected my daily acts of living  for example getting dressed and am not able to use that arm without feeling pain down my arm from the shoulder down my left arm, sleep and anything related to using my left arm is effected.   My sleep has been very disrupted and am not able to get comfortable and have to prop self up to sleep.  There has has been a lot of inflammation, pain down my left arm from the shoulder down my left arm and constant throbbing pain.  Saw a healthcare provider through work to report the incident and another provider who I saw that treated me for evaluation and did an Xray and Cortizone Shot. Since the Cortizone Shot, I have had less pain and inflammation, but there is still pain and limited range of motion in that arm.  Workplace restrictions are in place and I am not to lift anymore than 10 lbs and have been told not to reach overhead and physical therapy orders have been provided for twice weekly PT.  I will be following up with this doctor again at the end of November 2023.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Sleep disorder, X-ray limb
Clinical narrative: Flu Shot received at Workplace Flu Clinic and the shot was given to high in my left arm and the provider missed the muscle and injected the flu shot into my Bursa Sac.  Since then, range of motion in left arm is extremely limited and there is a lot of pain and I cannot lift or pull things and it has effected my daily acts of living  for example getting dressed and am not able to use that arm without feeling pain down my arm from the shoulder down my left arm, sleep and anything related to using my left arm is effected.   My sleep has been very disrupted and am not able to get comfortable and have to prop self up to sleep.  There has has been a lot of inflammation, pain down my left arm from the shoulder down my left arm and constant throbbing pain.  Saw a healthcare provider through work to report the incident and another provider who I saw that treated me for evaluation and did an Xray and Cortizone Shot. Since the Cortizone Shot, I have had less pain and inflammation, but there is still pain and limited range of motion in that arm.  Workplace restrictions are in place and I am not to lift anymore than 10 lbs and have been told not to reach overhead and physical therapy orders have been provided for twice weekly PT.  I will be following up with this doctor again at the end of November 2023.
Age: 1.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Patient administered pediarix instead of dtap; received additional doses of Hep B and IPV; found with chart/vaccine review
Age: 8.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given the 12+ year dose when he should have been given the 5-11 dose...
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Pt was administered high dose flu vaccine instead of traditional dose.
Age: 11.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given the 12+ dose when he should have received the 5-11 yr dose
Age: 56.0
Sex: M
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Administered on accident to patient under age of 60.  Patient did not report any adverse effects.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Tenderness
Clinical narrative: I have bruises all down my left arm from my shoulder and armpit. The bruises are 3 fingers across in size. My arm is very tender and sensitive to touch. I can't even apply lotion. The bruises are getting bigger.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site haematoma, Injection site pain, Injection site swelling, Swelling
Clinical narrative: The following day developed hematoma, swelling, erythema and pain to R  upper arm At 48 hrs tenderness, erythema and swelling or area worse and spread to R shoulder /neck
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Rash
Clinical narrative: Rash on R arm,  ice pack given,  RN and provider notified.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pain in extremity, X-ray
Clinical narrative: Reports arm pain two days after vaccination. Pain with lifting right arm in bicep region started two days after vaccine. Has seen PT and an MD and got a steroid injection. The MD reports he think the pain is muscular in nature but client does have arthritis in the right shoulder. Also has a history of carpal tunnel surgery in the right wrist.
Age: 61.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Underdose
Clinical narrative: The client was given two doses of pediatric recombivax-1st dose given 08/31/2023, 2nd dose given 10/17/2023. This nurse made the first error by taking a pediatric dose from the refrigerator due to the adult dose being labeled for a local employer only. The second dose was given by another nurse in the facility after the Immunization Coordinator had obtained it from the refrigerator for the nurse. Staff have been unable to contact the patient to report the adverse event due to the patient's phone number that the facility has on file has been disconnected.
Age: 68.0
Sex: M
Vaccine: COVID19, PNC20, VARZOS
Symptoms: Aphthous ulcer, Diarrhoea, Fatigue, Vomiting
Clinical narrative: Patient started experiencing Diarrhea, vomiting and fatigue  and developed what patient described as canker soar on his upper outer lip and tip of his tongue on 11/14/23 (the day he received the vaccine).  Per patient's wife: for the past 2 weeks, several family members experienced diarrhea and vomiting. One of their grand children was subsequently diagnosed with COVID-19.  the Diarrhea, vomiting and fatigue resolved within 2-3 days.  Patient still feels tired but he is always tired due to work schedules being long.  Patient refused to  see a doctor but used OTC Abreva to treat the cold soar on his upper lip and the symptoms improved. The only unresolved issue is the canker soar on his tongue.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: multidose vial not diluted prior to use and was administered to patient.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19
Clinical narrative: hospitalized with covid
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Decreased appetite, Fatigue
Clinical narrative: Fatigue the night of vaccination. I was in bed, exhausted for the next two days, and had no appetite. I'm stronger on Day 3, let's call it. I've never had any issue with many previous vaccines.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Site of injection had redness and rash. Was painful to touch
Age: 1.5
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: multidose vial not diluted prior to use and administered to patient.
Age: 1.5
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Multidose vial not diluted prior to use and administered to patient.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with covid
Age: 0.5
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: multidose vial not diluted prior to use and administered to patient.
Age: 0.5
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: multidose vial not diluted prior to use and administered to patient.
Age: 87.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: She got her vaccine, a few hours after she got the vaccine she could tell she had teh vaccine as her arm was painful.  It stayed painful for about 3-4 days.  Then she went to get another vaccine on 11/13/23 and the pharmacist at that time noticed that that particular arm was swollen from her shoulder to her elbow, and it was all the way around, swelling on all aspects of her arm.  It was also hot and red to the touch.  The day before that the arm had been very itchy and she had scratched at it not knowing it was swollen or red.  Then she went to the hospital to the ER to be sure that she did not have a blood clot.  She had an US that was done, and it was normal, and that the only thing that she could do was to wait and make sure the swelilng went away, and told her to take Tylenol for the symptoms, and felt that Benadryl would not make any difference.  It took 3 days for those symptoms to go away.  Her arm was still red, warm to the touch and swollen to the touch.  It gradually got better and now it is fine.    She did not get the other vaccine that day, but did get the RSV vaccine today and so far everything is fine, got that in her right arm.    She went to the ER.
Age: 87.0
Sex: F
Vaccine: PNC20
Symptoms: Ultrasound Doppler normal
Clinical narrative: She got her vaccine, a few hours after she got the vaccine she could tell she had teh vaccine as her arm was painful.  It stayed painful for about 3-4 days.  Then she went to get another vaccine on 11/13/23 and the pharmacist at that time noticed that that particular arm was swollen from her shoulder to her elbow, and it was all the way around, swelling on all aspects of her arm.  It was also hot and red to the touch.  The day before that the arm had been very itchy and she had scratched at it not knowing it was swollen or red.  Then she went to the hospital to the ER to be sure that she did not have a blood clot.  She had an US that was done, and it was normal, and that the only thing that she could do was to wait and make sure the swelilng went away, and told her to take Tylenol for the symptoms, and felt that Benadryl would not make any difference.  It took 3 days for those symptoms to go away.  Her arm was still red, warm to the touch and swollen to the touch.  It gradually got better and now it is fine.    She did not get the other vaccine that day, but did get the RSV vaccine today and so far everything is fine, got that in her right arm.    She went to the ER.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Joint range of motion decreased, Product administered at inappropriate site
Clinical narrative: Covid 19 vaccination found to have been injected into left subacromial bursa instead of deltoid muscle causing a severe acute subacromial bursitis characterized by pain and limited range of motion of the shoulder.
Age: 45.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Bone pain, Eye pruritus, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient received Prevnar and Influenza vaccines on Friday 11-17-2023 in left deltoid.    Patient called office on 11-20-2023 to report initial redness and swelling in left upper arm within the first 24 hours of receiving vaccines (at injection sites). She expected this and was not initially concerned. However, redness and swelling of left upper arm continued to become larger as time ensued; it also became itchy. Bilateral eyes are itching; palms and fingertips are itching. States feeling achy in bones too.
Age: 45.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Pruritus
Clinical narrative: Patient received Prevnar and Influenza vaccines on Friday 11-17-2023 in left deltoid.    Patient called office on 11-20-2023 to report initial redness and swelling in left upper arm within the first 24 hours of receiving vaccines (at injection sites). She expected this and was not initially concerned. However, redness and swelling of left upper arm continued to become larger as time ensued; it also became itchy. Bilateral eyes are itching; palms and fingertips are itching. States feeling achy in bones too.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Hypersensitivity, Rash, Tinnitus, Urticaria
Clinical narrative: Patient had an allergic-type reaction from her vaccine with symptoms starting about 8 hours after the vaccination was given. She had hives and a rash on her face and neck. She also is experiencing a ringing in her ears that has not gone away.
Age: 66.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Blood pressure decreased, Condition aggravated, Headache, Hypertension, Palpitations
Clinical narrative: I suffer from basic hypertension which is completely stable taking 2x 2.5mg Amlodipine.  Following the vaccines my blood pressure was consistently dropping as low as 102/62/89. I had pain in my head and my heart was beating aggressively. I stopped taking my Amlodipine
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea exertional, Erythema, Hilar lymphadenopathy
Clinical narrative: 11/19/23: Pt presented to the ED with complaints of right thigh pain, swelling and redness that began on 11/17/23, and complaints of dyspnea on exertion that began on the morning of 11/19/23 while the patient was on his morning run. The patient received the COVID-19 Pfizer Comirnaty Vaccine on 11/9/23. This was the pt's 5th or 6th dose of the COVID-19 vaccine per his report. He was diagnosed with  bilateral pulmonary emboli and DVT of the right leg on 11/19/23 and admitted for a heparin drip. Of note the patient has no PMH for chronic conditions, he is on no prescription, OTC or herbal medications at home. No prior history of clots, or clotting disorders.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Pain in extremity, Peripheral swelling, Pneumonia, Pneumonitis
Clinical narrative: 11/19/23: Pt presented to the ED with complaints of right thigh pain, swelling and redness that began on 11/17/23, and complaints of dyspnea on exertion that began on the morning of 11/19/23 while the patient was on his morning run. The patient received the COVID-19 Pfizer Comirnaty Vaccine on 11/9/23. This was the pt's 5th or 6th dose of the COVID-19 vaccine per his report. He was diagnosed with  bilateral pulmonary emboli and DVT of the right leg on 11/19/23 and admitted for a heparin drip. Of note the patient has no PMH for chronic conditions, he is on no prescription, OTC or herbal medications at home. No prior history of clots, or clotting disorders.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pulmonary infarction, Ultrasound Doppler abnormal, Ventricular septal defect
Clinical narrative: 11/19/23: Pt presented to the ED with complaints of right thigh pain, swelling and redness that began on 11/17/23, and complaints of dyspnea on exertion that began on the morning of 11/19/23 while the patient was on his morning run. The patient received the COVID-19 Pfizer Comirnaty Vaccine on 11/9/23. This was the pt's 5th or 6th dose of the COVID-19 vaccine per his report. He was diagnosed with  bilateral pulmonary emboli and DVT of the right leg on 11/19/23 and admitted for a heparin drip. Of note the patient has no PMH for chronic conditions, he is on no prescription, OTC or herbal medications at home. No prior history of clots, or clotting disorders.
Age: 57.0
Sex: M
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given the RSV vaccine, Abrysvo. Patient is 57 years old.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, nausea, headache, fever, chills. For 5 days now
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was administered a Moderna Spikevax 11/14/2023 and it was later discovered that patient had had a Pfizer vaccine 09/28/23 at a Pharmacy.  No adverse effects have been reported to this point.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Induration, Injection site erythema, Pain in extremity, Paraesthesia, Peripheral swelling
Clinical narrative: After first dose I had a rash over my stomach and back for a couple of days.  After the second dose, my arm was extremely painful, started with 2 red spots -injection site and one larger.  The next day my arm was more sore and there was one large red splotch and several bumps by the end of the day I could feel a harness/swelling in my arm and it felt like a bad sunburn -heat radiated off.  The 17th (day 3) I had a rash over my entire belly and my back looked like I had a bad sunburn - heat & dryness.  I took a Xantec during the day and a Benedryll at night. 18th (day 4) my entire torso and both arms were covered with either spots or what looked and felt like a sunburn- spots were advancing up my neck but the pain in my arm was lessening.  I used teledoc and was prescribed Prednisone - couldn't pick it up until the evening. 19th I started the day with Prednisone, the rash seemed to be lessening but was now itchy like a healing sunburn.  Today I am feeling needles of pain on occasion in my torso but the rash has mostly subsided and the pain in my arm is gone.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Rash macular, Skin warm
Clinical narrative: After first dose I had a rash over my stomach and back for a couple of days.  After the second dose, my arm was extremely painful, started with 2 red spots -injection site and one larger.  The next day my arm was more sore and there was one large red splotch and several bumps by the end of the day I could feel a harness/swelling in my arm and it felt like a bad sunburn -heat radiated off.  The 17th (day 3) I had a rash over my entire belly and my back looked like I had a bad sunburn - heat & dryness.  I took a Xantec during the day and a Benedryll at night. 18th (day 4) my entire torso and both arms were covered with either spots or what looked and felt like a sunburn- spots were advancing up my neck but the pain in my arm was lessening.  I used teledoc and was prescribed Prednisone - couldn't pick it up until the evening. 19th I started the day with Prednisone, the rash seemed to be lessening but was now itchy like a healing sunburn.  Today I am feeling needles of pain on occasion in my torso but the rash has mostly subsided and the pain in my arm is gone.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received a 12 year and up COVID-19 vaccine, instead of a 5-11 year vaccine. Dr notified mother of the error. Currently not having any side effects.  I will call mom next week to follow-up.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: SECOND NITE PATIENT HAD CHILLS AND FEELING ACHY.  NO FEVER.  NO RESPIRATORY ISSUES.  LEFT ARM WAS SORE AT INJECTION SITE.  UPPER ARM WAS RED AND WARM TO TOUCH AROUND THE INJECTION SITE
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein increased, Gait disturbance, Injection site reaction, Mobility decreased
Clinical narrative: Severe shoulder, upper arm, pelvic and upper leg muscle and joint pain and stiffness.  Inability to raise arms and difficulty walking.  Pain  and stiffness first noted on Oct.  20th.  Pain and stiffness intensity has fluctuated since initiation of prednisone treatment on Nov. 7th. But it is consistently worse between 4 am and 12 noon. Polymyalgia rheumatica dx 11-07-23 by Dr.   Covid booster was NOT give in the central deltoid, but on the outer upper aspect of the deltoid. Lesion remained for 3 weeks at injection site. Had hi-dose annual flu shot at Dr.'s office, allergist, on Oct. 2, 2023
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia, Pain in extremity, Pelvic pain, Polymyalgia rheumatica
Clinical narrative: Severe shoulder, upper arm, pelvic and upper leg muscle and joint pain and stiffness.  Inability to raise arms and difficulty walking.  Pain  and stiffness first noted on Oct.  20th.  Pain and stiffness intensity has fluctuated since initiation of prednisone treatment on Nov. 7th. But it is consistently worse between 4 am and 12 noon. Polymyalgia rheumatica dx 11-07-23 by Dr.   Covid booster was NOT give in the central deltoid, but on the outer upper aspect of the deltoid. Lesion remained for 3 weeks at injection site. Had hi-dose annual flu shot at Dr.'s office, allergist, on Oct. 2, 2023
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site, Red blood cell sedimentation rate, Red blood cell sedimentation rate increased
Clinical narrative: Severe shoulder, upper arm, pelvic and upper leg muscle and joint pain and stiffness.  Inability to raise arms and difficulty walking.  Pain  and stiffness first noted on Oct.  20th.  Pain and stiffness intensity has fluctuated since initiation of prednisone treatment on Nov. 7th. But it is consistently worse between 4 am and 12 noon. Polymyalgia rheumatica dx 11-07-23 by Dr.   Covid booster was NOT give in the central deltoid, but on the outer upper aspect of the deltoid. Lesion remained for 3 weeks at injection site. Had hi-dose annual flu shot at Dr.'s office, allergist, on Oct. 2, 2023
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Injection site bruising, Injection site mass, Injection site pain, Nausea
Clinical narrative: Pt states that two weeks ago she got the flu shot and about two days later she has had pain and black and blue bruise from the elbow to the shoulder on the right side. She states that she has a lump where the injection site is. She states that she is trying not to move it. She states that she is using asper cream to help with the pain. Pt states that she is a little nauseous and dizzy. She states that she has been using ice, heating pad. Pt states that the lump never grew after it showed up two days after the shot.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Urticaria
Clinical narrative: Bilateral eyes swollen and bilateral hives on neck. OTC antihistamines
Age: 23.0
Sex: M
Vaccine: UNK
Symptoms: CSF glucose normal, CSF protein increased, Chills, Computerised tomogram head normal, Dehydration
Clinical narrative: Vacc #4 received on 11 July. To ED on 13 July with Fever, fatigue, headache, dx with mild dehydration. Returned to ED the following day, myalgias, chills and headache. Underwent LP dx with possible viral meningitis. Headaches persisted through mid Aug. No problems with Vacc 1-3  Symptoms: HEADACHE(R51), MYALGIA(M791).
Age: 23.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Headache, Influenza virus test negative, Myalgia, Neisseria test
Clinical narrative: Vacc #4 received on 11 July. To ED on 13 July with Fever, fatigue, headache, dx with mild dehydration. Returned to ED the following day, myalgias, chills and headache. Underwent LP dx with possible viral meningitis. Headaches persisted through mid Aug. No problems with Vacc 1-3  Symptoms: HEADACHE(R51), MYALGIA(M791).
Age: 23.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: Vacc #4 received on 11 July. To ED on 13 July with Fever, fatigue, headache, dx with mild dehydration. Returned to ED the following day, myalgias, chills and headache. Underwent LP dx with possible viral meningitis. Headaches persisted through mid Aug. No problems with Vacc 1-3  Symptoms: HEADACHE(R51), MYALGIA(M791).
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Discomfort, Erythema, Joint swelling
Clinical narrative: I started having knee pain in my right knee 1 hour after receiving the vaccine. That night it was hurting really bad so I looked at it and it was swollen, red, hot to the touch, it was the size of a goose egg hanging off my knee. It was midnight or 1am of the next day and I went to the emergency room. I was diagnosed with knee bursitis. I was given antibiotics and anti-inflammatories and a referral to a orthopedic surgeon to see if I could get it drained. The swelling has gone down and the heat from it is subsiding. I still have pain but its not as bad as it was. I would say I am 75% better at this point. Any pressure or walking causes discomfort.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, X-ray normal
Clinical narrative: I started having knee pain in my right knee 1 hour after receiving the vaccine. That night it was hurting really bad so I looked at it and it was swollen, red, hot to the touch, it was the size of a goose egg hanging off my knee. It was midnight or 1am of the next day and I went to the emergency room. I was diagnosed with knee bursitis. I was given antibiotics and anti-inflammatories and a referral to a orthopedic surgeon to see if I could get it drained. The swelling has gone down and the heat from it is subsiding. I still have pain but its not as bad as it was. I would say I am 75% better at this point. Any pressure or walking causes discomfort.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Hyperaesthesia, Pruritus, Skin discomfort, Swelling
Clinical narrative: Patient received vaccination of Arexvy on 11/15/23. Patient presented to pharmacy on 11/19/23, and spoke to Pharm.D. Today (11/20/2023), Pharm.D. provided me the details of patient interaction. Patient complained of hyperalgesia that was so sensitive, cotton sheets caused discomfort.  Patient experienced intense itching that made patient feel like scratching their skin off. The swelling increased over the weekend. The patient started to have reddish/purple dots in hive like form.
Age: 0.17
Sex: M
Vaccine: DTPPVHBHPB, MMRV, PNC20, RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure decreased, Cold sweat, Injection site haemorrhage, Loss of consciousness, Pallor
Clinical narrative: A few minutes after vaccination, patient noticed blood leaking out of her bandage.  As the pharmacist was cleaning up patient's arm and replacing the bandage, the patient lost consciousness for approximately 15-30 seconds. Patient regained consciousness and then was able to walk, then vomited. Patient was then seated by the pharmacy. Pharmacist attempted to check blood pressure, but got an error reading. Patient was given water per request. Patient vomited a second time. Patient seemed clammy and a bit pale. Per Pharmacist's best clinical judgment, EMS was called. Paramedics arrived about 1pm and decided to take patient to the hospital due to patient's low blood pressure readings and as a monitoring precaution.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: A few minutes after vaccination, patient noticed blood leaking out of her bandage.  As the pharmacist was cleaning up patient's arm and replacing the bandage, the patient lost consciousness for approximately 15-30 seconds. Patient regained consciousness and then was able to walk, then vomited. Patient was then seated by the pharmacy. Pharmacist attempted to check blood pressure, but got an error reading. Patient was given water per request. Patient vomited a second time. Patient seemed clammy and a bit pale. Per Pharmacist's best clinical judgment, EMS was called. Paramedics arrived about 1pm and decided to take patient to the hospital due to patient's low blood pressure readings and as a monitoring precaution.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 47.0
Sex: F
Vaccine: FLUC4, PNC20
Symptoms: Erythema, Injected limb mobility decreased, Injection site bruising, Injection site pain, Injection site rash
Clinical narrative: pain at injection site, bruising at injection site, inability to lift right arm/move shoulder, sharp shooting pain in right arm/hand, localized redness/swelling, fever of greater than 100.4 for more than 4 days, rash to right arm from injection site down to bend of arm with localized edema
Age: 47.0
Sex: F
Vaccine: FLUC4, PNC20
Symptoms: Localised oedema, Pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: pain at injection site, bruising at injection site, inability to lift right arm/move shoulder, sharp shooting pain in right arm/hand, localized redness/swelling, fever of greater than 100.4 for more than 4 days, rash to right arm from injection site down to bend of arm with localized edema
Age: 67.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Sudden death
Clinical narrative: Pt received vaccines on 10/19/23 and died suddenly on 10/27/23. PCP wanted to inform in case there was any correlation between the two.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Rash, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Head to toe red, hot, itchy rash that lasted about a week
Age: 61.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Flushing, Heart rate increased, Influenza like illness, Pain
Clinical narrative: 8 hours after vaccine, fever, aches, chills, flu-like symptoms. 36 hours later, hives on underarms and top of shoulders, shingles-like rash from left hip to left breast area. Flushed face, fast heart rate.
Age: 61.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Pyrexia, Rash, Rash vesicular, Urticaria
Clinical narrative: 8 hours after vaccine, fever, aches, chills, flu-like symptoms. 36 hours later, hives on underarms and top of shoulders, shingles-like rash from left hip to left breast area. Flushed face, fast heart rate.
Age: 68.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pronounced swelling, redness, heat, itching at and around site
Age: 71.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Patient uncooperative
Clinical narrative: Administration Error - patient pulled away during administration of Fluad HD vaccine and most of the product sprayed on the wall and did not get injected. Readministered dose based on guidance for vaccine administration errors.
Age: 16.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt was given varicella before the 28 days. Pt received MMR  11/06/2023 and was given varicella today 11/20/2023.  Pt was notified. Pt waited in clinic for 30min. No reaction.
Sex: U
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No additional AE; Nurse called to report that an expired dose of PNEUMOVAX 23 was administered to a patient. Caller stated the dose expired on 9/30/2023 and was administered on 10/2/2023. Caller stated the product has not been involved in any temperature excursions. C; This spontaneous report was received from a nurse 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 02-OCT-2023 the patient was vaccinated with expired dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) lot # W019533 and expiration date 30-SEP-2023 for prophylaxis (exact dose, dose number, route and site of administration were not provided) (expired product administered and no adverse event).
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Loss of consciousness
Clinical narrative: Pt passed out in waiting room post HPV vaccination. She was conscious, VS were 100/70, HR 78, O2 98%. Received juice and sat for >20 mins. Was ok to leave with mom.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization for unrelated event, testing found on discharge from Hospital, admitted to a different hospital.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient experienced extreme swelling, bruising, redness and itching at injection site starting approximately 24 hours after injection.  No other vaccines given on that date. Itching continues through today 11/20, more than 72 hours after vaccine given
Age: 0.08
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Beyfortus
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Client was to old should  have received TDap but does not have to start series   No issues with shot
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event
Clinical narrative: Patient did not report any adverse reactions to the vaccine.
Age: 83.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site bruising, Injection site pain, Injection site rash
Clinical narrative: rash around injection site appeared one week after vaccine. patient stated pain and bruising at injection site
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Fatigue, Impaired work ability, Mobility decreased, Pain, Pyrexia
Clinical narrative: Patient described that he had body aches , fever, and fatigue , so bad that he could hardly get out of bed and had to miss work.  He says he has received the flu vaccine for 10 years and has never had a reaction like that before.  He had called one week after receiving the shot to inform us of his reaction. Our clinic is owned by the hospital and I informed out Pharmacy department. It was their recommendation that I file VAERS incident.
Age: 84.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: The patient came to the pharmacy asking for a flu vaccine.  We administered the vaccine after billing insurance.  Hours later, her son called the pharmacy to let us know that she received her flu vaccine at her doctor's office earlier this month.  The patient has received two flu vaccines for this season.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Cardiac monitoring, Incorrect route of product administration, Paraesthesia
Clinical narrative: Flu vaccine inadvertently administered by RN via IV route, not IM MD notified, per progress note:  "Patient reported having some tingling sensation in her bilateral toes and also reported having back pain.  She denies any swelling of her face, perioral tingling, difficulty breathing, chest pain or palpitations.  Denies any other symptoms.  Vital signs are stable on room air.  Patient was given 1 shot of Dilaudid to help with the pain.  Patient reports feeling better after 1 hour.  Cardiac monitor attached.  We will continue to monitor this patient.  Poison control has no specific recommendations other than supportive management.  Discussed with in charge nurse on the floor.  We will continue to monitor closely."
Age: 58.0
Sex: F
Vaccine: PNC20
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt denied.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Fatigue, Pain, Pain in extremity
Clinical narrative: As of 11/20/2023, I am approx. 17.5 weeks pregnant, delivery date is estimated to be April 28, 2024. Adverse events are not severe, less than 24 hrs after injection: sore right arm, body aches, and fatigue. Symptoms were noticed when I woke up around 10:00 AM I only wanted to report due to being pregnant and if it helps with data research.
Age: 81.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Limb discomfort, Peripheral swelling, Pruritus
Clinical narrative: Client called reporting that she noticed her arm was having an increase in discomfort and swelling that evening (Friday November 17th). By "late" Saturday evening (November 18th) her arm was red, swollen, and itching. Client reports taking Benadryl at night for the itching and states that she "believes it is helping". Client called Monday afternoon to report adverse reaction, continues to have symptoms. States she does not believe she needs to see a medical provider for it but she will update her doctor next month during her routine scheduled appointment.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Rash, Urticaria
Clinical narrative: Got a rash on my arm about two days later along with hives. The rash may be unrelated and was said to be eczema. The hives have been frequent and daily. Mostly effecting my arms but have been on all limbs, back and stomach.
Age: 49.0
Sex: F
Vaccine: COVID19, FLUC4, TDAP
Symptoms: Asthenia, Injected limb mobility decreased, Nausea, Pain in extremity
Clinical narrative: Pain in the left arm so bad that I don?t have strength in the limb, cannot raise the arm and move. Nausea related to the pain.
Age: 20.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: Shoulder injury related to vaccine administration of COVID booster and flu shot
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Sinus disorder
Clinical narrative: Sinus problems and fever
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal pain upper, Acute kidney injury, C-reactive protein, Chest X-ray, Chest pain
Clinical narrative: Hypotension - possible sepsis, Acute Kidney Injury, Hyperbilrubinemia, RUQ abdominal pain, Chest pain IV fluids,  Ceftriaxone x 48 hours. RUQ ultrasound - normal.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Differential white blood cell count abnormal, Electrocardiogram, Full blood count abnormal, Hyperbilirubinaemia, Hypotension
Clinical narrative: Hypotension - possible sepsis, Acute Kidney Injury, Hyperbilrubinemia, RUQ abdominal pain, Chest pain IV fluids,  Ceftriaxone x 48 hours. RUQ ultrasound - normal.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Metabolic function test, Troponin, Ultrasound abdomen normal, Urine analysis, White blood cell count increased
Clinical narrative: Hypotension - possible sepsis, Acute Kidney Injury, Hyperbilrubinemia, RUQ abdominal pain, Chest pain IV fluids,  Ceftriaxone x 48 hours. RUQ ultrasound - normal.
Age: 35.0
Sex: M
Vaccine: YF
Symptoms: Chills, Decreased appetite, Diarrhoea, Exposure to communicable disease, Pyrexia
Clinical narrative: Pt received the YF vaccine. Two days later he developed fever and chills. Those resolved within 24hr. The next day, he had diarrhea and loss of appetite. Of note, his infant child had a stomach virus that was going around his daycare, and the baby also had symptoms prior to the patient developing symptoms. It took the patient 6 days to completely recover. He never had a recurrent fever. But because these symptoms are similar with a stomach virus and with a reaction to YF vaccine, we felt it was best to report this event.